ATLANTICARE

_________________________ROLE DESCRIPTION

 

TITLE:   Staff Nurse RN
JOB CODE: 7068	EXEMPT:  NON-EXEMPT: X	DATE: 01/2024	REVISED:
Graduate of an accredited school of nursing. Registered nurse in the state of New Jersey. BLS required. Minimum of one of year experience in detoxification. Demonstrate ability to multitask. Possess excellent time management skills. Ability to participate in treatment team meetings as needed and any other duties assigned by supervisor.

 

POSITION SUMMARY
Under the direction of the nursing supervisor, the staff RN nurse is required to perform the job responsibilities and the required knowledge, skills and abilities as set forth in the job descriptions for the clinic nurse, residential nurse and dosing nurse. The coverage nurse will be scheduled in the clinic and in dosing per scheduling needs in those areas.

This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.

QUALIFICATIONS

• EDUCATION: Graduate of an accredited school of nursing.
• LICENSE/CERTIFICATION: Registered nurse in the state of New Jersey. BLS required
• EXPERIENCE: Minimum of 1 year of experience; experience in treatment of substance use disorders preferred.

 
JOB REQUIREMENTS

• Assess the nursing care needs of clients.
• All nursing services provided shall be documented in the client's clinical record, including, but not limited to:
  • The nursing portion of the client care plan in accordance with policies and procedures.
  • Clinical notes.
  • Recording of medications administered, including:
    • The name and strength of the medication.
    • The date and time of administration.
    • The dosage administered.
    • Method of administration.
    • Adverse reactions and interventions if referred.
    • Signature of the nurse who administered the medication or identification of the nurse by an entry code if a computerized clinical record system is used.

JOB RESPONSIBILITIES:

• Completes accurate assessments of clients coming to medical unit not limited to vital signs on arrival.
• Accurately administers client medications/treatments as ordered, not limited to methadone/suboxone.
• Administers appropriate emergency treatment and completes transfer process to acute care as needed.
• Responsible for ordering and obtaining residential medical supplies.
• Attends to medical needs for female and male residential units on a daily basis, accurately documenting treatment. Also performs nursing assessments for newly admitted clients, as needed.
• Responsible for maintaining all emergency bags and removing outdated medications.
• Maintains confidentiality of all client information in accordance with state and federal regulations.
• Maintains medication rooms and carts, keeping them neat and orderly at all times.
• Accurately maintains client records, including updating all medication orders monthly in accordance with face sheet.
• Responsible for monitoring and writing monthly methadone/suboxone orders in client charts and scheduling yearly physicals, labs, nursing assessments, medical order updates and TB testing for assigned clients and documenting same in progress notes.
• Assists physician with client physicals and accurately documents results in clients' records.
• Ability to make verbal presentations to residential clients, outpatient clients' orientation and staff as related to program or other medical issues as designated.
• Knowledge of methadone and suboxone drug indications, dosage and route of administration.
• Capable of logging into electronic health record for start of day procedure and completes end-of-day procedure. This includes computer for methadone and buprenorphine.
• Responsible for accurate dispensing and recording of methadone/suboxone for outpatient clients per state and federal regulations.
• Ability to reconcile methadone/suboxone in electronic health record.
• Accurately dispenses and records methadone/suboxone per federal regulations, to include counting and recording controlled dangerous substances with two medical/nursing personnel.
• Ability to perform bottle-to-bottle transfer of methadone.
• Ability to document incidents regarding methadone/suboxone per federal regulations.
• Ability to accurately enter methadone/suboxone dosages per MD orders and renew expired orders.
• Accurate assessment of clients prior to dosing, not limited to vital signs, and documentd results. Ability to obtain thorough and complete history and physicals on admission, annuals and as needed when dosing or medical issues occur during treatment. Ability to obtain accurate medication lists and have basic knowledge of possible interactions with methadone and buprenorphine.
• Capable of delivering consistently superior quality service as measured by the clients' medical level.
• Provides orientation to new clients (infection control/universal precautions, dosage, safe handling).
• Ability to manage methadone and suboxone accountability forms and logs.
• Ability to sign and complete DEA222 forms and DEA 41 waste forms.
• Ability to maintain a clean work area that is properly stocked to safely administer MAT. This shall include, but not be limited to:
  • Maintaining inventory and supplies at each location.
  • Bottle labeling to ensure enough supply for next day.
  • Notifying administration and supervisors of issues and hazards.
• Ability to participate in treatment teams and mandatory in-services as scheduled by HR, administration and for new products or medications.
• Performs other related duties as assigned by immediate supervisor and other management as required.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Must have computer skills required to administer methadone/suboxone doses and record data.
• Ability to actively engage in conversation with clients in order to clearly understand their needs.
• Capable of delivering service in a way that is responsive, respectful, caring and helpful.
• Ability to adapt to changing environments, policies or administrative procedures.
• Capable of delivering a consistently superior quality service as measured by the client's medical level.
• Capable of exhibiting respect for individuals from all ethnic and cultural backgrounds.
• Ability to accurately calculate doses of methadone via the IVEK pump.
• Demonstrates knowledge of health-related issues regarding addiction.

SUPERVISION RESPONSIBILITIES
None

PERFORMANCE EXPECTATION
Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

WORK ENVIRONMENT
Potential for exposure to blood borne pathogens, along with infectious diseases (refers to blood-bourne pathogen requirement).  

This position requires repetitive motion, hearing, pushing, reaching, reading, seeing, speaking, standing and walking a majority of the time. Spends time with such equipment as s computer terminal, fax machine, copier and telephone.

Essential functions of this position are listed on the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP
This position reports to department leadership.

The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.