Registered Nurse-ME542101

Description 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.) To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions unless this causes undue hardship to the agency. u00b7 Participates 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 SUDu2019s clinic; 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 u00b7 Based on a comprehensive review of the client's overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the client's comprehensive treatment plan. Ensures, plans of nursing intervention include consideration of the client's cultural and ethnic background, customs, needs, beliefs, and primary language. u00b7 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 clients' health care needs. u00b7 Develops, nursing assessment to reflect holistic needs of each client with consideration of his/her psychological, physiological, social, ethnic, cultural, educational and spiritual strengths and needs. u00b7 Oversees the direct implementation of nursing care to ensure that it is carried out in accordance with the plan of nursing intervention, and overall treatment/service plan, and to ascertain if the needs of the client require modification of the plan. u00b7 Coordinates nursing care activities with other professional disciplines to ensure that the nursing plan is consistent with and integrated with the total treatment/service plan and SUD Assessments u00b7 Participates at team meetings and provides nursing input on the development and implementation of treatment/service plans. u00b7 Conduct in-service training with regard to personal hygiene, medication administration, family life and sex education. Supervise medication administration practicums and sign off on medication administration monthly. u00b7 Control communicable diseases and infections through: identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventive measures. u00b7 Record on the clients' 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 clients. u00b7 Modify the nursing plan, in terms of the clients' daily needs, at least annually for adults in accordance with developmental and medical changes. u00b7 Be available for on-call duty. u00b7 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. u00b7 Ensure that the inventory standards for medicines, solutions, supplies and equipment are maintained to meet nursing care needs. u00b7 Account for the issuance of controlled drugs and narcotics and inventories of these drugs. u00b7 Ensures client protection from health hazards such as transmission of infectious organisms, isolation of infected clients and use of properly sterilized equipment when its use is necessary. u00b7 Provide appropriate information to the client 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. u00b7 Serve as liaison, client's interpreter with outside health services providers and escort clients to services as needed. u00b7 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, and client specific condition trainings. u00b7 Provides health education/teaching for clients and their families. u00b7 Participates in risk management and quality assurance concerning health related issues. u00b7 Provides emergency care and crisis intervention u00b7 Accesses medications and observes and records effects and side effects. u00b7 Participates in professional activities to improve personal skills and knowledge. u00b7 Provides Nurse Vacation coverage, phone availability during workday hours, and a minimum of one site visit at covering site, for Nurse Responsibility review and weekly reporting. u00b7 Integrated Services Nursing Triage Service - After Hours, Weekends, and Holidayu2019s (5pm u2013 9am) u2013 On a pre-determined rotation, across all Division Nurses u00b7 Performs other related duties as assigned. Additional responsibilities of the Residential Nurse in the Integrated Division + Consumer Medical Records-Maintain medical record of each individual and ensure all appointments occur as prescribed and on time u00b7 Schedule and coordinate all medical appointments in conjunction with Medical Specialist u00b7 Follow up on all Medical Doctor recommendations following every appointment u00b7 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 u00b7 Conducting weekly medical meetings (to occur every Wednesday) u00b7 Review all consults and ensuring compliance with all recommendations u00b7 Ensure the updating of the Appointment Tracking Log as it is an Integrated Division System u00b7 Complete SUD Nurse Progress Note and filing all consults once the progress note has been written u00b7 Review and edit MARS Monthly upon delivery + Medication- Responsible for Medication Administration without Error u00b7 Ensure all AMAP Certifications are current u00b7 Schedule and conduct all recertification pouringu2019s u00b7 Ensure all medication supplies of each consumer is present and labeled according to doctorsu2019 orders u00b7 Ensure the consumeru2019s Medication Administration Review is updates according with all medication changes, neatly organized with formularies and doctoru2019s order attached u00b7 At least once per week, conduct a full 100% audit of all clientsu2019 medication and document results on the Integrated Division Medication Regimen Review Checklist. Follow up on any discrepancies immediately. u00b7 Ensuring an adequate refill supply at all times by logging into refill alert and communicating with the pharmacy and medical doctor as necessary + Medical Assessments u00b7 Annual, Semi, Quarterly, Self-medication assessment, 24-hour Nursing Care and Medicaid Certifications as needed + Consumer Weights u00b7 Complete within the first 7 days of the month and follow up on any significant increases or decreases immediately + Weekly Medical Reports- u00b7 To be disseminated at the end of each week to the team. Capturing a recap of all appointments from the week and all follow up recommendations. u00b7 Team members include: Manager, Assistant manager, QIDP, Medical Specialist, Senior Vice President, Director of Nursing, Director of Food and Nutrition and Consulting Dietician 6. Conduct trainings according to Part 822, SUD clinic regulations for staff and clients ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES u00b7 Knowledge of professional nursing concepts, principles and practices. u00b7 Knowledge of concepts and principles from the biological sciences that is supportive of nursing practice u00b7 Knowledge of concepts and principles of health promotion and disease prevention. u00b7 Knowledge of abnormal signs and symptoms relating to physical and mental illness, as well as indicators of wellness u00b7 Knowledge of medications and drugs, common dosages, their psychological, physical and physiological effects and possible adverse reactions. u00b7 Knowledge of emergency treatments and interventions. u00b7 Knowledge of teaching and consulting techniques. u00b7 Knowledge of the Agency's routines, procedures and policies. u00b7 Knowledge of cultural, ethnic, and linguistic needs of clients relating to cultural competence. u00b7 Ability to recognize changes in signs and symptoms that warrant the immediate action of a physician. u00b7 Ability to develop, evaluate, implement and modify a plan of nursing intervention to meet the needs of individual clients. u00b7 Ability to secure the cooperation of and work effectively with others. Ability to prepare accurate and timely reports. u00b7 Demonstrated commitment of the value of diversity, equity and inclusion. QUALIFICATIONS AND EXPERIENCE New York State License and current registration to practice as a registered professional nurse prefer at least one-year post RN licensure clinical nursing experience working with individuals with developmental/intellectual disabilities. #ICLRN Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor.

Created: 2025-12-15