This is a client/resident care-oriented position that is intended to provide emotional and physical comfort to clients. This position was established to serve as part of a team of support to deliver high quality services and care to clients served by KidsTLC. The Registered Nurse is responsible for management of medical care and communication of medical issues on their assigned unit/s and for delivering high quality medical services and holistic care to clients. Services are individualized and will be provided in the most appropriate setting, in a timely manner and in accordance with best practices, all without prejudice , and within the scope of the Kansas Nurse Practice Act. The Registered Nurse's scope of practice includes, but is not limited to, planning, communication, implementation, evaluation, and documentation. Responsibilities and tasks are performed under the direction of the Director of Nursing or the Director of Medical Services of KidsTLC. Work performance is reviewed through supervision, reports, and evaluation. Incumbent to this position, the Registered Nurse will be an employee of KidsTLC and will be subject to the KidsTLC personal policies and Procedures. This is an EOE (equal opportunity employment) position. ESSENTIAL DUTIES AND RESPONSIBILITIES The following duties are normal for this position. These are not to be construed as exclusive or all inclusive. Other duties may be required and assigned.
Provide primary nursing care to KidsTLC clients: · Help staff maintain a safe, hygienic, and nurturing environment.
· Assess clients' medical and psychiatric needs.
· Meet the reasonable medical and emotional needs of the clients.
· Respect the child and their family's individuality.
· Provide individualized care for each child.
· Inform the Nurse Practitioner/s and Nurse Manager of any emergency, concern, or adverse change in a client's mental or physical health.
· Strict practice within HIPAA and COA regulations.
· Promptly respond to crisis and conflict with confidence and professionalism.
· Develop therapeutic relationships with the children/clients and their parents/guardians.
· Assist with coordinating medical and psychiatric care for the clients while at KidsTLC.
· Complete all documentation with accuracy and in a timely manner.
· Delegate selected tasks to licensed and unlicensed personnel within a formulated plan of care.
Organize, cross-check, and administer medications to clients, documenting each medication administration according to KidsTLC's policies and procedures: · Document all medications, including name, strength, dose, frequency, timing, and diagnosis/rationale, in the clients' Medication Administration Records
· Document all medication changes in the MAR by discontinuing the old order and writing the changes as a new medication order.
· When indicated, add and/or discontinue medication orders with the pharmacy through OrderConnect on behalf of the ordering Provider
· Ensure all medications are accurately filled to prescription upon arrival from the pharmacy.
· Ensure all prescribed medications are available but kept in a locked cabinet in an accessible, supervised area.
· Encourage and assure medication compliance.
· Observe, record, and report the mental and physical condition of the client and any change thereof.
· Document, and report to the Provider and/or Director of Nursing, all medication adverse effects, errors, losses, and wastes in the appropriate manner.
· Document all medication administrations in real time or shortly thereafter.
Perform basic physical and emotional client assessments and share findings with the Nurse Manager and Provider to help formulate treatment plans with anticipated outcomes: · Health assessments may include hold assessments, pain, physical symptoms, nutritional, growth, vital signs, and overall wellness assessments.
· Communicate with the clients' Nurse Manager any observations and concerns.
· Provide information to the Provider and Nurse Manager regarding any issues/concerns relative to the medical and emotional needs of the clients.
· Complete all necessary documentation with accuracy and detail.
· Maintain accuracy and accountability for all clinical documentation.
· Demonstrate and maintain punctuality with documentation.
Work as an integral member of the KidsTLC Organization as a whole: · Represent KidsTLC and its mission in a variety of public and community settings.
· Positively represent KidsTLC, upholding and exemplifying the highest of moral ethics and professionalism.
· Practice in a manner that is consistently mindful of KidsTLC's Mission and Vision.
· Learn and use the principles of Dialectical Developmental Psychotherapy (DDP) when working with clients.
· Allow work with clients to be relationally based; connect with clients so they can feel safe to work on their treatment goals.
· Perform as a willing resource for all ancillary staff, including LPNs and CNAs.
· Mentor the LPNs and CNAs, providing expertise, guidance, and assistance when and where appropriate.
· Provide education on related topics to the clients and staff of KidsTLC.
· Staff in-services: CPR, first-aid, or any other health topic, as necessary.
· Client education on medications and acute and chronic conditions.
SUPERVISORY RESPONSIBILITIES This position has no direct reports. 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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE Completion of an accredited RN program and current RN licensure in good standing. Must maintain current RN licensure without restriction and in compliance with the Kansas Nurse Practice Act A minimum of two (2) years psychiatric nursing experience preferred. Current CPR certification Proficient with basic nursing skills and good understanding of medications and LANGUAGE ABILITY Ability to read and interpret documents such as client medical histories, medication information, medical orders, laboratory reports, diagnostic tests, safety rules and procedure manuals.
Ability to clearly document medical findings and assessments, write routine reports and correspondence.
Ability to speak effectively before groups of clients, clinical and nursing team members or employees of an organization.
MATHEMATICAL SKILLS Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
COGNITIVE DEMANDS Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
COMPUTER SKILLS To perform this job successfully, an individual should have knowledge of industry specific software, industry specific systems and other web-based software programs, Microsoft Office including Outlook, Word, and Excel.
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 sit, stand, walk, talk, and hear. The employee must occasionally lift and/or move up to 25 pounds. Regular Vision abilities, including computer work.
ENVIRONMENTAL ADAPTABILITY Residential treatment is like those of any group home.Stress fluctuates in this position, and, at times, the environment can be fast-paced and chaotic with a high level of noise and activity. The ability to remain calm and clear-headed is important.
