We are looking for creative, high energy, enthusiastic people with compassion for others and the desire to make a positive change in someone else's life. Those who are passionate about their work and passionate about our mission are encouraged to apply.

Here at AACRES...#Nice Matters!"

Registered Nurse

The Registered Nurse is a non- management position, under the direction of Program Administrator, which works with individuals with developmental disabilities within the setting of licensed residential homes

ESSENTIAL DUTIES AND FUNCTIONS: Include the following & other duties may be assigned.

Operational

• Provide assistance to individuals during emergencies and illness, and notify supervisors based on program procedures.

Health Services

• Provide general monitoring and assessing of individuals on an on-going basis and as needed.
• Provide nursing task(s) and monitoring to assigned individuals as prescribed by the primary health care professional.
• Administer medications following nursing practice and insure that the individuals' rights have been met.
• Provide tube feedings following standard nursing practice and provide adequate supervision as necessary.
• Follow proper infection control practices and standards for cleanliness in all activities.
• Obtain and maintain physician's orders for medications and treatments (both verbal and written), as necessary.
• Carry the nursing/delegation cell phone as assigned.
• Monitor medication records, medication supervision records, & medication storage on a random basis and as necessary for nurse delegation.

Delegation

• Perform assessments on individuals to determine if they are in need of nurse delegation and if so, that they fit the delegation criteria.
• Following the nurse delegation protocol, perform all aspects of delegation: assess, plan, implement, and evaluate (assessments, write instructions, train the nursing assistants, and supervise the delegation process).
• Authorize all changes for delegated task(s). Following up with the required paperwork in a timely manner.
• Tracking the number of preauthorized units each delegated person uses. Then requesting in advance additional units as necessary.
• Prepare the nurse delegation billing at the 1st of each month.
• Teach the nurse delegation for nursing assistant classes.
• Instruct new nursing staff in the healthcare needs of individuals served by SL Start.
• Provide training to Direct Support Professionals in follow-through techniques prescribed by the health care professional and other care consultants as necessary, and provide regular feedback to the supervisor as to the instruction's effectiveness.
• Follow established positive behavioral support strategies and programs.

Minimum Requirements

• Candidates must be at least 21 years of age
• Possess valid CA driver's license and a good driving record
• Effective communication skills both written and verbal
• Demonstrates effective critical thinking and problem solving skills
• Demonstrates the ability to establish a therapeutic rapport
• Registered Nurse Certification
• CPR/First Aid Certification
• Experience in supporting individuals with behavioral, developmental, and emotional difficulties
• Clean Criminal Background Check/Fingerprints
• TB TEST/Health Clearance
• Knowledge of regional community resources for persons with developmental disabilities/mental health
• Demonstrated ability to work successfully in multi-cultural settings with a diverse client population.
• Ability to work a non-standard work week, including weekends and evenings as needed

Positive Working Environment

• Respect and honor diversity (race, religion, marital status, age, sexual orientation, color, creed, national origin, and abilities).
• Treat all co-workers with respect and in a manner that will promote teamwork, productivity and a positive working environment.
• Work collaboratively with others to accomplish goals and/or assigned tasks.
• Interact positively with individuals served; family members, case managers, other agencies, neighbors, and the public to reflect quality programming.
• Meet expected outcomes or let supervisor know of any needed direction, support or resources to ensure attainment of expected outcomes.
• Participate fully, positively and productively in team meetings to assist in achieving the desired outcomes of the meeting.
• Inform team members of important information that will assist in providing quality supports to individuals.
• Follow scheduled work hours. Since we are responsible for individual’s safety, it is imperative to arrive on time and to delay departure as necessary until replacement staff arrives.
• Follow established routines for the scheduled work time, and respond to non-routine requirements.
• Notify supervisor as soon as possible of illness or emergencies that will cause missing work.
• Provide backup coverage as assigned (when and where needed) for vacations, illness, or other emergencies.
• Must be willing and able to adapt to schedule changes as needed including weekends and holidays.
• Follow dress code guidelines to provide an appropriate role model and to represent quality services.
• Act according to the guidelines of program and operations manual, program guidelines, company policies & procedures and the employee handbook. Maintain working knowledge of these documents by reviewing them at least once a year.

Growth & Development

• Complete Basic Orientation and attend other in-service training as recommended and/or required.
• Set and achieve performance and development goals as scheduled through the Annual Employee Assessment and Quarterly Review process.
• Complete and remain current in First Aid, CPR, Therapeutic Options, Infection Control and Bloodborne Pathogens Training.

Safety and Health

• Ensure each individuals living environment is safe and sanitary. Provide support services as needed to maintain clean, attractive homes.
• Ensure individuals are free from abuse, mistreatment and/or neglect and complete all necessary mandated reports.
• Respond effectively to emergencies and illnesses. Follow procedures and notify supervisor as required.
• Monitor health needs, including medications, special diets, and notify supervisor of any outstanding needs.
• Provide assistance to individuals to ensure they receive medications as prescribed, as required. Make consistent and accurate medication passes, following all policy and procedures for medication passes.
• Provide individuals with adequate supervision that is appropriate to their needs during work hours.
• Provide Lift and Transfer assistance (may include non-ambulatory individuals) requiring ability to bear and maneuver up to 50 or more pounds of unbalanced weight.
• Notify supervisor of any needed repairs or other concerns

SUPERVISORY RESPONSIBILITIES:

This position has no supervisory responsibilities.

PHYSICAL, SENSORY & ENVIRONMENTAL:

The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Frequently required to stand, walk, reach with arms and hands, climb/balance, stoop, kneel or crouch.
• Often required to sit for long periods of time, use hands and fingers to handle.
• Frequently required to talk and hear. Quiet to moderate noise level in work environment.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
• Must be able to lift and/or transfer a minimum of 50 pounds.

• Provides nurse delegation services according to Nursing WAC numbers 246-840-910 thru 970 WAC.
• Oversees/supervises nurse delegation ensuring all requirements are met, records are in order and ready for audit at any time.
• Ensures that the individuals' rights have been met.
• Ensures that nursing care services are non-intrusive and sensitive to the needs of individuals being     supported by SL Start.
• Provides assessment and medication management for supported individuals.
• Reviews physician's orders for medications and treatments as necessary.
• Reads and follows the all individual's Care Plans in order to understand how to best help the individuals that are supported by SL Start.
• Follows standard nursing practices, proper infection control practices and standards for cleanliness

• The ability and desire to teach tasks to unlicensed staff
• Ensure that delegated tasks promote the individuals retaining or gaining independence.
• Ensure that delegation training is geared toward staff experience and ability.
• Maintains close contact and informs supervisor of any issues impacting quality of services.
• Ensures that all interactions with individuals are positive and do not include negative reinforcement or punishment.
• Reviews the Employee Handbook, Operations manual(s), and Infection Control / Exposure Control manual at least yearly to ensure a working knowledge of SL Start operations and values.
• Tracks all support staff's licenses to ensure that they are current, active and in good standing.
• Completes and turns in mileage and expense reports within required timelines.
• Capture all billable and non-billable time worked.
• Completes all monthly billing within established timelines
• Carries the delegation cell phone on a rotational basis, responding as necessary.

• Respect and honor diversity (race, religion, marital status, age, sexual orientation, color, creed, national origin, and abilities).
• Maintain respectful relationships which recognize individual's rights as a citizen and promotes their dignity, well-being, personal choice, and self-esteem.
• Treat all co-workers with respect and in a manner that will promote teamwork, productivity and positive working environment.
• Work collaboratively with others to accomplish goals and/or assigned tasks.
• Meet expected outcomes or let supervisor know of any needed direction, support or resources to ensure attainment of expected outcomes.
• Inform team members of important information that will assist in providing quality support to the department.

• Follow dress code guidelines to provide an appropriate role model and to represent quality services.
• Act in a professional manner in accordance with company guidelines, policies & procedures and the employee handbook. Maintain working knowledge of these documents by reviewing them at least once yearly.
• Stay calm in challenging situations, maintain a positive attitude, and serve as a role model for individuals served and employees.
• Conduct self in a professional manner that leaves a positive impression with families, customers, and the community.
• Maintain regular and consistent attendance and punctuality; flexibility as needed for schedules.

• Attends continuing education classes so as to meet CEU's requirements.
• Sets and achieves performance and development goals as scheduled through the annual review process

• Maintains a safe working environment, follow safe work practices, and contribute to overall team safety as defined in the employment services manual.

• Frequently required to stand, walk, reach with arms and hands, climb/balance, stoop, kneel or crouch.
• Often required to sit for long periods of time, use hands and fingers to handle.
• Frequently required to talk and hear. Quiet to moderate noise level in work environment.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
• Must be able to lift and/or transfer a minimum of 50 pounds.

• Must be licensed as a Registered Nurse in the State of Washington, current, in good standing and without restrictions.
• Must have acceptable criminal background check.
• Must provide proof of current driver's license and insurance.
• Experience with individuals with developmental disabilities is preferred.
• Adult education experience is a plus.
• Must secure and maintain First aid and CPR certification within 30 days of hire.