RN / Registered Nurse - Autism / IDD

Woods Services•Middletown Township, PA

9d•Onsite

About The Position

The Registered Nurse provides normalized, therapeutic and preventative nursing care to clients within the scope of the Pennsylvania Nurse Law and in accordance with licensing standards and Woods Services Policies and Procedures. Additionally, prepares and administers medications as ordered by Woods’ physicians in accordance with Woods’ Medication Procedures.

Requirements

Current licensure as RN in PA or PA Temporary Permit.
2 years’ experience in direct nursing care.
Experience with Developmental Disabilities/MR preferred.
Current driver's license and vehicle required.
Current CPR certification with AED required.
Physical assessment skills are mandatory.
Must be a minimum of 21 years of age.
Must be able to lift/transfer a minimum of 50 pounds.

Nice To Haves

Experience with Developmental Disabilities/MR

Responsibilities

Distinguish or identify each individual’s interaction with any health problem or potential health problem.
Assess assigned individuals' health status on admission and discharge from Woods or the hospital/ER.
Assess individuals when medical concerns are brought to their attention by Woods staff including MTS, MCS, on incident and seizure reports, etc.
Assess assigned individuals who appear in the campus report, pertinent to needs as addressed in the report.
Refer individuals to charge nurses/physicians/providers when further assessment is indicated.
Differentiate between the need for emergency care or the need for physician/provider follow-up making arrangements in conjunction with nursing management, charge nurse, medical scheduler, or the Medical Center at Woods staff.
Ensure monthly documentation of weights/heights is completed in the assigned individual’s electronic health record (EHR).
Monitor for any changes and communicate concerns to dietitians/physicians/providers.
Assist physicians/providers with exams/assessments in the residence, day program and medical clinics as necessary.
Attend and actively participate in psychotropic medication reviews.
Complete AIMS screening according to psychotropic monitoring protocols.
Complete Lifetime Medical Assessments 45 days prior to the individual’s team meeting.
Prepare and administer medications as ordered by Woods' providers in accordance with Woods' Medication Procedures.
Evaluate therapeutic effectiveness of medication with pertinent data and report any observed side effects or relevant laboratory values to Woods' providers.
Review the assigned individual’s electronic medication administration record (EMAR) daily during the scheduled shift and review/approve new and discontinued provider orders before shift is completed.
Communicate any med corrections or concerns with the provider, pharmacy, and nursing management as necessary.
Assist with observing medication administration of MTS and MCS as needed.
Administer immunizations, treatments, and screenings as ordered by the providers.
Document all relevant information related to medication administration.
Review the assigned individual’s EMAR after each medication administration and ensure required documentation is complete: meds were administered and signed out, treatments completed, and vital signs obtained when necessary.
Assist individuals with the self-administration of medication goals when necessary and as indicated by the SAM assessment and core team goals.
Assist with instruction and education for MTS/MCS on any treatment in which they need to demonstrate competence and document on Training Form.
Assist MTS/MCS with any discrepancies between EMAR and labels on medication.
Assist MTS/MCS when a supply of medication/treatment is needed.
Collaborate with MTS/MCS and ensure medications/treatment and medical supplies are re-ordered in a timely manner.
Document assessments, health needs, health concerns and medical interventions in the individual’s EHR and in the electronic campus report on a daily basis.
Document status of an individual’s medical appointment in their EHR.
Prepare and complete consult or transfer forms for on and off campus appointments including hospital and emergency room visits.
Responsible for division of paperwork with other unit nurses/MTS on all shifts.
Responsible for checking messages and communication via computer/voicemail at least twice/shift.
Relay pertinent health concerns (i.e. seizures, elevated temperatures, unusual behavior, rashes, etc.) to the charge nurse, nursing management, providers, or the Medical Center at Woods staff immediately.
Coordinate medical appointments with the individual’s core team and notify family/guardian.
Actively participate in the Interdisciplinary Team process, as necessary.
Coordinate with the phlebotomist to ensure lab work is completed.
Notify family/guardians/agencies/Residential Manager/Day Program Manager of health issues as necessary.
Contact family/guardians/agencies for permission to proceed for non-routine testing.
Consult with providers/family if insurance will not pay for specific tests/procedures.
Maintain professional conduct during interactions with all Woods’ employees, residents and families.
Maintain courteous interaction and excellent communication skills.
Participate in relevant continuing education. Maintain 40 hours of in-service per year. Maintain PA requirement of 30 hours of CEU’s as licensure dictates. Obtain CPR certification every two years.
Conduct in-service as a resource person regarding health issues for residential staff/MTS/MCS and document on training forms.
Provide health teaching to individuals at Woods as necessary.
Attend nurses' meetings/in services and serve on committees when requested.
Responsible for reading minutes from meetings and knowing the information contained within.
Responsible for obtaining in-service/knowledge of new equipment/procedures prior to operating new equipment/performing procedures.
Keep nursing stations neat and orderly, and order supplies as needed.
Cover units other than scheduled assignments when necessary for campus-wide coverage. Rotate coverage in school programs. Carry radio for school and campus coverage as assigned.
Assure that an adequate supply of medications is available at all times.
Assist with emergencies/fire drills in units and evacuating residents as necessary.
Maintain medical equipment in units, assess the functioning of emergency equipment monthly and after use, and report any malfunctioning equipment immediately to nursing administration.
Coordinate assessments/medication issues, etc and make rounds in residencies throughout assigned shift.
Assist in the orientation of new nursing employees.
Be competent in Wood’s EHRs and EMAR.
Maintain HR requirements for personal physical and Mantoux testing.