As a part-time Registered Nurse, you are accountable to the Medical Services Coordinator. The position is relied upon for ethical implementation of services and support. You are delegated the authority, responsibility and accountability necessary to carry out assigned duties and to respond to emergency situations. Supervisory staff is available to you on a 24-hour basis. Since you will be working with people, you must be prepared to effectively deal with emergencies, health related issues and unexpected interruption of duties. We will ask that you be flexible in routine, daily assignments, site assignments, hours of work and philosophical commitment. Your actions will affect another person’s life, and it is expected that you will be a positive, desirable role model. Since you will be interacting with numerous professionals on a frequent basis, you are expected to represent yourself and the agency in a positive, professional manner at all times.
- The primary role of the RN remains the safe administration of medications and treatments to the clients at the agreed upon time and location.
- Administers medication as indicated in the physician’s orders and according to the agreed schedule, when necessary.
- Responsible for monitoring the storage of medication as outlined in the Medical Services Policy.
- Responsible to assure an adequate supply of medication by recording in the site log if medications need to be reordered.
- Assures that the medication storage area is clean.
- Has a knowledge and understanding of the Medical Services Policy and must adhere to that policy and its procedures.
- Records accurate and objective documentation in the client file; documentation must be legible, concise and comprehensive.
- Provides the Medical Services Coordinator with the appropriate information regarding the client’s health care.
- Must carefully observe the self-administration programs of each client to ensure their capability.
- Must be able to properly implement individual programs as necessary.
- Must implement treatment plans outlined and supervised by the Medical Services Coordinator; i.e., monitor height and weight, blood pressure, body checks.
- Reports all changes in client’s status to the Medical Services Coordinator.
- Notifies the Medical Services Coordinator immediately if a medication error occurs.
- Reports at the scheduled time to administer medications and/or treatments as necessary.
- Notifies the Medical Services Coordinator if a client is in need of medications which are not on site.
- Observes and reports on the welfare of clients for side effects of his/her medications.
- Must be familiar with the client’s health care and contribute to it.
- Assists the Medical Services Coordinator to implement recommendations for medical/dental treatment, care and follow-up as assigned.
- Participates in nursing and other patient care duties as needed and assigned.
- Be prepared to participate in preparation for client’s medical/dental visits, which may include accompaniment with clients to appointments; must be prepared to provide accurate, objectively determined relevant information to the physician or practitioner.
- Responds to emergency situations in an appropriate manner consistent with agency procedures.
- Enforces standards of care as established by the Medical Services Coordinator, regulatory agencies and Step By Step, Inc.
- Participates in meetings, committees and training seminars, etc. as required to meet service goals and the needs of individuals.
- Assists in planning, developing, organizing, implementing, evaluating and revising the client’s health plans in conjunction with the Medical Services Coordinator.
- Assists clients as they develop personal care skills, health and health maintenance, and self administration of medication.
- Assists supervisory staff and clients in maintaining the site in accordance with internally established infection control standards and applicable federal, state and local health, fire, and sanitation standards.
- Solicits and encourages resident participation in the management of their health care needs.
- Participates in pre-service and in-service programs as assigned.
- Reports any and all unusual/usual incidents as described by policy and procedure, including abuse or suspected acts of abuse or abridgement of resident rights, immediately to supervisory staff.
- Completes time sheet each time you begin and conclude work shift.
- Advocates and creates a situation conductive to the residents’ development of skills necessary to maximize health.
- Reads, consults, and adheres to the Agency Policy and Procedures Manual located at each site.
- Utilizes on-call supervisory consultation as is necessary and as outlined in the agency Policy and Procedure Manual.
- Uses all equipment and supplies in a lawful and appropriate manner.
- Refrains from unlawful use of drugs, consumption of alcohol or engagement of any activity which may affect your ability to perform duties with perceptual clarity, non-compromised judgment and alertness.
- You are subject to the laws and regulations governing behavior in our society. Conviction of a crime may result in termination of employment.
- Interacts with peers, supervisors, residents, family and the public in a mature, culturally and socially appropriate conservative manner.
- Miscellaneous duties and responsibilities as necessary and/or as directed by supervisory staff.
(Education and/or Experience/Physical Demands/Other Skills and Abilities)
Education and/or Experience:
- Must possess and maintain a current certificate as a Registered Nurse by written examination, as issued by the Pennsylvania State Board of Nurse Examiners; plus
- At least one year of nursing experience, preferably including experience in a long term care facility.
- Lifting: With the assistance of another individual, must be able to lift a person who weighs up to 250 pounds (during bathing, toileting, seizures, and in the event of accidental falls) and be independently capable of lifting a minimum of 20 pounds (groceries, laundry, etc.). Must be capable of carrying office and miscellaneous supplies weighing between 5-25 pounds from site to site on a frequent basis. Must be able to lift or move office furniture occasionally in order to rearrange offices. Must be able to lift a vacuum cleaner in order to vacuum floors as needed. May be required to restrain and/or lift residents of various weights, with the assistance of another employee, during an outburst of inappropriate behavior. Must be physically capable of performing the following lifting activities: assisting program participants in and out of van (some program participants are ambulatory, some have awkward gaits and others are in wheelchairs), and lifting program participants who are in wheelchairs to bed, toilet, tub, to and from wheelchair, etc.
- Bending: Must be physically capable of performing the following bending activities: demonstrating lifting techniques on program participants into and out of bed, bath, lifts, wheelchairs, vans, etc.; picking up dropped items; and assisting in changing program participant’s clothes. Must be able to bend in order to put away office supplies into desk drawers, to vacuum, empty trash or provide light duty maintenance.
- Twisting: Must be able to twist in order perform the following activities which comprises approximately 25% of a usual shift: record keeping, revising care plans and talking with individuals, and driving agency vehicles or own personal vehicles as needed. Must be physically capable of performing activities of daily living around the group home.
- Sitting: Must be physically capable of sitting to perform the following duties: record keeping, revising care plans, talking with the program participants, and driving own or agency van from the group home to various sites in the community for medical appointments, site seeing, various recreational activities.
- Walking: Must be physically capable of performing the following activities: walking within a 1,500 square foot group home, walking with program participants to various activities indoors and outdoors, and entering/exiting the agency van while participating in trips into the community.
- Standing: Must be physically capable of standing to perform the following activities: visiting program participants while hospitalized in various facilities, visiting homes to determine overall medical/physical conditions, speaking with program participants, etc.
- Visual/Auditory: Must be capable of monitoring resident’s actions and physical condition through sight and sound.
- Speech: Must be physically capable of communicating with residents and with others.
- Squatting: Must be physically capable of squatting next to chairs, beds, etc. to examine program participants.
- Climbing: Must be capable of climbing in order to perform the following which comprises approximately 5% of a usual shift: walking up/down 1-3 flights of stairs in order to gain access to a basement, second or third floor, walking up/down outside flights of steps, climbing one step in order to access agency vehicle, etc.
- Reaching: Must be able to reach to perform the following which comprises approximately 10% of a usual shift: loading/unloading supplies from a carrier to a desk, etc. or onto and out of a vehicle and lifting/moving program participants to direct care staff.
- Kneeling: Must be physically capable of kneeling in order to provide emergency care (CPR, first aid, etc.) or routine care.
- Pushing: Must be physically capable of demonstrating lifting techniques to staff, sliding van door open/shut and assisting program participants with wheelchairs.
- Pulling: Must be physically capable of opening van door and holding doors open.
- Hand Usage: Must be physically capable to perform continuous bi-lateral hand usage with simple grasping in order to perform all job functions.
- Foot Usage: Must be physically capable of operating foot controls in the agency van in order to operate van.
Other Skills and Abilities:
- Must be able to read, write and speak the English language.
- Must have functional knowledge of applicable regulations.
- Must be able to provide proof of eligibility to work in the United States.
- Must possess and maintain a current, valid driver’s license from state of residency and be insurable under Step By Step’s insurance carrier’s regulations.
- Must be able to pass the Medication Administration Test, CPR, and First Aid Administration.
- Must possess and maintain a current license for professional credentials.
- Must be visually aware of program participant’s actions and physical conditions.
- Must complete 24 hours of training within the training year, July to June.
Work is performed indoors in a climate controlled, carpeted, clean office or group home approximately 80% of usual work hours. The remainder of usual work hours is performed outdoors, including but not limited to transporting residents to medical appointments, driving to meetings outside the office, and escorting residents to activities in the community.