Primary accountability for a patient care including ongoing assessment medication management withdrawal and ancillary medical needs (i.e. wound care ostomy care etc.) as per protocol
Assess patients medical status and refers as necessary
Prioritize RN and LPN responsibilities independently or with supervision based on patient care needs unit milieu and number/discipline of assigned staff available to provide care
Administer and perform prescribed treatments and medical interventions including transcribing and administering routine and prescribed medications in accordance with procedures established by medical staff and nursing leadership
Complete medical treatments and other tasks within the scope of licensed practical nurses and the program services and procedures (i.e. phlebotomy immunizations EKGs TB testing wound care ostomy care etc.)
Conduct facility admissions obtain physical health data complete health history screens (to include HIV TB etc.) and complete necessary documentation
Inventory and care for patients personal possessions
Complete ROIs and coordinate care with external agencies and/or facilities as per policy and regulations
Complete patient transfer processes to include sending appropriate medical documentation to other units/facilities informing the patient of transfer coordinating with clinical staff and completing appropriate transfer forms
Participate in comprehensive clinical pass-down reports at shift changes
Collaborate with Licensed Practical Nurses Nurse Manager Charge Nurse Providers and Clinical Team on complex care issues and concerns
Record patient observations and activities in patient records accurately and timely in accordance with nursing standards and organizational policy and procedure
Maintain a safe environment applying principles of medical asepsis infection control techniques and universal precautions. Follow agency infection control plan and policies
Follow all policies and procedures with regard to patient information protection including mental health and alcohol-drug patient confidentiality (42 CFR) and HIPAA (45 CFR)
Maintain and demonstrate a current working knowledge of applicable clinical procedures and nursing care based on company policy and State and Federal guidelines
Actively and compassionately interact with patients to encourage engagement in treatment
Assist with therapeutic milieu management
Utilize verbal and physical de-escalation techniques to manage behaviorally escalated/aggressive patients
Apply and/or facilitate the safe and appropriate application of restraints as per policy and protocol
Demonstrate respect for and enforce patient rights and maintain confidentiality as per HIPPA and agency policy
Complete and document medication teaching for patients and legal representatives during hospitalization and prior to discharge