Registered Nurse

Registered Nurse

Los Angeles, CA 90059

Overview

Salary Range $47.00 - $56.40 Hourly Level Experienced Position Type Per Diem Job Shift Any

Description

Benefits:

• Employee Assistance Program

Under the direct supervision of the Nursing Supervisor/Program Director, the Registered Nurse (RN) works under the direction of appropriate program leadership to coordinate and manage nursing care. The RN assesses clients and provides nursing care (including but not limited to interdisciplinary team activities, client care coordination, medication services, patient education, etc.) in accordance with physicians' orders and client plan of care.

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.
• Complete and/or review nursing assessment, and/or other intake/assessment tools and documentation as indicated (e.g., withdrawal screeners, C-SSRS, etc.).
• Evaluate complex procedures and/or care interventions when indicated by the treatment team and/or client plan of care. Keep charts in order with all forms properly identified, uploaded, input, etc.
• Record, and/or ensure that accurate vital signs and/or toxicology testing is performed. Chart routine information (e.g., vital signs, client progress, daily activities, etc.). Support clients with health and hygiene needs as indicated per individual plan of care.
• Assist with screening, orientation, admission, transfer, and discharge of clients. Handle clients' personal belongings as directed.
• May perform regular client rounds in required intervals, document and record observations.
• May observe and document client self-administration of medications. Facilitate doctor's orders including injectables (e.g., vivitrol, etc.). For nurses assigned to CDRH unit, administer and document medication orders to medication administration record.
• May assist clients with self-administration of PRN and other medications as ordered by physician. For nurses assigned to CDRH unit, administer and document medication orders to medication administration records.
• Administer anti-overdose medications as needed and support client access to/and education regarding anti-overdose medications, and document accordingly.
• Carry out appropriate interventions, including responding to emergencies and performing CPR and/or first aid, and document accordingly. Assist in event of client crisis and document accordingly.
• May be responsible for submitting reports (e.g., QA reports, infection control, pharmacy error reports, incident reports). Conduct charting quality review as directed to assess individual staff knowledge and performance.
• Conduct medication audits and log and destroy outdated medications per policy.
• Accompanies the physician and/or mid-level practitioner on rounds in order to answer questions, receive instruction, and note specialized client care requirements.
• May be responsible for preparing monthly schedule to provide adequate nursing coverage.
• Guides, directs, and counsels staff members regarding client care, problem solving, and decision-making within scope of practice and chain of command. Follow the directions of supervisors, physicians, and mid-level practitioners. Work as a member of the treatment team, especially in carrying out the client's plan of care.
• Responsible for training staff on any nursing matters and emergency situations. May be responsible for conducting staff meetings, completing employee evaluations and/or performance or corrective action.
• Acts as a liaison between physician and client care team, including ensuring that physician's orders are transcribed and carried out.
• Maintain professional boundaries and standards. Treat clients with respect, care, and concern. Comply with confidentiality requirements at all times. Maintain health and safety standards of facility.
• Recognize personal biases working within diverse populations. Maintain cultural sensitivity at all times.
• Maintain familiarity with BHS policies and procedures and other applicable regulations; perform job duties accordingly. Represent BHS well in all contacts.
• May order inventory, and/or stock supplies in the unit.
• Courteously answer phones, appropriately directing calls and taking messages. Make phone calls for clients as approved by lead nurse and/or supervisor.
• Attend meetings and trainings, and participate in committees as assigned. Support with educational training for program as needed.
• Other duties as assigned.

RN Competencies and Performance Expectations

All RNs are expected to:

• Ability to complete the above major tasks, duties and responsibilities
• Ability to demonstrate professional judgment and decision-making
• Ability to complete blood draw, PPD screening, perform skin checks, etc.
• Ability to effectively document in required note structures (e.g., SOAP, GIRP, etc.)
• Ability to demonstrate familiarity of medication common for persons with substance use disorder
• Ability to recognize the symptoms and demonstrate knowledge of appropriate treatment associated with substance use disorder and detoxification.
• Ability to recognize the symptoms and impact of co-occurring conditions, including mental and medical health conditions.
• Ability to recognize personal biases when working with diverse populations and maintain cultural sensitivity at all times
• Ability to complete identify and respond appropriately to a crisis. Demonstrate appropriate techniques for interventions, including but not limited to medical emergencies, overdose, AMA, behavioral challenges, suicide threats, code green, contraband protocol, etc.
• Ability to function as a lead or expert staff including directing activities, treatment team interventions, and other managerial functions as indicated within the unit.
• Ability to communicate effectively with all involved parties, both verbally and written.
• Ability to advocate and function within the guidelines of Nursing Practices.

Qualifications

Prerequisite Qualifications

The following are the qualifications required to perform the essential functions of this position. Qualifications may be subject to modification based on the Americans with Disabilities Act.

Bilingual abilities may be required within certain BHS programs. CPR/BLS/AED/First Aid certification, maintain in good standing. Medication Management and Overdose Prevention training required within 30 days of employment.

Ability to operate required computer programs for position, including but not limited to Microsoft Office Suite, electronic timekeeping system, electronic learning management system, upon hire or demonstrated competency developed within 90 days of employment.

Obtain NPI number, EMR system enrollment within 30 days of employment. Annual TB, maintain in good standing.

Minimum of ADN is required. RN license required, maintain in good standing at all times. Must have valid California driver's license and liability insurance, if driving a personal/company vehicle on BHS business.

Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for the performance of job duties. Able to sit at a desk, use a keyboard, write and physically perform other job duties. Able to move about the facility to observe clients and staff.