Physical Nutritional Management Team Nurse (PNMT RN)

Texas Office of Consumer Credit Commissioner -•Denton, TX

11h•$7,533 - $8,886•Onsite

About The Position

The Physical and Nutritional Management Team (PNMT) Nurse is a dedicated registered nurse who, as part of PNMT, evaluates and analyzes assessment information and provides recommendations for individuals who meet PNMT referral criteria or for whom the interdisciplinary team requires assistance. Plans, develops, evaluates, and treats physical and nutritional management issues from the nursing perspective and scope of practice as part of PNMT. Collaborates with the Interdisciplinary Team (IDT) throughout the PNMT process to provide current assessments, test results, medical history, lab reports, and other information in order to optimize integration of PNMT recommendations and plans into the Individual Support Plan (ISP). Performs and reviews Nurse Post-Hospitalization Assessment/Review following hospitalization for conditions listed in the referral criteria for PNMT. Reports the results of the post-hospitalization assessments/reviews to the PNMT to help determine if a referral is needed for specialized PNMT interventions. Analyzes data and develops PNMT recommendations with measurable goals and action plans. Assists with treatment/interventions to individuals on active PNMT caseload and monitors individuals’ progress. Collaborates to ensure plans and supports are properly implemented. Reports findings and recommendations for interventions in assigned meetings such as PNMT, skin integrity committee, or other designated oversight groups. Submits required report, performs documentation, and contributes to policy development as assigned. Reviews literature and research findings to keep abreast of physical and nutritional management specialized topics, nursing care standards, state and federal laws (ICF/IID rules and regulations). As needed (such as due to staffing issues, complex cases, or for the purpose of on-the-job training), provides direct care nursing services. Provides treatment to HHS employees injured in course and scope of employment. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

Requirements

Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact)
At least one (1) year experience working as a practicing registered nurse is required.
Experience in assessment and documentation of health status is required.
Must maintain current CPR certification.
Must have strength and flexibility to safely perform CPR.
Ability to work independently and productively with all levels of staff.
Ability to prioritize work in alignment with departmental needs and manage multiple deadlines.
Ability to make nursing decisions and recommendations to the team.
Physical skills to use CPR, safe use of restraint (SUR) and Ukeru techniques (once trained).

Nice To Haves

At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred.
Bachelor's Degree is preferred.
Specialized training or experience in working with individuals with complex physical and nutritional management needs is preferred.
Previous experience working with Individuals with Intellectual or Developmental Disabilities (IDD) is preferred.
Ability to train/in-service all levels of staff.
Ability to motivate all levels of staff and facilitate change.

Responsibilities

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.
Attends daily medical and/or other state center meetings to keep abreast of individuals’ health status.
Tracks criteria to ensure the individual is referred to the PNMT for specialized supports/services when criteria are met as defined in Physical Nutritional Management policy.
Participates in the PNMT to intervene with individuals who have health-related concerns/conditions for whom the IDT requires specialized assistance/services as outlined in the Physical Nutritional Management policy.
Leads and/or participates in the PNMT during discussions and IDT meetings.
Performs specialized nursing assessment(s) as indicated to gain additional information regarding the need for interventions related to physical and nutritional management supports.
Analyzes assessment data and develops PNMT recommendations with measurable goals and action plans.
Develops or participates in the development of the individual health care plan (IHCP) for individuals on active PNMT caseload.
Documents in the PNMT progress notes.
Collaborates with the IDT throughout the PNMT process to optimize integration of PNMT recommendations and plans into the ISP.
Reviews all return from hospital documentation and performs PNMT Post-Hospitalization Assessment/Review following hospitalization for conditions listed in PNMT referral criteria for PNMT.
Communicates and collaborates with the hospital liaison nurse for individuals who are hospitalized.
Reports the results of the post-hospitalization assessments/reviews to the PNMT as part of the determination of PNMT services.
Collaborates with the Interdisciplinary Team (IDT) throughout the PNMT process to provide current assessments, test results, medical history, lab reports, and other information in order to optimize integration of PNMT recommendations and plans into the Individual Support Plan (ISP).
Supports the analysis and synthesis of pertinent data and monitors IDT implementation of PNMT recommendations.
Assists the IDT in goal and action step development to improve the individual’s health status for PNMT criteria conditions.
Collaborates with members of the PNMT as well as medical staff and other nurses as needed.
Reports results of ISPA meetings to PNMT.
Monitors and evaluates the effectiveness of the PNMP within the scope of nursing practice such as medication administration, positioning for oral and enteral feeding, positioning for reduced aspiration pneumonia and complications of Gastro Esophageal Reflux Disease (GERD).
Utilizes the results to identify areas of risk that can be addressed proactively to prevent new or existing issues.
Makes recommendations on how to improve nursing, habilitation and direct care services and activities related to physical and nutritional management.
Makes recommendations for additions or changes to standards of care to promote prevent illness and injuries.
Collaborates with the Interdisciplinary Team (IDT) to instruct, counsel and assist with physical and nutritional management needs for individuals served by PNMT.
Assists with treatment to individuals on active PNMT caseload, performs PNMT interventions, and monitors individuals’ progress.
Monitors individuals for proper alignment during and after eating and during enteral feeding, medication administration, oral care, and other activities that may provoke swallowing difficulties.
Participates in the evaluation of individuals receiving enteral nutrition to determine whether a tube is medically necessary, and plans are made to return to the least restrictive method of eating as appropriate.
Collects and tracks activities of the PNMT and outcomes of specific individuals served and identifies, compiles, reviews, and analyzes data for general trends.
Conducts PNMP and/or PNMT documentation audits as scheduled.
Reports findings and recommendations for interventions in assigned meetings such as PNMT, skin integrity committee, or other designated oversight groups.
As assigned, contributes to development, review and revision of PNM - related policies.
As assigned, submits a monthly report on targeted areas such as causes of wounds, weight loss/gain, fractures.
Reviews literature and research findings to keep abreast of physical and nutritional management specialized topics, nursing care standards, state and federal laws (ICF/IID rules and regulations) and serves as the resource person for physical and nutritional management from the nursing perspective.
As assigned, collaborates with others to create and deliver specialized training/in-service material to prevent or decrease the opportunity for injury or illness for at-risk individuals on topics such as risk guidelines, aspiration pneumonia, PNMP philosophy content and procedures, positioning, lifting and transferring, dining/eating/oral intake and monitoring procedures.
As needed (such as due to staffing issues, complex cases, or for the purpose of on-the-job training), provides direct care nursing services.
Provides treatment to HHS employees injured in course and scope of employment.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.