The Registered Nurse will maintain continuity among nursing teams, and clinical pharmacy staff, by documenting and communicating actions, irregularities, and continuing professional needs.
The Registered Nurse will be responsible for professional supervision of Licensed Practical Nurses unless supervision is provided by the Medical Director. Supervisory sessions are to be specific to professional supervision.
All issues requiring disciplinary intervention will be the responsibility of the Program Director. The Registered Nurse will have only professional supervisory responsibilities of the LPN staff.
Documents patient care services by charting in patient files and following patient records
Reviews induction patient medication records weekly for accuracy and implementation with CMG policies
Monitors and tracks, with Medical Director approval, the Prescription Monitoring Program based on CMG policy and state mandates
Is responsible for ensuring the Pharmacy is opened and closed in accordance with CMG policy
Is responsible for ensuring that staffing protocols are followed and establishes the nursing schedule
Is responsible for assisting with marketing and ensuring that the facility maintains a positive relationship with the community
Provides, HIV, Pregnancy, TB, and as needed medical information to patients and staff
Completes documented weekly supervision with nursing staff members
Assists with evaluating nursing performance
Assists with interviewing and recruiting nurses
Coordinates care as needed with outside physicians to ensure proper protocols are followed for patients
Immediately reports any concerns to the Program Director
Oversees and is responsible for administering all take-home medication
Documents and evaluates Diversion Control procedures (patient call backs, etc.)
Is instrumental in the treatment team meetings
Provides training and continuing education to nurses
Tracks and monitors pharmacy reports for trends
Available on call for consultation of patient evaluations
Registered Nurse General Responsibilities:
Under the direction or supervision of the Medical Director the Registered Nurse will administer, or oversee administration of, medications, in accordance with physician order(s) and will document or oversee documentation of all administered dosages, by the best means available, whether that method be electronically, or manually.
The Registered Nurse will maintain or have overall responsibility for maintaining absolute accuracy in daily accounting of the medications that are supplied to patients and maintained in inventory, in secure storage.
The Registered Nurse shall implement or oversee implementation of infection-control policies and protocols, medication storage procedures, policies and procedures regarding controlled substance regulations and confidentiality.
The Registered Nurse shall track or oversee tracking of all medical paperwork involving patient dose changes, lab results, physician orders, phase/level changes and verbal orders. The Registered Nurse will maintain patient confidences and will protect clinical pharmacy, and treatment center, operations by keeping information confidential.
The Registered Nurse will place or oversee the placing of orders for medication supplies. Additionally, this position will ensure that there is sufficient scheduling coverage for order placing and that all nursing staff is effectively cross-trained for such ordering and that receipt of ordered medications is facilitated with accuracy and efficiency upon the arrival of the medication.
The Registered Nurse will receive medical orders and will ensure that all medical orders, change orders, and verbal orders are documented and understood by the Consultant Pharmacist, the Licensed Practical Nurses, the Program Director, and other clinical staff, or Treatment Team members as the case may be.
The Registered Nurse will promote the delivery of quality care to patients by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; and complying with applicable rules, including state licensing laws, federal rules governing substance abuse treatment centers and applicable Company policies and directives.
The Registered Nurse will make the best effort to address or resolve patient problems and needs by utilizing multidisciplinary team strategies.
The Registered Nurse will document patient care services by utilization of best charting practices (with either paper or electronic records, whichever may be in use at the treatment facility at the time), and by overseeing the ensuring the integrity of all other medical charting that may occur.
The Registered Nurse will conduct or oversee the administration of tests ordered by the physician including: appropriate lab tests as required; patient vital signs; TB tests when required; blood and urine laboratory testing.
The Registered nurse will schedule and screen patients to be seen by Medical Director and will assist the Medical Director with appropriate History and Physical assistance, as needed and required.
Professional Nursing Responsibilities:
The registered nurse's practice includes both independent nursing functions and delegated medical functions which may be performed in collaboration with other health team members, or may be delegated by the registered nurse to other nursing personnel. Independent nursing functions may also be performed autonomously by the registered nurse. These include nursing assessment of the actual or potential health needs of the patient, supervising and teaching nursing personnel and health teaching and counseling.
The Registered Nurse will identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons, in a position to understand care requirements.
The Registered Nurse will establish a compassionate environment by providing emotional and psychological support to patients.
The Registered Nurse will maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and through participation in professional job-related societies.
The Registered Nurse will maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; and by the utilization of, and, the participation in, team problem-solving methods. The successful Registered Nurse will contribute to the Clinical Treatment Team effort by accomplishing related results as needed.
The Registered Nurse will maintain a safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel, as needed.
The Registered Nurse will ensure the operation of all clinical pharmacy equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; and evaluating new equipment and techniques. This is inclusive of, but not limited to, such equipment as breathalyzer units, pharmacy dosing computers and printers, medication administration water supply, secure medication storage, and the clinical pharmacy alarm sub-structure.
The Registered Nurse will collect or oversee the clinical pharmacy's collection of fees for medication and ancillary services. As a part of the treatment process, the Registered Nurse will assess and report on the patient's ability to maintain responsibility for the payment of their medication as a part of their federal criteria in extended take-home privileges; and, as a part of their personal treatment success. The Registered Nurse may additionally be responsible for: collecting fees for medication and ancillary services as a part of this process; the over-seeing and responsibility for the successful daily balancing of fees collected for medications and ancillary services, and the maintenance of the appropriate records utilized for fee collection. The Registered Nurse will report any significant fee collection variances to the Program Director.
Attend all staff meetings; acts always in the best interest of the program and Colonial Management Group
Essential Registered Nurse 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 competencies (minimum knowledge, skill, and ability) required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions).
Education/Licensure/Certification: Registered Nurse in the State
Required Knowledge: Understanding of opiate addiction; medical terminology; knowledge of the principles and practices of professional nursing, of health promotion and disease prevention. Ability is required to perform assessments and nursing functions as acquired in the basic nursing preparation program.
Experience Required: 3+ years progressive professional-level experience in the Nursing field. Previous nursing experience preferred.
Skill and Ability:
Knowledge and skill in the application of professional nursing theory.
Knowledge of medications, their proper dosage, effects and contraindications.
Working knowledge of opiate addiction, and infection control.
Ability to organize assigned work.
Ability to make written reports and documentation.
Ability to prepare and maintain reports of shift activities and individual's progress.
Ability to verbally report information.
Ability to maintain nursing records and charts
Ability to gain the confidence of the individuals and to work effectively with them, staff, and families.
Ability to maintain effective working relationships with supervisors and staff.
Knowledge and skill in CPR.
Ability to supervise and manage the day to day clinical pharmacy operations of the LPN staff.
Compose and execute the nursing schedule for the clinic.
Physical Demands/Work Environment:
(The physical demands and work environment characteristics 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.)
Finger Dexterity: Use primarily when operating hands to medicate patients, utilize keyboard and telephone.
Talking: To convey detailed or important instructions to patients and employees.
Hearing: Ability to hear normal conversations and receive ordinary information.
Vision: Average, ordinary, visual acuity necessary to observe patients and work on computer. Clear vision at 20 inches or less and distant vision at 20 feet or more.
Physical Strength: Standing most of the time. Exerts up to 10 pounds of force occasionally.
(The working conditions 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).
Ability to operate in an open work area with moderate everyday noise.
Ability to travel up to 10%.
3. Ability to perform other duties as required.
Safety -- model Company safety practices
Teamwork -- working as a team player
Time Management -- prioritizing
Process Management -- following Company standards and setting goals for the team
Patience -- able to gather sufficient data information before acting
Communication -- ensuring that team is following state/company guidelines and able to build a patient rapport
Problem Solving -- seek out relevant information and decide which step to take to obtain the best results
(The mental activities 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.)
Reasoning Ability: Ability to resolve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. Ability to maintain confidentiality.
Mathematics Ability: Advanced mathematics ability needed to maneuver through daily medications (dose strengths) functions and tasks, and, inventory and fee collection balancing.
Language Ability: Ability to read, analyze and interpret general healthcare journals, professional journals and technical procedures. Ability to write reports and medical correspondence. Ability to effectively present information and respond to questions from staff and outside agencies.