State of North Carolina - North Carolina Department of Health & Human Services

Description of Work

This position is currently designated as a Mandatory position. Management may re-designate the position as business needs dictate.

During staff shortages and as determined necessary for minimal coverage, this position will require coverage on 1s, 2nd and 3rd shift.

• SIGN-ON BONUSES NOW BEING OFFERED***

A Sign-on bonus of $10,000 for the successful applicant(s) of this posting.

• See eligibility for Sign-on Bonus below in the Supplemental and Contact Information section.

Per G.S. 126-5(cl) (37), this position is Exempt from all provisions of NC General Statute Chapter 126 (State Human Resources Act) with the exception of Articles 6 and 7.

The Professional Nurse will help plan, implement, and oversee all aspects of nursing services rendered to a specified caseload of mildly to profoundly mentally retarded individuals with varying degrees of physical impairments. Using guidelines set forth by Caswell Developmental medical/nursing services policies, and the NC Nurse Practice Act, the professional nurse is responsible for maintaining coordination and accountability of quality nursing care delivered by Licensed Practical Nurses in conjunction with the Nurse Supervisor. The Professional Nurse acts as consultant to unit staff and other disciplines for the improvement of basic care as dictated by the individual’s needs. Job responsibilities also include:

• Maintains optimum level of individuals’ health by making daily nursing assessments, intervening as necessary, and improving basic care through suggestions/use of general nursing measures as directed by NC Nurse Practice Act, Nursing Services Manual, or by referral to Medical Provider or other appropriate discipline.
• Functions as member of interdisciplinary team by writing evaluations, assessing/analyzing problems that may impact on individual’s habilitation, and by making recommendations that may lessen or prevent the impact.
• Attends annual habilitation meetings on assigned individuals or assigns an LPN to attend as necessary in the absence of the Professional Nurse.
• Develops and/or assist others in developing and implementing objective plans as assigned by the team. Documents objective progress as specified by the objective plan.
• Responsible and accountable for accidents that occur under their supervision in their area, enforcing all safety procedures, investigating accidents, self-inspections, individual and employee training, promoting safe work habits and practices.
• Assists Medical Provider in daily rounds and physical examinations and ensures orders are transcribed, and assures that referrals are promply referred to x-ray, lab, or OPC for scheduling.
• Performs quarterly nursing assessments or reviews/countersigns those that may be assigned to LPNs.
• Completes Medicaid forms as needed.
• Investigates medical concerns about individuals generated by all disciplines, assesses the situations, makes a nursing diagnosis, and determines and initiates necessary action.
• Provides formal/informal teaching to home staff and individuals as the need arises to improve the quality of health care.
• Contacts families/guardians as deemed necessary by and for the medical provider and facility policy to relay information regarding accidents, illness, or treatment and/or to obtain consent for treatments/medications.
• Ensures continuity of care throughout hospitalizations in Delta/Acute by relaying information pertaining to individuals as needed.
• Participates in court competency hearings or court guardian appointments on assigned caseload along with other team members.
• Accompanies individuals to medical clinics/consultations on and off campus as assigned. Attends field trips as scheduled by the Nurse Supervisor and ensures necessary arrangements for medication are made.
• Follows Caswell Developmental Center’s Policy related to psychoactive medications (AIMS, consents, consultations, Medication History Flow Sheet preparation, TIRC/HRAC reviews, lab protocols, BIPRs and internal notification requirements regarding drug starts, stops, and changes).
• Performs body checks of individuals for home visits, transfers, etc.
• Checks dispensed medication for accuracy and explains medication usage and directions to family.
• Oversees and monitors the use of Protective Medical Devices and Medical Supports.
• Attends job related workshops, seminars, staff development and in-services as assigned or needed.
• Provides coverage as needed for other Lead Nurses at annual habilitation planning conferences and interims.

Work Location: Medical/Nursing

Work Hours: Varies

About the Department of Health and Human Services / Caswell Developmental Center:

The NC Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, with approximately 18,000 employees. In collaboration with its partners, it is responsible for ensuring the health, safety and well-being of all North Carolinians.

Caswell Developmental Center, serving as North Carolina's Eastern Region resource center, provides specialized residential, programmatic, and support services for individuals with developmental disabilities. The individuals we serve are at the heart of our facility. Our team is critical to the mission of the facility. We strive to create an environment in which every team member contributes to the overall success of the Center to positively impact the lives of those around them and the individuals we service. If you are looking to make a difference and seeking a rewarding career, we encourage you to consider this opportunity. Please click on the following linkhttps://vimeo.com/185000006to experience how Caring is Contagious at Caswell Developmental Center.

Knowledge, Skills and Abilities / Competencies

To receive credit for all of your work history and credentials, you must list the information on the application form. Any information listed under the text resume section or on an attachment will not be considered for qualifying credit. Qualified candidates must document on the application that they clearly possess all of the following:

The Professional Nurse must be knowledgeable of basic nursing skills as evidenced by NC Nurse Practice Act for Registered Nurses:

• Knowledgeable of disease processes, prevention measures, medications (use, drug interactions/adverse reactions), routine care, enhancing/protecting individual’s health, and well-being.
• All five senses must be intact as they are used to assess and observe client condition.
• Must be physically able to assist with lifting and manipulating those individuals with physical limitations and disabilities, as well as to intervene when individuals are displaying behaviors that may pose harm to themselves or others.

Management Preferences:

• At least one year of professional nursing experience.
• Previous exposure to individuals with intellectual disabilities would be beneficial but not required.
• Knowledge of the normal developmental process is needed.

Minimum Education and Experience Requirements

Some state job postings say you can qualify by an “equivalent combination of education and experience”. If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience OR a combination of both. Seeoshr.nc.gov/experience-guidefor details.

Licensed to practice as a Registered Nurse in the State of North Carolina.

Degrees must be from appropriately accredited colleges or universities

Supplemental and Contact Information

The North Carolina Department of Health and Human Services is an Equal Opportunity Employer. Positions in the Division of State Operated Healthcare Facilities shall be subject to pre-employment drug testing and criminal record background checks. Also, the use of tobacco products of any kind including vapor products are prohibited from our campuses. All employees are required to adhere to the facility's Vaccination Policy.

The DHHS Division of Human Resources (DHR) follows the State Human Resources Employment of Relatives Policy. Applicants who have relatives or people living in the same household, will not be considered for job vacancies in the DHR at those locations. For a complete definition of immediate family member, please see the State Human Resources Workforce Planning, Recruitment and Selection Policy, Section 2, Page 38.

Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. You will either receive a call to schedule an interview or an email notifying you when the job has been filled.

For technical issues with your applications, please call the NEOGOV Help Line at855-524-5627. Applicants will be communicated with, via email only, for updates on the status of their application. If there are any questions about this posting other than your application status, please contact HR at (252) 208-4293.

• Eligibility for Sign-on Bonus

Qualified applicants must be selected from the candidate pool of this posting and meet the State policy following requirements:

A newly hired permanent full time or permanent part-time employee who works 30 to 40 hours per week is eligible for a sign-on bonus (this will be prorated for employees working less than 40 hours per week).

An employee is not eligible for a sign-on bonus if:

(1) the employee has held a position in North Carolina State government, including the judicial system, or the University of North Carolina system within the last 12 months (the employee shall remain ineligible for 12 months from the separation date);

(2) the employee has previously received a sign-on bonus from any State agency;

(3) or DHHS has paid any contract placement or recruitment fees.

This Sign-on Bonus is contingent upon budget and final eligibility determination as of the effective date of hire. Additional information regarding the Sign-on Policy can be found https://oshr.nc.gov/documents/sign-and-retention-bonus-policy/open

Compensation & Benefits:

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website forState Benefits

NOTE: For temporary, contract or other supplemental staffing appointments: There are no paid leave, retirement or other benefits associated with these appointment types.

For permanent and time-limited appointments:

Eligible employees have benefits that include employee health insurance options, standard and supplemental retirement plans, NC Flex (a variety of high-quality, low-cost benefits on a pre-tax basis), and paid vacation, sick, and community service leave, to name a few. Paid parental leave is available for eligible employees. Some benefits require 30 + hours work/week for participation.

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