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Nursing Services Positions

Shift Nurse (LPN or RN)

Full Time, Second Shift

Hours: Primarily 12:45pm-9:15pm

Schedule consists of only one weekend day out of every four weekends on first shift.

STATUS: Non-Exempt

BASIC FUNCTION

The Nurse is responsible for providing day-to-day preventative, maintenance, restorative and emergency nursing care for the children and young adults served by Hills and Dales at the Residential Center.  This role ensures that physician orders and treatment plans are implemented.  This role also requires a collaborative working relationship with all necessary departments in the performance of its operations.

ORGANIZATIONAL RELATIONSHIPS

Reports to:  Health Services Director       Supervises:   No direct reports

SPECIFIC DUTIES AND RESPONSIBILITIES

  1. Provides preventative, maintenance, restorative and emergency nursing care by:
    • Maintaining current working knowledge of residents.
    • Monitoring resident health issues on a day-to-day basis and insuring necessary individual interventions.
    • Documenting unusual occurrences and observations regarding residents to insure appropriate tracking of pattern events and notifying staff of events.
    • Notifying physician or status changes, areas of concern and unusual assessments.
    • Implementing and maintaining temporary care plans are in place for residents who have a deviation from their normal activity level or care due to health issues.
    • Informing direct staff of their responsibilities with resident’s in regards to health care matters for the shift, i.e., positioning, appointments, treatments, cares, etc.
    • Notifying oncoming nurse/team nurse of resident information or observations from shift.
    • Implementing physician orders and treatment plans.
    • Responding to health emergency situations in a calm, professional manner, assessing the situation, giving necessary instructions and initiating appropriate interventions.
    • Documenting circumstances of resident and staff incidents, assessing injuries incurred, initiating necessary interventions.
    • Initiating temporary medical problems documentation to address acute illness/injuries.
    • Maintaining a working knowledge of medications and treatments administered.
    • Accurately administering medications according to the six R’s: right resident, right medication, right dose, right time, right route and right documentation; accurately administering treatments and internal feedings, providing timely documentation; assists in revising monthly medication sheets.
  2. Develops and maintains effective working relations with staff to facilitate/assure resident health care needs are appropriately addressed.
  3. Reports concerns/observations of staff and residents to supervisors, managers &/or directors of other departments as needed.
  4. Reports resident status changes or difficulties to program staff coordinating the shift, program department managers and director.
  5. Works with physicians to assure individual health concerns are addressed; insures that appropriate staff is informed and up-to-date regarding resident health issues.
  6. Maintains necessary contact with pharmacy and laboratory to assure resident needs are met.
  7. Maintains resident parent/guardian contact for acute and routine health issues; insures that necessary information is related to and from nurses at schools and vocational site on a day-to-day basis; serves as the vocational site and school nurse liaison.
  8. Provides documentation of services via approved computer software programs or hand written to record significant events, medication records, & other forms of documentation according to individual programs, policies & procedures.
  9. Monitors and directs Certified Medication Aides on duty.
  10. Assists in the education and tracking of employee health issues.
  11. Insures the department director is informed and up to date on resident status changes.
  12. Complies with building security policies, procedures and practices.
  13. Attends in-services and training sessions or meetings as required.
  14. Assures the confidentiality of all data, including resident, employee and operations data in compliance with HIPAA policy & confidentiality procedures.
  15. Assists with direct support needs of the residents as needed.
  16. Assesses and follows up regarding unsafe situations or maintenance and repair needs.
  17. Works alternate or additional shifts as assigned.
  18. Performs other duties as assigned.

Additional Duties for Third Shift Nurse

  • Monitors third shift employee’s work performance and compliance with agency procedures and rules. Reports concerns to appropriate supervisors.

KNOWLEDGE, SKILLS AND ABILITIES

  1. Ability to provide compassionate, technically accurate and medically sound care of Organization’s clients.
  2. Knowledge of federal, state & local compliance laws and regulations, MCO/Medicaid rules & standards as well as CARF accreditation standards as it relates to the industry.
  3. Knowledge of medical trends in the care for the targeted population at the Organization.
  4. Ability to follow and document Organization policies and procedures as it relates to the medical care of the residents.
  5. Ability to independently handle crisis situations.
  6. Ability to be certified and maintain certification in MANDT.
  7. Demonstration of strong organizational skills.
  8. Demonstration of excellent written and oral communication skills with the physician, staff, residents and parents/guardians.
  9. Demonstrates proper telephone skills and good phone etiquette.
  10. Ability to monitor staff in the performance of their duties such that performance meets or exceeds expectations.
  11. Demonstration of acceptable levels of attendance, punctuality, and work ethic such that the job performance meets or exceeds expectations.
  12. Ability to work with others in the completion of department duties.
  13. Ability to develop interpersonal relationships with coworkers, staff, residents, families and the community such that job performance meets or exceeds expectations.
  14. Ability and willingness to work flexible hours.
  15. Maintain confidentiality as required.
  16. Demonstrates and models the mission and core values of the organization through behavior and attitude.
  17. Ability to use computer systems to include keyboarding and data entry.
  18. In all cases of physical requirements, appropriate reasonable accommodations will be considered whenever possible to allow position incumbent to accomplish essential functions in an alternative manner.
    • Ability to lift 35 lbs required. Ability to sit approximately 20% of the time; ability to walk, run, stand, bend, lift, stoop, sit, squat and move throughout areas as required in supporting the residents, approximately 80% of the time.
    • Ability to use fine & gross motor skills to include but not limited to grasping, pushing, pulling, reaching is required in performing job tasks.
    • The ability to guide individual’s using wheelchairs or provide the assistance necessary for clients to use other adaptive equipment.
    • Ability to physically respond to client elopements, block and redirect acts of aggression by clients, per client plan.
    • Ability to hear, see, write and speak.
    • Due to support needs, shift nurses may need to provide continuous service which would not allow for a break period or lunch period during the shift. Restroom breaks would be provided.
    • Ability to work in a stressful environment, due to the amount and nature of interpersonal relations and the need to change tasks often or suddenly. This includes an environment that can be crowded or noisy with frequent distractions. Subject to various temperatures and weather conditions occasionally when needing to go outside.

EDUCATION, EXPERIENCE AND TRAINING

  1. Free of a conviction or prior employment history of child or resident abuse or dependent adult abuse.
  2. High school degree or equivalent.
  3. Certification as a licensed practical nurse; registered nurse preferred.
  4. A minimum of one year nursing experience, preferably with targeted population.
  5. Current certification in cardio pulmonary resuscitation (CPR).
  6. Required state training in dependent adult and child abuse class

 


CMA (Certified Medication Aide)

Full Time, Second Shift

2 week rotation, including an every other weekend schedule. Primary hours are 4pm-12:30am. One day per week will be 12:45pm-9:15pm.

Primary job responsibilities include administering medications to residents.

EDUCATION, EXPERIENCE AND TRAINING

  1. Free of a conviction or prior employment history of child or resident abuse or dependent adult abuse.
  2. High school degree or equivalent.
  3. Certification as a Certified Medication Aide.
  4. Required state training as a mandatory reporter in dependent adult and child abuse (training may be provided after hire if necessary)

In all cases of physical requirements, appropriate reasonable accommodations will be considered whenever possible to allow position incumbent to accomplish essential functions in an alternative manner.

  • Ability to lift 35 lbs required. Ability to sit approximately 20% of the time; ability to walk, run, stand, bend, lift, stoop, sit, squat and move throughout areas as required in supporting the residents, approximately 80% of the time.
  • Ability to use fine & gross motor skills to include but not limited to grasping, pushing, pulling, reaching is required in performing job tasks.
  • The ability to guide individual’s using wheelchairs or provide the assistance necessary for clients to use other adaptive equipment.
  • Ability to physically respond to client elopements, block and redirect acts of aggression by clients, per client plan.
  • Ability to hear, see, write and speak.
  • Due to support needs, CMA may need to provide continuous service which would not allow for a break period or lunch period during the shift. Restroom breaks would be provided.
  • Ability to work in a stressful environment, due to the amount and nature of interpersonal relations and the need to change tasks often or suddenly. This includes an environment that can be crowded or noisy with frequent distractions. Subject to various temperatures and weather conditions occasionally when needing to go outside.
  • Ability to use a computer for data entry purposes.

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All positions at Hills & Dales require the ability to pass an extensive background check including checks of the Dependent Adult and Child abuse registries, Sex Offender registry and a criminal history check. Offer of employment is contingent upon successful completion of criminal background checks & drug screening. EOE.

Full-time positions receive benefits including health, dental, life and disability insurance, paid vacation and sick time, paid holidays, and 401(k). Part-time positions receive paid vacation, sick time and paid holidays.

Hills & Dales is an Equal Opportunity Employer and a Drug Free Workplace. Fill out an online application or send resume and cover letter to humanresources@hillsdales.org.