Institute for Community Living, Inc. Medical Specialist I-76540601 in Bronx, New York
NOTE: All applicants must comply with ICL/NYC’s vaccination policy. Individuals selected for employment cannot begin working until they provide verification that they are fully vaccinated against COVID-19 (with an FDA-authorized vaccine).
Under general supervision of clinical or higher level staff provides direct care to developmentally disabled individuals in a residential setting. Medical Specialist are Direct Support Professionals (DSP) with specialized responsibilities involving medical appointments, medication administration and associated follow-up. DSPs perform a wide variety of routine tasks and activities in support of the full range of habilitative services provided to developmentally disabled individuals. The tasks and activities performed depend upon the specific abilities of the individuals being served and the nature of the setting where the work is performed. These tasks involve encouraging, guiding, and training individuals in developing daily living skills and habits, taking care of their personal needs, assuring community integration, ensuring the health and safety of individuals, and maintaining the service environment. Senior DSP I are assigned to most of the IRAs and ICFs; however the Senior DSP II level is assigned to those residences with people that have high medical or other needs and whose care requires a higher level of training or intensive supervision.
To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions unless this causes undue hardship to the agency.
Specialized Senior DSP I/II tasks:
Any medical responsibility is under the supervision of the nurse and the Medical Specialist will communicate regularly with the nurse and management, including but not limited to- medical appointment reports, changed medications, missed appointments, and anything out of the ordinary that takes place as it relates to people’s health.
A missed appointment must be addressed within 24 hours with both the nurse and management.
Makes medical appointments with entry noted on General Appointment Calendar and ensures that all provider findings/recommendations are noted on the consult for F/U and by the provider at the time of the evaluation.
Arranges or provides transportation to medical appointments for people supported.
Upon return from a medical appointment, checks to see if the person has medication order, new medications, or a future medical appointment, ensures that new medication(s) is ordered and/or are discontinued, both newly prescribed and discontinued orders are obtained and consistent with existing prescriber order(s) and that F/U appointments are noted on the General Appointment Calendar.
Completes the appropriate medical summary records in the person’s chart. Completes a summary record of medical visits in the nursing communication log and updates the appointment record log.
Places a copy of the medical summary reports in the medical professional staffs’ mail boxes, upon return from appointments
Attends meetings with Residential Nurse, Management, BIS, and all other applicable team members to provide full summary of appointment and recommended F/U.
Ensures that medications are ordered, documented in the medication administration form, or discharged as ordered, checks medication administration performance of the AMAP’s
Checks medications including topicals (discards expired as per agency policy) and medical supplies as per nursing recommendations to ensure that a five day supply of medications is on hand and that medical supplies are in sufficient quantity to support the medication program, reviews MAR and as per nurses direction for missing entries and reports to the team.
Ensures that delivered medications are logged in as soon as they arrive in the home.
Files medical records in accordance with Agency policy.
Is present and interacts in the home with both staff, people supported, management and nurse on a regular basis
Medical Specialist are expected to be able to perform all duties of a Direct Support Personnel I/II as assigned. Duties may be performed in several or all of the following areas:
Teaches and reinforces accepted infection control and personal grooming techniques; assists in bathing, dental care, hair and nail care, personal hygiene, toileting, incontinence care, menstrual care, and grooming routines as necessary.
Teaches and assists individuals in dressing, clothing selection, storage, laundering and repair of clothing and accessories; helps them to shop for clothing.
Teaches and assists in proper use and care of shavers and razors, eyeglasses, hearing aids, prostheses as prescribed by appropriate medical practitioner.
Administers and teaches individuals first aid treatments; administers cardiopulmonary resuscitation techniques and performs other health-related techniques as required.
Takes, records, reports temperatures, blood pressures, pulse rate, weight, and other significant symptoms/health-related occurrences; aids developmentally disabled individuals in understanding, recording, and reporting such factors.
Maintains confidentiality of information.
Reports unusual incidents and physical or behavioral symptoms promptly and accurately to the supervisor.
Applies valid and accepted limits for inappropriate behavior and helps control and restrain individuals with challenging behaviors in their care.
Administers prescribed medications and treatments; teaches, observes, reports problems and progress in self-administration of medications programs; assists individuals in achieving more independence in administration of medications; teaches use of skin care lotions, topical ointments, eye and ear drops and assists in their use as needed.
Accompanies individuals to medical, dental, and other health-related appointments; delivers prescriptions to pharmacy, takes medication to home site and logs same; and instructs and observes individuals in use of those substances.
Food Preparation, Mealtimes
Assists individuals in eating who cannot feed themselves independently.
Teaches individuals to eat in a family-style setting; models and teaches mealtime socialization skills.
Teaches and assists individuals to plan, shop, store, prepare and serve meals using currently accepted nutritional standards; and to clean kitchen and dining areas, and dispose of leftover food safely.
Maintaining the Environment
Under the direction of the appropriate level supervisor, the DSP performs various tasks and duties to assure that the living environment is properly maintained and kept in a clean, neat and orderly condition.
Performs/teaches developmentally disabled individuals routine housekeeping duties such as dusting, washing floors and walls, cleaning bathrooms, and vacuuming rugs.
Assists developmentally disabled individuals in bed making.
Follows safety procedures in living unit by mopping up spills, reporting unsafe conditions, teaches and reinforces fire safety procedures. Checks to see that fire exits are clear, night-lights and exit signs on, windows locked, etc.
Stores supplies and assures that storage areas are kept in a neat and orderly condition.
Responsible for storage and replacement of linens.
May assist in various household inventories.
Performs/teaches minor and routine maintenance tasks such as changing light bulbs, fuses, replacement of faucet washers; and obtains repair services for appliances.
Performs/teaches routine removal of trash, cleaning of trash containers, ashtrays, etc.
Teaches/performs outdoor maintenance tasks and repairs of residence, yard, garden, walks; reports need for or obtains repair services for automobiles, vans, mowers, etc.
Checks fire equipment and reports any malfunction.
Conducts fire drills following the fire evacuation plan.
Individual Development, Personal Interests
Teaches and reinforces use of a variety of communication skills.
Guides individuals through motor exercises designed to increase physical coordinative functions.
Teaches and reinforces principles of human growth and development, including human sexuality, as determined by each person's developmental level and program plan.
Teaches acceptable work habits, e.g., punctuality, dress and grooming, to enable individuals to develop readiness for work outside the home, or in support of individuals' habilitative goals.
Accompanies developmentally disabled individuals to community activities including worksites, cultural, religious and social events, day programs, and visits to health practitioners; aids them in developing awareness and use of community resources and in interacting with others.
Provides support for maximum community integration.
Transports/arranges for transport of individuals to community events; and aids them in development of their mobility skills.
Maintains an adequate supply of and accounting of personal clothing and possessions.
Teaches money management principles to developmentally disabled individuals; and completes/aids in completion of banking activities.
Provides an accurate accounting of all financial transactions made on behalf of individuals in their care.
Helps developmentally disabled individuals to develop/maintain positive interpersonal relationships with their peers, with others in their families, and with others in the community. Aids in explaining feelings, resolving conflicts, teaching/reinforcing acceptable means of dissipating frustration, and anger.
If pets are in the home, teaches/assists with their feeding, grooming, and care.
Teaches/supervises/participates in a variety of leisure and recreational activities, crafts projects, seasonal and permanent home decoration; assists in planning, supervising and conducting holiday celebrations selected by consumers and staff.
May accompany developmentally disabled individuals to dances, camping trips, swimming, horseback riding, basketball, or other sports; assists in selection and teaching of appropriate community inclusion leisure activities.
Aids in the selection, purchase, care and use by developmentally disabled individuals of age appropriate personal belongings.
Participating as Program Planning Team Member
Observes and reports on behavior and specific responses to programming, medication, interpersonal relationships, etc.
Actively participates at staff meetings by communicating observations concerning progress and reaction to various therapy programs.
At meetings, may suggest alternative programs or procedures based on experience with the individual’s habilitation plan.
Records all significant behavioral responses in prescribed format.
Participates in the development of individual program and habilitation plans.
May be asked to assist in the orientation and training of other staff.
Other duties that may be assigned
As members of the Program Planning Team, Medical Specialist communicate with other DSP’s or with supervisory or clinical staff for the purpose of sharing information and obtaining direction for specific assignments. They also communicate with the developmentally disabled individuals in their care, their families and others who come in contact with them.
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:
High school diploma or GED and at least one year experience in providing direct services to adults with intellectual disabilities and/or developmental disabilities or closely related experience. Currently AMAP certified. Current clean New York State driver's license required. Must maintain AMAP certification in order to maintain employment as a Senior DSP I/II
PREFERRED EDUCATION AND/OR EXPERIENCE:
Direct Care experience with people with intellectual and/or physical disabilities; current SCIP-R, CPR/SFA and AMAP certified
ESSENTIAL KNOWLEDGE, SKILLS, AND ABILITIES:
Knowledge of policies and procedures of OPWDD, as well as state and federal regulations as they apply to the care and treatment of the developmentally disabled.
Knowledge of active treatment programs as they relate to the developmentally disabled.
Currently SCIP-R certified or able to become certified within six moths of hire.
Currently CPR and First Aid certified or able to become certified within six months
Ability to operate a motor vehicle safely