4. JOB CATEGORY UNIVERSAL PRECAUTIONS:
JOB RESPONSIBILITY/FUNCTION:
- Completes the following documentation within 24 hours of the patient’s admission to the program
- Admission Note
- Nursing Assessment
- Pre-Screen Testing
- HRS Consent Form
- Patient Health Examination
- Criteria for Admission Form (if Detox admit)
- Transcribes Physician’s Orders and Implement all Medical Protocols as ordered
- Administers medications and monitor detoxification process
- Confers with and assist the Medical Doctor and the Psychiatrist.
- Makes appropriate referrals using referral forms
- Attends and participate in all 'in-service' functions
- Assists with emergency situations and make immediate referrals
- Provides documentation which reflects services for each patient in accordance with licensure standards
- Maintains the Confidential nature of all patients and facility activities
- Maintains required Training & Continuing Education
- Maintains Standards of Ethical Conduct
- Charge Nurse on each Shift supervises LPN’s
- Complies with all company Policies and Procedures
- Meets with patients requesting to see the doctor to determine the urgency of their medical needs and expedite treatment as required
- Effectively communicates concerns about patient health to the Medical Director and follows up as necessary
- Under the supervision of the Medical Director and Director of Nursing, assists in educating patients about health problems and medical care
- Facilitates medication education for new patients and for all other patients starting new medications
- Meets with therapists to provide information about patient medical problems
- Assists the treatment team in incorporating medical issues into treatment planning
- Takes verbal orders from the Medical Director, documents them in the patient record and carries them out accurately and professionally
- Provides routine nursing care under the supervision of the Medical Director and Head Nurse
- Participate in regular meetings with Clinical Director to discuss specific patient problems.
- Facilitate Medical Groups as directed by Head Nurse
- Participate in regular department meetings and staff meetings.
- Encourage efficient utilization of supplies and equipment to prevent waste.
- Maintains effective communication between outside medical services and the facility
- Keeps and shares records and equipment
- Participates in Performance Improvement, Utilization Review, Fire & Disaster Committees, and others as requested
- Interacts with clients with compassion and respect
- Attends in-service education programs as assigned to learn new forms, procedures, developmental skills, etc.
- Has good work habits: get things done in a timely, efficient manner with no excessive absences; is on time for scheduled shifts and prepared to begin work
- Functions well as a team member and contribute positively to the morale of staff
- Performs additional duties, as deemed necessary by supervisor
- Maintains up-to-date training in CPR, First Aid, Crisis Intervention, Infection Control, Fire Safety, and other areas mandated by organizational policies
- Communicates effectively with other staff members and demonstrates the ability to work as a team member
- Demonstrates flexibility and adaptability, responding positively to changing situations in the work setting
- Demonstrates objectivity and maturity under stress
- Accepts and utilizes supervision
- Addresses problems noted by supervisor
- Performs other assignments as requested by supervisor
- Demonstrates willingness to accept responsibility
- Completes all tasks with concern for work quality
POSITION REQUIREMENTS/QUALIFICATIONS
Knowledge of Joint Commission Standards.