Residential RN Oversight

Job Descriptation

Job Title: Residential RN Oversight Department: Nursing

Reports To: VP of Health Services FLSA: Exempt

SUMMARY

The Registered Nurse works as a member of the Program Support Team, providing medical oversight of residents through direct observation and consultation. Assists the Program Managers, Shared Living Program Director and Shared Living Contractors with supervision of the health and safety of Community Living and Shared Living individuals served by Life Unlimited.

BASIC FUNCTIONS AND GENERAL RESPONSIBILITIES:

· Responsible for ensuring the health of all individuals.

· Provide a minimum of 1.25 hours per month per resident. Hours are to be completed at a minimum of 15 minutes face-to-face per individual in the home. If the individual is seen at a day program, their medication, home environment, and collaboration with in-home staff must be completed at a different time.

· Monitor on a monthly basis the health and safety of residents.

· Monitors individuals between the monthly visits PAM time spent on the health team PAM log SharePoint.

· Monthly review of physician orders, medication administration record (MAR), and periodic review of any medical documentation/appointments of all staff who support Life Unlimited individuals.

· Assesses each individual monthly to evaluate health concerns and identify changes in their health status. Assessment will include face to face visits, interviews with support staff, and review of all medical documentation. The RN will determine the type of data needed to evaluate health care needs and determine depth of physical assessment required based on each individuals physical/mental needs.

· Monthly review of compliance of physician orders including but not limited to treatments, procedures, labs, appointments, specialized diets, medications, outcomes, and adaptive equipment for each resident.

· Obtains an initial health history and performs initial physical examination within four (4) weeks of admission for all individuals to Life Unlimited group homes, ISLs and Shared Living homes.

· Consult on difficult or complex medical/mental cases, keeping Community Living informed of individual health and safety needs. Report any identified deficiencies in the standard of care provided to Individuals to a member of the Life Unlimited administrative team. Communicate any concerns to physicians as needed (directly or through Health Coordinators and/or Team supervisors) and Shared Living staff.

· Periodically inspect medication administration application of procedures including medication storage, destruction of medication and correct documentation.

· Maintain documentation of monthly expended time and activity for auditing purposes using documentation forms of Life Unlimited.

· Review annual ISPs and all Addendums for health information and medical supply needs accuracy.

· Attend monthly health team meeting in person unless approved by VP of Health Services

· Oversee the implementation of health care policies and procedures and recommend revisions as needed in collaboration with VP of Health Services and the Department of Mental Health.

· Responsible for timely and ongoing communication.

· Meet regularly with Life Unlimited VP of Health Services to coordinate and direct health care of all group home, ISL and Shared Living residents.

· Participates in staff and house meetings as necessary to address corrective actions needed as identified during health QA assessment(s) and/or Service Monitoring.

· Provide education regarding health matters to Community Living, Life Unlimited staff and Shared Living Contractors as needed.

· Maintains open and consistent communication with individuals, families/guardians, other health-care providers and regulatory oversight agencies (DMH, DHSS, etc.).

· Maintains contact with Community Living staff and Shared Living contractors who support each individual to assure timely reporting of medical/psychiatric concerns are addressed appropriately.

· Maintain communication with agency management, reporting and documenting changes in the individual’s health status, needs and identified deficiencies in the standard of care provided to residents.

· Maintain a collaborative relationship with Quality Assurance RN’s at the Kansas City Regional Office of the Department of Mental Health to implement and maintain statewide health and safety initiatives.

· The ability to effectively and efficiently use computers or mobile devices to input, access, modify, or output information. This includes the ability to quickly access, store and retrieve data.

· Responsible for training of agency personnel.

· Attend training provided by the Department of Mental Health, DDD on statewide administration of best practices and expectations of the quality health care system.

· Become certified and conducts the Level 1 Medication Aide training program monthly to ensure all new staff hired for Life Unlimited Inc. are DMH certified to pass medication.

· Become certified and conducts the 2 year Update Level 1 Medication Aide program monthly for all certified staff to continue their qualification to administer medications per DMH guidelines.

· Provide appropriate delegation and supervision of Unlicensed Assistive Personnel (UAP) who perform such duties as medication administration and other nursing tasks when applicable, and document those activities. (Nursing Practices Act Chapter 335 RSMo).

· Periodically inspect the technique and skill of a sampling of certified staff delegated to pass medications, and determine a plan of action, in conjunction with the Community Living and Training department when certified staff have excessive medication errors.

· Other duties requested by the Executive Director or mandated to the agency by the Department of Mental Health/Division and Developmental Disabilities.

· All Other Duties as Assigned

Physical Expectations

This position requires extended periods of sitting with some periods of walking and standing. It may also require bending, kneeling, and/or stooping and climbing stairs. May require light (5 lbs.) to heavy lifting (50 pounds of dead weight). An individual in this position may need to drive a vehicle to resources in the community. There may be extended periods of using a computer and/or calculator.

Working Conditions

Office/home environment with noises from those we support, office equipment, and telephones. May be exposed to bloodborne pathogens and/or infectious diseases.

QUALIFICATIONS

· Must maintain an active license in good standing issued by the Missouri State Board of Nursing.

· Must have some knowledge of the unique physical needs and medical implications of individuals with developmental disabilities.

· Must have/acquire Level 1 Medication Administration trainer certification through Department of Mental Health and/or Department of Health and Senior Services.

· Must be at least 21 years of age.

· Must obtain a Class E driver’s license during new hire orientation– must carry minimum coverage applicable by law for auto insurance

· Must Receive Seasonal Flu Vaccination

Equal Opportunity Employer