Registered Nurse, Developmental Disabilities

The Developmental Disabilities Division believes that our role in supporting people with Intellectual and Developmental Disabilities to live meaningful lives as determined by the individual. All persons shall live a life with dignity conforming to each personal value system. Our philosophy is for the people we serve to be part of the community, to live fulfilling lives free of pain, suffering, illness and barriers. Our mission is to ensure access to the best health care, clinical supports and well-trained staff. S:US recognizes the unique needs of those we serve and promotes health equity. Members of the organization emphasize the importance of nursing contribution and advocacy to strive for mitigating illness and injury and early detection of conditions requiring treatment. The scope of the unique nursing practice uses the framework necessary to ensure safe and competent nursingcare involving each person and their circle of support. II.

Essential

DUTIES &

RESPONSIBILITIES:Assessment

Assesses individual’s health condition as needed, and determines the need for referral to physician or emergency room based on observation and/or staff provided information

Participates in pre-admission screening and evaluation of ICF or IRA referred Individuals

Develops an initial nursing assessment within 24 hours of placement at a residence

Develops a Plan of Nursing Services (PONS) based on a Nursing Assessment, Physical Exam Report, Evaluation of Individuals Ability to Self-medicate, within 30 days of placement, and annually thereafter.

Ensures control of communicable diseases and infections, through:o Identification and assessmento Reporting to medical authoritieso Implementation of appropriate protective and preventive measures

Observe medication administration periodically, ensuring adherence with OPWDD regulations and agency policy

Report all injuries to management immediately to ensure appropriate incident reporting procedures are followed

Completes semi-annual and annual nursing assessment report

Choking prevention – ensures mealtime needs are assessed by a licensed clinician, plan changes added to plan of nursing services, train program specialists and program/assistant directors

Choking prevention – ensures mealtime needs are assessed by a licensed clinician, plan changes added to plan of nursing services, train program specialists and program/assistant directors Planning

Maintains a weekly schedule and nursing assignments.

Participates as appropriate in the development, review and update of an Individual Program Plan as part of the Interdisciplinary Team process.

Reviews and updates Nursing Service Plans semi-annually and as needed based on needs derived from completed nursing evaluations and quarterly nursing physical assessments.

Ensures that nursing care, as prescribed by the physician or as identified by individual needs, is carried out.

Participates in the development of discharge plans

Follows-up and/or processes individuals hospital admission and discharge from hospital/rehab.

Makes referrals to appropriate community resources based on the completed medical portion of the individual’s Community Service Plan

Update medical diagnosis and changes in plan of care into Precision Care electronic health record.

Completes quarterly Quality Improvement Reports and ensure resolution to any outstanding issueso Reviews and follow up on Quality Improvement Reports completed by management.

Participates in annual and semi-annual interdisciplinary team meeting along with any special meetings within or outside the residence

Participates in the monthly review and reordering of individuals’ medication together with the primary physician, psychiatrist and residence Behavior Intervention Specialist

Ensures proper storage of all medication and medical supplies, and the proper disposal of the same (in accordance with OPWDD regulations and/or agency policy).

Reviews and monitors, for the purpose of health maintenance bowel movement records, vital signs, monthly weight, adaptive equipment, seizure activity and records, head injury questionnaire, menstrual records and applicable flowsheets on an ongoing basis. Reports irregularities or abnormalities to the individual’s primary physician as needed

Ensures ongoing health care services are provided as needed and medical appointments are scheduled in a timely manner.

Monitors Nutritional services. Ensures annual diet and consistency orders are signed by the health care practitioner.

Available 24 hrs. / day via cell phone as per medical emergency procedure/protocol, Telephone Triage Protocol and for consultation as needed.

Carries out all policies of the agency issued by management in accordance with OPWDD and/or other funding agency guidelines

Attends state survey inspections