- assess potential residents forappropriateness for the treatment program;
- complete an updated assessment oneach client after admissions;
- complete a medicaltreatment/discharge plan based on updated assessment;
- communicate the treatment planwith the treatment team upon admission and on a monthly basis;
- provide on-going health educationto all residents as outlined in the Program Policy and Procedure Manual;
- provide on-going assessment ofacute medical/nursing needs of all residents and refers residents toappropriate treatment centers;
- monitor prescribed medicationconsumption and treatments that includes assessing resident knowledge andunderstanding of medication and treatment regimens, as well as, accuracy ofadministration;
- coordinate the management ofpatient's medication stock including pharmacy pick-up and drop-off of meds,calling in refills for clients, and upkeep of how medication is stored;
- conduct urine drug screens on allresidents as requested;
- conduct weekly psycho educationclasses as requested by the Nurse Manager or Program Manager
- follow treatment care plans setforth by the medical staff;
- document all pertinent healthrelated information about residents on the resident chart that is doneroutinely and according to nursing standards of practice;
- complete Incident Report formbefore the end of a shift if applicable;
- maintain HIPAA guidelines; and
- performother duties as assigned.
- All clients are to be told oftheir obligation to stop by the Nursing Office prior to discharge or graduationto receive their medications. Clients are to be made aware that if they leaveOHL at night or on a weekend, they may return to the nurses' office in 72hours, medications will be discarded and a note in chart will indicate the lastday at OHL noting they did not participate in a discharge plan as contracted.
- All new clients will sign theirmedications in and out. All clients will be given the phone numbers toBehavioral Health and Local RHC or Health Unit as part of their orientation inthe event they leave without a discharge plan.
- All client medications arereturned to the clients upon discharge.
- Medical Staff Daily Inquiries -Report with night staff for shift change.
- ER and Medical visits must beaccompanied with a medical feedback sheet, any pertinent labs, and notes forthe visit. All clients going offsite for medical appointments will be obligatedto stop at the nurse's office to report what occurred in the visit and submitany paperwork before going back on the floor.
- Pharmacy Coordination - Occurs asneeded. Pharmacy coordination may include but is not limited to local communitypharmacies.
- Facilitate medication refills byinstructing clients how to fill out a medication refill request, attainrefills, and arrange for payment.
- Call medications in to pharmacyprior to departure, patient must fill out sheet with financial request.
- Document on a pharmacy log whichclients have pending medications.
- On arrival of medications,document all arrivals into each client's chart.
- Insert any medication informationsheets into patient's chart.
- For any clients that have statprescriptions send and fill ASAP if they are antibiotics, anti-inflammatorymedication, etc....
- Monitor and reorder client'spersonal medication as needed.
- All new admits will have a medicalrecord in the EHR. These records will hold clients' recent PPD, intake packetfrom admissions, a medical reconciliation form of all meds, and any medicalrecords that arrived for the client such as History and Physical, PsychEvaluations, Hospital Records, Labs. This chart will be made when the LPN meetsthe client and is assembled by the Medical Staff.
- The Medical Staff will establishappropriate medications which can be used at OHL. Narcotics may not be used in the Program (there may be exceptions in avery few cases to this policy but approval for the use of any narcotic mustcome from the Program Manager prior to administration of such medication.) Certainpain relievers are acceptable on a case by case basis with documentation fromthe medical provider who provided the pain reliever. The LPN may be instructedto give clients comfort medications as outlined in the policy and instructed bythe Chief Medical Officer.
- The Medical Staff will establishwhat medication calls the client will use for their medication regimen. Thereare four medication calls per day. As needed medications will be used on a caseby case basis. This schedule will be written down for the client to have as areference and present to their Counselor.
- The clients' schedule will bedocumented into a log for medication calls. This log will allow nursing staffto know when a client has been missing medication calls or not taking themcorrectly.
- Medication stock will be storedunder lock and key in the Nursing Office Medication Room. Clients will only beallowed access to their medication during medication calls and in specialcircumstances based on the situation and LPNs' clinical judgment.
- All staff will observe the takingof medication at each medication call. Observing the bottle instructions, theamount of pills a client takes, and how low the medication appears in thebottle. Encouraging patients to be aware of their stock of medication is partof the Medical Staff's duties.
- Missed medication calls willresult in client missing medication if it is too close to the next medicationcall based on clinical judgment. There will only be three grace opportunitiesto take late or missed medications. At that time the LPN will notify thatclient's Counselor of the behavior to have it addressed as part of theirtreatment. These cases should be logged into nurse's log to be presented intreatment team meetings.
- Ideally, all medication refillsmust be paid by the client. Patient must be instructed at time of orientationas to how medications are filled and how frequently.
- All medication refills need to bewritten onto a medication refill slip and submitted to the Medical Staff.Depending on their level in the program, the client's role in refilling theirmedications will change to allow them to participate more independently.
- Patients will be oriented to theprocess of filling out a medical slip when they are sick.
- Patient will be informed that allsick visits are triaged and addressed in order of urgency. Clients will not beallowed to go to the ER for primary care issues unless indicated.
- If a client repeatedly complainsof issues that are impeding their capacity to participate in a program, theymay be considered inappropriate for the program and discharged if indicated.
- All suicidal attempts will resultin immediate discharge. Suicidal ideation is to be addressed directly with OHLStaff and the client's safety will be managed accordingly.
- Report in with staff. Review thenight log for any ER visits or medical complaints from the night. Match toIncident Reports as needed.
- Review all needed actions for theday dealing with the Local RHC or Health Unit as needed: medication orders, labdraws, chart reviews or any pending documents to file.
- Review the intake schedule foradmissions and prepare appropriately.
- Review medical slips submitted byclients of OHL. Triage slips to determine urgency of Primary Care visit. Numberof clients seen is variable. Report client needs to the Local RHC or HealthUnit if warranted.
- Respond to emails in timelyfashion and carbon copy appropriate parties.
- Coordinate new admits into theLocal RHC or Health Unit for an initial H&P and placement of PPD. Range ofclients is determined on activity of admissions.
- Conduct medication calls.
- Review Admissions packets on allcandidates for the Program and advise on eligibility and needed documentationfor any medications.
- Receive charts at admit and reviewfor all necessary components using chart content checklist. Send Program staffall needed documents: H&Ps, TB skin tests, Psych evaluations.
- Orient any new admits to themedical side of the Program: medication calls and refills, sick slips etc....
- Coordinate all receivedmedications at arrival to be available to client by first available medicationcall.
- Review any outside facilitymedical records for clients and determine follow-ups as needed.
- Email Counselors promptlyregarding any clients off the floor with new medical orders that would affecttheir treatment and of any pending offsite medical visits.
- Review Discharge Summary and/or beaware of any clients leaving. List medication stock on form and have clientsign for it. Photocopy and scan into client chart.
- Attend Multi-disciplinary TeamMeeting. Participate in the medical components of clients' case as needed.
- Coordinate patient referrals withthe Psychiatrist. Follow-up on Chief Medical Director's instructions.
- Pull discharged clients and notedischarge date on a progress note and file.
- Manage the MAR daily, weekly, andmonthly as needed and file all MAR into client's charts.
- Review MAR for patterns of missedmedications by clients, inquire with client as to why, report to Counselor, andBehavioral Health contract as needed.
- Manage the medicationsrefrigerator and discard old medications.
- LPN license
- Healthcare CPR
- Must be able to work independently with limited supervision
- Must be able to handle a large caseload of medication managementfor clients
- Residential Substance Abuse treatment experience
FT and PT LPN-Briscoe - Lake Charles, United States - Odyssey House Louisiana
Description
Compensation Range:$27.50-$30.80/hr.*Sign-on Bonus: $2500 ($1000 paid after first 30 days of employment and $1500 paid at 90 days of employment. The employee must be on active payroll on the payout date in order to receive the payment.)
Licensed Practical Nurse-BriscoeLake Charles Program
Join our mission to provide acomprehensive continuum of care for people in Louisiana, encompassing primarycare, behavioral health, and substance use disorder treatment. Help save livesat OHL
As a Medicaidprovider, OHL is in compliance with the Centers for Medicare and MedicaidServices (CMS) mandate and has a mandatory COVID-19 vaccination policy in placefor all employees. As a result, you will be asked to provide proof of COVID-19vaccination.
JobSummary
Odyssey House Louisiana, Inc. is seeking full-time and part-time LicensedPractical Nurses. Multiple shifts available. TheLicensed Practical Nurse (LPN) works with agency clients in the Program. TheLicensed Practical Nurse orients clients to the agency and the expectations ofservices which are to be received through the Medical Staff and managing theagency clients' medical care. The Licensed Practical Nurse facilitates healthcare services as a support to the clients' own self-management. All residentsare responsible for their own health care services and management of theirmedication administration and supply of that medication. It is not the policyof the agency to provide all medical services to agency residents.
Responsibilitiesand Duties
It is the duty and responsibility of the Licensed Practical Nurseto:
Required:
Minimum qualifications include the following:
Preferred qualifications include the following:
Competitive Compensation and Benefits package includeslife insurance and 401k match for eligible employees.
Odyssey House Louisiana, Inc. is an EEO employer - M/F/Vets/Disabled