Licensed Vocational Nurse - PRN
About The Position
The Licensed Vocational Nurse (LVN) – PRN provides direct nursing care to clients undergoing medical detoxification for substance use disorders. The LVN monitors withdrawal symptoms, observes medication administration, supports medical assessments, and helps ensure clients’ safety and comfort during detox. The role works collaboratively with the Medical Director, medical providers, and clinical and support staff to provide safe, compassionate, and effective care. The nurse conducts admission assessments, monitors clients withdrawing from alcohol, opioids, and other substances, administers medications as ordered, observes medication effectiveness and side effects, and responds to medical emergencies. The role also involves maintaining accurate electronic health records, following medication and controlled-substance procedures, protecting confidential information, supporting coordination of care, and offering appropriate education and compassionate support to clients. The position requires a current Licensed Vocational Nurse license in good standing with the State of Texas. One year of nursing experience is preferred, ideally in detox, behavioral health, emergency care, or medical-surgical settings. Experience with people with substance use disorders is also preferred. The work involves occasional standing, walking, stair navigation, sitting, handling objects and tools, reaching, climbing or balancing, stooping, kneeling, crouching or crawling, and talking or hearing. The employee may occasionally lift or move up to 20 pounds. The work environment usually has a moderate noise level.
Requirements
- Current Licensed Vocational Nurse (LVN) license in good standing with the State of Texas.
- Knowledge of substance withdrawal syndromes and detox protocols.
- Proficiency with common office technology tools, including Microsoft Outlook, Excel, SharePoint, and Teams.
- Strong clinical assessment and observation skills.
- Ability to respond quickly to medical changes or emergencies.
- Effective communication with medical and clinical teams.
- Compassionate and nonjudgmental approach to client care.
- Strong documentation and organizational skills.
- Ability to work in a fast-paced treatment environment.
- Ability to maintain confidentiality and follow HIPAA and CFR 42 guidelines.
- Ability to understand and follow written, oral, or diagram-based instructions; solve practical problems in standardized situations; and perform duties promptly, accurately, neatly, and to a high standard.
- Ability to perform the essential duties satisfactorily, with reasonable accommodation if needed.
- Ability to obtain and maintain training required for compliance with state licensure rules and regulations.
Nice To Haves
- At least one year of nursing experience, preferably in detox, behavioral health, emergency care, or medical-surgical settings.
- Experience working with individuals with substance use disorders.
Responsibilities
- Conduct admission nursing assessments, including vital signs and withdrawal monitoring using tools such as CIWA and COWS, and document findings in Welligent and/or CMBHS.
- Monitor clients experiencing withdrawal from alcohol, opioids, and other substances.
- Supervise and administer medications according to medical orders, client protocols, and applicable licensing, regulatory, and agency standards.
- Observe and report changes in clients’ conditions to the physician, nurse supervisor, or medical provider.
- Provide nursing care in accordance with medical orders, nursing standards, and facility policies.
- Monitor medication effectiveness and potential side effects.
- Ensure proper medication storage, documentation, and controlled-substance procedures, including storage, disposal, counting, and reconciliation.
- Educate clients about prescribed medications and withdrawal management when appropriate.
- Assist with medical intake assessments for detox admissions, including reviewing medical history, current medications, and withdrawal risk factors; obtaining initial vital signs and screenings; and communicating relevant concerns to providers or nursing supervisors.
- Monitor for severe withdrawal, medical complications, and psychiatric concerns.
- Respond to medical emergencies, follow established emergency protocols, and respond to code blues outside the detox unit.
- Assist with crisis intervention when clients experience agitation, distress, or medical instability.
- Maintain accurate and timely electronic health record documentation, including nursing assessments, medication administration, withdrawal scores, and client responses to treatment.
- Ensure compliance with facility policies, licensing standards, and regulatory requirements, and maintain confidentiality in accordance with HIPAA and CFR 42 guidelines.
- Participate in multidisciplinary team meetings when required and support coordination of care among medical, clinical, and support staff.
- Provide education on withdrawal symptoms, detox medications, and recovery support when appropriate.
- Encourage clients to engage in treatment programming once medically stable and offer compassionate support during detox.
- Complete required online trainings and attend required in-person trainings and/or staff meetings.
- Follow the agency compliance plan, code of conduct, and policies and procedures; treat clients, visitors, and coworkers with dignity and respect.
- Obtain and maintain training required to remain in compliance with state licensure rules and regulations.
- Perform other duties as assigned.
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What This Job Offers
Career Level
Entry Level
Education Level
Associate degree
