Registered Nurse
Breckenridge Village

Job Info

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Education: Required - Graduate from accredited Registered Nursing Program.

Experience: Three (3) years nursing experience preferred

Summary: The RN uses sound medical and professional judgment and best practices to support the medical, safety and well-being of every resident while maintaining compliance with established state nursing and licensing regulatory agencies, and federal standards requirements. The RN, working closely with their assigned nurse manager, will be responsible for care, oversight and quality assurance of medical care coordination for residents to include, but not limited to well visits, immunizations, sick visits, documentation, medication audits, supply inventory, ordering and communication with parents/guardians.

To successfully perform this job, the employee may be expected to perform the following, with or without reasonable accommodations in accordance with the Americans with Disabilities Act of 1990.

Essential Functions:
1. Perform nursing duties in accordance with nursing guidelines and best practices established by the Texas Board of Nursing for Registered Nurses
2. Perform the following quality assurance oversight and regular auditing of:
a. T-logs and GERS daily
b. Immunizations
c. Medication ordering and delivery
d. Distribution of medications
e. Medication supply
f. Medication storage, quarterly assessments and destruction
g. Perform weekly audits of MAR

3. Respond to injuries and illness during normal business hours
4. Maintain real time medical documentation
5. Create nurse progress note, in real time, in PCC when any communication regarding medical care is received from or provided to a resident, guardian, or Breckenridge Village staff member
6. Review appointment summaries and audit documentation into PCC.
7. Audit medication administration records (MAR) in real time when medications are changed, added or discontinued.
8. One week prior to each scheduled Human Rights Committee (HRC) meeting, obtain and complete all HRC approvals and review forms and submit to Nurse Manager.
9. Participate in on-call rotation with LVN/RNs, and Nurse Manager 24/7 for Nurse on Duty (NOD) coverage to Breckenridge Village
a. NOD rotations begins at 4:00 p.m. on Friday and ends at 4:00 p.m. the next Friday.
b. Respond to all calls immediately, but no later than 10 minutes after call is received,
c. Be available to respond to the medical needs of residents on campus as soon as possible
d. Have contact information readily available in the event notification is required.
e. Prepare and distribute written summary of all weekend communications no later than noon on Monday
10. Attend in-person or video conferencing meetings as directed:
a. Annual IDT
b. Bi-annual HRC
c. Off-cycle HRC
d. Weekly consultation with Nurse Manager
11. Attend weekday/end manager meetings, weekly medical meetings and all staff meetings
12. Conduct annual comprehensive medical exams
13. Audit quarterly assessments
14. Provide necessary training for medical staff and medical extender staff or other BV staff
15. Conduct doctor follow up on abnormal exams or specialty requests
16. Pull and review special procedure diagnostics
17. Conduct 30 day staffing and medication review for new residents
18. Audit:
a. Labs
b. Follow up appointments
c. Contact Sheet Fulfillment
d. Physician orders for changes, THV, MAR, Contact Sheets
e. Cancelled/rescheduled appointments
f. Vitals and weights
19. Maintain professional setting, organized supplies and charts and maintain expiration dates for DME and CMS
20. Must be able to perform physical activity such as extensive walking, lifting of patients, stretching and bending
21. Report signs of abuse, neglect, and exploitation and sexually provocative behavior and implement professional response, reporting and documenting procedures
22. Adhere to professional and ethical standards of conduct outlined in Breckenridge Village personnel polity manual including demonstrating respect for agency staff, residents, and community members and complying with required dress code at all times

Measurable Deliverables:
1. Meet all state regulatory guidelines and standards that are applicable to this position, with no deficiencies or concerns regarding medical care during annual fundamental surveys.
2. Maintain resident physical and mental safety by making immediate report of any changes in resident health of behavior to the Nurse Manager and the QIDP with whom resident is assigned
3. Provide the highest level of resident care
a. Daily review of T-logs and act as required,
b. Daily review of GERS and act as required
c. Daily review of communication from residents, parents/guardians, QIDP or any other team member and act as required,
d. Address each medical concern with urgency
e. Treat resident medical needs as though you would for your own family
f. In emergency situations, call 911 first
4. Ensure proper time management of all daily, weekly, monthly, quarterly, and annual tasks
5. Document all resident health information as close to real time as possible but not later than 24 hours
6. Communication timeframes (during normal business hours):
a. Answer all phone calls immediately or call back within one hour;
b. Answer text messages immediately or text back within one hour,
c. Answer all emails within the same business day

Credentials, Skills and Abilities:
1. Maintain current licenses and certificates required for the position including, but not limited to:
a. Good standing as a Licensed Vocational Nurse or Registered Nurse with the state of Texas Board of Nursing
b. Current BLS certifications and First Aid Certification
2. Pass a pre-employment drug screen and random drug screens throughout employment.
3. Valid Texas Driver's License.
4. Pass a pre-employment and biennial criminal background checks.
5. Must be able to maintain professional people skills, oral, written, listening, and non-verbal communication skills
6. Demonstrate the ability to:
a. Respond sensitively and competently to the service population's cultural and socio-economic characteristics
b. Work collaboratively with other staff members, service providers, and professionals
c. Communicate effectively in writing and verbally in English.
d. Work in a fast paced environment while maintaining control and professional composure at all times and making decisions based on the needs of the program and service population
e. Maintain computer literacy required to meet the responsibilities of the position
f. Work effectively and without intensive supervision both independently and as a member of a multidisciplinary team

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

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