Paid training available - Contact Debra if you are interested at 631-282-8500
The Residential RN provides direct and supportive health care management to individuals that reside in agency programs. The job duties are widely focused toward coordination of care/case management for individuals and staff training and oversight for the provision of care.
1. Establishes positive working relationships with individual, family members and other members of the interdisciplinary treatment team within and outside the agency.
2. Assess current health status of individuals and identifies needs. Provides professional advice/direction for health and safety issues and ongoing support for the health and medical needs of individuals assigned to caseload.
a. Initiates nursing interventions in emergency and non-emergency situations based on clinical decision making and established policies and standards of care.
b. Establishes and maintains plans of nursing care.
3. Supervises the delivery of nursing care by other licensed and unlicensed staff.
a. Responsible for observing staff for administration of medication and certification. Follow up and counseling as needed per policy and procedures.
b. Provide training, monitoring and oversight of nursing skills such as tube feeds, oxygen administration and other skilled nursing delegated tasks.
c. Provide teaching and training to individuals and staff regarding nursing plans of care and required agency in-services.
4. Coordinates and monitors health services provided; such as primary care, dental, and specialists, etc.
a. Ensures appointments are scheduled in timely manner.
b. Documents individual’s status, health needs and follow up. Transcribes medications and treatments as ordered. Maintains medical files and records.
c. Ensures that information is shared among all necessary parties as applicable.
d. Generates provider consults, then reviews and documents, along with MAOS after appointments have taken place.
e. Updates electronic health records and MARs.
f. Monitors health records such as seizures chart, BM tracking, menses record, AIMS, vital signs, etc.
g. Initiates contact with hospital discharge planners for all hospitalized individuals immediately upon hospitalization to effect a safe discharge. If hospitalization exceeds 2 days’ hospital visits must occur to ensure safety and facilitate communication among all providers.
5. Monitors and maintains medication area:
a. Monitors and maintains proper storage of medications at residence according to policy and regulations.
b. Ensures that expired medications (including OTC) and treatments are disposed of properly.
c. Follow controlled substance policy for counting, storage, administration and disposal.
d. Verifies medications are properly labeled, correspond correctly to prescriber’s order and the MAR.
e. Ensures the overall cleanliness of the medication administration area and complies with infection control practices
6. Monitors proper function of adaptive equipment, obtains orders and collaborates with PT, OT, Speech, etc.
7. Regularly attends staff meetings, treatment team meetings, in-services and others as assigned.
8. Responsible for after hours on-call as scheduled to act in accordance with policies, regulations, and Nurse Practice Act. Documentation and notifications required as applicable.
9. Responsible for notifying supervisor of all pertinent medical information pertaining to individuals (including hospitalizations, change in medical/mental status) and staff issues.
10. Ensure a safe working environment by following all safety guidelines and reporting any hazards.
11. The RN is expected to be at work during scheduled hours, Monday through Friday 8am-4pm and available by phone, unless an absence has been approved.
12. May be required to float or cover other programs as assigned, or work an altered work schedule to meet needs of individuals or program.
13. Other duties, tasks and responsibilities as assigned by supervisor.
Possession of valid RN license and remain registered by the New York State Department of Education. In addition, employee must remain current with all required trainings or certifications as applicable by OPWDD and/or Living Resources. A valid NYS driver’s license and reliable transportation are required. Experience working with individuals with intellectual and/or developmental disabilities is preferred.