Nurse, RN (nights, PT) Substance Use Facility

Job Title: Nurse

FLSA Classification: Nonexempt

Reports To: Nurse Manager

Job Family: Radix Recovery

POSITION SUMMARY

Nurses are responsible for the coordination and delivery of quality nursing care in accordance with the rules and regulations of the State, Iowa Board of Nursing, and Radix Recovery. In particular, Detox nurses play a crucial role in the recovery processes for patients undergoing detoxification from substances, providing medical care and emotional support. Depending on qualifications and experience, this position may be filled as Residential Nurse, Detox Nurse, or combined.

RESPONSIBILITIES

Patient Assessment – Patient Care

• Facilitates and schedules intakes, discharges, and transfers to Radix Recovery residential or outpatient, and/or outside agency programs as necessary;
• Works as part of an interdisciplinary team to gather medical history and manage the intake process;
• Assesses clients for withdrawal symptoms and administer medications as indicated per appropriate Medical Provider’s orders;
• Takes and records vital signs and medically monitor clients’ detoxification symptoms using CIWA and COWS, and administers routine an PRN and medications as indicated;
• Answers phone and assists with housekeeping duties as necessary;
• Implements motivational interviewing and active listening techniques in supporting clients recovering from drug/alcohol dependence;
• Assures quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, and recommending necessary adjustments;
• Follows detox division and nursing division philosophies and standards of care set by the state board of nursing, state nurse practice act, Iowa Administrative Rules, and the RN Scope of Practice; and Radix Recovery Policies & Procedures;
• Supervises, delegates, and assigns care as appropriate to LPN’s, Techs and/or CNA’s as applicable
• Provides referrals to outside agencies as indicated;
• Ensures a safe and clean working environment in compliance with OSHA, Radix Recovery

Policies and Procedures,

• Observe patients and maintain accurate documentation of their responses to treatment in EHR.
• Provide nursing care, oversee medical interventions, and assist in urgent/emergent situations.
• Provide emotional Support and counseling addressing their fears and concerns throughout Medical Withdrawal/Detox process, provides education regarding healthy recovery and medical concepts related to addiction and deliver training as directed; provides education regarding healthy recovery and medical concepts related to addiction and may deliver training as directed;
• Provide culturally congruent care that comprehensively considers the physiological, psychological, and spiritual aspects of health.
• Other related duties as assigned.

Collaboration

• Work closely with a multidisciplinary team. Including physicians and mental health professionals, to adjust treatment plans based on patient progress.
• Work closely with MW/Detox team to provide high quality nursing care

Compliance & Quality Assurance

• Comply with all federal, state, Board of Nursing, and local healthcare regulations including Infection control, HIPAA and 42 CFR
• Comply with all Radix Recovery policies & procedures and JACO regulations

Support and/or Provide Documentation for Insurance Submission

• Complete all admission assessments, plan of care, and documentation prior to end shift
• Support phone calls with Insurance carries assistance with client status, plan of care, current medication regime, and client plans after discharge.

Workplace Maintenance: (all employees)

• Participate in maintaining a clean, well-organized, and efficiently supplied work environment, contributing to a positive atmosphere for both clients and staff.
• Observe and report any safety or maintenance issues promptly to ensure a safe and functional workplace.

Professional Conduct: (all employees)

• Interact with clients and colleagues in a respectful and empathetic manner, maintaining professional boundaries and a demeanor that fosters trust and rapport.
• Uphold the privacy and confidentiality of all client information in accordance with federal and state laws, actively reporting any concerns regarding privacy violations or policy breaches to supervisors.

SUPERVISORY RESPONSIBILITIES AND DIRECT REPORTS

None.

Requirements

REQUIREMENTS

Qualifications

• Valid Iowa unencumbered Nursing License (LPN minimum)
• Degree from accredited school of nursing

Knowledge, Skills, and Abilities

• Knowledge of nursing care as evidenced by at least 2 years of direct patient/client practice
• Knowledge of Mental Health and/or Medical Withdrawal/Detox services preferred but will train
• Strong client engagement skills
• Knowledge and understanding of treatment of the disease of addiction, including the management of withdrawal; client evaluation; motivational counseling techniques; and the taking and recording of vital signs
• Knowledge and ability to maintain a safe and clean working environment in compliance with OSHA, Radix Recovery Policies and Procedures, Iowa Administrative Rules, and the RN Scope of Practice
• Proven success in collaborating with co-workers and a multi-disciplinary team to provide and advocate for excellent patient care
• Computer literacy
• Strong interpersonal and customer service skills, and demonstrated compassion towards individuals with mental illness and substance abuse disorders
• Strong communication skills (oral and written)
• Strong organizational skills and attention to detail, accuracy, and follow-through
• Excellent time management skills with a proven ability to meet deadlines
• Critical thinking skills
• Ability to maintain strict confidence as required by HIPAA, 42 CFR, and Iowa Statutes
• Ability to build and maintain positive, collaborative relationships
• Ability to function well and use good judgment in a high-paced and at times stressful environment
• Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively
• Ability to work effectively and respectfully in a diverse, multi-cultural environment
• Ability to work independently as well as participating as a positive, collaborative team member
• Workplace Maintenance (all employees)
• Understanding health and safety regulations to ensure a secure environment for clients and staff.
• Professional Conduct (all employees)
• Compassionate client interaction with empathy and active listening.
• Maintenance of professional boundaries to ensure a safe therapeutic environment.
• Knowledge of federal, state, and municipal laws and regulations governing the treatment of alcoholism and drug addiction, including confidentiality, client rights, professional ethics, and anti-discrimination policies.
• Proficient in crisis communication, maintaining professionalism in high-stress situations.

Other Conditions

• Maintain valid BLS/First Aid Certification
• Holiday, evening, night, and weekend work will be required
• Authorized to work in the US
• For individuals in recovery from substance-use disorder, must have maintained continuous recovery for the previous 12 months