Licensed Practical Nurse (LPN) – PRN (All shifts) | Inpatient Services

Odyssey House Louisiana•New Orleans, LA

2d•Onsite

About The Position

The Licensed Practical Nurse works with agency clients in the Adult Residential Program (both STC and LTH/IOP). The Licensed Practical Nurse orients clients to the agency and the expectations of services which are to be received through the Medical Staff and managing the agency clients’ medical care. The Licensed Practical Nurse facilitates health care services as a support to the clients’ own self-management. All residents are responsible for their own health care services and management of their medication administration and supply of that medication. It is not the policy of the agency to provide all medical services to agency residents.

Requirements

LPN license
Healthcare CPR
Must be able to work independently with limited supervision
Must be able to handle a large caseload of medication management for clients

Nice To Haves

Substance Abuse treatment experience
Residential substance abuse program experience

Responsibilities

Assess potential residents for appropriateness for the treatment program.
Complete an updated assessment on each client after admissions.
Complete a medical treatment/discharge plan based on updated assessment.
Communicate the treatment plan with the treatment team upon admission and on a monthly basis.
Provide on-going health education to all residents as outlined in the Residential Program Manual.
Provide on-going assessment of acute medical/nursing needs of all residents and refers residents to appropriate treatment centers.
Monitor prescribed medication consumption and treatments that includes assessing resident knowledge and understanding of medication and treatment regimens, as well as, accuracy of administration.
Coordinate the management of patient’s medication stock including pharmacy pick-up and drop-off of meds, calling in refills for clients, and upkeep of how medication is stored.
Conduct urine drug screens on all residents as directed.
Conduct weekly psycho education classes.
Follow treatment care plans set forth by the medical staff.
Document all pertinent health related information about residents on the resident chart that is done routinely and according to nursing standards of practice.
Complete Incident Report form before the end of a shift if applicable.
Maintain HIPAA guidelines.
Perform other duties as assigned.
Review all admissions packets to determine if potential client is eligible for program and if they need PPD, medical records requested, H & P, Psych evaluation.
Determine need for medical detox based on candidate’s drug of choice, last use and consumption level.
At time of admission, meet with a staff nurse to explain MARs form, determination of med call schedule for patient, education on med refill process, med slips, and general health conduct.
Place PPD within 72 hours of admission to the program and read within 72 hours of placement.
Refer clients with a positive PPD or showing signs of possible TB infection to the Wetmore Clinic for further follow up.
Photocopy any insurance or Medicaid card for chart.
Document emergency contact and relationship in the event client goes to ER or needs financial assistance for medical.
Determine if patient will go onto the psychiatry schedule based on initial determination to enter program.
Work with Community Health Center (CHC) staff to ensure that clients who are in need of a psych evaluation are scheduled for an appointment.
Work with treatment staff to report appointments and assist in scheduling if needed.
Print out notes/visits from the EHR for client charts and submit for filing.
Receive any verbal orders by providers, document, and facilitate them.
Pick up medical slips twice daily from the treatment team office.
Take vital signs on patients that have medical complaints that require triage and present them to the CHC with that patient’s chart ready for review.
Coordinate with the CHC for HIV screening offered to OHL clients.
Call and coordinate clients to CHC as needed.
Review all charts seen by the CHC and or arrive by medical feedback sheet and follow instructions as directed.
Educate client on diagnosis and treatment plan with goals.
Print out notes/visits from electronic health records for client charts and submit them for filing.
Attend the weekly treatment team meeting and bring any concerns to the Counselors regarding clients and listen to concerns of the Counselors and assist if it is a Medical Staff issue.
Bring and present the MAR book in the weekly treatment team meetings.
Ensure all clients discharged or graduated from OHL obtain their personal medication from the front desk and sign an acknowledgement receipt of the medications that they receive.
Report with night staff for shift change.
Check in with the Front Desk to know if any clients went to the ER after hours and attain paperwork.
Coordinate pharmacy refills by instructing clients how to fill out a medication refill request, attain refills, and arrange for payment.
Call medications in to pharmacy prior to departure, patient must fill out sheet with financial request.
Document on a pharmacy log which clients have pending medications.
On arrival of medications, document all arrivals into each client’s chart.
Insert any medication information sheets into patient’s chart.
Send and fill any stat prescriptions ASAP if they are antibiotics, anti-inflammatory medication, etc.
Report clients who do not request medications prior to running out to the client’s individual Counselor.
Ensure all new admits have a medical record in the EHR containing clients’ recent PPD, intake packet from admissions, a medical reconciliation form of all meds, and any medical records that arrived for the client.
Establish appropriate medications which can be used at OHL, with narcotics not being used except in rare cases with Program Manager approval.
Establish what medication calls the client will use for their medication regiment (four medication calls per day).
Document the clients’ schedule into a log for medication calls to track missed or incorrect medication taking.
Store medication stock under lock and key in the Nursing Office Medication Room.
Observe the taking of medication at each medication call, checking bottle instructions, amount of pills taken, and how low the medication appears in the bottle.
Notify the client’s Counselor of missed medication calls (after three grace opportunities) for addressing as part of their treatment.
Log missed medication calls into nurse’s log to be presented in treatment team meetings.
Ensure all medication refills are paid by the client and instruct clients on how medications are filled and how frequently.
Write all medication refills onto a medication refill slip and submit to the Medical Staff.
Orient patients to the process of filling out a medical slip when they are sick.
Inform patients that all sick visits are triaged and addressed in order of urgency.
Consider clients who repeatedly complain of issues that are impeding their capacity to participate in a residential program for discharge if indicated.
Ensure all suicidal attempts result in immediate discharge.
Address suicidal ideation directly with OHL Staff and manage the client’s safety accordingly.
Inform clients of their obligation to stop by the Nursing Office prior to discharge or graduation to receive their medications.
Make clients aware that if they leave OHL at night or on a weekend, they may return to the nurses’ office in 72 hours; medications will be discarded and a note in chart will indicate last day at OHL noting they did not participate in a discharge plan as contracted.
Ensure all new clients sign in their medications and sign out their medications.
Provide clients with the phone numbers to Behavioral Health and the Primary Care Clinic’s as part of their orientation in the event they leave without a discharge plan.
Report in with staff and review the night log for any ER visits or medical complaints from the night.
Review all needed actions for the day dealing with the CHC: medication orders, lab draws, chart reviews of or any pending documents to file.
Review the intake schedule for admissions and prepare appropriately.
Review medical slips submitted by clients of OHL and triage slips to determine urgency of CHC visit.
Respond to emails in timely fashion and carbon copy appropriate parties.
Coordinate new admits into the CHC for an initial H&P and placement of PPD.
Conduct medication calls.
Review Admissions packets on all candidates for the Residential Program and advise on eligibility and needed documentation for any medications.
Receive charts at admit and review for all necessary components using chart content checklist.
Send Residential Program staff all needed documents: H&Ps, TB skin tests, Psych evaluations.
Orient any new admits to the medical side of the Residential Program: medication calls and refills, sick slips etc.
Coordinate all received medications at arrival to be available to client by first available medication call.
Review any outside facility medical records for residential clients and determine follow-ups as needed.
Email Counselors promptly regarding any clients off the floor with new medical orders that would affect their treatment and of any pending offsite medical visits.
Review Discharge Summary and/or be aware of any clients leaving.
List medication stock on form and have client sign for it.
Attend Multi-disciplinary Team Meeting and participate in the medical components of clients cases as needed.
Coordinate patient referrals with the Psychiatrist and Nutritionist Follow-up on providers’ instructions.
Meet weekly with the Community Health Center as needed.
Pull discharged clients and note discharge date on a progress note and file.
Manage the MAR daily, weekly, and monthly as needed and file all MAR into client’s charts.
Review MAR for patterns of missed medications by clients, inquire with client as to why, report to Counselor, and Behavioral Health contract as needed.
Manage the medications refrigerator and discard old medications.