Detox and Assessment Nurse

This position is responsible for overseeing day-to-day health, wellness, and medical processes for all patients undergoing treatment for chemical dependency at Valiant Living detox and assessment center.

• Conduct prescreens for medical necessity for detox.
• Collaborate with providers during prescreens.
• Complete initial nursing assessment upon intake for all new clients to assess and communicate suitability for care.
• Schedule and complete nursing follow-up appointments.
• Document nursing assessments and reports, medical information, and prescription information/changes.
• Conduct, assess and document initial infectious conditions screen and interview, pregnancy testing, initial blood draw and laboratory order.
• Communicate with Director of Nursing, physician, and clinical team regarding client presentations/conditions.
• Coordinate lab work and post results to EMR. Provide results to clinical and medical staff.
• Assist to coordinate medical appointments, both routine and emergency, and associated transportation.
• Provide feedback from external appointments to Director of Nursing, clinical, and medical staff.
• Adhere to standing orders/approval from MD and systems addressing vitals and protocols.
• Maintain current knowledge and adherence to specific OBH and Joint Commission guidelines as it pertains to nursing standards, time limits, etc.
• Assist with urine tests and breathalyzer testing, chain of custody, and documentation.
• Maintain professional relationship with Valiant Living contracted physicians. Consult as guided by credentialing guidelines and Valiant Living procedure.
• Be available to consult with Director of Nursing, on-call clinician, and directors regarding PM/weekend admissions, medication questions, elevated vitals, emergent situations.
• Assist to coordinate medication refills.
• Maintain all nursing certification and administer medications to clients.
• May travel to other sites to check in, complete drug testing, participate in medication audits and documentation, elicit substance destruction, and consult.
• Participate in multidisciplinary meetings, providing wellness/health information and updates.
• Provide day-to-day consultation to clinical and recovery technician staff.
• Provide first aid and health assessment for emergent conditions experienced by clients.
• May assist to provide influenza vaccinations and TB tests to clients and staff.
• Assist to organize and maintain inventory of first aid, medication, and medical supplies.
• Assist in implementation of new policies and procedures initiated by clinical or medical staff.
• Coordinate discharge planning with case management, clinicians, and nurse director, including medication refills.

• Assist to monitor infectious disease prevention program for staff and clients.
• Participate in bi-annual infectious disease prevention training of staff.
• Present to BHT and other staff periodic training in vitals, COWS, CIWAS, universal precautions, medication administration, and other topics.
• May participate in weekly/monthly/periodic activities:
• Medication log review/audit for medication errors.
• Count/audit on current medications.
• Co-contributions regarding client-specific needs, contraindications, and potential; (
  
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• Assist to provide guidance to CNA/BHT staff (regarding medical and health operations only).

Travel between sites may be required during the work day. On-call or overnight work assignments may be required.

• Experience:
  
  1-3 years at the LPN level.
• Preferred: experience with chemical dependency treatment facilities and/or detox, addictions, and mental health populations.
• Residential and milieu experience preferred.
• Naloxone training (can be provided as in-service).
• Prohibitions: use of illicit substances (including THC) during employment.

Full-time, part-time, and PRN.

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