Registered Nurse (RN “Case Manager”) (**position not currently open**)

1. OVERSEE AND FACILITATE RESIDENT HEALTHCARE

A. Oversee and ensure the health, safety, and well-being of the residents in the homes or which you are responsible. Be attentive to resident health and safety needs as well as their interests and choices and facilitate appropriate support.

B. Oversee resident medical care including, but not limited to, scheduling routine and follow-up appointments, attending appointments (including emergency room visits) as needed, obtaining and receiving physician’s orders, being a liaison between medical personnel and ACR, ensuring upkeep of medical equipment, and ordering medical supplies. These tasks may be delegated as appropriate.

C. Visit each home on a routine basis, as required.

D. Complete the approved nursing checklist on a monthly or quarterly basis, depending on the home’s needs. This checklist includes:

i. Reviewing resident records such as medical information pages, standing orders, medication/treatment pages, health progress notes, appointment referral forms, appointment calendars, checks completed by staff, seizure reports (if applicable), and reviewing protocols and medication/treatment summaries on a routine basis.

ii. Make entries in the residents’ health progress notes on a minimum required basis.

iii. Completing psychotropic monitoring in a timely manner.

iv. Completing a full nursing assessment. This assessment will include a review of the health progress notes and follow-up on any pending medical issues. The assessment will include vital signs, lung sounds, bowel sounds, bowel pattern, circulation, breast and/or testicular exam, review of weight, menstrual pattern, and nutritional status. These exams will be completed unless contraindicated for the resident due to health concerns or guardian wishes.

v. Review and reconcile controlled substances in the home.

vi. Review the Staff Concerns Book.

vii. Complete a communication form for the RS/PD. The RN will be responsible for ensuring this form is returned and items are completed by the RS in a timely manner.

viii. Destroy/return non-narcotic medications in the home.

ix. Complete the Quarterly OSHA Surveillance form to track infection control needs.

x. Ensure medical equipment in the home is working properly on a scheduled basis. This can be done by verbally interviewing staff, watching a resident use the equipment or testing the equipment himself/herself.

E. If working with ACR At Home or Arthur’s Residential Care, the nurse will be responsible for updating care plans and training staff in a timely manner, provide monitoring and re-assessment visits as required, and following the service agreement.

F. Oversee resident medical issues and alert supervisors to medical issues and/or changes in resident health. Also speak with day program staff and guardians if necessary.

G. Review physician orders annually when required by the pharmacy.

H. Maintain current records in an electronic format, updated at least monthly (or quarterly for homes that do not require a monthly visit).

I. Serve as a representative of clients and of ACR in contacts with residents’ family members and friends, guardians, case managers, day program, medical personnel, licensors, neighbors, and vendors.

i. Communicate with physicians or other vendors as needed to provide quality care for the residents you support.

ii. If the resident is hospitalized, facilitate communication of information between resident and medical staff. Assist resident participation in medical exams. Work collaboratively with medical staff and serve as an advocate for the resident by informing hospital staff of resident medical history, preferences, fears, and communication style; model respect for the resident and appropriate interaction style. Communicate guardian/conservator’s written directions and preferences to hospital staff.

J. Answer staff and RS medical questions that pertain to residents. Be available for calls from 8am-5pm Monday-Friday. If this is not possible, find a nurse who will accept your calls and change your voicemail message to reflect the situation and notify the DON of the situation.

K. Train staff in any resident medical procedures as needed.

L. Retrain staff as needed in medication administration in the home.

M. Assist as needed or requested with the initial and ongoing training of staff in medication administration and other pertinent medical issues.

N. Complete an annual medical summary for each resident at each home for which you are responsible prior to the resident’s annual meeting. The nurse must attend the annual meeting for ICF homes and medically fragile homes. All other annual meetings are strongly encouraged.

O. Administer treatments that must be done by a nurse. Assist other nurses within the company in administering such treatments as requested by the Director of Nursing.

P. When a new medication is ordered, verify the correct dosage and assign times it is to be given. Call in the new order to the pharmacy if requested to do so.

Q. When a medication is ordered by telephone, obtain written orders from the physician and ensure they are returned and filed in a timely manner.

R. Keep thorough and legible professional documentation of medical issues.

S. In the event of a resident death, the nurse will provide support for the staff, families, and other involved parties. Attend funerals of company residents if ACR staff are invited.

T. Work direct care shifts as requested or assigned by the Director of Nursing.