Licensed Practical Nurse (LPN) Supervisor YA FT, Daylight w/ Flexibility

Skills of Central PA•Conewago Township, PA

23h

About The Position

While respecting the rights of the people we support, the Nurse Supervisor will be responsible for the acquisition and provision of health care within established nursing objectives and standards, adhering to current nursing law, regulatory requirements, and to the Skills Residential Programs Nursing Roles Policy. This responsibility includes being involved in all high risk, complex health care situations to include hospitalizations, investigations, and establishing individualized medical protocols. The Nurse Supervisor will provide ongoing health care monitoring to those we support in the Residential, respite care and Lifesharing programs with consultation/training as requested from the day programs. The Nurse Supervisor will be responsible for the direct supervision of the nurses in the Residential program. Person-Centered Practices 1. Assures people have what is important to them present in their everyday life. 2. Provides the skills and supports necessary for people to participate in their desired roles and build natural supports in the community. 3. Assures relationships with friends and family are nurtured and protected. 4. Assures people are treated with dignity and respected as a whole person. 5. Assures people have the power to make decisions and have choice and control over their lives and within their program.

Requirements

Licensure:
Practical Nurse License
Valid Driver’s License
Qualifications: Education & Experience:
The Nurse Supervisor shall have one of the following groups of qualifications:
High School diploma or GED equivalent and be a currently Licensed Practical Nurse with 2-years work experience working directly with individuals with an intellectual disability and at least 2 years of supervisory experience in a related field OR
High School diploma or GED equivalent and be a currently Licensed Practical Nurse with 3-years work experience working directly with individuals with an intellectual disability and at least 1 year of supervisory experience in a related field OR
High School diploma or GED equivalent and be a currently Licensed Practical Nurse with 4-years work experience working directly with individuals with an intellectual disability.

Responsibilities

Maintain a high level of accountability and dependability to include attendance at work and punctuality providing direct care when needed.
Complete and maintain certification as a Medication Administration trainer.
Monitor the electronic medication records for quality assurance
Complete and maintain certifications as a Health Risk Screening Tool (HRST) rater and reviewer
Will review all Health Risk Screening Tools (HRST) for the region in the Community Residential Program including Lifesharing within 14 days of the completion of the initial screening.
Complete and maintain certification as a Certified Investigator.
Participate in administrative reviews for incidents involving medical concerns.
Assist in hiring, orientation and ongoing training of the nurses.
Monitors the acquisition, delivery and quality of health care within the Community Residential and Lifesharing Programs by:
maintaining an on-call system of support for the Residential program
providing routine supervision to the nurses
systematically reviewing people’s records to identify trends for systemic needs and determine effectiveness of protocols
facilitating the monthly nurses’ meeting to ensure consistency with established policies and procedures
Ensuring compliance with evaluation and annual training of nurses
Ensuring compliance with applicable licensing as it pertains to health care
attendance at various departmental and committee meetings
Attendance when needed at SIS, ISP and team meetings
Engages in monthly clinical supervision with the Nurse Manager to review:
Quality of care provided
Charts of people with high-risk, complex medical conditions
Person-specific health risk protocols to determine if protocols are effective
Medically involved incidents (hospitalizations, medication errors)
Is able to perform all Essential Duties and Responsibilities of a Licensed Practical Nurse:
Prepares and administers medications, treatments and feedings as ordered by the physician. Assures accuracy in the right person, medication or treatment, dose, route, and time of administration. Assesses the effectiveness of the medication or treatment and observes for any adverse reactions to the medication or treatment. Assists the person and promotes self-administration of medication.
Communicates medical concerns to physicians and recommended treatments to applicable Managers, Team Leaders, and Direct Support Professionals in an appropriate and professional manner as will be documented on a Medical Consult Form
Documents all events or changes regarding the person in a descriptive manner that reflects the care provided and the response to the care.
Transcribes written and verbal physician orders accurately and completes the necessary paperwork for follow through and completion of the order. Administers the orders prescribed by the physician in a professional manner, using good, sound, nursing judgment. Document all interactions on a Medical Consult form.
Completes physical assessments on people we support when necessary and documents
findings in the electronic medical record. Responds to and assesses a person during a crisis. Monitors vital signs, neurological and vascular assessments as needed according to policy and procedure.
Arranges for emergency medical transports and hospital admissions per physician orders. Completes necessary paperwork including Incident Reports. Accompanies house staff to all emergency room visits (whenever possible). Nurses will oversee and ensure documentation of all medical care during hospitalizations and ER visits. Nurses will acquire written hospital discharge instructions and discharge summary to provide follow up instructions and/or training to all staff involved in the person’s car (Direct Support Professionals, Team Leaders, Residential Managers, Program Specialist, Residential Directors and all other necessary staff) prior to discharge of the individual. Upon discharge of the individual, the nurse will visit the person at their home, complete vital signs, and ensure all orders are correct and documented appropriate.
Gives and receives reports at changes of shift as applicable. Gives accurate and factual reports to physicians. Provides constructive teaching to other staff whenever necessary on how to provide safe and effective care to all people we support.
Ensures the protection of health for the people we support; Protects the people we support from abuse and neglect; Responds in the person’s best interest when presented with concerns from staff.
Ensures that people with known communicable or infectious diseases are placed on isolation precautions according to established infection control policies and written medical orders from the attending physician. Develop and monitor person-specific health risk protocols for each person whom they support that has risk factors related to any of the serious health risks such as seizure, choking, constipation, history of urinary tract infection, history of respiratory infections, sepsis, pressure sores, fall history, dehydration, or any other potentially serious medical or health risk.
Assists with scheduling routine and special medical, dental and vision appointments and transportation as needed. Requests the necessary support staff needed to accompany the person on the appointment. Informs other applicable staff about scheduled appointment so necessary steps can be implemented. Attends medical appointments.
Specialty provider appointments
Non-routine specialist appointments
Informs the person’s family member or guardian of scheduled appointments and reason for appointments in conjunction with the Team Leader as applicable. Gathers all testing results, including x-rays or diagnostic tests, for a well-informed appointment.
Prepares necessary paperwork for initiation and follow-through of each scheduled or special appointment. Monitors and maintains an accurate record of annual exams as required by regulations and as the physician orders. Requisitions and makes arrangements for diagnostic and therapeutic services for routine and/or scheduled appointments. Follows up by acquiring written test results
Completes medical forms, reports, evaluations, quarterly assessments and charting as required by regulations and compliance of physician orders. Maintains the electronic health record, and paper health records including immunization records.
Completes file monitoring or chart audits and reviews progress notes to ensure that the notes are descriptive of the nursing care being provided. Reviews medical visit consultation forms to ensure recommendations have been addressed.
Clearly communicate and provide training on any changes in medical care or treatment plan to the person and the person’s support team, including but not limited to the person’s Residential Program Manager, Program Specialist, Team Leader, and Direct Support Professionals.
Participates in the development, implementation and maintenance of the infection control program for monitoring communicable and/or infectious disease among staff and the people we support.
Responds to incidents in accordance with regulations and established policy.
Participates in Individual Service Plan (ISP) meetings as required.
A Licensed Practical Nurse will follow and adhere to the provisions of the Skills Residential Programs Nursing Roles policy at all times.
Participates in the annual Licensing Instrument Inspection LII process.
Provides direct support in a backup role when necessary; required to provide direct support in Community Homes during staffing shortages.
Act as the primary point of contact for medical care, the primary contact person for insurance companies, the primary contact for pharmacies, the medical contact person for families, guardians, or advocates. As primary contact, the nurse will ensure that all relevant and pertinent information is shared with medical providers prior to any procedure or during any visit.
Verifies the accuracy of medication prescriptions and communicate changes with the pharmacies.
Document medical appointments and follow up treatments clearly, including following up with applicable physicians to eliminate vague orders/directives found in discharge paperwork or in consult documentation and ensuring all test results are obtained in writing and information is clarified and shared with the team.
Ensure use of Medical Consult Form for all external medical appointments, including all contact, including phone contact, with medical providers, and ensure documentation is transcribed into the electronic health record.
Ensures that all medical treatment plans and health risk protocols are followed as written.
Communicate medical events and changes, such as visits to the ER or urgent care facilities, to the person’s primary care physician within 72 hours of the event.
Participate in “on-call” as scheduled for response to standard nursing care, intervention, and direction to staff.
WHEN ASSIGNED TO PHLEBOTOMY DUTIES (IF TRAINED) WILL PERFORM:
Draws blood to complete the phlebotomy orders for routine and special tests/exams as ordered by the physician. Provides a safe and private environment for the person during the vein puncture procedure. Completes necessary paperwork to initiate and follow through with the phlebotomy order.
Arranges for transportation of specimens as per OSHA and company policies. Maintains safety and confidentiality during transportation.
Documents the vein puncture, the person’s tolerance and its transport to lab in the progress notes and other necessary documentation as needed. Monitors and maintains a schedule of routine and required laboratory tests for each person.
Monitors results of lab work. Reports abnormalities to the appropriate team members. Files lab reports in the person’s chart.
Follows policy and procedure for laboratory studies.
MEDICAL TRAININGS
For consistency in care, Nurses facilitate and/or coordinate medical trainings for staff.
It will be the responsibility for Nurses to:
Obtain and maintain State Medication Administration Trainer Certification to provide Medication Administration Training to staff, Medication Administration Record (MAR) reviews and medication administration observations.
Obtain and maintain cardiopulmonary resuscitation (CPR) and First Aid Trainer Certifications as needed to provide CPR/First Aid training to staff.
Provide training on Bloodborne pathogens according to Occupational Safety and Health Administration (OSHA) regulations.
Provide Medical Protocol Trainings to staff in accordance with Skills Program Policy #11.3 General Health.
Provide training on the administration of non-oral medications and other non-standard treatment needs.
Provide person-specific training to staff on how to observe and document vital signs, if required by a medical order for a person we support, person-specific health risk protocols, all new diagnoses, equipment, treatment, medications, medical orders, and any non-oral medication administration.
Coordinate or arrange for staff to be trained by an authorized entity to provide diabetes care including injections as necessary according to 55 PA Code Chapter 6400 and 6500 regulations.
Ensure that all training is documented, and documentation of all person-specific trainings will be kept with the person’s medical record.
DOCUMENTATION AND MAINTENANCE OF THE MEDICAL RECORD
It is imperative for the proper health care of the person receiving services that clear and accurate documentation be established, gathered, maintained, and reviewed regularly. In order to provide quality support for the person receiving services, Nurses will be responsible for establishing, gathering, maintaining, and reviewing the following medical documentation:
•Physical Examination
•Monthly Medical Progress Report, as required by County Administrative Entity (AE)
•Quarterly Medical Review
•Electronic Medical Record (EMR) and/or other Medical Record, as available
•Medical History
•Medication Administration Records (MARS)
•Treatment Administration Records (TARS)
•CONSULT review
•Accident, Illness and Injury Records (AIIs)
Set up and maintain access to Patient Portals when available.
Nurses will report on the quarterly progress of all health promotion as described in each person’s ISP. This information will be reported to the person’s program specialist at least five(5)calendar days prior to the end of each quarter.
Following any medical event, the Nurse will input relevant medical information into the person’s medical record within 5 days of the event.
Nurses will be responsible to input medical documentation into the electronic health record, including the electronic medication administration record, within 5 days of receiving the documentation, including:
•Medical Consults
•Vitals tracking
•Health promotion documentation
•Changes to medication
•Person-specific health risk protocols
•Scanned documents from medical appointments, including discharge paperwork, lab results, etc.
Nurses will be responsible for routine file monitoring to ensure accuracy of the record by correcting all identified discrepancies.
PLAN AND REGULATORY COMPLIANCE
A. The Nurse Supervisor will annually review the Individual Support Plan (ISP), Behavioral Support Plan (BSP), and any person-specific health risk protocols for people supported.
B. The Nurse Supervisor will maintain a working knowledge of applicable regulations relating to individual health and medications pertinent to Residential Programs, specifically those regulations found in Title 55 of the Pennsylvania Code (55 Pa Code), Chapters 6400 and 6500. Nurses will also maintain a general knowledge of all other regulations pertinent to Residential Programs as described in 55 Pa Code Chapters 6400 and 6500.
C. If a person receiving support refuses routine medical or dental treatment, the Nurse Supervisor will ensure the Nurse, with support of the Program Specialist, develops a support plan to train the person about the need for the care or treatment and ensure there is documentation of the training. The support plan should be unique to the needs of the person, include a timeline, and designate who is responsible to complete the training within the specified timeframe.
GENERAL DUTIES
Performs job assignments with attention to, and in compliance with, the Skills mission, values, and ethics, and with a positive attitude; cooperates with others inside and outside the organization.
Communicates in an appropriate and professional manner with others inside and outside the organization; maintains a high level of dependability to include attendance at work and punctuality.
Keeps sensitive information relative to the organization, employees, and/or the people we support confidential and adheres to the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Completes mandatory orientation program and annual training programs; completes applicable attendance documentation; shares newly acquired information with fellow employees; attends and participates in applicable meetings, committees, and/or ad hoc work groups.
Performs assignments in accordance with the organization’s safety and health program; reports safety/health hazards or violations of safety/health policies to assigned supervisor.
Uses, maintains, and safeguards equipment, supplies, financial resources, etc. in an appropriate manner and in the best interest of the organization; reports needed equipment repairs.
Maintains appropriate professional dress in accordance with company and department standards and acceptable practices.
Attendance is required in the workplace to perform the essential duties of this position.
Must be alert, aware and agile.
Coordinate arrangements for medical equipment as appropriate and/or prescribed.
Performs other similar and related duties as necessary and/or as assigned.