Responsibilities:
Clinical Responsibilities
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Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care.
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Effectively document and maintain EHR health records for populations served.
- Complete assigned patient cases and orders in by next business day at 5pm.
- Assesses, plans, and educates patients/families on medical and psychiatric issues.
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Complete Worker’s Compensation and Pre-Employment Health Screens.
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Maintains accurate and continued nursing documentation including patient history, conditions, treatments, and responses.
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Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients/families.
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Responds to consumers’ requests for medication refills and reviews charts for treatment compliance.
- Administers medication observing the Seven rights of medication administration and ordering of medications to the pharmacy.
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Administers medical and psychiatric screening instruments as appropriate.
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Performs venipuncture for laboratory requests, drug screens, TB skin tests, etc. monitors lab results and reports all abnormal findings to the physician.
- Provides medication education for the consumer and family, including uses and potential side effects. Monitors consumers for potential side effects of medications and reports findings to the physician/CRNP/RN.
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Communicates effectively with the physician regarding the consumer’s physical and mental condition.
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Follows up on missed injections and documents in consumers record appropriately.
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Completes admission procedures for consumers and updates accordingly to AltaPointe’s Policy and Procedures. This process includes new patient and established patient workflow templates within EHR.
- Documents, updates, and reconciles MARS if applicable.
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Interacts with consumer and evaluates needs to ensure that proper in formation is reported during staffing with the treatment team.
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May conduct infection control training for staff and consumers when indicated.
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May provide HIV education.
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Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan.
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Provides emergency care as needed (CPR, PMAB, Emergency Medications), according to AltaPointe/Accordia Policy & Procedures
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Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation.
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Performs related duties as assigned.
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Meets Accordia Health productivity standards.
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Participates in general and medical staff meetings as required.
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Adheres to professional code of ethics.
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Effectively demonstrates the application of population served specific competencies.
Supervision and Consultation
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Seeks clinical supervision and consultation needs.
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Accepts and employs suggestions for improvement.
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Actively works to enhance clinical skills.
Clinical Record Keeping
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Documents in a timely fashion per AltaPointe policy.
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Documents in a clear, concise manner, types of consumer problems, treatment goals and services provided.
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Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate.
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Documents legibly.
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Meets AltaPointe productivity standard.
Courteous and respectful towards consumers, visitors and co-workers
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Treats consumers with care, dignity and compassion.
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Respects consumer’s privacy and confidentiality.
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Is pleasant and cooperative with others.
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Assists consumers and visitors as needed.
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Personal values don’t inhibit ability to relate and care for others.
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Is sensitive to the consumer’s needs, expectations, and individual differences.
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Is gentle and calm to consumers and families.
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Works in a dependable, cooperative, and positive manner with both program and other AltaPointe staff members
Administrative and Other related duties as Assigned
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Actively participates in Performance Improvement activities.
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Actively participates in AltaPointe committees as required.
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Completes assigned tasks in a timely manner.
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Accesses appropriate community resources according to consumer needs.
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Complies with AltaPointe policies & procedures.
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Maintains current State license and requirements for renewals (i.e. CEU’s) and attends to required in-services and workshops.
Qualifications:
Qualified candidates will possess a current LPN license to practice in the state of Alabama. Candidates must also have knowledge in adult psychiatric care and/or substance abuse/addictions, outlined below, to be attained within six (6) months of employment:
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Basic knowledge of psychiatric disorders in the child and adolescent population.
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Knowledge of general and psychiatric nursing care.
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Knowledge of medical terminology especially those terms associated with child/adolescent psychiatric care and /or substance abuse.
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Familiarity of psychopharmacology and the use of psychotropic medications with the child/adolescent and/or substance abuse population
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Demonstration of safe medication administration practices including IM injections
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Knowledge of behavior management, crisis intervention, and interventions common to acute psychotic consumers and/or consumers with addictive disease as well as to non-violent crisis intervention practice.
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Knowledge of educational methods appropriate for children and adolescents Knowledge of cultural diversity.
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Knowledge of Trauma Informed Care principles
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Understanding of behavioral, psychological, physical health and social effects of psychoactive drugs, including alcohol and tobacco on the consumer and their significant others
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Basic teaching and training skills