Registered Nurse

Job Title: Registered Nurse
Department/Group: Nursing
Location: Sanford West
Position Type: Full-Time and Part-Time
Reports To: Director of Nursing
Hourly/Salary Range: Hourly, based on experience
Travel Required: None
 Exempt vs. Non-exempt Non-Exempt

Job Description

Job Summary

The role of the Registered Nurse (RN) is to assess and identify patients’ needs, then implement and monitor the patient’s medical plan and treatment. This position also ensures that patient care is being conducted according to policies and standards set by Sanford Behavioral Health.

Role and Responsibilities

  • Ensures clients remain medically stable and continuously assesses appropriate level of care using level of care guidelines.
  • Trains, supports, and communicates with resident support specialists and recovery technicians on medication administration as well as with other job functions.
  • Communicates client concerns to the provider daily, which includes but is not limited to, acute withdrawal symptoms, medication effectiveness, medication side effects, and/or abnormal vital signs.
  • Works closely with interdisciplinary treatment team to ensure client safety and comfort. This includes clinicians, safety officers, recovery technicians, resident support specialists, and administration.
  • Performs daily assessments on residential and partial hospitalization clients regarding their substance use disorder, mental health illness, eating disorder, or other medical concerns that may arise.
  • Identifies medical parameters that require additional intervention, or staffing with provider, including laboratory values, vital signs, and one-on-one conversation or observation of behavior.
  • Assesses client suicidality and possibility of danger to self or others.
  • Provides effective communication by directing clients in a clear, concise, and informative manner.
  • Safely administers medications, including narcotics through identifying mechanism of action, contraindications, and interactions of medications used to treat alcohol and drug withdrawal.
  • Educates clients on medications, as needed.
  • De-escalates clients and therapeutically responds to clinical signs/symptoms of withdrawal including increased anxiety, irritability, agitation, and aggression while maintaining professional boundaries and fostering a trusting nurse to client relationship.
  • Utilizes an electronic medical record (EMR) system for all documentation.
  • Obtains appropriate orders from the provider and submits e-prescriptions as needed for all clients.
  • Completes documentation and medication ordering in a timely manner.
  • Works with local emergency departments on coordinating care and incoming transfers.
  • Protects patients’ rights by maintaining confidentiality of medical, personal, and financial information.
  • Meets regularly with the interdisciplinary team to discuss client treatment.
  • Counts all controlled medications every shift and logs appropriately in the medication log.
  • Ensures all orders from providers are carried out and any information about clients and their wellbeing is promptly and clearly communicated to providers as well as during treatment team meetings.
  • Completes admission and discharge paperwork.
  • Assists in other units/departments when there are changes in census, staffing or a need for a higher level of care than what current staffing can provide, as needed.
  • Transports clients using a company vehicle when other staff members are unavailable.
  • Performs blood draws, as ordered by the provider.
  • Collects samples for urinalysis and urine drug screens.
  • Obtains vital signs or orthostatic vital signs, as needed.
  • Attends and stays up to date on trainings and policies, like Handle With Care, Basic Life Support (BLS), and HIPAA.
  • Adheres to the established Code of Ethics, Standards of Practice, Patient Centered Philosophy and employee handbook.
  • Keeps professional license current and in good standing with the state of Michigan.
  • Actively engages with the milieu during periods of downtime.
  • Performs other duties as assigned.

Substance Use Disorder

  • Works collaboratively and autonomously to provide 24/7 nursing care to clients experiencing acute mild to severe signs and symptoms of withdrawal from alcohol and drugs with medical and psychiatric co-morbidities using critical thinking, nursing judgment and standardized assessments including Clinical Opiate Withdrawal (COW) and Clinical Institute Withdrawal Assessment (CIWA) scales.
  • Assesses sedation levels using standardized scales, including Richmond Agitation-Sedation Scale (RASS).
  • Determines appropriate level of care using American Society of Addiction Medicine (ASAM) care guidelines.
  • Conducts alcohol or other drug-focused nursing assessments at time of admission communicating any medical needs or concerns to the provider.
  • Performs stability checks on all clients prior to admission to ensure they meet ASAM 3.7 guidelines for admission.
  • Identifies and responds to drug and alcohol intoxication including signs/symptoms of drug overdose and drug and alcohol withdrawal.
  • Identifies signs/symptoms of severe withdrawal and responds to medical emergencies calmly and safely using evidence-based practices and established protocols. These can include seizures, delirium tremens, overdose, psychosis, and suicidal ideations/attempts.
  • Educates clients on the neuroscience and process of addiction and withdrawal, including leading groups.
  • Helps with Medication Assisted Therapy (MAT) clients, as needed.
  • Facilitates Vivitrol Enrollment for all clients, as needed.
  • Attends mandatory monthly nursing meetings for continuity of care, education and implementing new processes.

Eating Disorder

  • Works collaboratively and autonomously to provide 24/7 nursing care to clients experiencing eating disorder behaviors and medical complications of eating disorder.
  • Completes nursing intake upon admission of each eating disorder client and communicates any medical needs or concerns to provider.
  • Educates clients on the neuroscience and process of eating disorders and medical complications, including leading groups.
  • Obtains vital signs, weights, and heights, as requested by the provider.
  • Provides supervision and support to clients by participating in meals and snack on assigned shift.

Qualifications and Education Requirements

  • Licensed Registered Nurse (RN) with current licensure in Michigan, required.
  • Prior experience with substance uses disorder or eating disorders, preferred.
  • Current CPR/BLS Certification, required.

Knowledge / Skills / Abilities

  • Ability to maintain strict confidentiality on all client records and business-related records, as required under HIPAA guidelines.
  • Knowledge of substance use disorders, eating disorders, mental health illnesses and associated treatments.
  • Ability to access substance abuse withdrawal.
  • Ability to demonstrate attention to detail and efficient time management.
  • Knowledge and proficiency in medication administration.
  • Ability to adhere to and knowledge of all HIPAA guidelines.
  • Ability to demonstrate communication skills, self-motivation, organization skills, critical thinking, and good decision-making abilities.
  • Knowledge of electronic medical records (EMR).
  • Ability to navigate various computer programs efficiently (i.e., email, SharePoint, etc.)
  • Ability to identify own strengths and areas of improvement and communicate needs to supervisor.
  • Demonstrates professional behavior reflective of Sanford’s Mission Statement, Philosophy, and Values.
  • Must be able to relate well to all kinds of people both inside and outside the organization; build appropriate rapport; build constructive and effective relationships; uses diplomacy and tact; can diffuse even high-tension situations comfortably.
  • Must possess positive attitude to enhance a cooperative and energetic work environment.
  • Ability to be accountable and ability to take/give constructive feedback.

Physical Requirements

  • Prolonged periods of standing and walking are required (4-8 hours).
  • Must be able to sit at a desk for various durations while working on a computer.
  • Must be able to lift prone patients with assistance or use of equipment.
  • Must be able to use laboratory equipment, i.e., centrifuge, phlebotomy tools, basic medical equipment, etc.
  • Must be able to adapt to the physical demands of lifting clients, bending, stooping, and stretching with or without assistance.
  • Must be able to safely handle biohazardous materials, i.e., blood and urine, etc.
  • Must be able to perform repetitive tasks such as typing for extended periods of time.
  • Must be able to clearly express and exchange ideas by means of spoken word to impart oral information to employees or others accurately or quickly, engaging in sometimes lengthy conversations or presentations.
  • Must be able to ascend and descend stairs daily.
  • Must be able to seize, hold, grasp, turn or otherwise work with your hand or hands.
  • Must be able to perceive sound by ear to interpret oral information from employees or others accurately or quickly.
  • Must be able to lift and carry medical supplies, medications, etc. weighing up to 45 pounds, as required.
  • May occasionally carry or lift items in excess of 35 pounds, with or without assistance.
  • May occasionally push/pull medical equipment of varying weights, with or without assistance.
  • Work will be performed in an office environment with fluctuating temperatures.

ADA Disclaimer

The employee must be able to perform the essential functions of the position adequately.  If requested, reasonable accommodations will be provided to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. All requests must be made to the Human Resource Department in writing.

Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities, and activities my change at any time with or without notice and employees will be required to follow any other job-related instructions or assignments.  All duties and responsibilities are essential functions and requirements which are subject to possible modification to reasonably accommodate individuals with disabilities.  I understand that my signature below indicates my understanding of the requirements, essential functions, and the duties of this position.

Sanford Behavioral Health is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

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