Primary Job Functions:
- Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.
- Assess, plan, implement and educate patient/family
- Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses
- Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patient
- Respond to patients’ requests for medication refills. Reviews charts for treatment compliance.
- Administer medication observing the seven rights of medication administration and ordering of medications to the pharmacy
- Perform venipuncture for laboratory requests, drug screens, TB skin tests, etc., monitors lab results and reports all abnormal findings to the physician
- Administer screening instruments as needed/indicated
- Provide medication education for the patient and family, including uses and potential side effects. Monitor patients for potential side effects of medications and reports findings to the physician/provider.
- Communicate effectively with the physician/provider regarding the patient’s physical and mental condition.
- Follow up on missed injections and documents in patients record appropriately
- Interact with patients and evaluate needs to ensure that proper information is reported during staffing with the treatment team
- Conduct infection control training for staff and patients when indicated to include HIV education
- Participate in daily Huddles
- Interface with the multi-disciplinary team and actively and cooperatively participate in development of the interdisciplinary treatment plan.
- Provide emergency care as needed (CPR, Mindset, Emergency Medications), according to AltaPointe Policy & Procedures.
- Demonstrate the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation.
- Adhere to professional code of ethics.
- Effectively demonstrate the application of adult specific competencies.
In addition, for Medication Assisted treatment (MAT) Programs:
- May conduct observed same sex random Urine Analysis when necessary.
- Administer injectable MAT treatment medications for alcohol use disorder and opioid use disorder.
- Receive injectable medications and store appropriately, maintaining accurate inventory
- Ensure refrigerator storing medications is monitored and log maintained
Supervision and Consultation
- Seek clinical supervision and consultation needs.
- Accept and employs suggestions for improvement.
- Actively work to enhance clinical skills.
Clinical Record Keeping
- Document in a timely fashion per AltaPointe policy.
- Document in a clear, concise manner, types of patient problems, treatment goals and services provided.
- Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate.
- Document legibly.
- Meet AltaPointe productivity standard
Courteous and respectful towards patients, visitors and co-workers
- Treat patients with care, dignity and compassion.
- Respect patient’s privacy and confidentiality.
- Is pleasant and cooperative with others.
- Assist patients and visitors as needed.
- Personal values don’t inhibit ability to relate and care for others.
- Is sensitive to the patient’s needs, expectations and individual differences.
- Is gentle and calm to patients and families.
- Works in a dependable, cooperative and positive manner with both program and other AltaPointe staff members