Licensed Vocational Nurse - PRN

NEXUS FAMILY RECOVERY CENTER•Dallas, TX
•$28 - $30•Onsite

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 as ordered, supports medical assessments, and helps ensure clients’ safety and comfort during detoxification. The role collaborates with the Medical Director, medical providers, and clinical and support staff to provide safe, compassionate, and effective care. Nexus Family Recovery Center is a Dallas-based nonprofit that supports women and families affected by substance use disorder. It provides a continuum of care from detox through residential and outpatient treatment, using trauma-informed, evidence-based practices. Its stated workplace values include respect, compassion, and integrity, and it emphasizes supporting and developing its staff.

Requirements

  • Current Licensed Vocational Nurse (LVN) license in good standing with the State of Texas.
  • Knowledge of substance withdrawal syndromes and detox protocols.
  • 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.
  • Proficiency with common office technology, including Microsoft Outlook, Excel, SharePoint, and Teams.
  • Ability to understand and follow written, oral, or diagrammatic instructions; solve practical problems involving concrete variables in standardized situations; and perform assigned duties promptly, accurately, neatly, and to a high standard.
  • Ability to perform the essential duties satisfactorily and obtain and maintain training required for compliance with state licensure rules and regulations.
  • Ability to meet the physical demands described for the role, with reasonable accommodation where applicable.

Nice To Haves

  • At least one year of nursing experience is preferred, ideally in detox, behavioral health, emergency care, or medical-surgical settings.
  • Experience working with individuals with substance use disorders is preferred.

Responsibilities

  • Conduct admission nursing assessments, including vital signs and withdrawal monitoring tools such as CIWA and COWS, and document results in Welligent and/or CMBHS.
  • Monitor clients experiencing withdrawal from alcohol, opioids, and other substances.
  • Supervise medication use according to licensing, regulatory, and agency standards and each client’s medication protocol.
  • 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.
  • 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, withdrawal management, withdrawal symptoms, detox medications, and recovery support when appropriate.
  • Assist with medical intake assessments for detox admissions by reviewing medical history, current medications, and withdrawal risk factors; conducting initial vital signs and withdrawal screenings; and communicating medical concerns to providers or the nursing supervisor.
  • Monitor for severe withdrawal, medical complications, or psychiatric concerns.
  • Respond to medical emergencies, follow established emergency protocols, including responding to code blues outside the detox unit, and assist with crisis intervention when clients experience agitation, distress, or medical instability.
  • Maintain accurate and timely electronic health record documentation of 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.
  • 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.
  • Perform other duties as assigned.
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