Registered Nurse (full-time and Part-time Available)

Overview

Family Residences and Essential Enterprises, Inc. (FREE), is committed to cultivating an inclusive environment that values and celebrates diversity in all its forms. We believe that a diverse workforce not only reflects the communities we serve but also drives our collective success. We actively encourage candidates of all genders, ages, races, sexual orientations, religions, nationalities, and backgrounds to apply for positions at our company. Your unique talents and experiences will play a crucial role in our mission to support people of all abilities to reach their full potential and thrive in their communities.   Join us in creating a workplace where everyone feels respected, heard, and empowered.

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Summary/ObjectiveUnder the supervision of the Nursing Supervisor, the Registered Nurse (RN) is responsible forthe overall oversight and supervision of the healthcare needs of the people we support. The RNwill work in conjunction with medical providers to ensure the delivery of the highest quality ofintegrated health and continuity of care to the people supported across the FREE network.

Responsibilities

Essential Job Functions• Review, modify and update the individual’s plan of nursing care in accordance withmedical diagnoses and treatment plan. Ensure nursing care plans are updated annuallyand whenever a new diagnosis is added.• Ensure staff are trained on individual plan of nursing service.• Spot check medication count to ensure that the records for narcotics control andneedle/syringe supply are accurate.• Ensure supplies of medication and first aid materials are adequate and not expired, thatmedication is stored and disposed of according to agency policy. Complete monthlymedication storage.• Ensure individual-specific formulary is present for all medication administered to eachindividual.

• Validate the Medication Administration Record on a weekly basis for requiredinformation: medication given as ordered and started in a timely fashion; no blanksignatures, record is initialed on front and signed on back, PRN symptoms are chartedand result stated, note reason for any discontinued medications.• Check that doctor’s orders and prescriptions are current, medication formularies are inplace for each medication, and MARs are printed and completed correctly. Grab and Gobooks have current information.• Ensure that procedures for new medication orders are accurately completed (are dated,signed, noted in Formulary and copied to all appropriate parties).• Check that all medication administered has a matching label, order and medication sheetentry.• Monitor effects of medication; document as needed.• Track and document all medical appointments; illness or accident; current medication;medication changes; current diet (weight loss and gain) and all charts required by theindividual’s nursing care.• Ensure that all physician appointments and follow ups are scheduled as ordered. Reviewincoming physician summaries for instructions, medication changes and treatment ordersand implement all changes. Ensure that all emergency room/hospital dischargeinstructions are followed up and documented.• Maintain a tracking log for all individual’s for all appointments; ensure that recurring andannual appointments (vision; hearing; nutrition; dental exam and cleaning; special needs)are scheduled and attended.• Complete all necessary nursing assessments per agency policy (quarterly, bi-annually,annually), including, but not limited to, as Fall Risk assessment, Nursing Visuals, Self-Administration of Medication Evaluation, and Tardive Dyskinesia Screening. BradenScale for predicting pressure under risk semi-annually.• Perform physical observation of individuals (skin/nails/hair/overall health).• Review incident reports and occurrences; counsel and/or re-train staff as needed to ensureaccurate reports.• Validate accuracy and timeliness of entries in all required individual’s charts.• Conduct Nursing In-service training of residential/day service to include: recognition ofillness or dysfunction, disease, infestation and indicators of injury that warrant medical ornursing intervention; taking vital signs; addressing consumer-specific health problemsand needs (e.g. diabetic/daily foot care); administering any necessary treatment (e.g.warm soaks); performing first-aid on occasion of accidents (injury); making a diagnosis;following proper emergency procedures; writing incident reports. Add topics asnecessary.• Maintain a record of dates when required in-service sessions for residential/day programstaff/ were conducted.• Teach AMAP Certification/Recertification classes as well as the required curriculum forAgency orientation.

• Supervise AMAP staff during certification/recertification for accurate pouring and vitalsigns.• Participate in meetings regarding the care and concerns of the individuals, includingISP’s, Interdisciplinary Tea