Registered Nurse II

Job Description

Please note: This position is located in the Hogan Reginal Program, 1 Hathorne Circle, Emergency Stabilization Unit, Danvers, MA.

DUTIES AND RESPONSIBILITIES:

1. Delivers indirect and direct nursing service to residents with intellectual and developmental disabilities.
2. Performs clinical tasks in adherence to acceptable standards of nursing practice to ensure that the care provided is safe and effective.
3. Evaluated health needs through nursing assessment and continuous observation.
4. Identifies problems and makes appropriate referrals to the primary provider.
5. Responds effectively to resident emergencies.
6. Relates pertinent information as appropriate via oral, written and hand-off communication.
7. Plans, implements, and coordinates the care of an acutely ill or injured person to ensure that follow-up can be provided on all shifts and that desired outcome can be met.
8. Uses the nursing process and participates in the planning and implementation of individual health care plans in order to promote and maintain optimal level of health for the residents.
9. Pours, administers, and documents medications by closely following Medication Policies and Procedures to ensure that resident receive the right drug, right dosage, at the right time, given to the right person, and given via the right route of administration.
10. Performs treatments in accordance with M.D. orders and by following accepted procedure to ensure that residents are not subject to treatment errors.
11. Safeguards the security of controlled substance drugs by adhering to Policy and Procedure to ensure that instances of drug tampering or diversion can be promptly detected.
12. Maintains adequate amounts of supplies and medication by checking inventory to ensure they are available to nurses on all shifts.
13. Monitor equipment per procedure to ensure that equipment is functional, stocked, and in good working order.
14. The nurse delegates care based on the needs of the individual and knowledge and skill of the DSW I, DSW II, LPN I, LPN II.
15. Provides training and education to clients which relate to health and safety.
16. Provides supervision, education, and training to direct reporting staff.
17. Articulates the health care needs of residents to the members of the interdisciplinary team by actively participating in ISP and team meetings in order to ensure holistic active treatment programs are developed for residents.
18. Attends team meetings as appropriate.
19. Advocates for the residents and their rights while promoting dignity and respect.
20. Interacts with residents by demonstrating acceptance of them as unique, worthwhile, and important individuals in order to develop a trusting relationship.
21. Communicates effectively with all team members including residents and their families.
22. Interacts with peers and other staff by demonstrating respect, courtesy, and support in order to create a positive work climate.
23. Develops an effective working relationship with Nursing Supervisor
24. Ensures that unit supervisors are informed of significant issues related to the health and safety of staff and residents.
25. Ensures that direct care staff are kept informed of changes in a resident's health status.
26. Initiates proper and timely documentation as assigned by supervisor that reflects high quality nursing assessment, planning, and evaluation.
27. For assigned residents ensures complete assessment and documentation of Quarterly Nursing Summary, Annual Nursing Summary, Nursing Care Plans, and other required system assessments per Title XIX regulations.
28. Has knowledge of State and Federal regulation governing DDS facilities.
29. Adheres to facility policies and procedures.
30. Provides clinical support to unit staff in order to increase their knowledge of health-related functions.
31. Provides clinical assistance to peers when the clinical demands within their assignments indicate the needs for additional assistance.
32. Develops and delivers in-service education.
33. Conducts his/herself in a professional demeanor, accepts and provides supervision in a positive manner.
34. Assumes responsibility for continuing educational and professional development by initiating independent learning activities to increase knowledge and skill in the practice of nursing and to expand understanding of developmental disabilities.
35. Participates in orientation of newly hired staff by serving as preceptor to ensure that staff understand duties and receive support while learning.
36. CPR certification in maintained.
37. Participates in ongoing educational activities related to enhancement and growth of clinical and theoretical knowledge, and awareness of current professional issues.
38. Demonstrates an ability to change and adapt to the ever-changing population and the nursing needs of the units/facility.
39. Seeks constructive feedback regarding his/her own practice.
40. Seeks supervision to assure that performance meets the expectation, philosophy, and mission of the department.
41. Maintains confidentiality and complies with Health Insurance Portability and Accountability Act (HIPAA) regulations which govern the privacy and confidentiality of information about residents.
42. Assumes charge nurse responsibilities when assigned by supervisor.
43. Accepts other appropriate assignments by nursing supervisor.
44. Incumbent of positions in this series may work varied shifts and/or holidays, weekends, or night, stand for prolonged periods of time, lift heavy objects or persons, and may be exposed to communicable diseases.
45. Knowledge of the techniques used in the handling and transportation of patients.
46. Knowledge of first aid techniques
47. Knowledge of State and Federal Regulations governing DDS facilities.
48. Knowledge of the sanitation and sterilization methods, techniques, and procedures followed in a medical facility.
49. Knowledge of the types and application of emergency medical procedures such as cardiopulmonary resuscitation (CPR) and tourniquets.
50. Ability to write clearly and concisely, express thoughts clearly and develop ideas in logical sequence.
51. Ability to interact with people who are under physical and/or emotional stress.
52. Ability to work in a team setting and in group situations.
53. Ability to understand, apply, and explain the laws, rules, regulations, policies, procedures, specifications, standards, and guidelines governing agency operations.
54. Ability to maintain accurate records utilizing facility electronic medical record (EMR).
55. Ability to maintain a calm manner in stressful and emergency situations.
56. Ability to assemble items of information in accordance with established procedures.
57. Ability to give written and oral instructions in a precise, understandable manner.

1. Knowledge of federal and state regulations governing DDS.
2. Interdisciplinary team concept
3. Knowledge and sensitivity to individuals with intellectual/developmental disabilities
4. Knowledge of the principles and practices of supervision. (Communication-Delegation-Monitoring)
5. Management of the daily operations of the Unit in an effective and safe manner.
6. Assessment skills of the individuals physical and emotional status
7. Development and/or presentation of in-service education

• Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

• Disabled Persons Protection Commission (DPPC) Abuse Registry Search: https://www.mass.gov/info-details/dppc-abuser-registry
• Criminal background check (CORI) by regulations set forth by the Executive Office of Health and Human Services. http://www.mass.gov/hhs/cori