Provide nursing care in a detox/subacute setting: assess and monitor clients, take vitals and urinalysis, document progress and withdrawal symptoms, administer and audit medications, respond to emergencies (including overdose), facilitate educational groups, assist with admissions/discharges, maintain charts, follow RN/physician orders, and observe universal precautions and confidentiality.
Statement of Purpose
The Licensed Vocational Nurse (LVN) assesses clients and provides nursing care in accordance with physicians’ orders and treatment objectives and as instructed by supervisor.
Major Tasks, Duties and Responsibilities
- Report and record any changes observed in client condition or behavior, including unusual incidents. Identify, report and assist with the management of emergencies.
- Take and record accurate vital signs and perform urinalysis testing. Chart routine information e.g. vital signs, client progress and daily activities.
- Make rounds every 30 minutes for 72 hours on withdrawal management clients, document and record withdrawal symptoms.
- Observe and document client self- administration of medications.
- Administer anti- overdose medications as needed
- Document client treatment progress.
- Conduct medication audits and destroy outdated medications per policy
- Interact with clients to support their participation in the program. May provide educational sessions or other groups for clients.
- Assist with orientation, admission, transfer, and discharge of clients.
- Provide clerical support as directed by nursing staff. Keep charts in order with all forms properly identified.
- Follow directions of physicians and registered nurses.
- May be required to successfully complete a medication test.
- Observe universal precautions, including correct handling of blood borne pathogens, storage of lab specimens, and disposal of infectious wastes.
- Remain calm while performing job duties.
- Assess and report client behavioral changes.
- Identify a crisis. Demonstrate appropriate techniques for interventions, including AMA, behavioral issues, suicide threat, code green, and contraband on the unit.
- Make presentations and facilitate educational groups & sessions as needed.
- Work as a member of the treatment team, especially in carrying out the nursing care plan and treatment plan.
- Maintain professional boundaries and standards.
- Treat clients with respect, care and concern.
- Recognize personal biases working within diverse populations. Maintain cultural sensitivity at all times.
- Comply with confidentiality requirements at all times.
- Represent BHS well in all contacts.
- Maintain familiarity with BHS policies and procedures and other applicable regulations; performs job duties accordingly.
- Carry out appropriate interventions, including responding to emergencies and performing CPR and/or first aid.
- May order inventory, and/or stock supplies in the unit.
- May be required to assist clients with self-administration of PRN and other medications as ordered by physician.\
- Courteously answer phones, appropriately directing calls and taking messages. Make phone calls for clients as approved by the nurse in charge.
- Handle clients’ personal belongings as directed.
- Run errands within the facility and respond to requests for assistance from the nurse in charge, the DON, and other authorized staff.
- Attend meetings and participates in committees as assigned.
LVN Competencies and Performance Expectations
All LVN’s are expected to:
- Assist in the assessment, planning, implementation, and evaluation of the nursing care plan
- Audit medication room and destroy medications as needed per policy
- Recognize the symptoms associated with chemical dependency and detoxification.
- Monitor client care and treatment
- Know and understand withdrawal management
- Participate in nursing assessments
- Adhere to professional standards
- Maintain health and safety standards of facility
Statement of Purpose
The Licensed Psychiatric Technician (LPT) assesses patients and provides nursing care in accordance with physicians’ orders and treatment objectives and as instructed by supervisor. The LPT works under the supervision of an RN in a substance use detox subacute hospital.
Major Tasks, Duties and Responsibilities
- Make presentations and facilitate educational groups & sessions.
- Assist in the assessment, planning, implementation, and evaluation of the nursing care plan.
- Assess and document patient treatment progress, medical or behavioral changes, and unusual incidents.
- Monitor patient management and treatment. May be assigned to provide continual observation of confused patients.
- Safely and accurately administer medications.
- Identify and assist in management of emergencies.
- Obtain and record vital signs. Chart routine information, vital signs, and daily activities.
- Monitor and document withdrawal symptoms.
- Conduct medication audits and destroy outdated medications per policy
- Assist with orientation, admission, transfer, and discharge of patients.
- Follow directions and orders of physicians and registered nurses.
- Teach and monitor patients and staff for compliance with COVID-19 safety protocols.
- Interact with patients to support their participation in the program. May provide educational sessions or other groups for patients.
- Coordinate other healthcare needs of the patient outside the facility.
- Provide clerical support as directed by nursing staff. Keep charts in order with all forms properly identified.
- Order inventory and stock supplies in the unit.
LPT Competencies and Performance Expectations
All LPT’s are expected to:
- Assist in the assessment, planning, implementation, and evaluation of the nursing care plan
- Audit medication room and destroy medications as needed per policy
- Monitor patient care and treatment
- Know and understand withdrawal management
- Participate in nursing assessments
- Adhere to professional standards
- Maintain health and safety standards of facility; Observe universal precautions, including correct handling of blood borne pathogens, storage of lab specimens, and disposal of infectious wastes.
- Comply with confidentiality requirements at all times.
- Maintain familiarity with BHS policies and procedures and other applicable regulations; performs job duties accordingly.
- Attend meetings and participates in committees as assigned.
- Identify a crisis. Demonstrate appropriate techniques for interventions, including AMA, behavioral issues, suicide threat, code green, and contraband on the unit.
- Recognize the symptoms associated with chemical dependency and detoxification.
- Recognize personal biases working within diverse populations. Maintain cultural sensitivity at all times.
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