Can you provide unconditional kindness to individuals in recovery? Hope House Treatment Centers is looking for PRN nurses for evening overnight positions. Addictions experience not required, but is a big plus.
Shift differentials for overnight and weekend hours!
JOB SUMMARY: Registered Nurses and Licensed Practical Nurses apply nursing principles and processes within a biopsychosocial conceptual framework for identification, assessment and treatment of addicted persons at all levels of care, including Detoxification, Intermediate and Extended care. Nurses are responsible for carrying out physical and mental health services protocols for patients following the policies and procedures of Hope House. Staff nurses serve as members of the multidisciplinary treatment team.
STAFF NURSE JOB DUTIES:
Collects initial health data through observation, interview, history, and taking physical examination as appropriate and review of screening notes and information from other agencies if available. Updates initial data base as new information presents itself. This includes but may not be limited to:
o Alcohol and Drug History, including progression and tolerance
o Signs of acute intoxication or withdrawal from mood altering substances
o Behaviors and/or consequences associated with untreated chemical dependency
o Acute and chronic health needs including physical, emotional and social.
o Mental status
o HIV risk
Analyzes collected data and completed initial and ongoing assessments. Incorporates knowledge of the biological, psychological and social effects of drugs and/or alcohol for all issues assessed. Assessment reflects logical grouping of information and states the human response to physical illness, thought and emotional processes including psychiatric disorders and stressors or daily living and coping.
Uses independent nursing judgment to develop nursing diagnoses, both actual and potential. Validates and prioritizes them with client (actual and potential). Determines which are deferred until after discharge or require referral. Notes them on Nursing Data Base and Master Problem List. Supports rationale for deferring and referring in a progress note.
Plans interventions to address identified problems. Develops written care plans that are prioritized according to need, have time frames, measurable and reachable goals. Uses language the patient can understand as he/she uses them as a daily guide.
Considers agency and community resources available to patients in planning care as well as discharge referrals*
Develops additional care plans and implements them as the patient condition changes.
Coordinates care with other team members as appropriate.
Implements safe, effective, efficient nursing care. Care may be delegated to other members of the treatment team and must be consistent with the nursing scope of practice. Interventions include but may not be limited to:
Medication administration
Health teaching, both 1:1 and didactic
Laboratory procedures
Assisting patients to develop effective problem solving and coping skills that do not include the use of mood altering drugs.
Assisting patients to break through unhealthy defenses by accurately reflecting behaviors and consequences of alcoholism and addiction.*
Promoting involvement in 12 Step programs.
Referrals for care
Coordinating services in house and with community agencies
Directs and instructs unlicensed personnel in the carrying out of patient care duties.
Respects patients' rights
Evaluates response to plan of care. Minimum of weekly review required. Documents responses/outcomes. Revises care plans and discharge recommendations as needed. Uses direct observation, patient interaction, Kardex and clinical record as data base.
o Communicates in a timely manner and effectively through:
o written documentation in clinical record;
o orally with treatment team members
o Communicates changes in health status to the physician and PA as appropriate.
o discharge summaries
o Maintains client confidentiality.
Assists in screening patients in determining appropriateness for treatment as requested by intake.
Medication responsibilities:
o Receives, transcribes and carries out physician orders.
o Administers medications following approved protocols
Carries out appropriate Infection Control Procedures included adherence to OSHA standards.
Participates in Continuous Quality Improvement activities as requested
Other duties as assigned.
MINIMUM QUALIFICATIONS:
A nursing degree from an accredited school.
Registration as active LPN/RN licensure within the state of Maryland
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand and walk.