- At the direction of the Psychiatric/DD Nurse Director assumes primary nursing responsibility for assigned residents (e.g. nursing treatment planning verification & review of physician order chart audits selfmedication plans human sexuality programs medical administration infection control physical assessments & health care related scenario programs) as appropriate to assigned duties on assigned duty shift
- Participates in related meetings as required by Supervisor
- Responsible to communicate medical information to parents/guardians when appropriate.
- Fills in for psychiatric meetings as necessary & works with physicians on a rotating basis (e.g. setting up charts verifying orders written from physician consults).
- Responsible for processing physician orders (e.g. labs xrays medical appointments) enters physician s orders into computerized records & communicates change of resident status to appropriate interdisciplinary team members.
- Schedule followup care of residents with residents with physicians as needed & communicates medical appointments to appropriate personnel.
- Assess & reviews preventative health screening forms & ensures quarterly physical exams are completed on residents.
- Assists in feeding grooming & selfcare. Evaluates client and staff injuries & administers & records first aid as necessary.
- Responds to medical emergencies (e.g. first aid CPR psychotropic emergencies etc.) & assists in decision making in supervisor s absence.
- Monitor health care charts on living areas to ensure proper followup & continuity of health care. Serves as member of the interdisciplinary team including in collaboration with the client s physician pursuant to client health conditions.
- Submits reports to supervisor (e.g. IPP input chart audits psychotropic medication reviews selfmedication inputs & physical assessments).
- Develops implements & evaluates client selfmedication programs.
- Provides health teaching & direction to family staff & clients as directed.
- Assists in orienting training of new staff. Conducts & participates in InService trainings sessions.
- Provides clinical oversight to Licensed Practical Nurses (LPNs). Performs other related duties as assigned (e.g. Provides input on Unusual Incident Reports (UIRs) completes nursing department shift reports of client health conditions to ensure continuity of care ensures proper maintenance & security of the drug cupboard as appropriate).
documentation (charting, reports),in-service training,health,communication skills,physician collaboration,health teaching,self-medication plans,chart audits,medical administration,records,clinical oversight,human sexuality programs,health care scenario programs,first aid,physical assessments,infection control,emergency response (cpr, first aid),nursing treatment planning,verification of physician orders