Clinical Nurse : Chemical Dependency Outpatient Services

Clinical Nurse I – Medsurg

The Clinical Nurse I – Med Surg role provides direct patient care in accordance with the Nurse Practice Act to assigned patients on Medical/Surgical units. The nurse collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care. This includes providing physical assessments, nursing interventions, pain management, medication administrations, specimen collection, meeting nutritional needs, and teaching and discharge needs of the patients assigned.

Utilizes the nursing process based on evidence-based best practices to meet patient care needs. Evaluates and adjusts the nursing care process as necessary with consultation as needed, and confers with the appropriate resource personnel when making ethical/legal/medical dilemma decisions. Performs other duties as assigned.

Outpatient Chemical Dependency Program:

• Conducts Nursing assessments of patients, screening for needs and other health-related concerns.
• Performs patient assessments including vital signs and monitoring for patient needs.
• Work closely with MD/NP and therapists as a vital part of the treatment team.
• Coordinate care with outside providers.
• Monitor lab results and refer to physician within protocols and guidelines.
• Identify the need for crisis intervention and clinical nursing practice including personal care services, monitoring and reporting findings, medication self-administration, client teaching and health education, emergency intervention and other nursing services within professional scope of practice.

Therapeutic Apheresis:

Performs therapeutic apheresis procedures and mononuclear cell (MNC) collection processes in both the outpatient and inpatient settings. Collaborates with other disciplines of the health care team to ensure the delivery of safe, timely and appropriate quality patient care. Maintains professional accountability in maintaining compliance with all applicable regulatory agencies as they apply while providing the highest quality of therapeutic apheresis services to the community.

May be called as a resource on a variety of central access catheters related issues. Performs the following apheresis procedures and give rationale for their use:
Therapeutic Plasma Exchange, Therapeutic Leukopheresis, Mononuclear Cell Collection. Performs venipuncture and peripheral/central venous access care, including:
Arterio-venous graft/fistula, subclavian, internal jugular and femoral central venous catheters. Conduct routine maintenance and quality control on all apheresis and procedure related equipment and assure documentation meets cGMP requirements.

Clinical Nurse I's at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program.

BSN preferred.

Additional requirements for specific departments are as follows:

• Advanced Brain and Spine Unit: Fulfills mandatory stroke education requirements per certification. Neurology and Neurosurgery telemetry experience preferred, including but not limited to: stroke, seizure, brain tumor/surgery, Parkinson's, spinal surgery.
• Acute Rehab: Experience in Functional Improvement Measure (FIM) preferred. Previous experience in rehab nursing preferred.
• Cardiac Telemetry: Successful completion of Sub-Intensive, Intermediate, Progressive or Critical Care course/experience preferred. Successful completion of ECG test required. Fulfills mandatory stroke education requirements per certification agency
• Gamma Knife: Previous telemetry experience preferred including but not limited to PACU, ED, ICU/CCU, GI Lab units. Successful completion of ECG test required.
• GI Lab: Moderate Sedation experience required. Previous GI nursing experience preferred. Solid computer technical skills required, including proficiency with Microsoft Office products (Outlook, Word, Excel, PowerPoint, Visio) and additional Organizational systems (Affinity, SMS, and PACS).
• Gyn/Urol: Medical/Surgical, Gyn/Urology experience preferred.
• Heart and Vascular Institute (HVI): Experience in cardiac telemetry required.
• Hoag…