Registered Nurse – IRA/Day Habilitation Program
General Statement of Duties:
Ensures that medical services required by the IRA/Day Hab are being met, coordinated and maintained.
Distinguishing Features of the Class:
This position is responsible for acting as a direct link between medical services and the IRA/Day Hab. Responsible for supervising AMAP’s when performing nursing tasks and activities.
Illustrative Examples of Work:
- Working knowledge of OPWDD Rules and Regulations, Little Flower Personnel Policies and Procedures and IRA procedures and protocols.
- Attends all necessary trainings required by OPWDD and Little Flower Children and Family Services of New York.
- Capable of supervising, understanding and working effectively with diverse personalities pertaining to AMAP issues.
- Ensures that medical record information is accurate and up to date.
- Ensures that there is a consumer specific medication sheet for each medication that is administered.
- Shall be responsible for teaching medication administration, tube feeding and diabetic care utilizing a standard curriculum approved by OPWDD and that said training is documented.
- Documents that all Direct Care staff have been educated about the chronic conditions and related health needs of the IRA consumers.
- Responsible to provide initial training and on-going training to all direct care staff in all nursing tasks and/or functions that they will perform.
- Must periodically review the performance of direct care staff to ensure that it is consistent with standards of performance for AMAP staff.
- Conduct annual clinical performance evaluations for unlicensed direct care staff.
- Responsible for developing an individualized plan for nursing services for all IRA consumers. Such plans will be updated at least annually or whenever there is a significant change in the consumer’s condition.
- Be available and respond to phone calls for notification of changes in medical orders for a consumer and/or changes in a consumer’s health status.
- Acts as an integral member of the Interdisciplinary Team as well as Team meetings.
- Will be on-call for the Day Hab/IRA for medical emergencies after regularly scheduled working hours.
- Will complete required paperwork/documentation through the Electronic System (Therap) as well as manually.
- Reports to the Program Director of OPWDD Services.
- Works collaboratively with the IRA/Day Habilitation Program Interdisciplinary team.
House Nurse Responsibilities:
- Check medication cart on a weekly basis to ensure:
- Medications are stored properly:
- Topicals are stored separately from Orals.
- Medications are not outdated.
- Sends MARs to Day Program prior to the end of the month.
- Prepares MARs for the IRA prior to the end of the month. Is responsible for filing the new month’s MARs and removing and filing the previous month’s MARs.
- Supervision of AMAPs.
- Making medical appointments as needed (according to annual requirements, existing or preventive, etc.) and coordinating with Manager’s as to staff and transportation availability.
- Keeping consumer’s annual physicals and tuberculin clearance current.
- Documents consumer’s vital signs on a monthly basis, unless there is a pre-existing condition that requires more frequent documentation.
- Documents consumer’s weights on a monthly basis, unless there is a pre-existing condition that requires more frequent documentation.
- Documents all female consumer’s menses and breast examinations on a monthly basis.
- Documents assessment of all consumer’s medical and nutritional status on an ongoing basis.
- Ensures all staff have a tuberculin clearance on an annual basis. Notifies Manager’s when staff are not within compliance.
- Monitors bowel movement charts on a daily basis to ensure all standing orders are complied with.
- Reports to Program Director of OPWDD.
- Ensures accurate and timely communication with the Physician Assistant and Physician, Manager, Direct Care Staff and other clinical staff to ensure quality of care to all consumers.