Nurse III - Performs complex (journey-level) nursing work. Work involves providing for the assessment, care and treatment of patients. May supervise the work of others. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.
Key responsibilities: Responsible for the delivery of nursing care necessary to meet the health care needs of persons served. Responsible for the assessment, diagnosis, care intervention, evaluation and documentation of healthcare needs and/or issues of the people served. Responsible for reporting health care needs and/or issues to the appropriate person and creating care plans that accurately and definitively direct the implementation of all necessary care and techniques to successfully formulate and address nursing diagnoses made in order to meet the health care needs of any person served. Will notify the Personal Support Team, works closely with members of other disciplines of the Personal Support Team to assure that communication is in place to provide a more consistent, higher quality care for all persons served. Works closely with Clinic Clerk to ensure lab and diagnostic test are entered into the database. Responsible for the management of the clinic and works directly with the Primary Care Provider. Reports to the CNE and Medical Director.
Essential Job Functions:
EJF 1. Monitors the health status of all persons served and triages for the PCP individuals who need to be seen in the clinic. Facilitates completion of monthly paperwork by the PCP to include but not limited to Annual/Quarterly/Admission/Discharge Physicals, Medicare, Drug Regimen Reviews and medication reviews, Sz reviews ensuring timely review of lab and diagnostic test.
EJF 2. Performs physical assessments and nursing procedures skillfully and thoroughly in accordance with training and facility protocols to assure delivery of appropriate and optimal nursing care. Demonstrates thorough knowledge of the nursing process and nursing procedures.
EJF 3. Participates in Quality Assurance, Peer Review and other activities related to the development/enhancement/refinement of nursing and medical policy and procedure in order to evaluate and improve the quality of nursing care provided on campus.
EJF 4. Establishes and maintains effective work relationships with persons served, co-workers, supervisors, ancillary staff and visitors. Serves as a mentor for other members of the nursing community. Participates in proactive problem solving related to care of persons served and nursing processes and issues.
EJF 5. Demonstrates awareness of safety and infection control practices to ensure a safe working environment. Maintains a clean, safe environment for the people served in order to promote a more therapeutic setting.
EJF 6. Participates in training and continuing education activities and staff meetings in order to maintain competence in nursing practice and develop a knowledge base of current trends in nursing care. Complies with state mandated continuing education to maintain licensure as a registered nurse.
EJF 7. Demonstrates compliance with time and attendance policy and assigned work hours in order to provide adequate nursing coverage in the assigned unit. Observe Standards of Conduct of State Officers and Employees as defined in HHSC HR Manual Adheres to professional standards of conduct and behavior.
Knowledge Skills Abilities:
Must demonstrate considerable knowledge of nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, practices, and procedures; of program regulations and procedures.
Ability to provide patient care; to prepare and maintain records; to explain public health law; to recognize patterns of medical necessity treatment; and to plan, assign, and/or supervise the work of others.
The Clinic Manager must possess the ability to assess and evaluate the healthcare needs and or issues of persons served. The Clinic Nurse must possess the ability to communicate with members of other disciplines to ensure optimal care for persons served. The Clinic Nurse must possess the ability to communicate information gathered to home facility physicians and staff. The Clinic Nurse must possess knowledge of anatomy, physiology, and pathophysiology, nursing techniques and procedures, medications and side effects, adverse reactions and signs of toxicity associated with medications, and knowledge of or ability to learn the techniques of administering medications to developmentally disabled individuals. The Clinic Nurse must possess knowledge of infection control principles and standards established by Centers for Disease control and OSHA as well as knowledge of or ability to learn and comply with TDMHMR and LSS policies and procedures and ICF-MR standards. The Clinic Nurse must possess the ability and skills to perform complete physical assessments and identify abnormal findings on evaluation and to recognize signs and symptoms of illness or injury as well as the ability to provide nursing care, perform skilled nursing procedures including intravenous therapy. The Clinic Nurse must possess the ability to analyze, assimilate, and integrate information in order to make nursing judgments about conditions and the acuity of conditions, to formulate nursing diagnoses, to develop plans of care, and to evaluate outcomes of care as well as the ability to receive and act upon verbal and written information and orders; ability to learn assigned tasks readily. The Clinic Nurse must possess knowledge of mathematics. The Clinic Nurse must possess the ability to prioritize work and practice time management to ensure time lines are met. Leadership, organizational, and interpersonal skills are required as well as the ability to train others, supervise the work of others, and take corrective action when indicated. Must communicate, verbally and in writing, in a clear, concise manner. The Clinic Nurse will maintain a professional, harmonious working relationship with facility employees as well as outside agency employees.
Registration or Licensure Requirements:
Must be registered as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Experience in nursing work. Graduation from an accredited four-year college or university with major course work in nursing or from an accredited nursing program is generally preferred. Experience and education may be substituted for one another.
Initial Selection Criteria:
Licensed by the Texas Board of Nursing as a Registered Nurse or a state that recognizes reciprocity through the Nurse Licensure Compact.
Experience in assessment and documentation of health status
Two (2) years nursing experience
Previous experience working with persons with developmental disabilities preferred.
Documentation of computer skills.
All applicants must pass: pre-employment drug screen, fingerprint criminal background check, and Client Abuse/Neglect Reporting System (CANRS), Employee Misconduct Registry and Nurse/Aide Registry checks. Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center employees are subject to Random drug testing.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.