Registered Nurse Day Services

Overview

Job Title: REGISTERED NURSE – DAY SERVICESDepartment: Community ServicesLocation: Multiple across LI, some travel might be neededReports To: Director of NursingFLSA Status: ExemptPay Range: $82,000 - $88,000

ORGANIZATION SUMMARYFamily Residences and Essential Enterprises, Inc. (FREE) benefits and proudly supports more than 4,000 individuals with intellectual / developmental disabilities, mental illness and traumatic brain injury. It is the mission of FREE to support people of all abilities reach their full potential and thrive in their communities. FREE provides a diverse array of supports and services including: housing; recovery services; transition to work; employment; day, community and family services; respite; crisis services; education and after school support; specialty health services; and advocacy.POSITION SUMMARYUnder the supervision of the Director of Nursing, the Registered Nurse (RN) is responsible forthe overall oversight and supervision of the healthcare needs of the people we support in FREE’s Day Program. The RN will work in conjunction with Residential and Community based individuals to ensure the delivery of the highest quality of integrated health and continuity of care to the people supported across the FREE network.

Responsibilities

DUTIES, RESPONSIBILITIES, AND ESSENTIAL FUNCTIONS• Ensures staff are trained on individuals’ health care needs.• Ensures all documentation is accurate and complete, including, but not limited to Medication Administration Record, Narcotic Count.• Checks medication inventory and medical supplies monthly.• Ensures supplies of medication and first aid equipment are adequate and not expired, that• medication is stored and disposed of according to agency policy.• Ensures individual-specific formulary is present for all medication administered to each individual with current prescriptions.• Validates the Medication Administration Record on a weekly basis for required information: medication given as ordered and started in a timely fashion; no blank signatures, record is initialed on front and signed on back, PRN symptoms are charted and result stated, note reason for any discontinued medications.• Checks that doctor’s orders and prescriptions are current, medication formularies are in place for each medication, and MARs are printed and completed correctly.• Ensures that procedures for new medication orders are accurately completed• Checks that all medication administered has a matching label, order and medication sheet administered record.• Monitors effects of medication; document as needed.• Tracks and documents all illness or accident; current medication; medication changes; current diet and all charts required by the individual’s nursing care.• Ensures that all emergency room/hospital discharge instructions are followed up and documented upon return to day program.• Completes all necessary nursing assessments per agency policy including, but not limited to, Fall Risk Assessment and Self- Administration of Medication Evaluation• Performs physical observation of individuals and documents assessment.• Assists/reviews incident reports and occurrences; counsel and/or re-train staff as needed to ensure accurate reports.• Validates accuracy and timeliness of entries in all required individual’s medicine charts.• Conducts Nursing In-service training of Day Service staff to include: recognition of illness or dysfunction, disease, infestation and indicators of injury that warrant medical or nursing intervention; taking vital signs; addressing change in health status needs; administering any necessary treatment; performing first-aid; following proper emergency procedures. Add topics as necessary.• Maintains a record of dates when required in-service sessions for day program staff/ were conducted.• Completes and supervises AMAP/G TUBE Certification & Recertification.• Assists with ensuring Medical to Go packets are up to date.• Participates in meetings regarding the care and concerns of the individuals, including ISP’s and Interdisciplinary Team Meetings• Maintains communication with physicians, Residential providers and family members regarding the individual’s care as needed.• Reports possible violations of individual’s rights promptly, and complete and submit incident reports in accordance with New York State regulations and Agency policy.• Participates in any investigation into incidents occurring within the program as requested and maintain confidentiality in regard to such investigations.• Maintains the confidentiality of any information relating to the individual’s in the program as per HIPAA guidelines.• Completes required documentation (paper and/or electronic) in a timely, accurate fashion and as per compliance regulations.• Ensures all required documentation is maintained in records in the prescribed manner.• Reports ongoing problems and suggest solutions