Job Summary:
This nursing role provides medical oversight of people we support through direct observation and consultation. With the goal of assisting persons supported to achieve their highest level of health and independence. The nursing role focuses primarily on interventions that maximize the psychosocial, physical, affective, cognitive, and developmental strengths of the persons, families, staff, significant others, and those who deliver services. The Registered Nurse provides nursing leadership and serves as an advocate to ensure individuals receive appropriate healthcare treatment, health education, and other health related services which honor the rights of the persons supported.
Hours: Full-Time Position- Mission Viejo Area
Essential Duties: total equals 100% -- less than 10% not documented
Person Centered Care/Consultation/Assessment- 40%
• Consult on all clinical needs for the people we serve including difficult or complex medical/behavioral cases.
• Provide in-person care as determined by the individual's needs and program/state requirements.
• Obtains an initial health history and performs initial physical examination on admission per state requirements.
• The ability to effectively triage medical concerns via phone and instruct non-licensed staff to provide appropriate care.
• Provides 24-hour on-call support in rotation with nursing team to residential staff to address individual medical needs and emergencies.
• Identifies health care needs for the person based on the data collected through the nursing process and develops a plan with goals and interventions specific to the needs of the person.
• Implements the plan to promote, maintain, or restore wellness, prevent illness, and/or provide appropriate end-of-life care.
• Evaluates response of the person to the interventions/supports provided and revises the plan accordingly.
• Provides nursing care according to the physician's orders, in compliance with recognized nursing standards and State and Federal Regulations.
Education/Training/Observation- 25%
• Provide education regarding general health and person-specific needs.
• Provide medication administration training to non-licensed staff.
• Periodic observation of the technique and skill of certified staff delegated to pass medications and provide additional training as needed.
• Periodically inspect medication administration application of procedures including medication storage, destruction of medication and correct documentation.
• Provide appropriate delegation of non-licensed staff per state regulations.
Documentation- 20%
• Review compliance of physician orders including, but not limited to treatments, procedures, labs, appointments, specialized diets, medications, outcomes, and adaptive equipment for each person we serve.
• Collects health and functional status data for persons with intellectual and/or developmental disabilities systematically and continuously. The data is documented, communicated, and made readily accessible.
• Participates in quality assurance data collection and reporting as indicated by program requirements.
• The ability to prioritize and manage tasks successfully to meet the needs of the program per state regulations.
Collaboration- 15%
• Maintains open and consistent communication with individuals, families/guardians, other health-care providers, and regulatory oversight agencies.
• Participates and prepares for on-site survey and licensing audits.
• Collaborates as part of the interdisciplinary team in developing, implementing, and evaluating the individual's plan of care.
• Participation and review of general event reporting and interdisciplinary team follow-up.
• Oversee the implementation of health care policies and procedures and recommend revisions as needed in collaboration with Regional Director of Nursing and National Director of Nursing.
The above reflects the general details necessary to describe the principle and essential functions of the position and shall not be construed as the only duties that may be assigned for the position.
Knowledge, Skill, and Abilities for Success in the Role:
Knowledge: Theoretical or practical understanding of a subject acquired and increases through experience.
Skills: Proficiencies developed through training, practice, or experience.
Abilities: The level and quality of being able to do something improved with training and experience.
Willing to function as an advocate for individuals for whom care is provided.
• Must have strong communication and organizational skills and ability to properly document in a timely fashion.
• Basic knowledge and understanding of intellectual and developmental disabilities.
• Has a commitment to the team approach. Ability to work effectively with others, can demonstrate mature guidance, leadership, and flexibility.
• Eagerness to increase knowledge of nursing and of the care and treatment of individuals with intellectual and developmental disabilities.
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.
• Good working knowledge and application of general nursing skills.
• If not currently certified, willingness and ability to complete AbleLight CPR course.
• Ability to provide essential training courses for AbleLight staff as mandated and directed by each state/region (such as Medication Administration.)
• Respect for the individuals supported and commitment to assist them in achieving their best possible health.
• Ability to work independently as well as collaboratively as needed.
Minimum Job Qualifications:
Education: Must be a graduate of an approved Registered Nursing educational program, bachelor's degree preferred.
Experience: Prefer two years' experience with background in case management, education, home health, hospice, community nursing, geriatrics, behavioral health, psychiatric nursing, and/or in the field of intellectual and/or developmental disabilities valuable.
Req. Certs:
• Active and current RN license in good standing for the state(s) assigned to practice.
• Must have a valid driver's license and a clear driving record.
• Must hold First Aid/CPR certification and/or instructor, or ability to obtain.
Travel: Frequent Local Travel to assigned sites
Other: Able to assist with a two-person lift of an adult. Able to do frequent bending and lifting; push and pull 50 pounds. Frequent walking, bending, and stooping. Ability to perform CPR.
Pay Range: $41 - $43 per hour
Hiring Bonus: $1,500
BLC123RN
