RN Outpatient, Health & Wellness

Responsibilities

Clinical Responsibilities

• Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care.
• Effectively document and maintain EHR health records for populations served.
• Complete assigned patient cases and orders in by next business day at 5pm.
• Assesses, plans, and educates patients/families on medical and psychiatric issues.
• Complete Worker’s Compensation and Pre-Employment Health Screens.
• Maintains accurate and continued nursing documentation including patient history, conditions, treatments, and responses.
• Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients/families.
• Responds to consumers’ requests for medication refills and reviews charts for treatment compliance.
• Administers medication observing the Seven rights of medication administration and ordering of medications to the pharmacy.
• Administers medical and psychiatric screening instruments as appropriate.
• Performs venipuncture for laboratory requests, drug screens, TB skin tests, etc. monitors lab results and reports all abnormal findings to the physician.
• 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.
• Communicates effectively with the physician regarding the consumer’s physical and mental condition.
• Follows up on missed injections and documents in consumers record appropriately.
• Completes admission procedures for consumers and updates accordingly to AltaPointe’s Policy and Procedures. This process includes new patient and established patient workflow templates within EHR.
• Documents, updates, and reconciles MARS if applicable.
• Interacts with consumer and evaluates needs to ensure that proper in formation is reported during staffing with the treatment team.
• May conduct infection control training for staff and consumers when indicated.
• May provide HIV education.
• Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan.
• Provides emergency care as needed (CPR, PMAB, Emergency Medications), according to AltaPointe/Accordia Policy & Procedures
• Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation.
• Performs related duties as assigned.
• Meets Accordia Health productivity standards.
• Participates in general and medical staff meetings as required.
• Adheres to professional code of ethics.
• Effectively demonstrates the application of population served specific competencies.

Supervision and Consultation

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

 Clinical Record Keeping

• Documents in a timely fashion per AltaPointe policy.
• Documents in a clear, concise manner, types of consumer 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.
• Documents legibly.
• Meets AltaPointe productivity standard.

Courteous and respectful towards consumers, visitors and co-workers

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

Administrative and Other related duties as Assigned

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

Qualifications

Qualified candidates will possess a current RN  license to practice in the state of Alabama. Candidates must also have knowledge in adult psychiatric care and/or substance abuse/addictions, outlined below, to be attained within six (6) months of employment:

• Basic knowledge of psychiatric disorders in the child and adolescent population.
• Knowledge of general and psychiatric nursing care.
• Knowledge of medical terminology especially those terms associated with child/adolescent psychiatric care and /or substance abuse.
• Familiarity of psychopharmacology and the use of psychotropic medications with the child/adolescent and/or substance abuse population
• Demonstration of safe medication administration practices including IM injections
• Knowledge of behavior management, crisis intervention, and interventions common to acute psychotic consumers and/or consumers with addictive disease as well as to non-violent crisis intervention practice.
• Knowledge of educational methods appropriate for children and adolescents Knowledge of cultural diversity.
• Knowledge of Trauma Informed Care principles
• Understanding of behavioral, psychological, physical health and social effects of psychoactive drugs, including alcohol and tobacco on the consumer and their significant others
• Basic teaching and training skills