Addiction Dosing Nurse

High Point & Affiliated Organizations•Plymouth, MA

3h•$32 - $39•Onsite

About The Position

High Point & Affiliated Organizations is a health and human service agency dedicated to treating and preventing substance use disorders and mental illness. Our programs span Southeastern Massachusetts, offering a comprehensive continuum of care including inpatient, outpatient, residential, and community-based services. We also support survivors of abuse, violence, and families experiencing homelessness. Our core belief is in the inherent goodness, worth, and dignity of every individual, and our aim is to empower individuals and families to achieve personal change and enhance their quality of life. High Point’s Opioid Treatment Program (OTP) provides methadone treatment to adults aged 18 and older diagnosed with opioid use disorder. The program emphasizes individualized treatment plans, developed collaboratively with the patient and primary clinician, and reviewed by a multi-disciplinary team with final approval from the medical director. The populations served are diverse, including men, women, pregnant women, individuals with chronic illnesses, and those with dual diagnoses of mental health disorders. This role is a fast-paced, early morning position, allowing Licensed Practical Nurses (LPNs) to complete their workday before many others begin theirs.

Requirements

LPN
Experience dependent pay
Ability to care for diverse populations
Ability to lift 50 lbs.
Computer skills
Knowledge of Substance Use Disorders, Dually Diagnosed (Substance/Mental Health Disorders), Psychiatric Diagnosis and Medical Co-morbidities
Compliance with Federal Regulations regarding 42 CFR Part 2; Confidentiality of Substance Use Disorder and HIPAA Regulations
Adherence to Joint Commission National Patient Safety Goals for Behavioral Health
Adherence to DEA regulations and guidelines pertaining to controlled substances, including count, administration and documentation standards
Utilize critical thinking skills and apply best nursing practices in accordance with policy when making decisions and problem solving to provide for best patient care and outcome
Be familiar with and adhere to the rights of patients as defined by DPH Patient Rights Standards (105 CMR 164.079)
Be familiar with best practice standards in line with ASAM criteria inclusive of detox protocols, MAT and/or pharmacology
Documents patient information according to established alcohol/drug protocols as well as any psychiatric/medical conditions as per DPH Regulations indicate
Assist the patient in understanding the disease process through education and therapeutic relationship
Understands medication uses, side effects and food-drug interactions
Maintain therapeutic boundaries by setting limits and enforcing rules in a respectful manner
Utilizes effective time management
Collaborate with the interdisciplinary team
Triage patient issues for the Attending Practitioner
Responsible for HPAO continued education in the field of substance use disorders
Attends supervision with assigned supervisor twice monthly and/or as needed basis on status or concerns
Attend mandatory meetings and trainings
May be mandated to cover designated program/shifts based upon safe staffing needs
Perform any other duties as assigned by the Nurse Manager, Program Director, Site Director, and/or DON
Perform shift specific duties to ensure the unit is cleaned and properly stocked with necessary medical supplies
Complete Admission and Discharge Assessments and procedures as required
Monitor and treat patients who have co-occurring medical/psychiatric illness
Assess the physiological and behavioral health status of the patient
Conduct controlled substance count and sign the controlled substance register
Monitor vital signs and assess withdrawal signs and symptoms per protocol
Administer routine medications according to the nursing standards of care as ordered by practitioner
Coordination of medication orders with pharmacies and alert practitioner when prior authorizations are required for medications
Conducts suicide risk assessment as needed and communicates information to practitioner
Review medications received at the program and log prior storing
Conduct a nursing assessment/physical assessment including medication reconciliation for new admissions and as requested by staff
Provide psycho-educational groups on medication awareness and effects as well as other subjects associated with addiction/mental illness, if required
Ability to engage in verbal de-escalation of patients and provide appropriate behavioral interventions to maintain safety
Triage medication concerns for the attending practitioner
Complete all required shift tasks delegated for monitoring, auditing and compliance (logs, reports as assigned)
Audit unit supplies and submit orders as needed to supervisor
Engage in care coordination activities with the patient's community medical providers, as needed
Support patients with identifying medical service needs, assist with referrals and appointment coordination
Monitoring of medications stored onsite and following medication destruction policies as needed
Ensure exam room is maintained in cleanly manner, stocked with supplies and infection controls protocols are followed
Coordination with external laboratory to ensure patient lab orders are accurate, valid and samples are collected per policy
Complete required nursing documentation per policy for outpatient/OTP services
Report and environmental/safety concerns to supervisor immediately
Complete chart audits as requested to ensure documentation for nursing is completed timely.

Nice To Haves

TB Screening
CPR Certification
Certification in the HPAO approved de-escalation program
Confidentiality training (42 CFR, Part 2 and 45 CFR Parts 160 & 164 HIPAA)
Therapeutic Boundaries Training
Incident Report Training
All Hazards Training
Infection Control Training
Substance Use Disorder Training (including Nicotine Addiction)

Responsibilities

TB Screening
CPR Certification
Certification in the HPAO approved de-escalation program
Confidentiality training (42 CFR, Part 2 and 45 CFR Parts 160 & 164 HIPAA)
Therapeutic Boundaries Training
Ability to care for diverse populations
Incident Report Training
All Hazards Training
Infection Control Training
Substance Use Disorder Training (including Nicotine Addiction)
Ability to lift 50 lbs.
Computer skills
Ability to solve problems in a timely and therapeutic manner
Knowledge of Substance Use Disorders, Dually Diagnosed (Substance/Mental Health Disorders), Psychiatric Diagnosis and Medical Co-morbidities
Compliance with Federal Regulations regarding 42 CFR Part 2; Confidentiality of Substance Use Disorder and HIPAA Regulations
Adherence to Joint Commission National Patient Safety Goals for Behavioral Health
Adherence to DEA regulations and guidelines pertaining to controlled substances, including count, administration and documentation standards
Utilize critical thinking skills and apply best nursing practices in accordance with policy when making decisions and problem solving to provide for best patient care and outcome
Be familiar with and adhere to the rights of patients as defined by DPH Patient Rights Standards (105 CMR 164.079)
Be familiar with best practice standards in line with ASAM criteria inclusive of detox protocols, MAT and/or pharmacology
Documents patient information according to established alcohol/drug protocols as well as any psychiatric/medical conditions as per DPH Regulations indicate
Assist the patient in understanding the disease process through education and therapeutic relationship
Understands medication uses, side effects and food-drug interactions
Maintain therapeutic boundaries by setting limits and enforcing rules in a respectful manner
Utilizes effective time management
Collaborate with the interdisciplinary team
Triage patient issues for the Attending Practitioner
Responsible for HPAO continued education in the field of substance use disorders
Attends supervision with assigned supervisor twice monthly and/or as needed basis on status or concerns
Attend mandatory meetings and trainings
May be mandated to cover designated program/shifts based upon safe staffing needs
Perform any other duties as assigned by the Nurse Manager, Program Director, Site Director, and/or DON
Perform shift specific duties to ensure the unit is cleaned and properly stocked with necessary medical supplies
Complete Admission and Discharge Assessments and procedures as required
Monitor and treat patients who have co-occurring medical/psychiatric illness
Assess the physiological and behavioral health status of the patient
Conduct controlled substance count and sign the controlled substance register
Monitor vital signs and assess withdrawal signs and symptoms per protocol
Administer routine medications according to the nursing standards of care as ordered by practitioner
Coordination of medication orders with pharmacies and alert practitioner when prior authorizations are required for medications
Conducts suicide risk assessment as needed and communicates information to practitioner
Review medications received at the program and log prior storing
Conduct a nursing assessment/physical assessment including medication reconciliation for new admissions and as requested by staff
Provide psycho-educational groups on medication awareness and effects as well as other subjects associated with addiction/mental illness, if required
Ability to engage in verbal de-escalation of patients and provide appropriate behavioral interventions to maintain safety
Triage medication concerns for the attending practitioner
Complete all required shift tasks delegated for monitoring, auditing and compliance (logs, reports as assigned)
Audit unit supplies and submit orders as needed to supervisor
Engage in care coordination activities with the patient's community medical providers, as needed
Support patients with identifying medical service needs, assist with referrals and appointment coordination
Monitoring of medications stored onsite and following medication destruction policies as needed
Ensure exam room is maintained in cleanly manner, stocked with supplies and infection controls protocols are followed
Coordination with external laboratory to ensure patient lab orders are accurate, valid and samples are collected per policy
Complete required nursing documentation per policy for outpatient/OTP services
Report and environmental/safety concerns to supervisor immediately
Complete chart audits as requested to ensure documentation for nursing is completed timely.