Provide direct patient care under the supervision of a Registered Nurse to deliver safe and effective nursing services.
Nurse Reports To: Director of Nursing
1. Monitors and documents patient's status through on-going observation and assessment.
2. Identifies patient care priorities which result in quality nursing care.
3. Notifies RN Supervisor of changes in the patient's status, new physician orders, or changes in the
plan of care.
4. Implements physician's orders and communicates any changes in patient status to the primary
5. Documents in nursing progress notes the nursing care rendered, including but not limited to, patient's condition, changes in patient status, communication with the physician. changes in treatment plan and patient/family teaching.
6. Fosters and maintains a collaborative relationship with the interdisciplinary health team.
7. Assesses the family dynamics, strengths and weaknesses, particularly in regard to the patient's
medical condition and developmental status.
8. Provides teaching, counseling and support to families in an effort to facilitate adjustment to their
child's medical problems and/or developmental status.
9. Maintains awareness of and complies with company policies and procedures.
10. Acts in accordance with the Nurse Practice Act while complying with company policy and
11. Maintains professional, supportive and responsive interpersonal communication skills.
12. Participates in case management conferences, staff meetings and in-services.
13. Demonstrates initiative, ability to problem solve and makes appropriate nursing judgments.
14. Reflects current knowledge of trends, research and recent advances in the care of the medically
15. Assists in orientation of new employees, acting as a resource person.
16. Maintain awareness of available resources and the process by which to access them.
17. Performs other duties as assigned by Supervisory staff.
18. Maintains patients/family confidentiality.
19. Coordinates activities appropriate to age group and handicaps based on growth and development.
20. Able to administer oxygen and/or aerosol treatments; able to administer and monitor
intermittent/continuous feedings; able to administer medications as ordered; able to start a
peripheral IV and administer medications via the IV site or port; able to supervise the preparation of meals and snacks.
21. Aware of pediatric emergencies and the interventions necessary.
22. Capable of opening and closing the center as needed based on assigned shift.
23. Successfully completes annual skills lab, mandatory in-services and required licensing CEU's 24. Other duties as assigned.
1. Must be able to walk into the center and be able to ride in a vehicle when transporting patients to
and from their residence approximately 50% of the work week.
2. Physical activities including standing, lifting or assist in lifting the patient for feeding, changing
and emergency response:
a. Patients weighing up to 25 pounds - frequently, 80-90% of the work day
b. Patients weighing 26 to 49 pounds - occasionally, 20-30% of the work day
c.Patients weighing in excess of 50 pounds with assistance only, 5-10% of the work day
Must be able to bend, stoop, kneel, squat and generally demonstrate flexibility to play, render treatment, rock, hold or transfer children from beds/cribs to floor, bathe and assist in the restroom approximately 90% of the work day.
4. Must be able to see with visual and listen with hearing acuity to sufficiently monitor lights, sounds
and alarms on applicable equipment as well as patient pulse and respiration.
5. Must have sufficient strength and manual dexterity to safely operate equipment, including grasping and manipulating small objects, approximately 80-90% of the workday.
6. Must be able to discern changes in temperature or texture by touching.
7. Must be able to respond to unanticipated emergency situations in the center by providing physical support to the suddenly weak or disabled patient, as needed approximately 25% of the work week. Due to spontaneous nature of children, sudden movements and physical agility may be necessary to protect the patient.
1. Current license as a licensed practical nurse in the state.
Demonstrates adequate knowledge of home ventilators, apnea monitors, oxygen, trachs and trach
2.No disciplinary board action related to nursing license
3.Care, suctioning, special feedings, G-tubes, N/G tubes, J-tubes and IVS.
4.Annual Basic Life Support Certification.
5.Evidence of negative TB skin test or X-ray.
7.One year experience in a pediatric health care environment.
6. Satisfactory criminal records check.
8. Knowledge of the quality of care for medically complex children.