ICL

  • Registered Nurse

    Job Locations US-NY-Brooklyn
    Position Number
    73542601
    Department
    Garden House
    Type
    Regular Full-Time
    FLSA Status
    Exempt
  • Overview

    The Supervising Registered Nurse is responsible for the oversight of all nursing duties in a residence, including the supervision of LPN’s and/or other registered nurses. This position is assigned to residences where the medical acuity of the residents warrants increased medical staffing and oversight.   The Supervising Registered Nurse is also responsible for performing all the duties of the staff registered professional nurse, namely the diagnosis and treatment of human responses to actual or potential health problems through such services as case finding, health teaching, and health counseling; nurses provide interventions supportive to or restorative of life and well-being; and execute medical regimens prescribed by a physician, dentist or other licensed health care provider.  Additional detail is provided below.

    Responsibilities

    • Participate in the pre-admission evaluation study and plan; the evaluation study, program design and placement of the resident at the time of admission to the residence; the periodic reevaluation of the type, extent and quality of services and programming; and the development of discharge plans and referral to appropriate community resources
    • Conduct in-service training with regard to personal hygiene, medication administration, family life and sex education.
    • Personally conduct AMAP training and testing of direct care staff, including pourings, suspension of AMAP privileges, retraining, etc. to insure that medication administration is performed in accordance with all NYS and ICL policies and procedures.
    • Control communicable diseases and infections through: identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventive measures.
    • Develop treatment plans, in conjunction with the Interdisciplinary Team, consisting of an evaluation of the nursing needed and selection of nursing procedures and practices which will best serve the residents' health care needs.
    • Record on the residents' medical records nursing observations and action taken, such as nursing care given, medications and treatments given, reactions to treatments, tests, the intake and output of fluids and solids and the resident's vital signs. Record nursing needs of residents.
    • Modify the nursing plan, in terms of the residents' daily needs, at least annually for adults in accordance with developmental and medical changes.
    • Supervise medication administration practicums and sign off on medication administration monthly.
    • Be available for on-call duty and to work varied shifts as the need arises.
    • Work with all consulting and/or contracted medical service providers to in-sure appropriateness of service & to insure that recommended treatments are appropriate and are carried out, integrated and documented into the treatment plan.
    • Insure that the inventory standards for medicines, solutions, supplies and equipment are maintained to meet nursing care needs.
    • Account for the issuance of controlled drugs and narcotics and inventories of these drugs.
    • Insures resident protection from health hazards such as transmission of infectious organisms, isolation of infected residents and use of properly sterilized equipment when its use is necessary.
    • Provide appropriate information to the resident and family about such areas as sustaining and preventive health care, personal hygiene, methods of family or self-treatments, self-medication and possible side effects of medications.
    • Serve as liaison, resident's interpreter with outside health services providers and escort residents to services as needed.
    • Train designated staff, by way of demonstrations and written and oral instructions, in the performance of select nursing techniques and the use of nursing equipment.
    • Coordinate nursing care activities with other professional disciplines to ensure that the nursing plan is consistent with and integrated with the total treatment/service plan.
    • Provide information to other clinical staff on nursing standards of practice and procedures.
    • Provide advice and consultation on nursing related matters to other staff and administrators.
    • Provide health education/teaching for clients and their families.
    • Conduct counseling sessions, with direction as needed by other qualified professionals, according to principles of communication, human behavior and psychiatric nursing.
    • Participate in risk management and quality assurance concerning health related issues.
    • Participate in team and administrative meetings.
    • Manage medical supplies and equipment.
    • Provide emergency care.
    • Provide crisis intervention
    • Access medications and observe and record effects and side effects.
    • Provide information and conducts lectures and group discussions on various health topics, such as: the effects and side effects of medications, well-being, coping skills, dealing with anxiety, anger, self-destructive behavior, manipulation, noncompliance, etc.
    • Participates in professional activities to improve personal skills and knowledge.
    • Maintain medical record of each individual and ensure all appointments occur as prescribed and on time
    • Schedule and coordinate all medical appointments in conjunction with Medical Specialist
    • Follow up on all Medical Doctor recommendations following every appointment
    • Ensure follow up on all medication changes, making sure the order has been sent to the pharmacy, Medication Administration Review has been updated, medication change log updates, bright colored posting of information has been placed and the information transcribed in the AMAP communication log
    • Conducting weekly medical meetings( to occur every Wednesday)
    • Review all consults and ensuring compliance with all recommendations
    • Ensure the updating of the Appointment Tracking Log as it is a IDD Division System
    • Complete Residential Nurse Progress Note and filing all consults once the progress note has been written
    • Review and edit MARS Monthly upon delivery
    • Medication- Responsible for Medication Administration without Error

    Performs other related duties as assigned.

    Qualifications

    License and current registration to practice as a registered professional nurse in New York State; at least 2 years post RN licensure clinical nursing experience working with individuals with mental disabilities.

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