Licensed Vocational Nurse (PRN)

Clearfork Academy•Cleburne, TX

21h•Onsite

About The Position

The Licensed Vocational Nurse (LVN) PRN at CLEARFORK ACADEMY is responsible for assessing clients in an inpatient drug and alcohol treatment program and administering medication according to state, accreditation, and facility policies and procedures. The LVN PRN works directly with Recovery Coaches and other clinical staff and medical staff to ensure nursing components of the organization are appropriately coordinated. The LVN PRN is also responsible for performing advanced indirect and selected direct patient care duties in support of the clinical process in a competent manner and completing any associated clerical functions. The position serves adolescent and young adult males and females with substance use disorders, with or without co-occurring psychiatric illness.

Requirements

Current and unrestricted licensure from the Texas Board of Nursing as an LVN.
At least one year experience as a staff nurse preferably in the field of chemical dependency and/or behavioral health.
Current Basic Life Support certification
Current Handle with Care Physical Holding Certification
Knowledge of industry standards: organization, theory, principles, and research processes, accreditation and regulatory standards, ability to assess clinical care requirements based on nursing principles, scope of practice.
Understanding of Addiction: Basic knowledge about substance use disorders
Treatment knowledge: familiarity with behavior change and recovery models
Application to practice: Methods for applying intervention and recovery knowledge to practice
Professional readiness: Issues related to self-awareness, diversity, ethics, ad continuing education
Knowledge of medications, indications, dosage ranges, side effects, and potential toxicity.
Knowledge of PC software programs, particularly Microsoft Word and Excel is required.
Written and oral communication skills; must be able to concentrate on work amid distractions such as noise, conversations and foot traffic
Must be able to correctly utilize breathalyzer, vital signs machine, EKG, urinalysis collection cups, and process urine drug screens.
Must maintain self-control in volatile or hostile situations such as when verbally or physically confronted in an aggressive manner
Must be able to work independently with little supervision in an unstructured environment with multiple demands
Reading and writing level that can clearly express or understand complex concepts, assessments, directions and processes or sequences of events - level equivalent to at least two years of college.
Ability to represent the program well in interactions both inside and outside the facility
Working knowledge of (American Society of Addiction Medicine) ASAM criteria
Demonstrates ability to systemically collect, record and analyze data and other relevant interactive social systems, including mental status, special precautions (suicidality, homicidality, elopement); physical problems/medical acuity (withdrawal and nutritional needs); and ethnic concerns (social, religious, or cultural needs).
Uses assessment data to identify problem list and other interactive social systems.
Initiates/develops a treatment plan with specific goals and interventions unique to the needs of the patient.
Intervenes as guided by the treatment plan to implement appropriate interventions that promote, maintain, or restore physical and mental health, prevent illness effect rehabilitation, and restore developmental progression in adulthood.
Provides health teaching for adult/family through individual and group interactions.
Recommends special precautions for adults, as needed.
Evaluates the response of the adult/family to interventions in order to revise the plan, including discharge criteria.
Demonstrates an understanding of the developmental milestones of adolescents and young adults.
Identifies trauma, abuse/neglect or exploitation a client may have experienced.

Responsibilities

Delivers appropriate indirect and selected direct patient care at a competent level as directed by the milieu manager and/or director, physician, or registered nurse within the scope of approved LVN skills inventory according to the needs/age of the patient/population served; collaborates with other members of the healthcare team to plan, expedite and promote quality patient care; employs critical thinking skills when identifying and responding to patient needs.
Performs, monitors, and documents vital signs. Collects urine drug screens on all admissions and random UDS on all RTC, PHP and IOP patients, as appropriate. Attends facility/community meetings and groups, conducts Program Orientation, searches belongings, collects unauthorized items to be placed in a secured area; conducts patient rounds and perimeter checks to ensure the safety of all patients.
Ensures safe care to patients adhering to policies, procedures, and standards of care.
Performs basic housekeeping duties during course of shift, including but not limited to, cleaning rooms and bathrooms, microwaves, utility rooms, assisting with laundry, sweeping and mopping floors, trash collection, etc.
Performing, completing, and validating assessments, utilizing proper grammar, spelling, and complete sentences without using unapproved abbreviations.
Administering and documenting vital signs, CIWAs, COWS, fall assessments/precautions, seizure precautions, suicidal/homicidal assessments, nutritional assessments, pain scales, anxiety scales, craving scales, standard and infection control precautions.
Observation, documentation, audit functions, education, and record keeping of all observed/inventoried/destroyed/prescribed medications.
Provides general assistance to the Registered Nurse by ascertaining clinical medication management.
Administering medications via oral, sublingual, inhalation, auricular, topical, vaginal, and rectal routes and performing scheduled and PRN vitals as appropriate.
Entering medication orders into the electronic medical record.
Manages the Medication Administration Record, documenting administration, efficacy, and first response.
Collaborates with staff in assessing patient, family age-specific nursing needs and assists medical team with creating plans of care for complex high-risk patients.
Executes teaching programs for patients/families and provides assistance to staff in program implementation.
Work closely with physicians to provide education and counseling for clients and other organizational health care providers on optimal use of medicines (e.g., proper use, avoidance of over medication).
Provide nursing care adapted to the individual patient needs based on the nursing process, which includes assessment, planning, implementation and evaluation.
Direct patient care, including the reporting of observed changes in mental status and/or physical condition, response to emergencies, safety risks.
Documents nursing incidents and medication errors.
Ensures to use the utmost of care in protecting the confidentiality of client records in accordance with state and federal laws.
Performs other duties and tasks as required.