Registered Nurse - Pool Preschool
Job Details
Experienced
OSB - Little Rock, AR
Pool
4 Year Degree
Nurse
Description

Effective July 6, 2020, Easterseals Arkansas will no longer hire users of tobacco or other nicotine products.

Easterseals Arkansas (ESA) is committed to providing a safe and healthy workplace and to promoting the health and well-being of its employees and the individuals we serve. To support this effort, ESA will no longer hire persons who use tobacco or other nicotine products. All job offers are contingent on a negative test for nicotine, including but not limited to smoking tobacco, smokeless tobacco, electronic cigarettes and nicotine replacement therapies such as patches and gum. If you are currently using nicotine, you should become nicotine-free before submitting an application for employment with ESA.

 

Hours vary, may not exceed 20 hours per week. 

Summary:  The Preschool nurse will provide training and quality medical treatment and will participate as part of a team to ensure that medical services are provided according to Medicaid and Child Care licensing standards and in congruence with the nurse practice act.

Essential Duties and Responsibilities: include the following; other duties may be assigned.

CARE OF CHILDREN
Collects admission data to determine nursing care needs. Provides nursing care to children.  Contacts parents and other medical providers as necessary.  

Develops/Implements a nursing care plan, documents nursing services provided per established policy and/or procedure and bills for nursing services provided for children who are medically fragile or have complex medical needs or both where nursing services are prescribed by the child’s primary care physician in accordance with the Arkansas Medicaid Early Intervention Day Treatment (EIDT) regulations.  Nursing services are defined as the following, or similar, activities: 
1.    Assisting ventilator-dependent beneficiaries 
2.    Tracheostomy: suctioning and care 
3.    Feeding tube: feeding, care and maintenance 
4.    Catheterizations 
5.    Breathing treatments 
6.    Monitoring of vital statistics, including diabetes sugar checks, insulin, blood draws, and pulse ox 
7.    Administration of medication when combined with another nursing service above or similar activity.

Ensures current (in the last 12 months) action plans are in place for children with a history of allergies, seizures or asthma.  Ensures classroom staff are aware of action plans.  Ensures rescue medications are available and current. 

Performs/Documents completion of technical nursing tasks and interventions, including medication administration, according to Easterseals Arkansas (ESA) policy or procedure and Arkansas State Board of Nursing (ARSBN) guidelines.

Assesses response of the child to nursing interventions.  

Trains preschool staff on various topics including, but not limited to signs and symptoms of distress, seizure management, allergies, use of thickening agents, and other delegable tasks including, but not limited to tube feeding, colostomy, ileostomy management, trach management, etc.  Documents training and ensures a copy of documentation is sent to Human Resources for inclusion in the employee file.  

Delegates tasks within scope of nursing license with regular monitoring to ensure strict adherence to procedures.  

Initiates and follows Easterseals emergency procedures including, but not limited to a medical emergency, fire, tornado, earthquake, power outage and evacuation.

Ensures emergency medical equipment (suction, pulse ox, vital signs monitor, thermometer, AED where applicable, etc.) is available and in good working order daily.


RECORDS AND FILES

Prepares and maintains a file for each child.   Records weight and height measures and medical history.

Reviews immunization history and alerts preschool director if immunizations are delinquent.

Counts and records daily the number and type of controlled drugs present.  Ensures expired medications are returned to the parent or disposed of following ESA policy or procedure.  Ensures as children are discharged from preschool medications are returned to the parent or disposed of following ESA policy or procedure.

Requests authorization for nursing services from payer sources as needed and ensures no lapse in approval time frame.

Maintains inventory of supplies.  Notifies nursing director or designee, preschool director or preschool administrative assistant when additional supplies are needed.  
Attends training as requested by the nursing director or the preschool director. Completes initial and annual training required by Department of Human Services (DHS) Division of Disability Services (DDS) or Division of Provider Services and Quality Assurance (DPSQA), Child Care Licensing and Commission on Accreditation of Rehabilitation Facilities (CARF).  Completes initial and annual training required by Easterseals Arkansas.

Organizes the workload or assignments to ensure completion.

NURSING PROGRAM

Identifies any medical needs of new children prior to enrollment to ensure trained staff and equipment are available for adequate care of the child.

Attends team meetings as needed for enrollment decision-making and for the development and review of the Individualized Treatment Plan (ITP).

Reviews policies and procedures and makes recommendations for revision or for new procedures where clear documentation does not exist or a new process is implemented.


QUALITY ASSURANCE

Assists in any audit or investigation by a regulatory, licensing or accrediting body (DDS, DPSQA, CARF, etc.) or by law enforcement.

Assists in formal or informal health and safety audits in preschool as requested by immediate supervisor or Preschool Director.  Consults with immediate supervisor if a request from the Preschool Director impairs ability to perform routine tasks in a timely manner.


MULTIDISCIPLINARY TEAM

Participates in the development and review of the initial Individual Treatment Plan (ITP) and attends multidisciplinary team meetings.

Ensures consistent communication with parents and/or advocates of children relative to medical care including obtaining needed consultations, discussing recommendations with parents/guardians/advocates, and developing and evaluation/treatment plans as indicated.

Discusses program expectations and program changes with immediate supervisor and Preschool Director for congruency.  With approval, communicates program expectations and program changes to team members for consistency and reinforcement throughout disciplines.

Completes paperwork and other documentation required by ESA or preschool policy and procedure, licensing agencies, and funding sources, e.g. progress notes, medication administration records, assessments, flow sheets, etc.


Compliance/HIPAA:
While performing the duties of this job, employee will comply with all federal, state and local laws and regulations pertaining to Easterseals Arkansas.

Employee has access to all children’s protected health information within his/her program.  Employee will not attempt to access any other protected health information unless otherwise approved by Supervisor or Privacy Officer.
 

 

Qualifications

Compliance/HIPAA:

While performing the duties of this job, employee will comply with all federal, state and local laws and regulations pertaining to Easterseals Arkansas.

 

Employee has access to all children’s protected health information within his/her program.  Employee will not attempt to access any other protected health information unless otherwise approved by Supervisor or Privacy Officer.

 

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Education and/or Experience:                                               

Associate’s Degree or Bachelor’s Degree.  Must be a licensed nurse (LPN or RN) in the state of Arkansas.  Registered nurse preferred. 

 

Language Skills:                                              

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, customers, and the general public.

 

Mathematical Skills:                                                   

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.

 

Reasoning Ability:                                           

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

 

Computer Skills:

Moderate work process, database, and spreadsheet skills required.

Basic Internet and email skills

                                       

Certificates, Licenses, Registrations:

Licensed as a Registered Nurse or Licensed Practical Nurse in the state of Arkansas

 

Other Skills and Abilities:

CPR Certification

First Aid Certification

   

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; stoop, kneel, crouch, or crawl and talk or hear. The employee is frequently required to sit.  The employee is occasionally required to reach with hands and arms; climb or balance and taste or smell.  The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

 

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this Job, the employee is occasionally exposed to moving mechanical parts and outside weather conditions. The noise level in the work environment is usually moderate.

 

Easterseals Arkansas has designated this position as a “safety sensitive” position under the Arkansas Medical Marijuana Amendment.

 

 

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