JOB SUMMARY:

In accordance with agency Mission, Vision, Values, and Goals, this position serves as nursing support staff within the residential programs which serve individuals who are in need of substance use treatment. Responsibilities include admission assessments, education regarding general health, monitoring and/or administration of medication and physical/medical assessment and testing, under the direction of a Physician, medicated assisted treatment and telehealth services. Responsibilities also include maintaining infection control records.

PRIMARY FUNCTIONS:

Conducts health assessments/screening for clients in assigned programs as outlined by program regulations. Integrates nursing care into the treatment plan, addressing information obtained during the health assessment. Coordinates with intake to ensure these are completed within 48 business hours of admission.

Provides case management including monitoring and making phone calls for clients in order to schedule medical care appointments and reviewing the EMR to anticipate upcoming laboratory and procedure needs.

Manages medications as delegated by insurance requirements and provider requests, including preparing and administering injections, preparing sample medications and prescription assistance medication, and obtaining prior authorizations. Verifies and monitors medication orders and ensures the medication logs are accurately maintained.

Conducts medication counts of any controlled substances allowed into the program and conducts audits for discrepancies between medication log and actual medication counts.

Disposes of medications left by clients after discharge, ensuring that the disposal is appropriately handled by most current recommendations/guidelines.

Provides patient education and support regarding health issues and concerns as needed and facilitates health related groups. Provides education around prescribed medications as needed.

Prepares client for physician visits, obtaining vital signs, weight, height, and BMI, metabolic screenings and other interventions delegated.

Practices the medication first model, works with the physician whether in person or via telehealth and is educated on all MAT medications.

Performs TB skin tests on all residential clients as well as HIV, STD and TB risk assessment on all other clients as appropriate.

Ensures appropriate documentation, according to agency standards, for all interactions and/or treatment activities provided.

Follows all agency policies and procedures including emergency and corporate compliance policies/procedures 100% of the time.

SECONDARY FUNCTIONS

Acts as primary contact for agency infection control: tracking monthly temperature logs, documenting clients and employees diagnosed with infectious disease, maintains agency first aid kits.

Monitors and records urinalysis for drug screens as needed

Assists with:

Inventory of supplies

Maintaining client files

Chart audits

Infection Control

Quality Assurance

If you are innovative and thrive on Challenging employment opportunities, consider joining the dedicated treatment team at Montana State Hospital to share in our commitment to provide quality inpatient psychiatric services for our citizens.

https://www.linkedin.com/company/montanastatehospital/?viewAsMember=true

https://www.linkedin.com/company/montanastatehospital/?viewAsMember=true

Montana State Hospital (MSH) is a 209-bed state psychiatric hospital located in Warm Springs, Montana. MSH is the only state hospital in Montana. The Hospital averages 600 admissions per year. Procedures for hospital admission are specified in state law. Montana State Hospital is in the Deer Lodge Valley between Butte and Missoula. This location is ideal for individuals or families seeking to locate in a smaller community with good schools. Easy access to local airports and the interstate freeway system make travel convenient. Nearby outdoor recreation opportunities abound and include hiking, downhill and cross-country skiing, snowmobiling, fishing, hunting, golf, rafting, kayaking, and wildlife watching.

**Registered Nurses earn additional differential pay of $2.00 per hour for evening shifts and $1.50 per hour for weekend shifts. **

Job Overview: Montana State Hospital provides acute care psychiatric inpatient treatment for adults with serious mental illness.  This position performs nursing assessment, planning, interventions, and evaluation for adult clients in the facility.  Responsibilities include assigning work and providing direction and training to subordinate nursing personnel.

Do you have a passion for working with under served population? Do you thrive working in high stress situations? Are you ready to focus on patient care and not JCAHO scores? The Travis County Sheriff's Office offers an opportunity for you to work in an environment that offers safety and exposure to a wide range of patient problems, diagnoses, and treatment management. We offer a Retirement Plan, Paid Time Off, Personal Holidays, Sick Time, free Employee Health Clinic, Tuition Reimbursement and much more. This position is located at the Travis County Sheriff's Correctional Complex in Del Valle, Texas. Under clinical and administrative supervision, evaluates total health care needs of patients and develops plans to meet those needs. Provides or arranges for medical treatment for patients. May provide clinical supervision to Certified Nursing Assistants.

DISTINGUISHING CHARACTERISTICS:
This is the second in a series of five nursing-related job classifications within the Medical job family. This classification practices under the supervision of a Physician, Registered Nurse, or other similarly licensed supervisory health care practitioner and performs direct patient care functions within the scope of the vocational nurse licensure. Incumbents perform nursing duties of moderate complexity that require a moderate degree of initiative and independent judgment. This classification is distinguished from the Registered Nurse I and Registered Nurse II in that incumbents have not graduated from an accredited Registered Nursing program or do not coordinate the medical treatment of patients. This classification may require work in secure facilities. This classification may require a flexible work schedule in order to meet the needs of the department.
Duties and Responsibilities

• Responds to patients' medical needs. Provides and/or arranges for treatment according to protocol and/or direction from authorized medical staff.
• Consults with clinical and administrative staff about patient health care issues.
• Responds to and assesses certain categories of emergent patient illnesses and injuries.
• Provides direct health care to patients, including wound care, medication administration, monitoring of vital signs, and laboratory procedures.
• Assists other medical staff, as required.
• Practices safety, environmental and/or infection control methods.
• Documents patient's condition and maintains patient medical files and records in computer. Performs other administrative duties.
• Inventories medications on a daily basis.
• Assists in dental, STD and other clinic settings.
• May answer medical questions from staff, patient's relatives and others as appropriate.
• May process patients into the facility by screening and evaluating their medical and mental histories.
• May assist patients with activities of daily living, including bathing and feeding.
• Performs other job-related duties as assigned.

Minimum Requirements
Education and Experience:
Graduation from an accredited Licensed Vocational Nursing program AND one (1) year of Licensed Vocational Nursing experience.

Licenses, Registrations, Certifications, or Special Requirements:
Current license to practice as a Licensed Vocational Nurse in the State of Texas.
Current Cardio-Pulmonary Resuscitation (CPR) Certification.

**Please attach your resume to the on-line application**

Knowledge, Skills, and Abilities:

Knowledge of:

• Standard nursing and other healthcare practices.
• Policies, practices, procedures and terminology related to nursing and healthcare.
• Federal, State, Local and County nursing and other healthcare laws and requirements.
• Treatment of a variety of diseases and injuries.
• Proper dosages and expected results of medication.
• Proper infection control techniques, mental health procedures and protocols.
• Principles and procedures of medical documentation and record keeping.
• Computer equipment to include word processing, spreadsheets, databases, presentations and a variety of software packages.
• Knowledge of and adherence to HIPAA and other federal and state laws requiring the confidential handling of certain health information.

Skill in:

• Administering daily patient care, including use of stethoscope, blood pressure cuff, thermometer and other medical instruments.
• Administering Cardio-Pulmonary Resuscitation (CPR) and First Aid.
• Performing medical tests and recording results accurately.
• Assisting mental health patients.
• Problem-solving and decision-making.
• Both verbal and written communication.

Ability to:

• Work efficiently both independently and as part of a medical team.
• Recognize and identify health symptoms.
• Exercise sound judgment and react quickly in emergency situations.
• Manage time well and perform multiple tasks.
• Understand and precisely follow both verbal and written instructions and communicate in a concise and effective manner.
• Work in a secure environment.
• Track use of medications and inventory procedures.
• Chronicle medical histories and enter data into computer.
• Work effectively and courteously under high pressure circumstances.
• Deal effectively with mentally disturbed, hostile and aggressive individuals.
• Establish and maintain effective working relationships with patients, medical and other County employees and officials, and the general public.

Work Environment & Other Information
Physical requirements include the ability to lift/carry up to 35-100 pounds occasionally, visual acuity, speech and hearing, hand and eye coordination and manual dexterity necessary to operate a computer and office equipment. Subject to standing, walking, sitting, repetitive motion, reaching, climbing stairs, bending, stooping, kneeling, crouching, crawling, pushing, pulling, balancing, client/customer contact, squatting to perform the essential functions. Subject to contact with communicable diseases, radiation, hazardous waste, human fecal matter and foul odors.

Travis County employees play an important role in business continuity. As such, employees can be assigned to business continuity efforts outside of normal job functions.

This job description is intended to be generic in nature. It is not necessarily an exhaustive list of all duties and responsibilities. The essential duties, functions and responsibilities and overtime eligibility may vary based on the specific tasks assigned to the position.

Work Hours: Works various shifts
***$3.00/HR SHIFT DIFFERENTIAL FOR B&C SHIFT ASSIGNMENTS. SHIFT ASSIGNMENT WILL DEPEND ON AVAILABILITY AT TIME OF HIRE.***
Works some holidays, nights and weekends
Shift assignment will depend on availability at time of hire.

Department: Sheriff

Locations: 3614 Bill Price Road, Del Valle

Drug and Alcohol Test Required
Criminal, Credit, Driving, Education and Employment Background Check Required.

Responsibilities:

• Provide nursing care and assist in the welcoming, admission, and discharge process for residents
• Transcribe physician orders accurately and in a timely manner
• Monitor self-administration of medication and treatment to residents
• Accurately assess degree of detoxification by utilizing methods such as CIWA and COWS to monitor for over sedation or medical emergencies
• Respond to emergencies and initiate action as outlined in company policies and procedures
• Maintain communication with supervisor, Health Care Practitioner, and/or other key staff regarding resident care
• Perform necessary duties for monitoring the health status of residents per company policies and procedures
• Ensure resident compliance with facility rules and guidelines
• Other duties as assigned

Minimum Requirements:

• Valid LVN License in the state of California
• Newly graduated with some clinical nursing practice experience are welcome.
•  Experience in substance abuse treatment a plus
• CPR and First Aid certification required

Competencies:

• Advanced knowledge of HIPAA
• Proficient knowledge of chemical dependency and psychological disorders
• Knowledge of detoxification protocol and related care including symptoms and medications (including CIWA and COWS)
• Ability to accurately record information and prepare reports
• Ability to properly manage medications
• Ability to properly conduct required assessments
• Ability to navigate the company’s EHR system
• Skills in ACA intervention strategies