Responsibilities:
Clinical Responsibilities:
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Assists with the completion of the assessment process for patients including but not limited to the following: medical checklist/physical health/nursing screening, medication list/reconciliation, depression screening, height/weight and vital signs as applicable
- Administers medications, observing the Seven Rights of medication administration
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Provides education regarding patient’s disease process
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Provides medication education for the consumer and family, including uses and potential side effects
- Monitors patients for potential side effects of medications and reports findings to the physician
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Provide direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care
- Accurately assign triage categories
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Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, pain management and assessment of changes
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Identify and address psychosocial, cultural, ethnic and religious/spiritual needs of patients and family
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Communicates effectively with the physician regarding the patient’s physical and mental condition
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Administers medical and psychiatric screenings as needed ( PHQ-2, UNCOPE, etc.)
- Completes medical checklist, AIMS, vital signs, infoscriber as indicated
- Perform ancillary testing and tasks as ordered by presiding physician (i.e. PFT, EKG, injections, audiograms, x-ray, etc.) or calls medical facility or department to schedule patient for tests
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Gives injections or treatments and performs routine laboratory tests
- Supervises nursing functions at the site including immediate supervision of medical assistants to assure conformance with established standards and procedural requirements
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Assists patients with the assistance programs and referrals; maintains updated file of referrals and provides referral information
- Responds to consumers’ request for medication refills
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Assist with meeting reporting requirements of SAMHSA grant
- Reviews chart for treatment compliance
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Follows up on missed injections and document in chart
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Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan
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Monitors laboratory results and reports all abnormal findings to the physician
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Provides emergency care as needed (CPR, MindSet, PRN medications), according to the Accordia Health Policy and Procedures
- Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
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Participates in general and medical staff meetings as required
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Keys data into computer to maintain office and patient records
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Educate the community and patients on health issues to increase health literacy
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May conduct infection control for staff and consumers when indicated
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Performs related duties as assigned
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Meets AltaPointe Health productivity standards
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Effectively demonstrates the application of nursing competencies
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Adheres to professional code of ethics
Supervision and Consultation:
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Seeks clinical supervision and consultation needs
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Accepts and employs suggestions for improvement
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Actively works to enhance clinical skills
Clinical Record Keeping:
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Documents in a timely fashion per Accordia Health policy
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Documents in a clear, concise manner, types of patient problems, treatment goals and services provided
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Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate
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Documents legibly
Courteous and respectful attitudes towards consumers, visitors and co-workers
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Treats patients with care, dignity and compassion
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Respects patient’s privacy and confidentiality
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Is pleasant and cooperative with others
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Assists patients and visitors as needed
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Personal values don’t inhibit ability to relate and care for others
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Is sensitive to the patient’s needs, expectations and individual differences
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Is gentle and calm to patients and families
Administrative and Other related duties as Assigned:
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Actively participates in Performance Improvement activities
- Actively participates in Accordia Health committees as required
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Completes assigned tasks in a timely manner
- Accesses appropriate community resources according to consumer needs
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Follows Accordia Health Policy & Procedures
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Maintains current State license and requirements for renewals (i.e. CEU’s), and attends to required in-services and workshops
Qualifications:
Current LPN or RN license in Alabama. Must possess Basic Life Support (BLS) certification. Knowledge in adult/geriatric and/or child/adolescent specialty, outlined below, to be attained within (6) six months of employment:
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Knowledge of general and psychiatric nursing care.
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Basic knowledge of psychiatric disorders in the adult and/or children populations.
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Demonstration of safe medication administration practices including IM
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Demonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patients served.
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Knowledge of medical terminology especially those terms associated with adult psychiatric care and/or substance abuse
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Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition.
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Knowledge of behavior management, crisis intervention and, interventions common to acute psychotic as well as to non-violent crisis intervention practice.
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Basic knowledge of appropriate educational methods.
- Understanding of behavioral, psychological, physical health and social effects of psychoactive drugs, including alcohol and tobacco on the consumer and their significant others.
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Knowledge of trauma informed care principles
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Knowledge of cultural diversity
