At Wexford Health, our sole focus is physician-driven institutional health care programs that control medical costs without sacrificing quality of care.
A professional nurse registered, responsible for delivery of patient care through the nursing process of assessment, planning, implementation and evaluation. Also directs and guides patient teaching activities and ancillary personnel, while maintaining standards of professional nursing.JOB RELATIONSSUPERVISION RECEIVED: Designated Wexford Manager, Medical DirectorSUPERVISION EXERCISED: Licensed Practical Nurses, Certified Nurse AssistantsRELATIONSHIPS: Works closely with all clinical and administrative staff, security staff and inmates. Responsibilities: 1. Assesses plans and delivers nursing care to inmates.2. Provides leadership to LPNs, CNAs and other nursing paraprofessionals in patient care.3. Coordinates multiple medical services for diagnostic and treatment as directed by the Medical Director, Physician, Physician Assistant or Nurse Practitioner.4. Enter housing units to pass medications or other medical items and to conduct medical screening when necessary.5. Assist in minor medical or surgical procedures.6. Assist in screening of emergencies for necessity and priority for referral to physician or mid- level providers and conduct daily sick call screening7. Check and change dressings as required or as ordered.8. Maintain working knowledge of pharmacology including drug reaction/overdose.9. Maintain working knowledge of therapeutic diets and nutrition and implement as per orders.10. Maintain working knowledge of social and behavioral sciences, particularly as applied to the Correctional setting.11. Be capable of giving CPR instructions and ability to take charge in a CPR emergency.12. Maintain the Problem oriented Medical Record.13. Administer medications including IV therapy and IM injections and all other approved routes of administration per the order of the physicians/mid level providers.14. Recommend improved procedures, equipment and supplies to the Supervisor.15. Notify supervisor and complete written reports for any medical or security incidents.16. Present/participate in in-service education sessions.17. Respond to inmate, staff or visitor medical emergencies and provide appropriate first aid or triage.18. Assesses physical, psychological and psychosocial dimensions of patients within the Health Care Unit and, as necessary, in the housing units.19. Applies knowledge of illnesses, injuries and diseases using available resources in obtaining a health history, and in the assessment process.20. Provides a written assessment of patient on admission, during confinement and on discharge as requested.21. Summarizes assessment data, and makes a triage decision which is documented and communicated to other patient care providers.22. Plans an individual treatment program.23. Utilizes available treatment protocols as written by the Medical Director.24. Utilizes referral process to appropriate health care providers as necessary.25. Applies knowledge and utilizes available resources in planning care and patient teaching.26. Consults as necessary with other nurses, physician assistants, physicians, correctional officers, etc.27. Implements an Individual Treatment Program in the Health Care Unit and, as necessary, in the housing units.28. Implements clinical and technical aspects of care in accordance with established policies and procedures.29. Intervenes with proper techniques, procedures and safety precautions utilizing aseptic technique and infection control to meet individual needs of patients.30. Implements medical plan through administering medications in accordance with physicians orders.31. Intervenes by obtaining body fluid specimens and performing EKGs using proper techniques and procedures.32. Communicates information to ancillary departments using established referral process.33. Implements treatment plans as ordered by the physician.34. Intervenes with proper techniques, procedures and available resources.35. Documents nursing encounters utilizing the Problem Oriented Medical Records format of charting as required by the Facility.36. Communicates information to other nursing staff, Health Care Unity physicians, physician assistants, Health Care Unit supervisory personnel, and department correctional officers and departments.37. Assesses personal and learning development needs.38. Plans and implements program to meet identified needs through in-service attendance and other format and informal means.39. Demonstrates knowledge of, and performs nursing policies and procedures.40. Supports philosophy, objectives and goals of nursing department.41. Accepts staffing assignments, and performs other related duties as required or assigned by the Nurse Supervisor. Performs within the normal limits of the State Nurse Practice Act, Code of Ethics for Nurses, policies and procedures and facility policy/procedures and standards.42. Promotes quality assurance standards by participating in the quality of chart audits.43. Develops and maintains professional relationships with patients, visitors, and medical and correctional personnel. Promotes good working relationships among staff and between other disciplines and departments.44. Supervises and strives for excellence in patient care by challenging and, as necessary, correcting errors of peers to ensure the safety and well-being of the patient.45. Identifies existing and potential problems, and takes effective action.46. Assumes individual accountability for own conduct and maintenance of professional appearance.47. Receives direction from DOC personnel as appropriate, including but not limited to Wardens, Health Care Unit Administrators47. Conforms to Wexford Health Sources, Inc., and facility regulations as appropriate, to include, but not be limited to:a. Dress codeb. Schedule/time sheet/time clockc. Safety and security regulationsd. Procedure for sick leave/vacation time/education seminars48. Maintains the confidentiality of inmate records.49. Approaches change in a positive manner.50. Makes suggestions for improving work conditions to the Medical Director51. Accepts constructive criticism in stressful situations.52. Other duties required and/or assigned. Qualifications: Physical DemandsThe physical demands that are 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 talk, to hear and to see, to stand, walk, and sit, use hands to finger, handle or feel objects, instruments or controls, to reach with hands and arms, to stoop or crouch, balance and kneel, may be required to lift and/or move objects. Specific vision abilities required by this job include close vision and distant vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.ENVIRONMENTAL CONDITIONSOFFICE: Standard medical setting in a correctional facility, which includes daily interfacing with inmates, correctional staff, and health care personnel.TRAVEL: Minimal travel required.EDUCATION/EXPERIENCE REQUIREMENTSThe following requirements list the minimum to qualify. An equivalent combination of education and experience may be accepted. LICENSING: Currently licensed as a registered nurseCERTIFICATION: Current CPR certificationEDUCATION: Graduate from an accredited School of Nursing