LPN Ambulatory / Care Management Nurse

Job title - Addiction Treatment Nurse, LPN
Location - Renton Clinic and Mobile Units
Sat. shifts are rotating.)
Working at Evergreen Treatment Services makes a big difference in our community!
ETS has been working to transform the lives of individuals and their communities through innovative and effective addiction and social services in Western Washington for over 50 years. We strive to foster and sustain a diverse and inclusive community within our organization. Find out how we are working to achieve racial equity, health equity, and community justice.
Our Clinic Services and REACH teams bring critical professional expertise and heartfelt compassion to the work they do every day to serve our most vulnerable community members. This dynamic position plays an important role in helping ETS accomplish our mission!
The Addiction Treatment Nurse-LPN role is part of the Nursing team that supports ETS’ mission through patient care and medication management. The LPN is responsible and accountable for following the standards of nursing conduct or practice.
Nurses provide compassionate and nonjudgmental care to all patients seeking treatment.
Help ETS succeed in carrying out our mission through working together with other staff to transform systems of harm and inequity to create different approaches to improving community health and safety through addressing substance use and homelessness.
Assist with the organization-wide initiative to reimagine our interconnectedness within our community to overcome the aspects of our society and organizational culture shaped by white supremacy and settler colonialism.
Patient Care
Per the Washington State Board of Nursing: The Licensed Practical Nurse (LPN) scope of practice in the nursing process is limited and focused. The LPN practices in an interdependent role when carrying out nursing care and a dependent role when carrying out nursing and medical regimens under the general direction of an authorized health care practitioner: Registered Nurse (RN), Licensed physician (MD), physician assistant (PA), advanced registered nurse practitioner (ARNP).
Prepares and dispenses medications as ordered by a medical provider; evaluates and documents the effectiveness of medications and any adverse reactions.
Nursing Care: Provide direct nursing care using the nursing process, ensuring a compassionate and supportive experience for all patients.
Collaborate with the Medical Director, Associate Medical Director, or Medical Providers for patient care, medication orders, or clarification.
Promote health, wellness, and provide patient education.
Perform Testing services: Breathalyzers, Drug Testing
Maintain accurate documentation in the electronic medical records (EMR) system.
Person-centered care: Through promotion of shared decision‑making between the patient and health‑care provider while reinforcing respect for the patient’s values and preferences as they make decisions about their treatment. Integrate culturally responsive care and inclusiveness.
Collaboration: With both internal and external multidisciplinary teams to provide nursing consultation and guidance regarding the health needs of potential and current patients.
Trauma Informed Care: Promote person-centered and trauma-informed care grounded in the use of non‑stigmatizing principles and language.
Infection Prevention: Strict adherence to universal or standard infection control precautions as promoted by the Center for Disease Control and Prevention.
Patient Emergencies: Follow ETS policies and procedures which outline how to respond to patient emergencies, including when to contact 911 for emergency medical services and when to contact 988 or local crisis numbers for mental health or substance use‑related crises.
Be familiar with informed consent policies at ETS to address any patient questions during the delivery of patient care. Informed consent supports treatment by ensuring patients have a clear understanding of medication side effects and risks, patient responsibilities, and ETS policies. Continuity of Care: Facilitate the continuity of care during transitions of care to minimize the possibility of disruption in access to services.
Adhering to nursing regulations at local, state, and federal levels. Adhere to relevant legal and ethical guidelines.
Continuous Quality Improvement: Participate in quality assurance and quality control plans.
Mandatory Reporting: Per local, state, and federal regulations.
Patient Safety: The RN is always responsible for providing safe, competent nursing care. Assess safety and risk to self or others and take appropriate crisis intervention measures when indicated.
Patient Advocate: Act as patient advocate in health maintenance and clinical care.
Patient Information Protection: Follow all policies and procedures with regard to patient confidentiality, including mental health and alcohol‑drug patient confidentiality (42 CFR) and HIPAA (45 CFR) and per ETS policy.
Dispensary Operations
Medication Units: Work under the supervision and direction of the Medical Directors, Program
Sponsor, and the Nursing leadership team.
Maintain licensed practical nursing professional standards of care. Demonstrate professionalism by adhering to the standard code of conduct and performance standards.
Medication Inventory and Accounting: Properly manage and account for controlled substance inventories during each shift.
Required for all controlled substances within each medication unit, dispensed records and all other associated records.
Participate in internal regulatory audits including DEA, DOH, PQAC, SAMHSA, SOTA, and others.
Submit Qstatim reports if indicated, including attending care team meetings and participating in developing corrective action plans.
Participate in departmental and interdepartmental care team meetings, staff meetings, and provide updates.
Provide new hire staff training as assigned.
Policies and Procedures: Adhere to all ETS policies and procedures.
Facilitates Learning: Fosters a learning environment for the patient, nursing team, and other members of the healthcare team, including students.
Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, integrates evidence, and best practice into nursing care; uses data and evidence to improve patient outcomes.
practices to the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Regulatory Compliance: Adhere to all federal, state, and local regulations, including DEA and DOH requirements.
Central Registry: mandated reporting by mobile units as required by the State Opioid Treatment Authority (SOTA)
Licensed Practical License (LPN)
Healthcare CPR/AED & First Aid (BLS)
Complete a state approved nursing program: Associate, Bachelor, or master's degree in nursing.
Has passed the NCLEX‑LPN exam.
Knowledge and Skills: An understanding of racial justice and social equity and a commitment to helping create an equitable environment for all ETS clients and patients as well as fellow staff.
The RN uses critical thinking skills in clinical problem‑solving and decision‑making processes relative to scope of practice, knowledge, competency, and experience.
Flexible team player, with excellent attention to detail.
Computer literate, with basic knowledge of Microsoft Office Suite, as well as a high level of initiative in keeping current with technological change.
Physical Conditions and Requirements: The employee may be exposed to illicit drug residues and fumes or other bio‑hazardous materials when carrying out job functions. ETS will provide employees with appropriate training to limit the risk of exposure to bloodborne pathogens. Policies and procedures are in place addressing each item specifically.
Comfort working within a busy area in proximity to other nursing staff.
Equipment Used: Computer, photocopier, fax machine, phone, breathalyzer, heat sealer machine, EKG, glucometer, and other small medical devices.
All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. ETS will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation, or if the accommodation creates an undue hardship for ETS. Key Benefits: Medical and Dental benefits, as well as voluntary Vision benefits.
403b Retirement Plan with employer match starting at 2% at 1 year, and Roth IRA.
Basic Life/ADD/FSA tax saving accounts for health and dependent care.
Employee Assistance Program (EAP), voluntary long‑term disability coverage.
Mental health leave (12 days/year, access at 30 days).
Holidays (12 days/year) and one Floating Holiday per year.

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