Family Care RN

SCO Family of Services•Brooklyn, NY

About The Position

The Family Care RN oversees the medical needs of people supported, including completing at least quarterly face-to-face visits (or visits as medically necessary), coordinating required medical appointments, completing nursing assessments, and ensuring medications, treatments, and diets are provided as prescribed. The RN reviews routine, pre- and post-surgical, and Urgent Care/ER visit summaries, documents findings and recommendations when applicable, advocates for people supported during medical care, and visits people during hospitalizations or nursing rehabilitation admissions at least weekly or as medical needs require. The RN may provide coverage at other I/DD sites as needed. The position participates in each person’s program planning team and contributes to health-related planning and goal development. It maintains mandated medical records and oversees person-supported charts, including medication administration and treatment records, prescriptions, medical books, flow sheets, and Plans of Nursing Services. The RN participates in Life Plan/ISP meetings, provides medical updates, and completes internal chart audits semi-annually. The RN trains Family Care Providers during scheduled quarterly visits on general health topics, person-specific health needs, PONS, and medication administration. The RN also oversees health and safety procedures, triages health concerns by telephone, directs staff to use Telehealth when appropriate, supervises medication and treatment administration, and ensures medication errors are reported and addressed through training.

Requirements

  • Licensed RN.
  • Respect for people supported and commitment to person-first language and the Justice Center’s Code of Conduct.
  • Valid New York State driver’s license.

Nice To Haves

  • One year of experience working with people supported with an intellectual developmental disability.

Responsibilities

  • Conduct at least one face-to-face contact with each person supported quarterly, or as medically necessary, to assess physical well-being.
  • Ensure required medical appointments are scheduled according to individual needs and regulatory requirements.
  • Complete required nursing assessments.
  • Check medication storage during quarterly visits and ensure an adequate medication supply.
  • Ensure people supported receive prescribed medications, treatments, and diets.
  • Review routine, pre- and post-surgical, and Urgent Care/ER visit summaries in their entirety; document findings, assessments, and recommendations in nursing notes when applicable.
  • Advocate for people supported during medical care with prescribers.
  • Represent the agency professionally during audits and conferences.
  • Visit people supported during hospitalizations or nursing rehabilitation admissions at least weekly, or as required by medical necessity and acuity.
  • Provide RN coverage at other I/DD sites when deemed necessary.
  • Participate in program planning teams and discuss health and medical issues with the team to support awareness and care planning.
  • Participate in program planning and goal development concerning the health and medical needs of people supported.
  • Maintain mandated medical records, including nursing notes, medical visit summaries, discharge summaries, prescriber orders/scripts, and Plans of Nursing Services.
  • Complete medical reports for Life Plan/ISP meetings in a timely manner and participate in meetings to provide medical updates to the team and circle of supports.
  • Oversee charts, including MAR/treatment records, updated prescriptions/formulary, BM charts when applicable, medical books, flow sheets, and PONS.
  • Review MAR/treatment records at least weekly and ensure PONS are updated annually or when diagnoses or treatment plans change.
  • Participate in semi-annual internal audits using the Chart Audit Tool.
  • Provide scheduled quarterly in-service training to Family Care Providers on general health issues and person-specific needs, procedures, precautions, and possible side effects.
  • Provide annual PONS training, or additional training when a diagnosis or treatment plan changes.
  • Train Family Care Providers on their medication-administration responsibilities.
  • Ensure health and safety procedures are followed according to State and Federal regulations.
  • Triage health concerns by telephone and provide directives to Family Care Providers as necessary.
  • Direct staff to use Telehealth when appropriate to reduce Urgent Care/ER visits.
  • Supervise Family Care Providers’ dispensing of medications and treatments according to prescriber orders.
  • Ensure medication errors are reported and Family Care Providers are trained to prevent future errors.
  • Maintain high-quality work and productivity, follow through in a timely manner, exercise good judgment, serve as a positive role model, demonstrate flexibility and initiative, maintain good attendance, and respond to directives from the Nursing Supervisor.
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