Adult Outpatient Programs provide the least restrictive level of care where adults may receive clinical interventions aimed at decreasing existing signs and symptoms. Outpatient treatment focuses on recovery, problem resolution, symptom reduction, stabilization and/or prevention of movement to a higher level of care. Treatment varies widely and depends upon the consumer’s presenting symptoms.

Clinical Responsibilities

1. Completes Nursing Assessment as indicated by AltaPointe’s Policy and Procedure
2. Responds to consumers’ requests for medication refills.  Reviews charts for treatment compliance. 
3. Administers medication observing the seven rights of medication administration and ordering of medications to the pharmacy
4. Performs venipuncture for laboratory requests, drug screens, TB skin tests, monitors lab results and reports all abnormal findings to the physician          
5. Provides individual, family and group education regarding consumer’s psychiatric illness
6. Provides medication education for the consumer and family, including uses and potential side effects.  Monitors consumers for potential side effects of medications and reports findings to the physician/CRNP/RN
7. Communicates effectively with the physician regarding the consumer’s physical and mental condition
8. Follows up on missed injections and documents in consumers record appropriately
9. Completes admission procedures for consumers and updates accordingly to AltaPointe’s Policy and Procedures. This process includes at a minimum:  medical checklist, AIMS, vital signs, Medication List, and MARS if applicable
10. Documents on, Updates, and reconciles MARS if applicable
11. Interacts with consumer and evaluates needs to ensure that proper information is reported during staffing with the treatment team
12. May conduct infection control training for staff and consumers when indicated
13. May provide HIV education
14. When necessary provides nursing coverage to other Adult Outpatient programs within AltaPointe
15. Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan. For Psychopharm consumers, the nurse will create and update the treatment plan as needed.
16. Provides emergency care as needed (CPR, Mindset, Emergency Medications), according to AltaPointe Policy & Procedures
17. Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
18. Adheres to professional code of ethics
19. Effectively demonstrates the application of adult specific competencies

 Supervision and Consultation

1.  Seeks clinical supervision and consultation needs
2. Accepts and employs suggestions for improvement
3. Actively works to enhance clinical skills

Clinical Record Keeping

1. Documents in a timely fashion per AltaPointe policy
2. Documents in a clear, concise manner, types of consumer problems, addresses treatment plan goals and objectives and progress regarding those goals/objectives and services provided in the direct service record
3. Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate
4. Documents legibly
5. Meets AltaPointe productivity standard

Courteous and respectful towards consumers, visitors and co-workers

1. Treats consumers with care, dignity and compassion
2. Respects consumer’s privacy and confidentiality
3. Is pleasant and cooperative with others
4. Assists consumers and visitors as needed
5. Personal values don’t inhibit ability to relate and care for others
6. Is sensitive to the consumer’s needs, expectations and individual differences
7. Is gentle and calm to consumers and families
8. Works in a dependable, cooperative and positive manner with both program and other AltaPointe staff members

Administrative and Other related duties as assigned

1. Actively participates in Performance Improvement activities
2. Actively participates in AltaPointe committees as required
3. Completes assigned tasks in a timely manner
4. Accesses appropriate community resources according to consumer needs
5. Complies with AltaPointe policies & procedures
6. Maintains current State license and requirements for renewals (i.e. CEU’s), and attends to required in-services and workshops