Center Nurse Position
7 days ago
The Center Nurse is a licensed professional nurse certified with the Arkansas State Board of Nursing. This role is responsible for providing high-quality patient care and collaborating with the Center Director, primary care physicians, therapists, and other personnel regarding medical needs of patients.
Key Responsibilities- Adhere to all policies and procedures outlined in the Arkids Pediatric Day Centers' Employee Handbook, Management Policies and Procedures, and Medical Policies and Procedures Manuals.
- Maintain organized and updated lists of scheduled and PRN medications for each patient receiving medications at the Center.
- Obtain prescribing information from the parent/guardian, physician, or pharmacy.
- Complete daily documentation of medications, including dosage, frequency, and route of medications given on the appropriate form.
- Monitor patients for drug reactions, documenting appropriately.
- Report any adverse reactions to a medication or medication error in administration to the Center Director, Program Administrator, parent/guardian, and primary care physician (PCP).
- Notify parents/guardians when medications need to be refilled.
- Ensure all medication, both prescription & over the counter, is double locked in the Center Nurse's office when unsupervised.
- Examine patients in need of medical attention and respond accordingly, making sound decisions based on facts and experience.
- Contact the primary care physician for recommendations, if necessary.
- Document illness or injury requiring medical attention and follow-up with parent/guardian, and PCP if needed, and document follow-up action taken.
- Obtain discharge information for patients who have been absent from the Center due to hospitalization, prior to the child returning to the Center, to ensure proper care is given.
- Complete a comprehensive nursing intake and gather medical information on all new patients enrolling in the Center, including a signed parent/guardian permission form for any over the counter (OTC) medications.
- Complete a comprehensive nursing evaluation, including the prescribed number of nursing units needed per day and the PCP signature, whenever billable nursing services are needed (e.g. tube feedings).
- Develop a medication management plan for all patients with prescribed medication that may be administered at the Center.
- Return any unused or out-of-date medications to the parents/guardians.
- Dispose of medications not picked up by the parent/guardian, according to the US Food & Drug Administration recommendations.
- Document communication with parents/guardians on the nursing notes and on the Parent/Guardian Communication Form in the front of the immunization section in the patient chart a minimum of weekly.
- Email the Immunization Tracker to the Center Director a minimum of monthly to review.
- Maintain documentation of Incident/Accident Reports.
- Review patient immunization records prior to enrollment and track immunization records on an internal spreadsheet, highlighting due dates and noting those potentially out of compliance.
- Maintain patient emergency information and employee emergency information, updating a minimum of annually.
- Maintain the Safety Data Sheet binder, updating whenever new products are introduced into the Center, but at a minimum of quarterly.
- Familiar with the following nursing duties: feeding tube (feeding, care and maintenance), catheters, breathing treatments, monitoring vital statistics (including diabetes sugar checks, insulin, blood draws, pulse ox), tracheostomy (suctioning and care), assisting ventilator-dependent patients.
- Request any orders from the patients' primary care physician, or specialist, as needed by the Center.
- Advocate for referrals to outside specialists and other health personnel as needed.
- Maintain an updated list of allergies for each patient at the Center, updating every time a new patient starts with allergies, but a minimum of monthly, indicating a revision date at the bottom of the form.
- Complete monthly fire and tornado drills and quarterly earthquake, bomb threat, and crisis prevention drills, documenting on the appropriate form.
- Assist with New Employee Orientation.
- Review all medical records received and distribute to appropriate personnel, interpreting clinical data to identify patient risks (actual and potential).
- Complete nursing supply order by the 3rd week of the month when medical equipment/supplies need to be ordered and stock when delivered.
- Maintain oxygen tank.
- Complete monthly Center inspections.
- Assist with weekly Center inspections.
- Maintain first aid kits in all locations of the Center and check them monthly, initially the tag.
- Maintain daily temperature checks on the refrigerator containing medications.
- Work with the audiologist to complete and track required hearing screenings.
- Ensure medical documentation is completed and in compliance with regulatory agencies and standards as established by the Center.
- Ensure the nursing notes are completed on all tasks, follow-ups, conversations with parents/guardians, etc.
- Maintain confidentiality of patients and staff.
- Communicate with the Center Director on all nursing/medical needs.
- Communicate with appropriate staff when children are being sent home and/or cannot return due to minimum licensing standards.
- Promote continuity, consistency, and expediency of care to patients and families.
- Serve as a resource for Center Staff in areas of primary health care, infection control, disease processes, and emergency procedures.
- Perform staff in-services, as needed, when recommended by the Center Director, on topics related to nursing/health/safety.
- Complete all nursing notes and billing by the end of the shift on the day the event/incident/service occurred.
- Assist with covering lunch breaks for classroom staff or fill in for the Administrative Assistant.
- May assist with CPR training for all staff, if certified as an instructor.
- May assist with loading/unloading vans.
- May perform light housekeeping duties.
- Other duties as assigned.
- Minimum requirements:
- Must be a graduate of an accredited school or vocational nursing.
- Must be (currently) licensed in the state of Arkansas.
- Experience and knowledge of children with special needs preferred.
- Clear Criminal Record Check, Arkansas Child & Adult Maltreatment Regulatory Checks, FBI Regulatory Check, including National Sex Offender Registry.
- Pass a drug screen (upon hire, annually, and/or randomly).
- Abilities Required:
- Ability to communicate effectively with co-workers and supervisors.
- Ability to work with children.
- Ability to handle multiple tasks in a very busy environment.
- Ability to carry out instructions.
- Ability to clean efficiently and timely.
- Ability to lift up to 50 lbs.
- Ability to bend, stoop, stand, walk, pull, and reach for several hours per day.
- Ability to demonstrate basic computer skills.
- Benefits:
- Paid Time Off, Medical, Vision, Dental, Life Insurance, Supplemental Insurances, 401K.
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