Position Summary: As a member of the clinical team, this nurse will oversee the provision of health care services to the individuals served at Vanderheyden OCFS Programs in accordance with the New York State Nurse Practice Act, New York State Office of Children and Family Services, as well as policies and procedures of Vanderheyden. The nurse will be responsible for assessing, planning, implementing, and evaluating the Healthcare needs of individuals and documenting the findings. Primary Duties & Essential Functions: Comply with all requirements of 29I Licensure Compliance with applicable laws, rules, and regulations, including NYSED Guidelines Complete admission nursing assessment for all individuals admitted to the day program according to agency policy. Ensure that agency health forms are accurately completed, including the Emergency Room Information Record, the Description of Resident Form, and the Medication Administration Record, verifying allergies and history if needed. Create and maintain a Health File for each individual admitted to the Day Program. Develop a Nursing Care Plan, which provides for routine prophylactic care and individualized services as noted in the admission assessment. Schedule lab work for Vanderheyden individuals. Notify the appropriate Clinician/Case Coordinator of the student's health needs. Provide ongoing nursing assessments as dictated by the individual's needs. The nurse will prepare a consult note, including a list of medications, for all scheduled health care appointments and, when possible, for emergency visits. Review documentation received from Health Care providers and implement the recommendations given by the provider within an appropriate time period. Complete the health section of forms required for participation at various collateral agencies. Copy and obtain NPI # The Nurse will be responsible for assisting with arranging for the procurement of adaptive equipment for an individual's use. Based on individual assessment, will refer the individual for further medical follow-up. Reviews consult notes for assigned residents after physical appointments and makes appropriate medication changes and orders. When the resident returns from a psych or medical hospital admission, an assessment is done by an RN and then an MD on the next scheduled day. Will assure accuracy of MAR's weekly for RN's own assigned unit. Check medication carts for RN's individual assigned units for outdated medication, OTCs, and keep a clean and organized med cart. All RN nurses will participate in the Nursing On-Call System. The nurse will collaborate with the Direct Care Supervisors, House Managers, and the Case Coordinator to develop ways to educate and monitor individuals and Direct Care Staff regarding performing and providing health and personal care. Will do weekly medication counts at school and request from health services/ family needed medication when the supply is low. Maintains an adequate supply of medication for individuals' use in residence, on home visits, and school/day program. Review the Medication Administration Records to ascertain that they accurately reflect the medication prescription and that the documentation of medication is completed correctly. Review and prepare an individual's Medication Administration Records (MARS) monthly in the Medication Book. Administer Medication to individuals as deemed necessary based on individual assessment. Will do medication pours with DCW staff as assigned by the Director of Health Services. Immunization checks to maintain accurate records for the SED required yearly report. Assessment of the individual based on injury, AOA restraints, and LWOC. Lab work – scheduling & supply ordering
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Job Type
Part-time
Education Level
No Education Listed