Registered Nurse - Journey to Recovery; JTR

Position: Registered Nurse - Journey to Recovery (JTR)

Definition
:
Under the supervision of the JTR Nurse Supervisor and Manager primarily assigned to the Journey to Recovery Substance Abuse Detox, Crisis Stabilization and Residential Treatment Center. Provides services on the assigned inpatient or residential unit and provides nursing services to adult JTR Members with the goals of assisting patients to support and managing psychiatric crisis, substance abuse withdrawal and medication assisted treatment (MAT).

Works in conjunction with JTR Medical Physician of SRPMIC JTR. Assists in all levels of care to include:
Withdrawal Management/Detox Unit, Residential Unit, Crisis Stabilization and Office Based Opiate Treatment Outpatient Care Facility. This job class is treated as FLSA Non-Exempt.

Essential Functions
:
Essential functions may vary among positions and may include the following tasks, knowledge, abilities, skills and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.

Tasks:
1. Patient Interaction:
Performs JTR nursing duties, including obtaining health histories and performing physical assessments and withdrawal management protocol standards to include assistance with administration of medication, medication assisted treatment (MAT) protocols, CIWA Protocols and COW Protocols and Crisis Observation.

• Initiates preventative health measures within the scope of practice for a professional Registered Nurse (RN).
• Evaluates and carries out medical providers' orders for substance abuse patients in JTR WM Unit. Also assists with nursing duties on Crisis Unit and Residential Unit.
• Initiates appropriate interventions according to health care priorities identified in assessments.
• Adheres to established policies and procedures and standing orders.
• Coordinates programs, services and other activities to implement targeted health promotion and disease prevention activities.
• Maintains patient confidence and protects operations by monitoring confidential information processing.

2. Administration:
Assures adherence to established policies, procedures and standing orders.

• Assists as needed with the coordination of all health-related appointments and referrals.
• Coordinates health care aspect of patients if they transition to another facility, hospital, treatment center or other.
• Documents accurately, legibly and completely in Electronic Health Record (EHR), patient charts. Includes subjective and objective data, treatment provided, evaluation of treatment effectiveness and patient education provided.
• Develops and documents nursing care plans and interdisciplinary treatment plans.
• Establishes and maintains documentation and communication flow between staff at Salt River Clinic.
• Appraises quality and effectiveness of documentation, education materials and equipment periodically and makes recommendations to clinic leadership for change when necessary.
• Follows through to ensure that agreed upon changes are implemented and maintained.
• Maintains program data.
• Prepares and submits required reports as needed.
• Participates in case staffing as required.

3. Patient Documentation, Care & Treatment Plans:
Documents patient charts which includes subjective and objective data, treatment provided, evaluation of treatment effectiveness and patient education.

• Develops and documents nursing care plans and interdisciplinary treatment plans.
• Establishes and maintains documentation and communication flow at each program site.
• Appraises quality and effectiveness of documentation and education materials and equipment as needed.
• Recommends changes when necessary and follows through to ensure that agreed upon changes are implemented and maintained.

4. Case Management:
Participates in case management meetings with all programs servicing assigned clients.

• Works with families, Community programs and medical personnel to arrange for additional services including convalescent and rehabilitative care as well as medical specialty services.
• Participates as a member of multi-disciplinary consultation and review teams including case assignments.
• Attends staff meetings as requested.

5. Medication Administration/Clinical Duties:
Monitors efficacy of medication, side effects and drug interactions.

• Provides medication education to clients.
• Facilitates medication administration.
• Coordinates directly with contracted physician of WM Unit and trains all medical and clinical staff on unit to ensure monitoring of all medications.
• Completes all clinical duties on unit to include assessment, lab work/orders, point of care testing, responding to medical emergencies and other duties as needed.

6. Coordination of Care:
Oversees care coordination for individuals and families including coordination of all health-related appointments.

• Provides referrals for clients with social and emotional problems or any other needs, beyond the scope of the RN, to other community agencies and services for assistance, as needed.
• Oversees all client…