Licensed Vocational Nurse - PRN
About The Position
The Licensed Vocational Nurse (LVN) provides direct nursing care to clients undergoing medical detoxification for substance use disorders. The role involves monitoring withdrawal symptoms, observing and administering medications as ordered, supporting medical assessments, and helping ensure clients’ safety and comfort during detoxification. The LVN works collaboratively with the Medical Director, medical providers, and clinical and support staff to deliver safe, compassionate, and effective care. Nexus Family Recovery Center is a Dallas-based nonprofit that supports women and families healing from substance use disorder. It provides care from detox through residential and outpatient treatment, using trauma-informed, evidence-based practices. The organization describes its workplace values as respect, compassion, and integrity, and emphasizes staff support and development.
Requirements
- Current Licensed Vocational Nurse (LVN) license in good standing with the State of Texas.
- Ability to maintain required training to comply with state licensure rules and regulations.
- Knowledge of substance withdrawal syndromes and detox protocols.
- Proficiency with common office technology, 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.
- Respect confidentiality and follow HIPAA, CFR 42, the agency compliance plan and code of conduct, and Nexus policies and procedures.
- Treat clients, visitors, and coworkers with dignity and respect.
- Ability to understand and follow written, oral, or diagrammed instructions; solve practical problems in standardized situations; and perform assigned duties accurately and promptly.
- Ability to perform the essential duties satisfactorily, with reasonable accommodation where applicable.
Nice To Haves
- At least 1 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 medication use according to applicable guidelines, agency standards, and each client’s medication protocol.
- Observe and report changes in client condition to the physician, nurse supervisor, or medical provider.
- Provide nursing care in accordance with medical orders, nursing standards, and facility policies.
- Administer medications as ordered and monitor their 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 detox admission assessments by reviewing medical history, current medications, and withdrawal risk factors; taking initial vital signs; conducting withdrawal screenings; and communicating relevant concerns.
- Monitor for severe withdrawal, medical complications, or psychiatric concerns.
- Respond to medical emergencies, follow 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.
- Comply with facility policies, licensing standards, regulatory requirements, HIPAA, and CFR 42 confidentiality 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, and encourage clients to engage in treatment programming once medically stable.
- Offer compassionate support to clients during detox.
- Complete required online training and attend required in-person trainings and/or staff meetings.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Part-time
Education Level
Associate degree
