Registered Nurse, Developmental Disabilities

Services For The Underserved, Inc.•New York, NY

1d•$50 - $55•Onsite

About The Position

The Registered Nurse supports people with intellectual and developmental disabilities in living meaningful lives according to their individual values. The role advances health equity, advocates for individuals, and helps ensure access to healthcare, clinical supports, and well-trained staff. Nursing care is individualized and coordinated with each person and their circle of support. The nurse assesses health needs, develops and updates nursing assessments and Plans of Nursing Services, monitors health and medication-related needs, coordinates medical care and referrals, and contributes to interdisciplinary planning and quality improvement. The role also supports infection prevention, choking prevention, safe medication practices, and continuity of care during hospital admissions and discharges. The nurse maintains availability for consultation and medical emergencies as specified by agency protocols.

Requirements

Registered Nurse licensed to practice in New York State.
Specialized training in intellectual and developmental disabilities and/or one year of experience in community healthcare services.
AMAP trainer.
Trained in CPR and First Aid.

Nice To Haves

Ability to interpret relevant information and resolve problems, balancing considerations and alternatives to make sound decisions.
Ability to respond effectively to unexpected situations, challenges, deadlines, and emergencies, and cope adequately with job-related stress.
Ability to provide timely, accurate, and clear documentation in accordance with established policies and procedures.
Time-management skills, including meeting deadlines, following directives, organizing time, prioritizing workload, and using resources wisely.
Willingness to initiate ideas and consistently seek better ways of working.
Effective verbal, written, and listening skills.
Ability to work well as part of a team.
Reliability and availability as needed, including attendance and punctuality.
Ability to respond promptly and respectfully to individual needs and represent the organization appropriately to outside resources.
Commitment to the missions and values of S:US and to addressing behavior inconsistent with its core values.
Ability to maintain confidentiality of individuals and staff.
Enthusiasm for job responsibilities and persistence in overcoming obstacles.

Responsibilities

Assess individuals’ health conditions and determine whether physician or emergency-room referral is needed based on observations or information from staff.
Participate in pre-admission screening and evaluation of individuals referred to ICF or IRA settings.
Complete an initial nursing assessment within 24 hours of placement and develop a Plan of Nursing Services within 30 days and annually thereafter.
Identify and assess communicable diseases and infections, report them to medical authorities, and implement protective and preventive measures.
Periodically observe medication administration to ensure compliance with OPWDD regulations and agency policy.
Immediately report injuries to management and follow appropriate incident-reporting procedures.
Complete semi-annual and annual nursing assessment reports.
Ensure mealtime needs are assessed by a licensed clinician, update nursing plans as needed, and train program specialists and program or assistant directors on choking prevention.
Maintain a weekly schedule and nursing assignments.
Participate in developing, reviewing, and updating Individual Program Plans as part of the Interdisciplinary Team process.
Review and update Nursing Service Plans semi-annually and as needed based on evaluations and quarterly nursing physical assessments.
Ensure nursing care prescribed by physicians or identified through individual needs is provided.
Participate in discharge planning and follow up on or process hospital and rehabilitation admissions and discharges.
Refer individuals to appropriate community resources based on the medical portion of their Community Service Plan.
Update medical diagnoses and changes to plans of care in the Precision Care electronic health record.
Complete quarterly Quality Improvement Reports and ensure outstanding issues are resolved; review and follow up on reports completed by management.
Participate in annual and semi-annual interdisciplinary team meetings and other meetings as needed.
Participate in monthly medication review and reordering with the primary physician, psychiatrist, and residence Behavior Intervention Specialist.
Ensure medications and medical supplies are properly stored and disposed of in accordance with OPWDD regulations and agency policy.
Monitor bowel movement records, vital signs, monthly weights, adaptive equipment, seizure activity and records, head injury questionnaires, menstrual records, and applicable flowsheets; report irregularities to the primary physician as needed.
Ensure ongoing healthcare services are provided and medical appointments are scheduled in a timely manner.
Monitor nutritional services and ensure annual diet and consistency orders are signed by a healthcare practitioner.
Remain available by cell phone 24 hours a day for medical emergencies, telephone triage, and consultation as required by agency protocols.
Follow agency policies and applicable OPWDD and other funding-agency guidelines.
Attend state survey inspections.