Licensed Practical Nurse - Staff Nurse

*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:

Alcohol and Drug History, including progression and tolerance

Signs of acute intoxication or withdrawal from mood altering substances

Behaviors and/or consequences associated with untreated chemical dependency

Acute and chronic health needs including physical, emotional and social.

Mental status

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 them 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 breakthrough unhealthy defenses by accurately reflecting behaviors and consequences of alcoholism and addiction.
• 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.
• · Communicates in a timely manner and effectively through written documentation in clinical record, orally with treatment team members
• · Communicates changes in health status to the physician and PA as
• appropriate.
• · Discharge summaries
• · Maintains client confidentiality.
• · Assists in screening patients in determining appropriateness for treatment as requested by intake.
• · Medication

responsibilities

• · Receives, transcribes and carries out physician orders.
• · Administers medications following approved protocols
• · Documents response to medications
• · Counts controlled drugs on each shift
• · Practices cost effective ordering
• · Effectively uses Emergency/Crisis responses procedures.
• · 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
• CPR/First Aid certification required (or must be obtained within 30 days).
• Reliable, compassionate, and team oriented.
• Strong interpersonal and observational skills.
• Ability to work various shifts, including nights, weekends, and holidays.

• Must pass a background check and drug screening.

Pay: $28.00 - $32.00 per hour

Benefits

• Flexible schedule

Work Location: In person