• Residential Registered Nurse (Must have tracheostomy experience)

    Job Locations US-MA-Tyngsboro
    Posted Date 2 weeks ago(7/2/2018 8:31 AM)
    Affiliate
    SHCS
    Company Code
    304180
    Job Code
    16.11
    Type
    Regular Full-Time
    Job ID
    13405
    Schedule
    Monday - Friday, 9am-5pm, with on-call responsbilities
  • Overview

    To advocate and institute the appropriate nursing interventions, according to the Nurse Practice Act of Massachusetts, for all medical needs of assigned program participants focusing on optimal health for all individuals. The registered nurse will establish medical protocols and interventions and supervise Rolland LPN staff ensuring: appropriate LPN nursing interventions according to the LPN nurse practice act are followed, job responsibilities are complete, and other assigned tasks. The licensed registered nurse bears full responsibility for the quality of healthcare he/she provides. The Licensed registered nurse is responsible for each individual to live a safe, enjoyable life in their community with opportunities to learn and to exercise increasing independence and control over their lives. The agency and its employees are responsible to the people we support.

    Responsibilities

     

    Assess and coordinate healthcare services for participants. Institute appropriate follow up and communicate all medical issues to: Physicians, nurse practitioners, and other medical licensed providers, Area Director, NE Nursing RN Supervisor/ and or Health Care Director and any other appropriate SHCS staff.

     

     

    • Document all nursing interventions and changes affecting the individual in appropriate areas – TIER, Daily log, progress notes, staff communication log, and any other identified system for communication purposes.
    • Review ISPs for current knowledge of Areas of Life support plans and strategies, behavior plans, and physical therapy plans. Update Health Care Record and provide: yearly medical assessments/summary; and copies of necessary medical visits at ISP
    • Maintain current medication and treatment orders according to MAP standards noting any side effects/adverse effects and report to appropriate people: M.D, Area Director, NE Nursing RN Supervisor, Health Care Director SHCS, and other designated SHCS staff.
    • Assist in training LPN staff in their residential nursing role; conduct coaching sessions with LPN staff in assigned programs in a timely manner on medical performance gaining input from RD
    • Assist RD and LPN staff in conducting or supervising medical trainings a DSP needs in personal care, positioning, feeding, and use of supportive devices as needed. Conduct those trainings that LPN staff are unable to conduct due to regulations.
    • Maintain health records according to DDS standards assuring that necessary documentation is up to date. 
    • Ensure that medical information is communicated to staff-residential and day program via LPN staff regarding medical recommendations and treatments ordered by prescribing physician, NP, PA, and any other licensed medical personnel. 
    • Assist and transport Individuals if designated on necessary medical appointments as recommended by their Physicians and DDS standards. 
    • Maintain all required certifications 
    • To maintain regular contact and positive relationship with individual’s family members/guardians as a secondary contact ( LPN staff primary contact) providing medical status updates, scheduling medical appointments.       Maintain a positive liaison between family/guardian, Residential Director, and the residential program for medical supports. 
    • To follow Foundation and Affiliate Policies and Procedures regarding LPN scheduling, addressing crisis situations and communicating appropriate general information. 
    • To perform additional duties as required or directed 
    • Monitor for the observance by all maintaining safety. 
    • (A) Meet with program Area Director/ NE Nursing RN Supervisor/ and or Health Care Director, for supervision and direction as needed to ensure appropriate medical health care is provided for participants. 
    • (B) Participate in staff meetings updating current medical/health issues; medical staff trainings – supportive devices; equipment; and any other medical house related issues.
    • (C) Attend other designated mandatory in-services. 
    • To implement procedures and services including medical interventions, or additional duties, as assigned by the program Area Director/ NE Nursing RN Supervisor/ Health Care Director SHC

     

    EXPECTATIONS:

    • To carry out all responsibilities professionally and efficiently. 
    • To treat individuals receiving supports with respect and dignity and maintain confidentiality and integrity at all times. 
    • To foster an environment which promotes responsibility, cooperation, consideration and hospitality. 
    • To work in harmony and in support of the Seven Hills Foundation operating subsidiaries. 
    • Work Collaboratively with RD so that all the program needs are being met. (especially around time off requests)  
    • Be part of the hiring process of LPN staff with Area Director and Residential Director 
    • Provide LPN nurses supervision and guidance regarding medical supports in the program. 
    • Scheduling and maintaining appropriate nursing coverage on all shifts. Granting vacation requests as program needs will allow. Ensuring nursing coverage for call outs and inclement weather per SHCS policy guidelines. This could include RN covering a LPN shift.    
    • Report to NE Nursing RN Supervisor / and or Health Care Director status of medical issues

       

    PHYSICAL REQUIREMENTS:

     

    • Ability to drive 
    • Ability to life 35 pounds on occasion

    Qualifications

    Registered Nurse with current MA license. One year working in a residential setting with disabled adults or Home Care experience. One year supervisory experience in a medical model. Leadership abilities (articulate, organized, and teamwork orientated). Excellent communication skills. Valid Massachusetts driver’s license.

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