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Dual Diagnosis Unit - Registered Nurse

Qualifications: Graduate of an accredited professional school of Nursing. Must be currently licensed as a Registered Nurse in the Commonwealth of Massachusetts. Must maintain and submit current licensure/certificate necessary to perform the required position.
REQUIREMENTS:
o Experience in working with the dually diagnosed patient (substance abuse/mental health) with medical co-morbidity is preferable;
o Ability to relate well with others; demonstrates professional interpersonal skills;
o Knowledgeable in psychiatric pharmacology and detoxification protocols is preferred;
o Excellent written and verbal communication skills;
o CPR certification;
o Certification in the HPTC approved de-escalation program;
o Familiarity in formulating and revising individual treatment plans in collaboration with the multidisciplinary team (treatment team);
o TB Screening.
Responsibilities:
o Compliance with the Federal Regulations, 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patients and HIPAA Regulations; Assure patient care meets best practice standards utilizing the Nursing Process;
o Conduct controlled substance count and syringe count at the change of every shift (with one on-coming and one off-going nurse) and sign the controlled substance register;
o Be in charge of shift when delegated and take change of shift report;
o Monitor vital signs per protocol on a daily basis;
o Administer routine and PRN medications according to the nursing standards of care;
o Understands medication uses, side effects and food-drug interactions;
o Monitor and treat patients who have a concomitant medical/psychiatric illness;
o Document pertinent information according to the established alcohol/drug protocols as well as any psychiatric/medical conditions.
o Utilizes techniques of time management effectively;
o Monitor & provide emergency medical care and daily medical treatments to medically compromised patients;
o Attend daily medical/psychiatric rounds with the Psychiatrist;
o Create a "sick list" for the M.D./ N.P. as needs arise;
o Organize all orders to be signed by the M.D./ N.P.;
o Transcribe and communicate new orders;
o Will conduct utilization review with insurance companies as needed;
o Utilizes C-Lab for phlebotomy procedures;
o Review charts for accuracy and make changes accordingly;
o Fax medication orders to local pharmacies and obtain pre-authorizations for the required medications;
o Conduct a nursing assessment/physical exam and treatment plan on patients admitted to the unit;
o Co-sign nursing assessment/physical exams and treatment plans that are initiated by an LPN;
o Provide psycho-educational groups on medication awareness and effects;
o Will participate in unit specific treatment planning meetings;
o Assist in orientation of new nursing personnel;
o Transcribe and communicate new orders, utilizes the "Read Back" policy;
o Plan bed changes to accommodate maximum capacity of the unit;
o Participate in outside educational programs that will enhance both professional and personal growth;
o Attend and participate in required in-service programs and trainings';
o Attend monthly Nurses meetings and other meetings as required;
o Be responsible for decisions and actions relative to quality of care for all patients;
o Attend mandatory trainings;
o Responsible for continued education in the field of substance abuse, mental health and related courses;
o Responsible for contacting the insurance company for authorization, as needed;
o Utilizes universal precautions at all times;
o Demonstrates behaviors that recognize the rights of patients as defined by the patient rights;


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