JOB SUMMARY

A registered professional nurse is responsible for 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.

 

ESSENTIAL JOB FUNCTIONS:  List all essential job duties.  (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation.  Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.)

1.       GENERAL TASKS (OVERVIEW)

 

·       Responsible for the overall safety, health, and welfare of all residents served.

·       Documents appropriately in H&H electronic medical records (EPIC) on residents served. Documentation should include health assessment, goal planning, health notes and any changes or recommendations in the resident health status and Warm hand off notes for patient moving to another program.

·        Conduct discharge note In EPIC for residents leaving the program

·       Complete the DHS Institutional Referral Form and Reasonable accommodation form if needed.

·       Communicate and document feedback from outside affiliate on incoming and current patient

·       Attends Weekly meeting with ICL and H&H

·       Must be available via phone for staff when not in office

·       Document and assess vital signs parameters of high-risk patients weekly or as needed and recognize when to call 911.

·       Must be able to triage to appropriate service and level of care between onsite care and tele health services.

·       Provide ongoing medication monitoring training and refresher for direct support staff.

·       Provides feedback on medical assessment to determine appropriateness for admission and discharge from the medical respite.

·       Responsible for medication cart review

·       Provide feedback on review of the medication administration record (MAR)

·       Ensure that the control substance count sheet is correct and confirm that there is a signature on the count verification sheet for each shift.

·       Provide patient education to residents regarding their treatments, medications and dietary needs in order to improve their health outcomes.

·       Ensures that clinical policies, procedures and standards of care are being followed.

·       Assist in completing consultation form for resident with medical/psychiatric and specialty appointments

·       Must be able to effectively respond to off hour’s resident’s needs that may arise at the Medical Respite.

·       Assist in performing minor first aid and wound care if needed

·       Responsible for infection control / blood borne pathogens standards and compliance using universal and standard precautions.

·       Review medication refrigeration/freezer log

·       Serves as a liaison with pharmacies as well as all consulting healthcare practitioners and medical offices. Ensure start of care plan is in place for new clients if needed

·       Provide weekly clinical notes to the team leader if needed

·       Attends weekly/monthly housing, assessment, staff meetings and supervision.

·       Anticipates, analyzes, diagnoses, and resolves problems.

·       Demonstrates initiative to learn and implement new concepts, technologies, and/or methods.

·       Demonstrate critical thinking, assessment, and problem-solving skills.

·       Demonstrate excellent interpersonal skills.

·       Works collaboratively and productively with others.

·       Demonstrate the ability to use Microsoft Office applications including, but not limited to Outlook, Excel and EPIC care link.

·       Performs other incidental and related duties as required and assigned.

·       Provides crisis intervention

·       Gives lecture and participates in community activities as a medical and mental health advocate.

·       Provides information and conduct lectures and discussion on various health topics, such as: the effect and side effect of medications, well-being, coping skills, dealing with anxiety, anger etc.

 

 

KNOWLEDGE, SKILLS AND ABILITIES

1.       Knowledge of professional nursing concepts, principles and practices.

2.       Knowledge of concepts and principles from the biological sciences that are supportive of nursing practice

3.       Knowledge of concepts and principles of health promotion and disease prevention.

4.       Knowledge of abnormal signs and symptoms relating to physical and mental illness, as well as indicators of wellness

5.       Knowledge of medications and drugs, common dosages, their psychological, physical and physiological effects and possible adverse reactions.

6.       Knowledge of emergency treatments and interventions.

7.       Knowledge of teaching and consulting techniques.

8.       Knowledge of the Agency's routines, procedures and policies.

9.       Knowledge of cultural, ethnic, and linguistic needs of clients relating to cultural competence.

10.   Ability to recognize changes in signs and symptoms that warrant the immediate action of a physician.

11.   Ability to develop, evaluate, implement and modify a plan of nursing intervention to meet the needs of individual clients.

12.   Ability to secure the cooperation of and work effectively with others. Ability to prepare accurate and timely reports.

MINIMUM QUALIFICATIONS AND EXPERIENCE

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

 

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