Overview Provides direct service and daily nursing care in a clinically intensive program, designed to meet the needs of a unique and specialized population who have been diagnosed with a brain injury and may also have complex medical needs. Assumes overall responsibility of program for designated shift as charge nurse. Ensures that care is provided in a respectful, dignified, high quality manner. Ensures that the care provided promotes individual choices Responsibilities Nursing Care Develops and implements person centered treatment care plans. Provides assistance with activities of daily living according to each individual’s care plan; including, but not limited to, showering, dressing, shaving, mouth care, foot care, diabetes care, wound care, GT/JT care, trach care and nutritional support. Monitors and observes clients for any change in status. Performs individualized assessments with any change of status and provides skilled nursing interventions, as indicated. Administers medication as ordered by primary care provider. Administers treatments as ordered by primary care provider. Provides transportation and accompanies individual served to medical, dental, or any appointment, as needed. Ensures that nutritional needs of the individuals served are met. Ensures that all pharmacological, medical, nutritional supplies, and medical equipment are ordered in a timely and safe manner. Utilizes behavioral strategies when indicated and follows all prescribed clinical plans indicated Supervision Supervises C.N.A.s during designated shift. Ensures that care provided is completed in a timely and accurate manner. Ensures that care provided meets all ISP goals and address the whole person, not just the person’s medical needs. Ensures that program meets all quality control monitoring. Provides relevant nursing education and training to C.N.A.s, as needed Communication Communicates and meets with Program Nurse Administrator, as needed. Maintains communication with primary care provider, family members and/or guardian and all other, significant relationships. Communicates effectively with other Vinfen employees, outside agencies, community agencies, and neighbors. Utilizes emergency and on-call system, when appropriate Communicates any change in status of individual served to appropriate individuals, including Program Director, primary care provider, family and/or guardian, and other outside agencies. Documentation Documents nursing care and treatments as ordered by primary care provider according to Vinfen policy and procedure. Documents medication administration according to Vinfen policy and procedure. Ensures that all documentation is complete and accurate, including, but not limited to, shift notes, daily communication, treatment plans, and medical records. Documents incident reports, including medication errors in a timely and effective manner. Ensures that all documentation meet all regulatory standards and Vinfen policy and procedure. Environment Ensures that environment is safe, clean, comfortable, and welcoming to individuals and families and/or guardians and other significant individuals and visitors. Ensures that environment meets all regulatory requirements. Promotes an environment that is conducive and welcoming to client’s active participation in residence. Ensures that client’s preferences and choices are respected. Ensures that environment meets Vinfen policy and procedures and other credentialing agencies. Ensures that medication and treatment supplies are stored safely. Maintains clients’ medical equipment and supplies that include, but are not limited to, wheelchairs, walkers, Hoyer lifts, hospital beds. Community Integration Ensures that individuals served are involved in community outings and events such as dances and local community events. Ensures that individual preferences are respected. Advocacy/Relationships Advocates effectively for people served. Acts as liaison and collaborates effectively with other Vinfen departments (Behavioral Health, Psychiatry), outside agencies, and community providers to develop effective and working relationships. Attends and participates actively in developing treatment plans, ISP, and other planning meetings, as warranted. Develops and maintains effective relationships with individuals served, families and/or guardians and neighbors, and other significant relationships of individuals served. Professional Development Acts as positive role model for colleagues and staff. Actively participates in trainings offered by Vinfen. Attends conferences and educational opportunities, as indicated. Other Complies with all accreditation and licensing requirements. Ensures that residence meets all fire and safety requirements. Perform their duties and responsibilities, as assigned.
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Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees