Sheltering Arms Children and Family Services, Inc. Part-Time Registered Nurse in New York, New York
Organization Overview : Sheltering Arms strengthens the education, wellbeing, and development of high-need children, adults, and families across the New York metro area. We serve nearly 20,000 people a year from the South Bronx to Far Rockaway. Through compassion, innovation, and partnership, we respond to our community’s greatest needs and enable individuals to reach the greatest heights of their potential. Joining our team is an opportunity to collaborate with hundreds of dedicated colleagues who represent diverse backgrounds and talents as we work together to make a measurable impact for our neighbors in need. Every role at Sheltering Arms brings with it new opportunities for advancement and development so that team members can achieve their professional goals while helping others reach for theirs.
Job Summary: The PT Registered Nurse professional will provide supervision to all Unlicensed Direct Support Professionals working within all facilities certified by the Office of People with Developmental Disabilities (OPWDD) and are served by Sheltering Arms Children and Family Services to ensure that all medical and healthcare needs are being adequately met for all individuals in our care.
The RN Professional without previous experience in the field of nursing for individuals with intellectual/developmental disabilities must complete an orientation for Registered Nurses in Developmental Disabilities Nursing within three months of being hired and before being assigned to supervise or delegate the performance of nursing tasks to DSPs without clinical oversight by a qualified RN with experience in the provision of nursing services to individuals with intellectual/developmental disabilities.
Will ensure that all DSPs complete all OPWDD required trainings related to nursing tasks and will assume the responsibility of providing initial and on-going individual specific training to DSPs for all nursing tasks the DSPs will perform.
Must periodically review the performance of the DSPs to verify that the DSPs care is consistent with written individual-specific instructions for performing each delegated nursing task and for responding to problems or complications.
Will ensure that medication administration, tube feeding and diabetic care is taught utilizing a standard curriculum approved by OPWDD and in addition, diabetic care is taught either by a Certified Diabetic Educator (CDE) and in those instances where the CDE is not an RN, the administration of insulin or glucagon shall be taught by the RN who has successfully completed an OPWDD approved train-the-trainer course to teach diabetes care to unlicensed direct support professionals and provide/maintain all trainings separately and recertify all DSPs on an annual basis.
Shal l be responsible for the supervision of DSPs in the performance of nursing tasks and activities based on; the complexity of the task, the skill, experience and training of the DSP and the health conditions and health status of the individual being served.
Will be thoroughly familiar with each individuals’ health status and nursing care plan and care needs
Will adhere to the agency’s policies and procedures relating to the delegation of and supervision of nursing tasks performed by DSPs. In addition to maintaining the receipt of the required training relating to the supervision of nursing tasks provided by DSPs
Must oversee and direct care rendered to individuals by DSPs.
Must personally visit the individual whenever necessary to protect the health and safety of the individual and to prevent unnecessary emergency room visits.
Will provide DSPs with initial individual-specific training regarding the nursing task to be delegated and verify that the DSP can competently perform the delegated nursing task(s) in the individual’s home.
Provide monitoring and periodic inspection of the DSPs performance of the delegated nursing tasks.
Provide guidance, direction and emergency assistance to a DSPs by phone or in person, relating to delegating nursing tasks on behalf of the individuals 24 hours, 7 days a week
Solicit feedback from the individual or the individual's representative, regarding services rendered by the DSP; and responding to the individual's nursing care needs by phone or in person, as needed, to ensure that the individual is safe and receiving good quality nursing care.
Ensure to visit the certified assigned sites at least once a month or as required by the supervisor.
Conduct AMAP, Diabetic, and Insulin training to DSPs and all program management.
Responsible for developing an individualized specific Plan of Nursing Services (PONS) for any individual who requires nursing care, including those who require medication administration for diagnosed medical conditions. The RN will ensure that such plans are updated at least annually or whenever there is a significant change in the individual’s condition
Will ensure that the PONS shall identify the RN(s) who delegated each nursing task and the nursing tasks that were delegated. In addition, the RN must assure and document that the DSPs to whom the nursing tasks have been delegated have received and maintained all required training.
Shall document that the DSPs have been educated about the chronic conditions and related health care needs of each individual in their care.
Ensure that there is an individual specific medication sheet for each medication that is administered. This sheet shall include all of the information required by regulation 633.17(a)(17)(iii).
Conduct annual clinical performance evaluations for unlicensed DSPs for procedures that include, but are not limited to, medication administration, insulin administration and tube feeding. This evaluation will become a part of the employee’s annual performance evaluation.
Ensure consistent and adequate nursing supervision to a caseload ratio of no more than 35 individuals assigned unless there are significant changes based on individuals specific individualized needs which are assessed by the nursing supervisor on a weekly basis.
Shall complete an annual Self-Medication Assessment for every individual assigned to determine their level of independence in self- administration of medication to identify what level of support is needed.
Must evaluate the individual who is new to the certified and/or uncertified setting to ensure they can be maintained medically in this setting.
Ensure the proper storage and disposal of all medications and sharps and will ensure all DSPs are educated and trained in this area on an annual basis to ensure safe storage and disposal practices.
Will ensure that for individuals who can self- medicate that the proper use and preparation of Medication Organizer’s/Med Bars is monitored and maintained by qualified DSPs in support of the self-medicating individual and ensure that medications are Not set up in a medication organizer for individuals who are not capable of self-administration.
Ensure that the med organizer is labeled with the individuals name and up to 8 days of medication is placed in the med organizer, is accompanied by a medication sheet for each medication, which provides a physical description of each pill (color, shape, size), its name and its intended use. In addition, the medication organizer and all medication is stored in a manner to ensure its security and the safety of the individuals.
Maintain a written plan for the each of the individuals which addresses the administration of Emergency Use medications which will be administered by DSPs after training by the RN has been provided. The emergency medications will include; injectables given subcutaneously if a life-threatening (severe) allergic reaction occurs, severe low blood sugar (Hypoglycemia), or to treat an overdose in people who have been prescribed opioid pain medication.
Performs other duties as assigned.
Minimum of a Bachelor’s Degree in health related services
Licensed Registered Nurse
Attended AMAP Training and has facilitated AMAP certification training.
Prior experience providing nursing services to individuals with intellectual/developmental disabilities
Ability to supervise unlicensed direct support professionals working in certified programs in delegated nursing tasks.
Available to provide adequate guidance and supervision of DSPs in the provision of nursing tasks on behalf of the individuals served, 24 hours a day, 7 days a week. Must be available either on site or immediately by phone when necessary to ensure that individuals are safe, for notification of changes in medical orders and/or changes in the individual’s health status. Also, to prevent unnecessary emergency room visits.
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
It is the policy of Sheltering Arms Children and Family Services that the Agency wholly complies with the equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.
Physical Requirements: Must have the ability to complete all direct care worker and standard administrative and support tasks including but not limited to hands-on care with consumers, climbing up and down stairs, operation of computers/phones/fax/printer/copy machine, and the ability to lift and move consumers (if necessary) up to 200 lbs, ability to lift boxes, furniture, and equipment up to 30 lbs.
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