RN - PRN - Job at Elwyn in Media, PA

RN - PRN

Media, PA

Posted 7 days ago

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Job Description

RN - PRN

POSITION SUMMARY: As a member of the Interdisciplinary Care Team (IDT), the Registered Nurse (RN) performs physical assessments and completes health histories; monitors the physical and psychological health of the client; interprets patient information; and makes critical decisions about needed actions. This nurse collaborates with the physician and other healthcare providers and educates clients, families, and staff.

This nurse practices within the scope of Pennsylvania's Nurse Practice Act and in accordance with Elwyn's policies and procedures and those of Elwyn's regulatory agencies.

DUTIES AND RESPONSIBILITIES

Complete a comprehensive nursing assessment upon admission/readmission and as changing health needs indicate
Complete a Quarterly Nursing Assessment every three (3) months that includes a review of systems, full body exam, skin checks, Braden Scale, and Fall Risk Assessment
Provide direct nursing care and clinical oversight of care delivery
Upon discharge, complete a Discharge Summary that includes all relevant medication, medical follow up, and pertinent health care information to provide for continuity of care
Present clinical data obtained through direct observation, interview, physical assessment and other reports to the IDT members; present information in a concise and organized manner
Set daily priorities in accordance with professional nursing judgment
Develop a health care plan for clients requiring 24/7 nursing care that will include specific nursing goals and directions for meeting the client's health care needs
Review and revise the health care plan at a minimum of every 90 days and incorporate data gathered through nursing assessments and communication with the IDT
Collaborate with Day and Work Services to ensure that the health care needs of the client are communicated and the necessary documentation forwarded
Collaborate with physicians, physical rehabilitation professionals, therapists, health care professionals and other members of the IDT to plan and implement the therapeutic program of care
Refer clients to physicians when assessment indicates further medical evaluation is required; facilitate transfer to the hospital/Emergency Department as needed
Complete hospital and Emergency Department transfer sheets including coping and forwarding the annual physical exam, last set of 90 Day Physician Orders, current Medication Administration Records (MARs), and other pertinent information to the receiving facility
Monitor weight and blood pressure measurements at a minimum of monthly and more frequently as indicated by nursing judgement or physician orders
Administer enteral tube feedings, blood glucose testing, nebulizer treatments, and skin care as ordered by the physician; use discretion during administration to provide as much client privacy as possible
Prepare and administer medication as ordered by the physician in accordance with Elwyn's medication policies and procedures; obtain verbal orders when necessary and transcribe the information as per policy
Document administration of prescribed medications and treatments on hard copy MARs or in an electronic format (eMARs); use discretion during administration to provide as much client privacy as possible
Instruct direct care staff on the administration and documentation of specific treatments including but not limited to topical creams and other over the counter (OTCs) agents
Evaluate the therapeutic effectiveness of medications and treatments and report any observed side effects and relevant laboratory values to the Health Care Coordinator/Charge Nurse; Contact the physician as directed
If using hard copy MARs, review the monthly MAR and validate that all medication and treatment orders are correct and update as needed; remove old MARs from the medication binder and replace with new MARs at the start of every month
Assess client progress with the self-administration of medication and work to actively promote increased independence in client function; assist with data collection related to medication goals
Complete monthly medication exchanges with the pharmacy provider; immediately reconcile identified issues
Administer and document immunizations as ordered by the physician; ensure that necessary consents have been completed prior to administration.
Prepare clients for medical appointments through communication and maintenance of NPO (nothing by mouth) status, procedural preps, and the administration of pre-sedation medication
Validate that all lab work has been completed as scheduled and document in the nursing progress note; if not completed, schedule follow up and document
Document all behavioral and physical changes in the client's status and other pertinent information in the nursing progress notes; document all changes from baseline status; document effectiveness of prescribed behavioral interventions and nursing actions
Contact family members/guardians to report any new injuries that require more than basic First Aid or as otherwise requested by the family
Communicate health issues to staff in the program's Alert Log
Document all relevant information in the MAR, nursing progress notes, and 24 Hour Change in Status Report
Communicate all pertinent client and unit information to the incoming nurses through written reports
Provide significant clinical and informational updates to the Charge Nurse throughout the shift; contact the Charge Nurse by phone (1) hour prior to the end of the shift to provide verbal report
Contribute nursing knowledge to the development and maintenance of a safe and therapeutic living environment; inspect the general living areas for present and potential hazards and report to the Unit Director, Health Care Coordinator, or Charge Nurse
Monitor for potential infectious disease among clients and staff and report to the Health Care Coordinator/Charge Nurse who will then report to the Director of Nursing, Campus
Provide response to emergencies and oversight of medical issues in the role of Charge Nurse as assigned
Provide clear and concise direction to Elwyn staff during a medical emergency and direct medical care provided; transfer care to the Emergency Medical Technicians (EMTs) upon their arrival
Order medical and nursing supplies for assigned unit; restock supplies upon arrival
Maintain medical equipment in proper working order in each assigned medication dispensary; clean equipment at least monthly and facilitate equipment repair as necessary
Assist with the training and orientation of new nursing employees
Provide nursing coverage to all units as needed; demonstrate flexibility, adaptability, and team work when nursing assignments must be modified
In the absence of the Health Care Coordinator, provide nursing leadership to the unit staff for medical issues that arise including but not limited to seizure episode, 26666 call, falls,
Ensure timely reporting of all injuries or occupational exposures to blood, body fluids, infectious materials and hazardous chemical in accordance with the facility's policies and procedures and OSHA guidelines; collaborate with Risk Management as needed
Adhere to Elwyn's policies and procedures related to HIPAA and the disclosure of health protected information
Complete all Elwyn mandatory educational requirements by the annual due date
Attend nursing meetings and in-services as required
Perform cardiopulmonary resuscitation (CPR), and crisis intervention using agency-trained protocols
Submit new/current Nursing License, CPR card, Driver's License, physical exam, and contact sheet on or before the actual due dates
Perform other duties as assigned

EDUCATION/SKILLS/EXPERIENCE REQUIREMENTS:

Licensed as a Registered Nurse in the Commonwealth of Pennsylvania
One (1) year general nursing or medical surgical experience required; Developmental Disabilities nursing experience preferred
Demonstrated skill using an electronic medical record system
Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities
Demonstrated strong attention to detail
Demonstrated strong time management and organizational skills
Demonstrated excellent judgment with the ability to independently solve problems and make decisions with little or no need for direct supervision
Demonstrated ability to anticipate future needed changes or identify problem areas and take effective actions
Excellent planning, communication, customer interaction, collaboration, and documentation skills required
Current CPR certification
Demonstrated ability to work effectively as part of a team
Must be able to perform CPR and crisis intervention techniques using agency-trained protocols
Demonstrated basic experience with Microsoft Office applications, including Word and Outlook
Must have current, valid driver's license in state of residence, 3 years driving experience in the United States, and acceptable driving record

PHYSICAL DEMANDS/ENVIRONMENTAL PROFILE: See Physical Demands Checklist below which represents the general physical demands and environment conditions to which the employee holding this position must meet, in addition to the duties and responsibilities listed above, to successfully perform the essential functions of this job. Elwyn will engage otherwise qualified candidates for this position whose disabilities may require reasonable accommodations to enable an individual to perform the essential functions.

Elwyn reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of duties and responsibilities of the job nor does it constitute a written or implied contract.

Elwyn is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation and identity, gender identity, national origin, citizenship status, genetic information, disability status, military or veteran status, marital or family status, political activities or affiliations, or any other characteristic protected by local, state, and federal law.

111 Elwyn Road, Media, Pennsylvania 19063
PRN/On-call/Flex
Elwyn is an Equal Opportunity Employer. EOE AA M/F/Vet/Disability

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Job Summary

Company

Elwyn

Start Date

As soon as possible

Employment Term and Type

Regular, Full or Part Time

Required Experience

1 year