Diabetic Team Lead RN

ROCKY MOUNTAIN CARE GROUP•Layton, UT

1d•Onsite

About The Position

A Diabetic Team Lead is a Registered Nurse who provides skilled nursing care to patients on an intermittent basis in their place of residence. He/she acts as a Case Manager, overseeing the patient’s plan of care, ensuring the care plan accurately represents MD orders and the complete diabetic management in accordance with physician orders and under the direction and supervision of the Clinical Director.

Requirements

Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.
Acceptance of philosophy and goals of this Agency.
Ability to exercise initiative and independent judgment.
A current, unencumbered, active license to practice as an (RN) Registered Nurse or Licensed Practical Nurse (LPN) in Utah.
Demonstrate clinical assessment skills at the level necessary to meet the job requirements.
Ability to make independent decisions when circumstances warrant such action.
Knowledge of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
Effective interpersonal skills and the ability to work with an interdisciplinary care team.
Basic understanding of computer technology, including email use.
Proven written and oral communication skills.
Proven decision-making and analytical skills.
Able to relate positively, favorably, and cooperatively with others, including employees, residents, family members, and personnel of outside agencies and organizations.
Positive attitude and desire to work with the aging population.

Nice To Haves

Two (2) years’ nursing experience, preferred.

Responsibilities

Understands and adheres to established Agency policies and procedures.
Following MD eval and treat orders, RN develops the plan of care and determines the amount and type of nursing care required by each patient.
Completes and submits OASIS (Outcome and Assessment Information Set) assessments, reassessments, transfers, resumptions of care, discharges, and significant changes in condition in accordance with Agency-defined time limits.
Develops and maintains an up-to-date Care Plan and medication profile in the patient's electronic chart with regular collaboration with the MD.
This care plan includes detailed outline of skilled nursing daily diabetic care required for each patient.
Provides skilled nursing services in accordance with the plan of care.
Educates the patient and family/significant to others in diabetic management and other skilled nursing or related needs.
Works closely with each patient’s provider, submitting faxed blood sugar logs and updates by phone, with out-of-range blood sugars or other nursing needs.
Oversees daily visits by diabetic nurses to ensure timely and consistent visits are provided to each patient in diabetic run.
Completes charting real time according to company policies (see visit expectations).
Maintains accurate and complete diabetic binder kept at each patient’s residence to include face sheet, plan of care with medication list, and blood sugar log.
In collaboration with the primary caregiver and ALF (if applicable), the RN orders supplies to ensure each patient has all diabetic supplies: glucometer with test strips and lancets, insulin, needles, alcohol pads, needle cutters, and glucose gel or nasal spray.
Orchestrates regular provider visits (telehealth or in person) to ensure the patient receives appropriate diabetic management and reviews A1C quarterly.
Coordinates care and communicates at least weekly with the caregiver or ALF nurse about any changes in the patient's condition or needs.
Develops a working relationship with ALF staff following their policies and procedures – always completing outside agency visit sheets, updating changes in condition and providing a current plan of care.
Understands ADA guidelines and has a comprehensive understanding of prescribed insulin onset, peak and duration, in addition to appropriate management of hypo and hyper glycemia and target A1C ranges.
Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker for those patients requiring specialized skills.
Supervises and teaches other nursing personnel as directed.
Attends IDG weekly, QAPI quarterly, continuing education as assigned, and any scheduled nursing education or in-services provided.
Participates in weekend and evening rotation for diabetic visits as assigned.
Routine visit length 20-30 minutes. It is never less than 20 minutes.
Real time clock in and out at each visit, obtaining a patient or caregiver signature.
Visit time is made within the same hour each day.
Comprehensive visit, 30-45 minutes, and includes a full assessment.
Unique narrative notes for each visit. No copy or paste.
Barrier to independence identified in each note.
Full set of VS and BS at each visit.
Never administer short-acting insulin without personally checking BS and filling out binder to ensure no duplication of visits.
Full comprehensive assessment of each patient weekly – typically done by Diabetic Team Lead.
Weekly foot checks.
Routine or missed visit charting submitted the same day.
Admission, recert, or Resumption visit charting completed within 24 hours.
Consents submitted same day as admission.