Registered Nurse-ME

Job Overview

A registered professional nurse is responsible for the diagnosis and treatment of human responses to actual or potential health problems through such services as case finding, health teaching, and health counseling; nurses provide interventions supportive to or restorative of life and well-being; and execute medical regimens prescribed by a physician, dentist or other licensed health care provider.

List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.)

• Participates in the pre‑admission evaluation study and plan; the evaluation study, program design and placement of the resident at the time of admission to the SUD’s clinic; the periodic reevaluation of the type, extent and quality of services and programming; and the development of discharge plans and referral to appropriate community resources.
• Based on a comprehensive review of the client’s overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the client’s comprehensive treatment plan. Ensures plans include consideration of the client’s cultural and ethnic background, customs, needs, beliefs, and primary language.
• Develop treatment plans, in conjunction with the Interdisciplinary Team, consisting of an evaluation of the nursing needed and selection of nursing procedures and practices, which will best serve the clients' health care needs.
• Develop a nursing assessment to reflect holistic needs of each client with consideration of his/her psychological, physiological, social, ethnic, cultural, educational and spiritual strengths and needs.
• Oversee the direct implementation of nursing care to ensure that it is carried out in accordance with the plan of nursing intervention, and overall treatment/service plan, and to ascertain if the needs of the client require modification of the plan.
• Coordinate nursing care activities with other professional disciplines to ensure that the nursing plan is consistent with and integrated with the total treatment/service plan and SUD Assessments.
• Participate at team meetings and provide nursing input on the development and implementation of treatment/service plans.
• Conduct in‑service training with regard to personal hygiene, medication administration, family life and sex education. Supervise medication administration practicums and sign off on medication administration monthly.
• Control communicable diseases and infections through identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventive measures.
• Record on the clients' medical records nursing observations and action taken, such as nursing care given, medications and treatments given, reactions to treatments, tests, the intake and output of fluids and solids and the resident's vital signs. Record nursing needs of clients.
• Modify the nursing plan, in terms of the client’s daily needs, at least annually for adults in accordance with developmental and medical changes.
• Be available for on‑call duty.
• Work with all consulting and/or contracted medical service providers to ensure appropriateness of service and to ensure that recommended treatments are integrated and documented into the treatment plan.
• Ensure that the inventory standards for medicines, solutions, supplies and equipment are maintained to meet nursing care needs.
• Account for the issuance of controlled drugs and narcotics and inventories of these drugs.
• Ensures client protection from health hazards such as transmission of infectious organisms, isolation of infected clients and use of properly sterilized equipment when necessary.
• Provide appropriate information to the client and family about such areas as sustaining and preventive health care, personal hygiene, methods of family or self‑treatments, self‑medication and possible side…