The pre-admission evaluation study and plan.Evaluates each individual’s need for nursing care on a periodic and continuing basis, and when appropriate provide such care under the supervision of Nursing Coordinator and QIDP.
The evaluation study, program design and placement of the client at the time of admission to the residence.
The periodic reevaluation of the type, extent and quality of services and programming.
The development of discharge plans.
The referral to appropriate community resources.
Conduct in-service training with regard to personal hygiene, medication administration, family life and sex education.
Control of communicable diseases and infections, through identification and assessment reporting to medical authorities.
Implementation of appropriate protective and preventive measures.
Provide assistance to the individuals, as needed, in skill development in areas such as activities of daily living, Domestic living, recreation and socialization as needed.
Conduct audits on medical files of each individual within the program to ensure compliance with TSA, NYS JC, DOH, OPWDD and NYC policies, directives and laws.
Conduct trainings and in service annually and as needed with all staff within the program to increase they are in compliance with OPWDD and DOH regulation.
Complete observation of the individuals and staff to ensure the quality of care is being provided.
Complete 24 hours observations, admission and discharge meeting to ensure all residents are receiving the quality of care.
Implement and follow through with all recommendation provided by all external factors which include and is not limited to all medical departments.
Develop treatment plans, in conjunction with the Interdisciplinary Team, consisting of an evaluation of the nursing needs and selection of nursing procedures and practices which will best serve the individual's health care needs.
Record on the individuals 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 client's vital signs. Record nursing needs of individuals.
Shall supervise medication administration practicum and sign off on medication administration monthly to ensure all outdated and discontinued drugs are disposed properly.
Available for on-call duty and to work varied shifts as the needs arises.
Work harmoniously and cooperatively with all consulting and/or contracted medical services to insure recommended treatments are carried out, integrated and documented into the treatment plans.
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.
Provide appropriate information to the individual 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 a liaison, interpreter or as accompaniment to individual with outside providers of health services.
May train direct Support professional staff by way of demonstrations and the provision of written and oral instructions in the performance of nursing techniques and the use of certain nursing equipment.
Carry out all policies of the agency issued management in accordance with OPWDD and/or other funding agency guidelines.
The essential functions for the job include, but are not limited to, the duties listed in the job description.