RN DAY SERVICES - 35 Hrs

Provide nursing care to individuals enrolled in the day habilitation Program by performing the following: Coordinate medical services with each member’s primary care physician or medical clinic and oversee all healthcare services provided to the members at the program, including but not limited to therapies. Member of the core professional interdisciplinary team.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Oversee the indirect and direct nursing care provided to members receiving day habilitation services.
• Administer medications and treatments prescribed by the member’s physician in accordance with approved nursing techniques.
• Supervise or provide direct care and training in relevant day habilitation areas including individual specific medical protocols.
• Educate members families, staff, residential providers and members in hygiene and health concerns
• Coordinate each members day habilitation service plan with other health care professionals including the nursing facility where the member resides, if applicable
• Complete the individual’s medical plan of care as part of the Day Habilitation Service Plan.
• Ensure individual’s Day Habilitation Service Plan is documented accordingly.
• Provide oversight to the maintenance-therapy treatment as recommended by the therapists
• Monitor each member’s health status and document those findings in the member’s medical record at least every 6 months, 12 months, 18 months and 24 months or more often if warranted, as part of the interdisciplinary team review process.
• Ensure nurses progress notes are recorded monthly.
• Monitor vital signs monthly to detect deviations. This is to include at least, temperature, pulse, blood pressure, and weight.
• Coordinate contact to the members’ physician with all relevant healthcare professionals regarding changes in member’s condition. This is to include the residential nurse or family/guardian.
• Document contact the member’s physicians in an emergency situation that requires immediate attention.
• Document the coordination of the implementation of physician’s orders with the member, family and program staff, as needed.
• Participate in the Positive Behavior Support initiative and complete the Quality Behavior Curriculum.
• Participate in the continuing core professional interdisciplinary evaluation and review of each member’s needs and status.  Document in each member’s record, any recommendation resulting from the periodic review. Advise the program director of any medical problems that may hinder progress of members or that may be aggravated by activities at the program.
• Explain procedures and treatments to individuals to gain cooperation, understanding and minimize apprehension.
• Complete Recipient Severity Profile/Clinical Assessment in cooperation with the core professional interdisciplinary team for each member upon admission, every two years and/or with significant change in medical status.
• Participate in quality improvement activities.
• Document all conferences with family members and outside professionals in member’s records.
• Maintain updated information relative to each member’s current medications, PRN’s, side effects, diagnosis, annual physical, immunizations, physician’s authorizations, orders and treatments.
• Cooperate and interact with co-workers, clients, volunteers, and funders in a collaborative, courteous, empathic, and professional manner. Demonstrate willingness and ability to be part of team effort.
• Supervise any other nursing staff in medical responsibilities.
• Attend all required meetings.
• Adhere to agency safety standards.
• Perform additional duties, or substitute for others as required.
• Adhere to all RTR policies and procedures.
• Develop and provide all services in accordance with RTR’s philosophies including staff and Board beliefs.

• Must be licensed as a registered nurse with the Commonwealth of Massachusetts.
• Have a least one year of relevant experience.
• Valid Driver’s License.
• Basic knowledge of Microsoft Word and the internet.
• Successful completion of all state and agency mandated trainings.
• Must be willing to authorize a Criminal History Background Check (CORI) and release of information concerning allegations from Disabled Persons Protection Commission (DPPC), Department of Developmental Services (DDS), and other agencies.
• Must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
• Tuberculosis screening within the 12 previous months.

PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.  While performing the duties of this job, the employee is frequently required to stand; walk; sit; use fingers, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and talk or hear.  The employee is occasionally required to taste or smell.  The employee must frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 60 pounds.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

REASONING ABILITY

Ability to carry out detailed written or oral instructions.