The Registered Nurse bears full responsibility for the quality of health care he/she provides to the residents at Seven Hills at Groton. Provides quality care to children and young adults in accordance of the Nurse Practice Act of Massachusetts.
Conveys through nursing practice a clear sense of the role and identity.
Implements nursing care plan in an organized manner; establishes and reorders priorities as needed.
Evaluates outcomes of basic nursing interventions.
Incorporates the prescribed medical regimen into the nursing plan of care.
Delivers care that is consistently reflective of the standards of care at Seven Hills Pediatric Center.
Administers medications and treatments safely according to established nursing practice.
Systematically assesses the resident’s basic health status, records and related health data.
Recognizes changes or trends in patient status.
Provides intervention and redirection as needed to discourage resident from pulling trach and g-tube.
Participates in analyzing and interpreting data and making informed judgments as to the specific elements of nursing care, using appropriate resources and NP/MD consultation.
Participates in the health teaching required by the family and other responsible parties.
Collaborates, cooperates and communicates with other health care providers to ensure quality and continuity of care.
Delegates responsibilities for the performance of selected resident care activities to assistive personnel within the established delegation framework and provides appropriate supervision.
Ensures that all nursing personnel assigned to RN comply with the written policies and procedures established by this facility and school.
Meets with assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities.
Ensures that assigned certified nursing assistants (C.N.A.’s/T.A.’s) are aware of the resident care plans.
Ensures that the C.N.A.’s/T.A.’s refer to the resident’s care plan prior to administering daily care to the resident.
Makes a written and oral report/recommendation concerning the activities of you shift as required.
Completes accident/incident reports as necessary. Appropriately notifies and informs supervisory staff.
Receives telephone orders from physicians and record on the Physician’s Order Form.
Charts nurse’s notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care. Report all discrepancies noted concerning physician’s orders, diet, charting error, etc., to the Nursing Supervisor.
Signs and dates all entries made in the resident’s medical record.
Responds to complaints and grievances made by family or responsible parties. Report to nursing supervisor as necessary. Follows Seven Hills at Groton grievance policy.
Makes rounds with physicians and actively participate in planning care for assigned residents.
Arranges for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
Consults with the resident’s physician and team nurse in providing the resident’s care, treatment, etc., as necessary.
Notify the resident’s attending physician and team nurse when the resident is involved in an accident or incident.
Reviews the resident’s chart for specific treatments, medication orders, diets, etc., routinely to stay adequately informed of resident’s status.
Notifies the resident’s attending physician, team nurse, and next-of-kin when there is a change in the resident’s condition.
Administers skilled nursing intervention such as, catheterization, tube feedings, suction, trach care, stoma care, applying and changing dressings/ bandages, packs and range of motion exercises, care for the dead and dying, etc., as required.
Uses restraints when necessary and in accordance with established policies and procedures.
Obtain sputum, urine and other specimens for lab tests as ordered. Assure prompt follow-up of all lab studies and notification of MD as appropriate.
Takes and records TPR’s, blood pressures, etc., as necessary and interpret results. Collect data from nursing assistants and interpret.
Provides care for seriously ill residents as necessary.
Orders, per guidelines and/or recommend to the Nursing Supervisor, the equipment and supply needs of your unit/shift or assigned resident.
Assists in arranging transportation for residents as necessary.
Operates nursing service equipment in a safe manner. Obtain appropriate orientation to all new equipment.
Utilizes nursing service supplies in a cost efficient manner to avoid waste.
Interacts with residents and their families in a compassionate, nonjudgmental and humanistic manner that preserves and protects resident and family autonomy, dignity and rights.
Develops an awareness of the therapeutic relationship.
Appropriately informs family members and/or responsible parties of any changes in their child’s condition or plan of care. Contact them in a timely fashion.
Appropriately notify Social Services and team nurse of any needs of the parent and/or responsible party.
Demonstrates a willingness to be a team member and to work collaboratively.
Directs staff to achieve resident care needs.
Makes clinical decisions which reflect the ability to prioritize and utilize colleagues in achieving desired goals.
Builds and maintains collegial environment that supports positive morale.
Requests assistance when appropriate and understands limits of ability and/or role.
Shares own knowledge with colleagues. Promotes growth of C.N.A./T.A. staff.
Maintains a safe and clean environment, utilizing supplies and equipment in a cost effective and efficacious manner.
Helping with engagement in groups and instructing and assisting staff on best practices of working with residents.
Accompany residents on field trips and community experiences as indicated by their overall nursing and medical daily care needs.
Participate in Adaptive Aquatic Program with residents that require direct nursing supervision while swimming.
Licensed as a Registered Nurse in the state of Massachusetts.
A background in developmental disabilities and/or pediatrics is preferred.
Strong interpersonal skills required and experience with interdisciplinary team work required.
Experience with developmentally disabled, chronically ill children/adults preferred.