FACT RN (Gadsden and Wakully County)
Overview
Florida Assertive Community Treatment (FACT) is a dynamic multidisciplinary treatment team dedicated to delivering intensive community-based support to the severely mentally ill adult population. The FACT Registered Nurse is a key member of this team, providing comprehensive nursing services and case management to coordinate all aspects of care for the persons served.
Essential/Core Job-specific Duties And Responsibilities
Assessments: Conducts comprehensive nursing assessments and ongoing assessments of persons served, mental illness, symptoms, status, and response to treatment. Communicates client’s health status and history to the FACT team and helps the team to determine level of care based on client’s individual needs.
Individualized Treatment Team (ITT): Attends and participates in ITT meetings for assigned clients, integrating medication administration tightly into individual treatment plans. Provides input and feedback on clients' progress and goals for the treatment plan with each client.
Services Delivery: Assists clients on an individual, group, and family basis in the office and in community settings to teach Evidence-Based Practices (EBP) techniques to alleviate and manage symptoms not reduced with medications for both physical and mental health conditions to promote personal growth and development.
Core services: Coordinates, schedules, and administers comprehensive nursing and medical assessments. Monitors and teaches the management of physical health diagnoses. Makes appropriate referrals to community physicians for further assessment and treatment. Organizes medications, medical supplies, and the system of delivering medication to persons served. Evaluates and charts psychotropic medical effectiveness, complications, and side effects and arranges for required lab work. Conducts "read back" process for each verbal order in accordance with Agency policy/unit procedures.
Case Management Services: Provides services using appropriate treatment modalities that promote independent living, including benefits counseling, problem-solving, side-by-side services, skill training, supervision, and environmental adaptations to assist persons served with activities of daily living; assists and supports persons served to carry out personal hygiene and grooming tasks; provides nutrition education, meal planning, grocery shopping, and food preparation assistance; assists persons served to find and maintain a safe and affordable place to live; assists and supports persons served to perform household activities, including house cleaning and laundry; ensures that persons served have adequate financial support; teaches money management skills; helps persons served to access reliable transportation; and assists and supports persons served to have and effectively use a personal physician and dentist.
Client Service Plan: Develops individualized Client Service Plans (CSP) in partnership with the client and the client’s guardian (if applicable), especially with employment goals. Develops CSPs that include measurable goals and objectives derived from the client's assessment and identifies time frames for achievement on goals which are signed and dated by the client and client’s guardian, if applicable. Assists with the implementation of the service plan, and follows-up with the client's services to determine the status and the effectiveness of CSP towards enhancing the client's inclusion in the community and autonomy. Updates CSPs at least every 6 months. Makes appropriate changes in CSP to ensure immediate and appropriate interventions are provided in response to changes in mental status or behavior which put persons served at risk (e.g., suicidality, hospitalizations, relapse).
Progress Notes: Documents progress of persons served to maintain a permanent record of individual activity per established methods and procedures. Documentation must be finalized in Avatar within 48 hours from the time the services were rendered. Progress notes must be detailed and clearly reflect how the staff's efforts are linked to the services and goals in the client's service plan and the client's progress or lack of progress relative to the service plan.