Health and Wellness Nurse

Silver Spring, MD, United States

Job Summary :  Implementation, coordination and

supervision of all aspects of a comprehensive Health, Wellness and Clinical

Program which addresses the needs of all Assisted Living Residents in

accordance with Victory Housing, Inc. Policies and Procedures, COMAR 10.07.14

and Board of Nursing Regulations and Standards.

Oversight includes :

Provide

nursing assessments, care planning, care oversight and quality assurance for

all residents. Maintain all charts to

include, progress notes, identification of nursing

interventions, treatments and assessments. Implement

a Wellness Program to include weekly

scheduled resident Health and Wellness

Check-ups, to assure

a proactive and preventative clinical approach. Oversight

and coordination of all third party

vendors to include but not limited to Podiatrists, Dentists, Lab, Pharmacy,

Home Health, Hospice etc. Fulfil the

role of Clinical Leader in the community as

an essential manager, resident advocate, case manager, delegating and

practicing RN.

Reports to : Executive Director

of Assisted Living

Community

Supervises : Supervision and implementation of health, wellness

and clinical programs

Areas of Responsibilities :

Ensure that

the attainment of Victory Housing’s Mission Statement takes precedence over all

decisions and actions.

Assume the

responsibilities of the Case Manager/Delegating Nurse as defined in the COMAR

10.07.14 Regulations.

Responsible for all aspects of

Pharmacy and Medication Management. Responsible

for the monthly change-over of medication cards; accuracy of monthly medication

delivery from Order to MAR; training staff on new medications, parameters,

orders and special conditions; as well as updating the Emergency Sheet

(electronically and hard copy). Critical

areas of responsibility are to be delegated.

In conjunction with the Assistant Director, responsibilities include interviewing, hiring, mentoring, training, evaluating and managing each Medication

Technician. Each Medication Technician is working under the license

of the Health/Wellness/Delegating RN.

Oversight and management of medication administration must be in adherence to the Nurse Practice Act as well as

Federal, State and local regulations.

Writing in all orders from physicians into the POS/MAR

according to VHI policy.

Making daily/weekly checks

of MAR (EMR/Hard Copy) to ensure proper administration and documentation.

Maintain overall

quality of the resident care program in accordance with all local, state

and federal regulations and the highest standards of nursing practice.

Work closely

with all staff as RN on issues. Proactively intervene whenever a status change is assessed.

Implement a comprehensive

Health and Wellness Program designed to proactively address physical, psychosocial and rehabilitative needs of the residents. Include

quality assurance and outcome measures which monitor trends and

anticipate potential problem areas.

Schedule weekly Check-ups with each resident to monitor all aspects of the resident’s condition

and intervene as indicated. Review Medications, Fall Risk, Vital Signs,

Weights, Nutritional Status,

Skin Assessments and as well as

overall Clinical, Psychological and Social Status Changes. Record information on Wellness Assessment

Forms, in Progress Notes (weekly) and Community Log (as needed).

Maintain

regular communication with resident, family (in absence of ED) and physician on

individual health care issues. When a

status change is identified, be the primary

liaison with healthcare professional including pharmacy,

lab and Hospice etc.

Actively

participate in monthly care planning

meetings, Quality Assurance Meetings, Family Clinical Reviews, and Hospice

meetings etc.

Actively participate in RSD. Report all resident status

changes, follow-up actions and next steps. Educate

as needed. Participate in Monthly Staff Meetings and

provide In-service Training

as requested by ED.

Coordinate (in conjunction with ED) dietary

needs with FSD and environmental needs with the Maintenance

Tech.

Assist the ED/AD with identifying and resolving employee

concerns, complaints,

grievances and issues.

Assists the ED in completing 90-day and annual performance reviews. When requested by ED, will assist in counseling caregivers and medication technician.

Available 24/7 to support clinical

needs of the

Residents.

Direct the

community programs for infection control, quality assurance, outcomes

monitoring and other oversight programs.

Review all resident charts

on a regular basis, checking for content, clarity, completeness and

appropriateness of care. Responsible

for the quality of all resident charts, including compliance with applicable

regulations and the highest standards of nursing practice.

Instruct caregiving staff

on clinical and nursing issues.

Assess each prospective Resident prior to move-in. In partnership with ED, recommend appropriateness of placement

and level of care.

On day of

move-in or within 24 hours, meet with the resident to discuss: baseline, start clinical chart and review/establish care needs and schedule in

coordination with ED/AD/RSD.

Complete clinical components

and follow-up of resident individual

service plans with the Executive

Director and the caregiving staff. Complete

reassessments and service plans for residents

as needed. Responsible for completing all assessments as mandated

via COMAR Regulations.

Coordinate

services of outside agencies providing health care or other assistance to

residents, including home health agencies, physical therapists, hospice,

laboratories, durable medical equipment suppliers and other professional

services.

Review and

sign-off on Incident Reports with the Executive Director and Assistant

Director. Establish intervention and

documentation of follow-up.

Attend classes,

seminars and meetings.

Maintain a high level of knowledge regarding current nursing theory, trends

and regulatory changes.

Scheduled hours

are from 10:00

– 6:30 or 9:00 – 5:30 based

on community preference. The schedule must be set and adhered to

consistently.

In the absence of Executive

Director and Assistant

Director, the Health/Wellness/ Delegating Nurse is

responsible for the day to day operations of the community.

Other duties as assigned.

Job

Qualifications :

Must be a

graduate of an accredited school of nursing with three years experience in

nursing, preferably in geriatric services. Must

hold a current Maryland license as a registered professional nurse. Baccalaureate degree in nursing or related health field with  geriatric emphasis preferred. Must have successfully completed the 20

Hour Delegating Nurse Course within 60 days of employ.

Requirements:

Must be current on all vaccinations including COVID- 19 and

receive CDC recommended booster doses.

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