LPN/RN Outpatient, Substance Use (Mobile)

Responsibilities

Primary Job Functions: Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care. Assess, plan, implement and educate patient/family Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patient Respond to patients’ requests for medication refills. Reviews charts for treatment compliance. Administer medication observing the seven rights of medication administration and ordering of medications to the pharmacy Perform venipuncture for laboratory requests, drug screens, TB skin tests, etc., monitors lab results and reports all abnormal findings to the physician Administer screening instruments as needed/indicated Provide medication education for the patient and family, including uses and potential side effects. Monitor patients for potential side effects of medications and reports findings to the physician/provider. Communicate effectively with the physician/provider regarding the patient’s physical and mental condition. Follow up on missed injections and documents in patients record appropriately Interact with patients and evaluate needs to ensure that proper information is reported during staffing with the treatment team Conduct infection control training for staff and patients when indicated to include HIV education Participate in daily Huddles Interface with the multi-disciplinary team and actively and cooperatively participate in development of the interdisciplinary treatment plan. Provide emergency care as needed (CPR, Mindset, Emergency Medications), according to AltaPointe Policy & Procedures. Demonstrate the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation. Adhere to professional code of ethics. Effectively demonstrate the application of adult specific competencies. In addition, for Medication Assisted treatment (MAT) Programs: May conduct observed same sex random Urine Analysis when necessary. Administer injectable MAT treatment medications for alcohol use disorder and opioid use disorder. Receive injectable medications and store appropriately, maintaining accurate inventory Ensure refrigerator storing medications is monitored and log maintained Supervision and Consultation Seek clinical supervision and consultation needs. Accept and employs suggestions for improvement. Actively work to enhance clinical skills. Clinical Record Keeping Document in a timely fashion per AltaPointe policy. Document in a clear, concise manner, types of patient problems, treatment goals and services provided. Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate. Document legibly. Meet AltaPointe productivity standard Courteous and respectful towards patients, visitors and co-workers Treat patients with care, dignity and compassion. Respect patient’s privacy and confidentiality. Is pleasant and cooperative with others. Assist patients and visitors as needed. Personal values don’t inhibit ability to relate and care for others. Is sensitive to the patient’s needs, expectations and individual differences. Is gentle and calm to patients and families. Works in a dependable, cooperative and positive manner with both program and other AltaPointe staff members