Delegating Nurse

QUALIFICATIONS

Education : Registered Nurse currently licensed by the Maryland Board of Nursing

Experience : Minimum of one (1) years experience as a registered nurse. Experience in working with individuals with special needs desirable

Should have or be qualified for Case Management / Delegating Nurse certification in the

State of Maryland

Current CPR / First Aide / AED Training

Skills : Must possess strong written and oral communication skills, as well as good organizational and coordinative ability.

Must possess and demonstrate strong interpersonal skills with the ability to exercise patience, caring and concern in new and sometimes stressful situations.

Must possess knowledge of the role of the Delegating Nurse as outlined in the Nurse Practice Act / Maryland Board of Nursing and the Maryland Developmental Disabilities Administration (DDA).

ESSENTIAL FUNCTIONS

Trains, delegates and supervises unlicensed staff (CMT) in the process of medication administration.

Develops plan of care, ongoing nursing assessments and evaluates / updates the nursing of plan of care every 45 days and as needed.

Performs an initial 45 day assessments during a site visit to the residential home. A follow-up residential site visit to assess the clinical status of the individual must occur at a minimum of every 45 days.

Performs MAR / medication reviews including ensuring that appropriate medication storage guidelines are applied.

Evaluating / assessing the competency of unlicensed staff. Completion of the DDA Competency and Evaluation form must be done on unlicensed / CMT staff during the 45 day site visit and as needed.

Assessment of the task to be delegated including complexity and the environment in which the task is to be performed.

Determines the appropriateness of delegation as outlined in the Maryland Board of Nursing MBON and Code of Maryland Regulations (COMAR 10.27.09 / 10.27.11)

Reviews HRST of Individuals that have Health Care Levels of 3 or greater.

Monitors hospitalizations, Emergency Room / Urgent Care visits and healthcare appointments.

Is readily available / accessible by telecommunication (phone / cell phone) to staff with whom delegation in occurring.

Participates in discharge planning from skill care facilities to ensure delegation is appropriate.

Participates in the residential facility admissions process.

Participates in team meetings as needed.

Follows-up and communicates with the Medical Coordinator regarding appointments and care for individuals with medical providers.

Participates in agency licensing reviews.

Be responsible for the review of Medication Administration Records, and for the 90 day Physician’s Medication Order Form sign-off.

Stays current with regulations from the Maryland Board of Nursing and Developmental Disabilities Administration.

Ensures uncertified staff members are not allowed to administer medications.

Consults with the Health Services Manager, The Director of Quality Assurance, coordinators and directors.

Performs other pertinent duties as assigned by the Management team.

Adheres to CSAAC policies and procedures; applicable regulations of federal, state, local laws, and accreditation standards.

Adheres to mandatory use of CIMS (CSAAC’s in-house computerized reporting system), to access / send emails, record health information, data and incident reports for individuals supported in the CSAAC program.

REQUIRED TRAINING / PROFESSIONAL CERTIFICATIONS

Possess and maintain an active State of Maryland licensure as a Registered Nurse

Have successfully completed or be eligible to complete the Developmental Disabilities Administration (DDA) 14 hour Delegating Nursing class.