The Registered Nurse works in a dynamic multidisciplinary team providing treatment services according to the Discovery Behavioral Health Clinical Model.ResponsibilitiesMeets with each potential new admission and completes face to face assessment. Screens for medical appropriateness for admission to facility and consults with the medical/psychiatric provider to receive orders for admission. Supports the process by checking belongings, providing searches, etc. as needed.Completes initial nursing assessment and full medical admission process upon admission for each patient.Ensures all orders from medical/psychiatric providers are carried out.Ensure that all patients have signed informed consent for medications prior to the 1st dose.Administers medications as prescribed and administers PRN medications and documents effectiveness within timelines.Must demonstrate knowledge of Axis I diagnosis and symptoms.Develops and initiates the Nursing Care Plan.Ensures proper narcotic diversion protocols as per policy are completed each shiftMeets regularly with medical staff and treatment team to discuss patient care, needs and interventions.Provides assessment of medical problems as needed.Performs primary first aid and determines need for physician notification.Performs vital signs, basic evaluative procedures, and tests.Performs blood draws.Maintains NG tube and administers bolus feeds when appropriate.Provides health education to patients and staff.Responsible to ensure all the medications needed by the patients are ordered appropriately and available in the facility.Manages and orders supplies and keeps a fully stocked and operational nursing station.Effectively and professionally communicates with families/loved ones, as appropriate.Able to effectively and professionally establish rapport with patients.Provides milieu management throughout the treatment experience and communicates with all team members.Supervises and supports patients on community outings.  Objectively and accurately documents patient progress as required by policy.Assists with discharge process.Maintains an organized and safe environment.Assesses patient suicidality and possibility of danger to self or others.Communicates with referral sources and outpatient providers for continuity of care upon admission, midpoint, and discharge, as needed.Makes timely requests for any absences and ensures coverage for any scheduled shift.Manages patient’s medical needs including schedule appointments, complete referral/ prior authorizations for medical treatments and tests as indicated.Oversees the medication management system that includes but not limited to, medication planning, storage, ordering and transcribing, administration, monitoring and evaluation.Other duties as assigned.Monitoring of CIWA/COW scores for patients on detoxification protocols.Knowledge of detoxification medication, withdrawal symptoms, and medical complications that can occur in detox.This is a full time position working 7am-7pm.For a virtual tour of the facility, please visit our website at pinelandsrecovery.com.
