Primary Function  

The incumbent performs nursing procedures to patients of all ages independently within the framework of established policy.

Job Description

• Primary assignment to the Analenisgi clinic.
• Provides nursing care in accordance with established practical nursing care standards, participates in emergency care, routine and specialty clinics, curative, rehabilitative, and preventive nursing care.
• May be required to rotate between nursing departments including Outpatient clinics, Inpatient, Analenisgi Inpatient, Kanvwotiyi Residential Treatment Facility, and the Emergency Department and between shifts, also may be subject to on-call and callback.
• Performs ongoing assessment by actively participating in the determination of meeting the nursing care needs based upon collection and interpretation of data relevant to the health status of the client.

• Collects data from relevant sources regarding the biological, psychological, social and cultural factors and determines the influences these factors have on the health status of the individual.
• Collects data through observations of appearance and behavior, measurements of physical structure and physiological function, and information regarding available resources.
• Interprets data and recognizes existing relationships between data collected and the client’s health status and treatment regimen and determines the client’s need for immediate nursing interventions.
• Plans nursing care activities related to the findings of the nursing assessment.
• Participates in making decisions regarding implementation of nursing intervention and medical orders and plan of care through the utilization of assessment data.
• Participates in multidisciplinary planning by providing resource data.
• Identifies nursing interventions for review by the registered nurse.
• Implements nursing care according to the established health care plan and as delegated by the registered nurse.

  Performs nursing interventions including, but not limited to:

• Care and treatment of patients within the Psychiatric clinics including but not limited to administering long-acting anti-psychotic injectables and psychiatric medication management.
• Care and treatment of patients within MAT and OTP in addition to administration and management of buprenorphine and methadone per policy and federal requirements.
• Venipuncture and insertion of a peripheral vascular access device.
• Administration and monitoring of I.V. fluids and medications via peripheral lines per hospital policy and State Board of Nursing regulations.
• The administration of medications including topical, enteral, and parenteral routes per manufacturer guidelines and established protocols.Documents all known drug allergies on the medical record and according to protocol.
• Collects diagnostic data such as: obtaining measurement data, visual acuity and vital signs; collecting stool, urine, and sputum specimens.
• Assist with diagnostic and therapeutic procedures such as Pap smears, spinal taps, proctoscopic examinations, application of casts, minor surgery, etc.
• Performs procedures according to protocol such as EKGs, urinalysis, and random blood sugars.
• Prepares the client for examination and assist the primary care provider in treatment.
• Provides teaching and counseling reinforcing activities for clients as planned and initiated by the registered nurse or primary care provider.
• Participates in the development and implementation of quality improvement activities.
• Recognizes responses to nursing interventions and modifies immediate nursing interventions based on changes in the client’s status.
• Evaluates desired outcomes of nursing care and planning for subsequent care by collecting evaluative data, recognizing the effectiveness of nursing interventions, and proposing modifications to the plan of care for review by the registered nurse or primary care provider
• Communicates significant information to the registered nurse or primary care provider within a time period, which is consistent with the client’s need for care.
• Documents all significant information on the appropriate client record, nursing care plan or other required documents.
• Collaborates in implementing the health care of the client with individuals whose services may have a direct or indirect effect upon the client’s health care.
• Participates in planning and implementing nursing or multidisciplinary approaches for the client’s care, seeks and utilizes appropriate resources in the referral process and safeguards confidentiality.
• May be necessary to work when Administrative leave is granted if patient care would be compromised.

Education, Licensure, Certification, and Experience

• Applicant must have graduated from an accredited Practical Nurse program and has obtained licensure (LPN) in the state of North Carolina.
• Current Basic Life Support (BLS) is required for the position. Advanced Cardiac Life Support (ACLS) may be substituted. Can be acquired through the facility following appointment to position.
• Valid Driver’s License
• Preferred experience in a behavioral health clinical setting.
• Proficiency rated at 12 weeks.