Caminos West Regirstered Nurse

FLSA Classification: Exempt

Position Summary

Working in accordance with the established Board of Child Care Policies and Procedures and the applicable State Board(s) of Nursing to provide administrative and clinical healthcare services as well as direct nursing services to youth placed within the program. The Caminos Medical Coordinator will coordinate services with the health suites as well as provide administration of medications; coordination of routine medical and dental care; health education for youth; and all administrative tasks.

Essential Functions

Administrative Duties

• Model and act in accordance with BCC's Core Values.
• Demonstrate and practice trauma informed leadership.
• Ensures all Caminos Program residents receive quality and timely medical care in accordance with state and federal regulations.
• Responsible for developing, maintaining and overseeing working relationships with community providers to ensure all medical appointments and follow- up recommendations are documented, monitored and reported according to state and federal standards.
• Arrange and communicate with staff for all in house and outpatient medical appointments/services to include: hospital emergencies and/or admissions, medical appointments, laboratory services, vaccine clinics, x-rays, and ultrasounds.
• Schedule appointments, accompany youth as necessary on specialty medical appointments, and communicate provider’s questions/concerns to ensure accuracy and patient safety.
• Produce daily resident appointment list and ensure all staff are aware via email and hard copies in staff mailboxes.
• Audit, track, and schedule required physical, vision, and dental appointments.
• Update and file patient medical records, including retrieval and copies of medical records necessary for staff reports and outpatient services.
• Organize and maintain residential medical charts.
• Responsible for timely submission of Treatment Authorization Requests, or other forms required for reporting and billing purposes.
• Inventory and maintenance of all administrative and medical supplies and medications.
• Maintains regular and consistent communication with designated ORR Medical Coordinator, including participation in regular ORR sponsored training and guidance updates.
• Assures completeness of documentation for the clients and for associated nursing functions such as the MAR, nursing screening exams, PPD screens, vaccinations, vital signs, laboratory logs, peer reviews and other quality initiatives, nursing sick call screens, consultations and referrals, in service training, and other activities of the healthcare suite.
• Ensures completeness of documentation of medical services provided to clients as required in federal and state databases, including the completion and submission of medical serious incident reports.
• Carries out physician orders and provides day-to-day nursing care as needed, including administering medications and vaccinations, simple lab tests, phlebotomy, throat culture, support to pediatrician, client education, interpretation of medical information, accompanying clients to surgical or extensive medical/emergency procedures, nursing intake, first aid, and emergency/sick call triage.
• Performs administrative duties as requested by supervisor, including researching and updating protocols/procedures, obtaining educational materials, coordinating care at outlying facilities, tracking billings and expenditures, organizing in service training, assuring regulatory compliance of the health suite.
• Assists case management staff to provide information, psychosocial education and local community resources as needed to identified sponsor placements.
• Demonstrates an understanding of the value of cultural diversity, including the ability to develop systems and practices that are inclusive of diverse staff members and responsive to the cultural needs of the client population served.
• Evaluate productivity and develop plans to improve efficiency.
• Oversees patient and staff satisfaction through excellent customer service, communication, teamwork, safe practices, attendance, punctuality, and strong leadership.
• Assist with initial training and renewal process for non-medical staff to be certified by the State in medication administration, including completion on purchase orders.
• Must be able to maintain satisfactory attendance and report for duty as scheduled.
• Time management and ability to prioritize.
• Makes sound employment practices by adhering to all BCC policies, procedures, and standards, local, federal and state regulations and employment laws.
• Demonstrates knowledge of and familiarity with both Board of Child Care and Office of Refugee Resettlement Policy and Procedures relating to the care and supervision of Unaccompanied Children. This includes knowledge of legal background and authority governing the practice as related to working with Unaccompanied Children.
• Demonstrate a willingness and ability to learn and evolve with changes in the organization and in health care.
• Obtain and maintain certification as a “user” in BCC’s electronic health record software system, Cx360.  

Clinical Duties

• Responsible for preparation of treatment room(s) for patients.
• Assist the providers and/or nurses during exams with drawing labs, changing dressing, removal of sutures, etc.
• Explain treatment procedures to patients and assist with education.
• Instruct patients about medications and special diets.
• Medication administration implementing the six (6) Rights of Medication Administration.
• Medication administration with basic knowledge of medications and their use, drug reactions, and methods of administrations under the supervision of a Delegating Registered Nurse.
• Medication administration consisting of: observing the youth for changes in physical conditions and/or behaviors, reporting these observations to the Delegating Registered Nurse as soon as possible, receiving the prescribed medication, storing the medication safely, ensuring medications are taken, recording information promptly and correctly on appropriate forms under the supervision of a Delegating Registered Nurse.
• Report medical emergencies immediately to designated personnel.
• Maintain confidentiality of all pertinent health information to assure youths’ rights are protected in adherence to HIPAA of Privacy and Security.
• Takes vital signs and/or observes patients to collect information and prepares report or notifies Delegating Registered Nurse.
• Gives direct patient care such as basic first aid.
• Keep work area(s) free of hazardous conditions to assure that all established safety rules and regulations are followed at all time in adherence with Infection Control Standards.
• Advocate on behalf of the youths’ best interest and collaborate with their treatment team to ensure their health and safety.
• Participate every 45 days in education and assessment of skills by the Delegating Registered Nurse, along with maintaining requirements for a Certified Medication Technician as necessary.
• Complete CDC and OSHA training for hazardous waste, TB management, and blood borne pathogen standards.
• Must be willing to perform tasks that may involve exposure to the patients’ blood and/or body fluids.

Non-Essential Functions

N/A

Competencies

• Accountability for Others
• Attention to Detail
• Emotional Control
• Flexibility
• Following Directions
• Frequent Interaction with Others
• Handling Stress
• Meeting Standards
• Monitoring Others
• Organized Workplace
• Personal Accountability
• Respect for Policies
• Sensitivity of Others
• Urgency

Supervisory Responsibility

Caminos West Medical Assistant

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

In the nature of being at a residential and school living environment there may be times you experience conditions in which challenging behavior can be exhibited from our youth to include but not limited to, physical agitation, physical violence and/or emotion outburst.

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.  While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.