Promotes individual(s) health goals by completing the nursing process for assessment. Collaborates with physicians and IDT. Identifies individual care needs, documents care services in individuals EHR. Maintains safety, asepsis, and ensures the use of universal precautions are followed . Provides quality care by adhering to therapeutic standards and measures health outcomes against individual care goals. Is available in person and remotely for triage and provides clinical support to unlicensed personnel as needed. Ensure continuity in care. Must hold an unencumbered license for NY State issued by the New York State Department of Education as a registered nurse. Background in home health, developmental disabilities or mental health preferred.

• Evaluate and identify individual care requirements on a continuing basis.
• Completes health reports weekly
• Weekly review of health tracking and medical records
• Ensure that universal precautions are implemented and maintained.
• Administration of medications and treatments
• Weekly review of medication EMARS/TARS to assure that medications are being transcribed and administered as prescribed.
• Ensures that prescriptions are renewed and/ or refilled, and medications orders are recorded accurately.
• Review all medication errors with coordination and implementation of corrective actions in collaboration with the Residence Manager/AD.
• Reconciles medications monthly and ensures that outdated or discontinued medications are disposed of in accordance with regulations.
• Inspection of medications storage areas for compliance.
• Ensure, in conjunction with the IDT, that all medical recommendations are carried out and brought to resolution.
• Meets with Manager/Medical coordinator/IDT team weekly to ensure that all recommendations and follow ups are communicated and implemented.
• Confer regularly with medical providers including pharmacy and nutrition on going as needed.
• Completes and documents all health assessments in accordance with regulations.
• Creates and updates care plans for all diagnoses, medical , adaptive and assistance care and initiates training for the unlicensed personnel.
• Review and update of diagnosis list and immunizations in the electronic health records.
• Prepares training materials and schedules continuing education and in-services -for DSP that is residence and individual care need specific.
• Certifies AMAP on completion of initial training and annually thereafter. Identify deficits pertaining to safety with medication handling and administration.
• Attends and participates in agency meetings as required.
• Carry an agency cell phone and be available to all AMAP/DSP to triage.
• Completes other task delegated/assigned by direct supervisor.
• OSHA guidelines followed pertaining to sharps storage and disposal.
• Completion of annual self-medication Evaluation.

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Bachelor or Associate Degree in Nursing

1-2 years clinical experience.