1. Reports to work as scheduled on a regular and reliable basis.
2. Ability to accept work assignments to all division programs and to work as an effective team member at all locations.
3. Adheres to the agency’s Core Values and mission with complete regard for the dignity and respect of each person.
4. Observe person’s Rights.
5. Maintain confidentiality of people supported.
6. Provides professional nursing care utilizing all elements of the nursing process.
7. Ability to understand and support the community-based philosophy while overseeing and ensuring the health, safety, and well-being of the people supported in their homes and/or day programs, thereby being attentive to personal choices and interests.
8. Performs the following functions related to the assessment, planning, implementation, and evaluation of people on the case management caseload.
a. Assessment - Uses physical assessment skills and the data collected from all available resources to formulate a nursing database. Analyzes and interprets data to appropriately prioritize selected nursing diagnoses and identify needs. Performs ongoing assessments/observations at desig nated intervals. Identifies and documents changes in the person's health status that will affect the unlicensed employee’s ability to meet needs. Review annually prior to annual ISP or when significant medical changes occur.
b. Planning - Develops individualized care plans based on scientific knowledge and principles. Collaborates with the person, employees, health care professionals and the ISP team to establish an individualized care plan with person-centered goals and outcomes to achieve optimal health.
c. Implementation - Delegates and monitors to unlicensed employee’s and ensures that employees implement interventions based on the established individualized plan of care. Collaborates with other health care professionals and communicates with unlicensed employees to assure that the needs of the person are being met. Utilizes therapeutic communication techniques that assist the person and employees to resolve or cope with problems appropriately within their scope of practice.
d. Evaluation - Effectively evaluates the individualized plan of care and makes changes as necessary. Evaluates the effectiveness of nursing interventions, and participates with the person, employees, health care professionals, and ISP team members in the evaluation process toward achieving person centered goals. Modifies the priorities for the person and unlicensed employee based on ability to meet needs. Differentiates, selects, and implements alternate methods of meeting the needs of the person and modifies the plan of care.
9. Ability to delegate appropriate nursing care as necessary in accordance with the plan of care and accepts the responsibility and accountability of the delegation to unlicensed employees.
10. Demonstrate leadership regarding the person’s healthcare. Demonstrate leadership and creativity in problem resolution and in proposing new ideas for the person’s care.
11. Teach employees for appropriate special care procedures, training on medical equipment, cares of the person, medication issues, retraining etc. as needed.
12. Ability to use appropriate nursing judgment, schedule and provide home and day program nursing reviews as necessary to meet the needs of the person. Nursing reviews will be documented. Update plan of care as necessary for people and review appointment records, laboratory, and diagnostic tests.
13. Ability to keep thorough and legible professional documentation of medical issues while ensuring timely and accurate completion of required documentation. The Registered Nurse Case Manager audits medical documentation and medication records.
14. Oversee the person's medical issues and alert managers and direct support staff of changes in the person’s health and/or plan of care. Act as medical liaison and consultant for agency personnel while providing technical and professional assistance related to person’s health. Delegate responsibility and provide medical training for unlicensed employees.
15. Communicate with physicians, vendors, social workers, etc. as needed to provide quality care for the person. This task may be delegated as appropriate.
16. Facilitate communication of information between hospital and employees during hospitalizations.
17. Communicate to the Supervisor any issues which may impact the person, the family, and/or services.
18. Answer administration and employee questions pertaining to the person supported.
19. When requested, performs all essential responsibilities of the registered nurse while providing direct nursing support at the Medical Support Units (MSU-S/N) and the Jerry Graesser Center.
20. During work hours accept reassignment to provide direct support at MSU-N/S, Jerry Graesser Center (JGC), as need for situations when unexpected staffing needs arise, emergency response is needed, or if additional staffing is required. Adhere to the appropriate job description when performing direct care.
21. Ability to attend hospital discharge meetings, in-services, educational programs, and essential agency training.
22. Participate in required ISP meetings on nursing caseload and covers other nursing caseloads as necessary.
23. Ability to work effectively with coworkers.
a. Communicate with coworkers both verbally and in writing.
b.Recognize and respond appropriately to nonverbal and situational cues from coworkers, such as when there is a need for physical assistance with the care of a person or verbal reinforcement.
c. Create a positive work environment in the home/day program and be a motivator and leader for employees.
d. Serve as a role model for employees in tone, morale, and professionalism in interactions with the people supported, other Duet employees, family members and friends, DHHS employees, day program personnel, medical personnel, vendors, and others.
e. Ensure that employee’s documentation and follow-through meet requirements regarding MARs, medical charting, seizure records, hospitalization records, Therap and other areas of documentation.
f. Give employees feedback on implementation of tasks in a prompt, tactful, direct, and consistent way; follow through with the Manager, Coordinator, or Director of area with any concerns.
g. Be attentive and responsive to employee concerns and refer issues to appropriate personnel in the agency as needed. Demonstrate tact, kindness, and concern toward employees.
h. Promotes harmonious relationships and favorable attitude among employees.
24. Effectively works with legal representatives, service coordinators, and team members.
25. Act rapidly and effectively to manage self, people supported, and other employees during emergency situations.
26. Assume medical on-call rotation responsibility evenings and weekends.
27. Follow HIPPA guidelines to ensure confidentiality.
28. Adhere to agency policies as stated in the current Employee Handbook, the ENHSA Human Resources Manual and Duet Policy and Procedures Manual.
OTHER JOB DUTIES
1. Assists in the orientation and training of new employees.
2. Teach Medication Aide class for Duet staff as requested.
3. Assist the areas with admissions, and hospital transfers and discharges.
4. All other duties as assigned, which are necessary and appropriate for provision of quality services.
EDUCATION TRAINING AND EXPERIENCE
1. Graduate of an accredited School of Nursing and State of Nebraska licensed Registered Nurse or current RN licensure from a state participating in the multistate privilege to practice compact with Nebraska required.
2. Minimum two years' experience as a RN with experience within the two years prior to date of application preferred.
KNOWLEDGE SKILLS AND ABILITIES
1. Ability to pass a criminal background and Adult Protective/Child Protective Services check.
2. Must possess and maintain a current, valid driver’s license, pass a driving record check and may, depending on Agency needs, be required to have available an automobile with required State insurance coverage for purposes of transporting persons in services.
3. Ability to communicate clearly, both orally and in writing; and demonstrate skill in preparing and maintaining records.
4. Ability to listen and provide empathetic assistance to people supported, families, and employees in meeting their needs and carrying out prescribed treatments.
5. Ability to read, understand and effectively utilize written materials and directions.
6. Ability to multi-task skills.
7. Knowledge of and ability to apply professional nursing theory, quality standards, procedures, protocols, practices, and ethics.
8. Ability to support and relate comfortably, confidently, and effectively with people with intellectual disabilities.
9. Possess judgment and decision-making skills to perform the functions of the job day-to-day and in crisis situations.
10. Ability to work alone or in a team situation with other professionals in various disciplines to pinpoint problems, implement effective actions, and motivate change.
11. Ability to adhere to values and ethics commonly associated with professionals having access to confidential and sensitive information.
12. Ability to support all people without discrimination as to race, color, creed, age, sex, sexual orientation, or abilities.
13. Knowledge and sensitivity to cultural and socioeconomic differences.
14. Ability to analyze, plan, implement, and evaluate individual plans of care and treatment.
15. Knowledge of current medications, their actions, interactions, uses and side effects.
16. Knowledge of clinical instruments, equipment, and procedures.
17. Knowledge of nursing interventions and methods.
18. Ability to analyze and evaluate proper care and treatment.
19. Ability to learn specialized care applicable to work assignment.
20. Ability to provide training to staff.
21. Knowledge of and ability to apply clinical therapeutic models of person specific care with emphasis on interdisciplinary team approach.
22. Demonstrates good nursing judgment and excellent observational, interpersonal, and oral and written communications skills.
23. Ability to act as a role model to health care employees by demonstrating and teaching professional behaviors.
24. Ability to encourage and facilitate cooperation, trust, and group identity to foster commitment and teamwork.
25. Self-directed with the ability to work with minimal direct supervision yet respond to and seek supervision when needed.
26. Ability to respond in emergencies.
27. Ability to work effectively with families.
PHYSICAL DEMANDS AND WORKING CONDITIONS
1. Work is normally performed in the Duet office, Duet Residential and Day Program locations, MSU, and the JGC.
2. Work environment involves exposure to potentially dangerous materials and situations that require adherence to safety precautions and may include the use of protective equipment.
3. Must be able to lift at least 70 pounds.
4. Must be able to bend, stoop, kneel, squat, walk, sit, stand, climb, push, carry, and grasp.
5. Will be exposed to and drive in all weather and traffic conditions.
Note: This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by jobholders within this job. But this job description is not intended to be an inclusive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position and may be subject to revision.
