The Registered Nurse (RN) position is safety sensitive, salaried and exempt. The Registered Nurse (RN) is responsible for supporting the nurses’ professional responsibilities regarding documentation and reports and following procedures for healthcare coordination for program participants as defined in the New Mexico Board of Nursing Rules/Nurse Practice Act, DOH/DDSD DD Waiver Standards, NMAC, State Board of Pharmacy, and state and PSSI company standards, policies, and procedures. Some of the required documentation for the RN to complete are e-CHATs and MAATs, ARST, Healthcare Plans, Medical Emergency Response Plans, Monthly Nursing Assessments, post-fall assessments, semi-annual reports, Missed Medication Protocols, staff training and documentation for HCP/MERPs, Therap, iTherapy, Filemaker, Quickmar database entries, etc. The RN must assure participants are getting to their appointments, appointments are scheduled and followed up with per best practice, clients are receiving their yearly checkups they need, that their health is monitored, and health care needs are met, must attend program participant appointments, ISP and IDT meetings, update medical databases, and respond to on call including but not limited to: PRN medication calls, health related and emergency medical calls, covid testing, post fall/injury assessments, etc.  

Summary of Duties:

The Registered Nurse (RN) position is   safety sensitive, salaried and exempt. The Registered Nurse (RN) is   responsible for supporting the nurses’ professional responsibilities   regarding documentation and reports and following procedures for healthcare   coordination for program participants as defined in the New Mexico Board of   Nursing Rules/Nurse Practice Act, DOH/DDSD DD Waiver Standards, NMAC, State   Board of Pharmacy, and state and PSSI company standards, policies, and   procedures. Some of the required documentation for the RN to complete are   e-CHATs and MAATs, ARST, Healthcare Plans, Medical Emergency Response Plans,   Monthly Nursing Assessments, post-fall assessments, semi-annual reports, Missed   Medication Protocols, staff training and documentation for HCP/MERPs, Therap,   iTherapy, Filemaker, Quickmar database entries, etc. The RN must assure   participants are getting to their appointments, appointments are scheduled   and followed up with per best practice, clients are receiving their yearly   checkups they need, that their health is monitored, and health care needs are   met, must attend program participant appointments, ISP and IDT meetings, update   medical databases, and respond to on call including but not limited to: PRN   medication calls, health related and emergency medical calls, covid testing,   post fall/injury assessments, etc. The RN is an essential employee and   responsible for the additional duties as listed below and/or assigned:

Primary Responsibilities/Essential Job   Duties and Functions:

Agency Policies and Procedures:

· Abides by the Employee Conduct Policy,   Code of Ethics, HIPAA confidentiality, and all other policies.

· Exemplifies agency Mission.

· Works schedule as assigned.

· Maintains   good attendance and punctuality.

· Assists in   assuring the health and safety of the program participants.

· Answers on   call in a timely manner and per agency and DDSD policy. 

Medication Supervision:

· Ensures medications are ordered, matches   scripts, matches labels, and in client boxes and stored as required, all   required, and all current scripts are in the files.

· Assures facility supervisors are   storing medications securely and appropriately in locked med closets and   boxes-example: per program participant in accordance with AWMD rules and   monitors that AWMD steps are being followed by staff with medication   assistance process.

· Coordinates Cycle Fill and receives   daily deliveries of medications to the PSSI office from the pharmacy, checks medication   in after ensuring medication is correct, matches doctor’s orders and   distributes medication to the facilities, delivering the medication if   necessary. 

· Completes reviews of MARs and   medications and assures facility supervisors and direct care staff are   keeping them orderly, current and MARs are correct per doctor’s orders.   Ensures that control sheets are correct.

· Reviews Pharmacy book information and   assures facility supervisors are keeping them orderly, all staff have signed,   quarterly pharmacy reviews are completed by the consultant pharmacist, and   consultant Pharmacy Agreements and Custodial Care Drug Policy and Procedures   manuals are current and in place.

· Ensures that medication labels   coincide with the prescription and MAR and ensuring all information required   by NM DOH DDSD and/or NM DHI/QMB is on the MAR in Quickmar and mediation label.

· Reviews, signs, and ensures the mars   (medication administration records) are accurate and updated as needed.

· Receives calls and evaluates program   participant use of PRN medications for approval or non-approval. 

· Assures Supported Living and   Customized Community Supports programs are complying with the New Mexico   Board of Pharmacy, New Mexico Board of Nursing rules and DDSD policies for   medication. 

· Calls the pharmacy to ensure an adequate   amount of medication is on hand and manages medication refills to avoid   medication omissions. 

· Provides assistance with and support   for medication delivery in compliance with the DDSD AWMD training. 

General/Documentation/Reports to be   Completed:

· Trains   in person and by video and may create a competency to record each direct care   staff’s ability to safely follow and implement the Healthcare and Medical   Emergency plans. The nurse shall also document training regarding the MERPs, and   HCPs delivered to agency staff and other team members, indicating knowledge   competency determination for each trainee and ensure that all staff are   current on all HCP/MERP/CARMP/Client trainings.

· Timely completion of monthly nursing assessments,   ECHAT with Health Passport, ARST, and Medication Administration   Assessment/Tool (MAAT), CARMP, AT Inventory and Logs, Bi-annual nursing   reports, healthcare plans, MERPs, missed medication protocols, T-logs, with   updating as necessary, vital, BM, vaccine, seizure, blood sugar, GERS, etc.   (PER DDSD Required Timelines).

· Documenting, updating, scanning, and maintaining   Therap, file maker, Quikmar, Itherapy Docs, medical documentation,   appointment tracking and MAR/prescription tracking databases.

· Completing other medical related documentation as   assigned or as the need arises.

· Complete   a nursing/healthcare semi-annual and annual report that indicates current   health status of each program participant, progress to date on health-related   ISP desired outcomes and action plans as well as progress toward goals in any   healthcare plan.

· Completes   and maintains call log of all calls regarding client medical care including PRN   Medication calls, and assuring PRNs are documented properly on the MAR.

· Ensures   medical appointments of program participant appointments are attended and   completed, annual screenings are completed, follow up appointments are made   and attended, including notifying team members of medication changes or other   pertinent information from appointments.

· Ensures receipt of doctor’s orders and pharmacy   receipts assuring the pharmacy receives them and the facilities have copies   in their medical/day services books.

· Updates and maintains medical related calendars,   Therap, and other databases with medical and health care information; Other   documentation as assigned or as the need arises.

· Works alongside the other agency RN(s), Healthcare   Coordinator, Healthcare Assistant and Service Coordinators, Executive   Directors, and oversees LPNs, CNAs, direct care, and CMAs.

· Manages care transitions along with   other members of PSSI healthcare and programming team, including changes in   acuity levels, hospital discharge, other transitions related to an Out of   Home Placement (OOHP), or changes between providers. 

· Assists with coordinating with the MCO   Care Coordination staff to assure continuity and access to healthcare   services as well as availability and access to medications, medical equipment,   and healthcare supplies and attends care coordination meetings as needed. 

Program Participant Needs:

· Knows program participant’s plans and medications.

· Maintains on-call status for staff   questions regarding PRN medications, non-emergency, and emergency medical   situations; including attending to program participants at the ER, hospital,   urgent care, mental health centers, etc. and face to face visits in the   residential home after hours and on the weekends and face to face visits   during customized community supports hours including during non-traditional hours.

· Has access to program participant Permanent,   Program and Medical records, etc. 

· Will take vitals and administer   appropriate nursing care according to the Nurse Practice Act and carrying out   doctor’s orders. 

· Collaborate and communicate with a DD   Waiver provider nurse from another agency when a program participant is in   CCS-Group services that is not also in PSSI’s supported living program,   acting in accordance with the NM Nurse Practice Act, to immediately   communicate any health issues or concerns. 

Monitoring Staff:

· Report suspected program participant   neglect, exploitation, or abuse.

· Review MARs, pharmacy book, client   case files such as Therap and Filemaker to ensure all medical information is   up to date at least one time monthly. This information includes doctor’s orders,   consultation forms, IDF/EDF, doctors, allergies, diagnosis are up to date.

· Participates in interviewing/hiring/termination   process.

· Participates in review/raise process.

· The RN must provide face-to-face   supervision of LPNs, CNAs, CMAs, and direct support employees who have been   delegated nursing tasks as required by the NM Nurse Practice Act and the DD   Waiver service Standards.

· LPNs, CNAs, direct care, and CMAs on   duty or on-call must have access to an RN by phone in case consultation is required.

· Provides training and oversight to   staff to consistently implement HCPs, CARMPs, MERPs, and doctors’ orders for   persons with health needs during CCS and Supported Living.

Program   Participant Appointments:

· Coordinates/schedules, carries   out/attends program participant appointments, including but not limited to   emergency room visits, hospital visits/stays including discharge meetings and   planning. 

· Attends IDT/ISP meetings as necessary.

· Follows up with Direct Care Staff, and   Service Coordinators to ensure they know all pertinent information regarding   medications and medical information from appointments, i.e., medical, dental,   psychiatric, etc.

· Has continued communication with Healthcare   Coordinator, Service Coordinators, Direct Care Staff, Executive Directors, and   RN(s) regarding important medical information, program participant   appointments, medications, trainings, meetings dates and times and any   rescheduled dates and times. 

· Enters appointments on the medical calendar   and sends invites to team members.

· Communicates with client teams   regarding client medical information, medical updates, post assessment and   medical incidents and or hospitalizations and appointments.

Miscellaneous:

· Attends   office personnel, transition and CARMP meetings. 

· Attends   DOH DDSD required trainings, therapy trainings (including transferring and   ambulating) and other meetings as scheduled.

· Participating   member of the Human Rights Committee as assigned.

· Required   to be aware of and follow the NM Nurse Practice Act, NM Board of Pharmacy   standards and regulations, NMAC, and the NM DD Waiver Service Standards. And   agency policies and procedures.

· Keeps his/her office organized and clean, keeping   documents and books within office organized and filed as well.

· Maintains current First Aid and CPR certification.

· Other duties   as assigned.

· Assists with   CARF, DHI, QMB, and State Board of Pharmacy audits and audit preparation.

On-Call:

· A nurse is required to be available to   direct care employees and be able to respond within 15 minutes by phone and   within 60 minutes in-person to assess the person if deemed necessary per   prudent nursing judgement. 

· Additionally,   Executive Directors, the Healthcare Coordinator, or Service Coordinators, may   direct a nurse (RN) to complete a face-to-face assessment to determine the   appropriate action.

· Must be available to receive calls during   shift, after hours, and on weekends for emergency and non-emergency   situations and be available to go to PSSI facilities or into the community   for health-related issues and assess program participants. 

· Must be able to respond to emergency   room, urgent care, and hospital visits for participants (including staying   with the participant) during shift, after hours, and on weekends for   emergency and non-emergency situations. 

· Must return calls by phone within 15   minutes from direct care employees, emergency calls within 15 minutes.

· On-call RNs are required to document   the calls they receive, the actions they have taken or directed to document   in required forms and communicate with their agency peers as well as to   follow up as needed on the person’s status.

Crisis Intervention   Technique:

· Follow all behavior support plans for   program participants. 

· Utilize the Company’s approved crisis   intervention technique if approved in the behavior support plan.

· Employees must a step back when a   program participant has a challenging event and/or behavior. Restraint is   used as a last resort. Utilize restraint only if the program participant is   trying to physically hurt themselves, someone else or put themselves in immediate   danger.

Safety Sensitive Position:

The RN position is a safety sensitive   position where the employee holding this position has the responsibility for   their own health and safety, as well as, the health and safety of the program   participants, their co-workers, community members, team members and stakeholders.   This position has many safety sensitive duties including but not limited to   working directly with community stakeholders, supervision of employees when   related to healthcare/medical, coordinating and receiving medications from   pharmacy and pharmacy/medication related documents, assessing program participant’s   health care needs, attending appointments for program participants, and   operating a motor vehicle regularly for the company.

Working   Conditions/Physical Exertion/Dexterity:

· Works primarily in the administrative   office, within residential homes, attending appointments, attends ER/Hospital   events with participants in the community, and dealing with pharmacy.

· Completes residential facility visits   at minimum one time per month. 

· Completes program participant face to   face assessments through visits to the CCS or Supported Living programs,   mornings, evening, or afternoons.

· Must complete monthly nursing   assessments at minimum 1x per month checking for skin breakdown, checking,   and trimming fingernails and toenails, taking vitals, etc.

· Transports program participants to appointments.   

· Schedule requires flexibility and   ability to respond to on-call. May be requested to work other shifts on occasion.

· Able to work in a residential facility   or community as needed and flexible as needed to come in early or stay late. 

· Position may be changed as deemed   necessary. 

· Moderate   physical exertion required, including but not limited to bending, sitting,   standing, squatting, kneeling, running, walking, climbing stairs,   participating in sport activities, etc. 

· Must   be able to lift 25 pounds above the shoulders, 40 lbs. or more repeatedly,   and support 70 to 100 pounds occasionally.

· Able to move/respond quickly to many   difficult situations and handle stressful situations calmly. 

· Able   to relate positively to the program participants, their teams, coworkers,   peers, and subordinates. 

· Able   to work directly with program participants including but not limited to   challenging behaviors, physical restraint, medical care, personal care,   grooming, hygiene, assisting with medication, lifting, and transferring. 

· Able   to work alone with program participants who are or can become verbally and/or   physically aggressive on a daily basis and support them through crisis   events. 

· Able   to hear and withstand repetitive noises, sounds, phrases, yelling, screaming,   etc. 

· Able to assist, support, lift and transfer individuals who   utilize walkers, wheelchairs, and gait belts.

· Able   to perform the essential functions of the job with reasonable accommodation. 

· Able   to work independently without constant supervision. 

· Able   to supervise staff, train staff and complete disciplinary process with staff.   

· Must have good verbal and written   communication skills, good organizational skills, and is a team player.

· Organizes and assists with Flu/Covid   vaccine clinic annually or as needed.

· Must maintain and attend DDSD, client   specific training, and continuing education training, and maintain your RN   License in good standing.

Education/Training/Experience/Licensor   Requirements:

· Current RN licensure in compliance   with the NM Nurse Practice Act throughout the course of employment

· Minimum of 1 year of experience in   this field/related field preferred

· 21 years of age or older (required by company commercial   insurance)

· Must be able to use a computer, fax   machine, copy machine, multi-line phone system and other electronic equipment   proficiently, navigate the world wide web/internet, type, create and maintain   databases and spreadsheets. 

· Must have a clear driving record at   hire and throughout the course of employment - with less than 2 moving   violations within the last 2 years and no DUI/DWI’s within the last 5 years.

· Must be able to pass a pre-hire   drug/alcohol screen and continue to pass screens   throughout the course of employment.

· Must have a clear criminal background   at hire and throughout the course of employment,   including but not limited to COR/EAR check, NM Courts, sex offenders,   receiving a clearance letter through DOH CCHSP, etc.

· Must have a current valid NM driver’s   license at hire and throughout the course of   employment.

· Must comply with all training   requirements, including but not limited to general orientation, DOH state   mandated and therapy training. 

· Must have and maintain current   personal liability auto insurance in your own name or provide proof your name is on the policy at all times while employed.

· Must have your own reliable vehicle   throughout the course of employment.

· Must be able to operate company   vehicles, drive for the Company and transport program participants in your own vehicle and company vehicles   throughout the course of employment.

· Must be able to wear a   mask covering your nose and mouth for the duration of your scheduled shifts.

Classification: Registered   Nurse (RN) is a Salaried Exempt Position.

Supervises: Direct Care Staff, LPN, CMA, CNA

Reports to: Healthcare Coordinator and Executive Director

Providence Support Services, Inc.   (PSSI) supports the Americans with Disabilities Act. Please let us know if you require any   accommodation to perform the functions of this job.

I have read and understand the job   description. I understand that this job description is meant only to be a   guideline and may be modified at any time. It does not constitute an actual   or implied contract of employment.

Providence   is An EQUAL OPPORTUNITY, AT WILL EMPLOYER