The Residential RN is responsible for providing general nursing care to assigned individuals and in conjunction with the Physician identifying, treating, or referring medical concerns to appropriate medical service providers. The Residential RN should be a mature person who is capable to relating to developmentally disable people in an appropriate and sensitive manner.

Current license in New York as an RN is required. Other requirements include a valid New York State driver's license and a home telephone number. The employee must frequently lift and/or move up to 10 pounds and occasionally life and/or move up to 50 pounds.

ESSENTIAL DUTIES AND RESPONSIBILITES

• Provide all primary nursing duties per MD orders, OPWDD ADMs, regulations, and Agency policy.
• Complete required documentation timely: T-Logs, GER reviews, MAR reviews, appointment notes, follow-up tasks.
• Spend time in each home, completing observations and completing assessments, providing individual specific nursing interventions. Advocate for individual's care needs. Serve as a resource to house staff and management.
• Conduct annual nursing assessments, including annual self-medication assessments, review of health history, and follow-up with medical providers and the agency DON.
• Accompany individuals to medical, specialty, and dental appointments as clinically indicated. Follow up on all recommendations and complete required paperwork and documentation.
• Ensure six-month medication reviews are completed by a qualified professional.
• Maintain and verify accuracy of MD orders for all medications and treatments.
• Enter new orders accurately into Therap, verify against prescriptions, and ensure proper MAR entry.
• Review MAR detail reports weekly; investigate discrepancies, missed signatures, omissions, and document in logs.
• Complete documentation and retraining for staff med errors.
• Approve MARs monthly and ensure MD orders (PDF) are attached.
• Ensure controlled substance counts are accurate; ensure no expired medications are stored.
• Provide emergency first aid, triage, and follow-up.
• Participate in RN Duty rotation and document all calls with complete clinical detail.
• Read and respond to all high/medical T-Logs, GERs, and provider recommendations, document RN recommendations.
• Review EPIC/UHS records, labs, and provider messages; communicate relevant updates to teams.
• Ensure missed appointments are identified, addressed, and rescheduled.
• Develop and maintain individualized PONs for all delegated nursing tasks and conditions; ensure PONs match MD orders and MAR.
• Document staff training for all new or updated PONs; ensure PON books are up to date and scanned monthly.
• Coordinate AMAP certifications/recertifications; ensure certificates are maintained in med room binders.
• Provide ongoing staff training related to health, wellness, and clinical protocols.
• Maintain CPR, diabetes update, bloodborne pathogens, and all required annual trainings.
• Meet regularly with the residential team; attend clinical meetings and committees as assigned.
• Complete other nursing duties as assigned by supervisors.
• Provide at least four weeks' notice for voluntary resignation.

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable an individual with a disability to perform essential functions.

The Residential RN should be a mature person who is capable to relating to developmentally disable people in an appropriate and sensitive manner. In addition, the Residential RN should be an individual who is capable or understanding and functioning according to the stated goals of the program and to the team process system.

• Education and/or Experience: Current licensure in New York as an RN is required. Other requirements include a valid New York State driver's license and a home telephone number.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, consumers, and the general public.
• Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply basic concepts of basic algebra and geometry.
• Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in a situation where only limited standardization exists. Ability to interpret and variety of instructions furnished in written, oral diagram, or schedule form.
• Physical Demands: The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable an individual with a disability to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk and hear.
• The employee is frequently required to sit, stand, and walk.
• The employee is occasionally required to reach with hands and arms, stoop, kneel, crouch, and crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally life and/or move up to 50 pounds.

Americans with Disabilities Act: Reasonable accommodations will be made in compliance with the Americans with Disabilities Act of 1990, and ADAAA of 2008.

Occupational Safety and Health Act: Exposed to human body fluids, airborne agents, household chemicals. May be exposed to contagious diseases.

The rate of pay for this position is an annual salary of $83,200.00.