RN - Community Homes

LAFOURCHE ARC; Thibodaux, Lockport (LA, LA); On-site; USD 60,000 - 85,000; Full time

Job summary

Lafourche Arc is seeking a Registered Nurse (RN) to provide diagnostic, palliative, preventative, and rehabilitative care across six residential homes in the Thibodaux area. The RN will assess, plan, implement and evaluate care plans, coordinate medical services, and maintain complete nursing documentation while ensuring client safety and comfort.

Responsibilities include administering medications, conducting routine assessments, and collaborating with physicians and Direct Support

Qualifications

• This role requires an RN with a valid Louisiana license and current nursing credentials.
• Preferred: one year of clinical RN experience in residential or elderly care.
• CPR and First Aid certifications are required or can be renewed on hire.

Responsibilities

• Provides nursing care in six residential homes according to Plan of Care.
• Maintains medical records and coordinates medical services for participants.
• Performs PRN visits, assessments, and reports to physicians with complete documentation.
• Distributes medications after verifying orders and ensuring safety.

Skills

Nursing care

Patient assessment

Documentation

Team coordination

Education

B.S.N. from accredited College of Nursing

Current Louisiana Nursing License

Tools

Microsoft Office (Excel and Word)

Job description

Job Details: Job Location: THIBODAUX, LA 70301, Position Type: Full Time, Job Shift: Any, Job Title: Registered Nurse (RN)

Department: Residential Services

Reports to: Director of Residential Services

Prepared Date: April 4, 2012

Revised Date: May 6, 2021

SUMMARY

The Registered Nurse will provide diagnostic, palliative, preventative or rehabilitative/habilitative services to the developmentally disabled and elderly population 6 Residential Homes in the agency. The RN’s role will include but are not limited to: the assessment, planning, implementation, and evaluation of the Program Particpants’ status, plan of care, and goal achievement. The Registered Nurse will try to compromise when scheduling with the client to create a “win-win” situation. The Registered Nurse understands that by accepting an assignment, the nurse is aware of the potential exposure to internal and external hazardous materials including but not limited to: blood and blood borne pathogens, infectious/communicable diseases, noise, excessive physical injury from clients, airborne dusts, fumes, and gases.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Other duties may be assigned.

• Provides quality care to patients in 6 Residential Homes according to policies and procedures.
• Understands and performs Nursing care as established in the Plan of Care.
• Maintains recipient’s medical records according to policy and procedures.
• Coordinates and monitors all program participants medical care and services.
• PRN visits for changes and complications, which may include visits outside of the typical office schedule, including weekends, holidays and nights.
• Providing ongoing patient assessment and evaluation of physical, psycho-social and spiritual needs.
• Monitor Program Participant progress and identifies any changes in status, acting on those changes to insure client comfort and safety.
• Assist physicians and all healthcare professionals care for client, always giving a complete and thorough report on client status at end of assignment.
• Perform routine nursing care to assigned Program Participant while utilizing age specific and universal precaution practices at all times.
• Preform injections to Five (5) Residents in three different homes
• Conduct Nursing physical assessments to two group homes per month
• Review Mar/Medication review for 6 Residential Homes each month
• Complete Nurses’ Notes for each community home per month.
• Reviewing Illness/Injury Forms Signing and documenting on Nurse’s Notes
• Performing Physical Assessment after Hospitalization and ER Visit with Documentation on Nurses Notes.
• Review MAR received from the Pharmacy and distribute to each Residential Home
• Comparing Physician’s revisions of orders, Correcting and Having MD Sign for two Homes per month
• Coordinate Routine and Ordered Lab and X-ray, Obtain and evaluate reports, notify MD for Abnormal Reports and Distribute reports to appropriate home.
• Review MD Visits and assure Orders are followed by Staff including medication, Lab XRay, and follow up appointments.
• Practice teaching/training for clients and families.
• Follow policy when disposing of biohazardous materials, labeling and handling of all materials.
• Actively demonstrate a working knowledge of nursing theory, techniques, principles, and practice in order to care for the client.
• Communicate with all staff, client, and families with excellent written and verbal skills.
• Consistently seek educational tools in order to broaden knowledge base of various age groups, diseases, and best practices.
• Training of Direct Support Professionals on health maintenance procedures (ex. Catheterizations, Gastrostomy tubes, Trachea care, Medication Administration)
• Establish and maintain relationships with delegating physicians.
• Ensure that all medical tasks completed by non-licensed Direct Support Professionals are within the guidelines established by the State Board of Nurses.
• Ensure that all documents are available and completed in a timely manner.
• Completing and tracking physician’s orders.
• Following up on physician’s recommendations.
• Reviewing MARs.
• Reviewing Illness/Injury reports.
• Reviewing Medication Error/Variance Forms.
• Providing initial training, specific to each individual recipient.
• Providing guidance to families so they will have a better understanding of their responsibilities and circumstances.
• Report any and all pertinent information to the appropriate persons.
• Meet with Director/QMRPs as needed.
• Travel throughout a 7-parish area, including Grand Isle.
• Attending CPOC and PPOC for those individuals receiving supports, which involve health maintenance procedures.
• Must be available on-call during a typical workweek of Monday through Friday and for assigned on-call weekend to answer questions, provide training and issue guidance to ensure the health of each program recipient.
• Demonstrates a commitment to professional growth and competence demonstrated by CEU class attendance and in-service trainings.
• Communicate and interact with recipients and families in a positive and courteous manner.
• Maintain the strictest confidentiality of all company and company-related recipient and employee information.
• Any other responsibilities/duties as deemed necessary by CSS Director and Executive Director.

Qualifications: QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

OTHER SKILLS AND ABILITIES

• Demonstrates accountability and responsibility for own work.
• Acquires, maintains and demonstrates current knowledge and competency.
• Demonstrates a commitment to service excellence and quality improvement.
• Ability to work a schedule based on operational need. (On-call, weekends and holidays)
• Basic knowledge of and experience utilizing a personal computer.
• Basic word processing skills required.

SUPERVISORY RESPONSIBILITIES

This position does not have any positions reporting to it. Provides guidance to Direct Support Professionals.

EDUCATION and/or EXPERIENCE

• B.S.N. from accredited College of Nursing
• Current Louisiana Nursing License
• One year clinical RN experience preferred.

LANGUAGE SKILLS

Ability to read, analyzes, and interprets general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of mangers, recipients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage and to draw and interpret bar graphs.

REASONING ABILITY

Ability to define problems, collects data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Ability to exercise independent judgment. Ability to assess, project and plan for recipient needs. Ability to understand principles of behavior management. Ability to interpret state/federal/agency regulations. Ability to document concisely, accurately and timely.

CERTIFICATES, LICENSES, REGISTRATIONS

• CPR Certification
• First Aid Certification
• Knowledge of Microsoft Office (Excel and Word)
• Current Louisiana Driver’s License
• Current Licensure as an RN by the State of Louisiana

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hand to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to sit; stoop, kneel, crouch, or crawl; and taste or smell. The employee must frequently lift and/or move up to 50 pounds including the ability to lift, transfer, reposition, move and subdue uncontrolled recipients. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. The employee frequently must read typewritten and/or handwritten orders and notes in recipient’s charts; measure medications; distinguish colors; observe changes in a recipient’s skin color and condition; hear through a stethoscope to measure a recipient’s blood pressure and listen for heart and lung sounds. The employee frequently is required to pour/measure medication; change dressings; and administer medications. The employee frequently moves freely throughout the work setting and responds to emergency situations quickly. Is able to drive an automobile 2 to 4 hours per day.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal office conditions. Community driving and visiting recipients in a variety of home settings. Exposure to infectious diseases, blood and bodily fluids occasionally. Noise level is moderate. Exposure to inside and outside environmental conditions. Hazards include infectious waste, exposure to HIV, Hepatitis, TB, sharps injuries, hazardous solutions, hazardous fumes, possible excessive physical injury from client.