Medically Monitored Crisis Detox LPN

About the role

The Level II Residential LPN is responsible for the assessment and management of withdrawal signs/symptoms of clients presenting to the unit. This includes initial medical assessments of clients during intake, and providing appropriate nursing care from Medical Detox, Medically Monitored Detox and Residential Services.

Responsibilities

• This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required.
• This organization reserves the right to revise or change job duties as the need arises.
• Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities.
• Review of admission and discharge criteria before admission to the unit and refer to Coordinator/Medical Director as appropriate.
• Perform the initial medical assessment of individuals within 2 hours of admission.
• Makes a determination of the appropriate detox protocol upon admission.
• Complete all documentation in compliance with CARF and program requirements.
• Maintains accurate records of nursing interventions.
• Monitoring of treatment plan effectiveness and compliance, including obtaining consents.
• Review with client ASAM placement criteria and obtain signature Q shift.
• Perform TB testing on each client upon admission and document results 48-72 hours later.
• Monitor appointment calendar and available beds each shift/day to maintain full status.
• Determine client's discharge date/time and place on board.
• Maintains accurate records of nursing interventions.
• Administer prescribed, routine and PRN medications as scheduled no more than 1 hour ac or 1 hour pc of prescribed time.
• Perform charting 3 X per 8 hour shift, 4 X per 12 hour shift and PRN.
• Complete nursing assessment within 2 hours.
• Monitor Clients' VS/ withdrawal signs/symptoms per CIWA/COWS upon admission, shift X 3 days then QD if score is >10.
• Makes client rounds and notes problems for follow-up.
• Absorb and administer prescribed medications.
• Maintains harmonious, productive interpersonal relationship with clients, co-workers, visitors and families.
• Able to complete all work assignments within shift assigned.
• Maintaining a level of supervising and capable of following and interpreting policy and procedures as they relate to the clients and staff in the detox unit.
• Able to relate positively and be emotionally supportive to individuals who are chemically dependent/co-dependent.
• Able to establish professional client boundaries, effectively sets limits with clients.
• Observe clients for changes in physical/mental conditions and documents changes for consultation with the Medical Director/Medical Services coordinator.
• Nursing Staff will keep other staff members informed on status of the clients.
• Performs other duties as assigned by the Medical Service coordinator.

Qualifications

• Graduate of an accredited Licensed Practical Nurse Program and possess a current nursing license.
• Possess a working knowledge of basic nursing techniques.
• Requires a working knowledge of basic nursing techniques.
• Demonstrates ethical and appropriate behavior for a clinical environment to include, but not limited to, dignity, patient's rights and privacy, and the maintenance of confidentiality of patient information.
• The ability to retrieve, communicate and present data and information both verbally and in writing required.
• LPN with current Tennessee license and experience in psychiatric nursing preferred.
• LPN certification as Psychiatric/Mental Health Nurse preferred.
• Should have sound knowledge of psychiatric medications, diagnoses, treatment modalities and interventions.
• Ability to use computer.
• Must be CPR certified or willing to become certified.
• Will also need to complete the required Handle With Care Training.
• Able to perform shift work as needed to include overtime, weekends and holidays.
• Able to maintain a level of supervising and capable of following and interpreting policy and procedures as they relate to the clients and staff in the detox unit.
• Able to relate positively and be emotionally supportive to individuals who are chemically dependent/co-dependent.
• Able to establish professional client boundaries, effectively sets limits with clients.
• Observe clients for changes in physical/mental conditions and documents changes for consultation with the Medical Director/Medical Services coordinator.
• Nursing Staff will keep other staff members informed on status of the clients.
• Performs other duties as assigned by the Medical Service coordinator.

Skills

• Knowledge of substance abuse, chemical dependency, co-occurring disorders and recovery.
• Ability to reason and make judgments regarding client's care.
• Ability to complete all work assignments within shift assigned.
• Ability to perform shift work as needed to include overtime, weekends and holidays.
• Ability to relate positively and be emotionally supportive to individuals who are chemically dependent/co-dependent.
• Ability to establish professional client boundaries, effectively sets limits with clients.
• Ability to observe clients for changes in physical/mental conditions and documents changes for consultation with the Medical Director/Medical Services coordinator.
• Ability to use computer.
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