LPN Opioid Treatment Program

ACI Federal is seeking an LPN for the Opioid Treatment Program

Job description

GENERAL STATEMENT OF DUTIES:

Provides general medical and psychiatric nursing services, medical screenings, obtains laboratory specimens, administration, and delivery of opioid medications (methadone or buprenorphine), consultation and education, and other interagency functions.

SUPERVISION RECEIVED: Reports to the OTP Nurse Coordinator or their delegate.

SUPERVISION EXERCISED: None.

TYPICAL WORKING CONDITIONS: Requires completing several competing work priorities in a time-restricted environment. Works with a challenging population of patients, often from diverse backgrounds, with varying degrees of life stress and co-morbid general medical and psychiatric conditions. Requires work on weekdays, weekends, and holidays. Some evening hours may be required, when necessary. The work schedule is based on agency needs. In emergency situations, employees may be required to work additional hours in preparation for severe weather conditions such as predicted snow storms or hurricanes. The Program Supervisor may also approve for an employee to make a home visit to deliver opioid medications to a patient that has a condition that makes it difficult to come to the clinic (e.g., post-op recovery) and the physician believes the patient cannot properly use take-home medication. On occasion, the nurse may medicate a patient who is too ill to come into the clinic and must remain in their vehicle outside the entrance to the Clinic.

PHYSICAL REQUIREMENTS OF THE JOB:

While performing the duties of this job, the employee may be required to stand for extended periods of time, utilize a computer, and operate various types of office equipment: copier, printer, facsimile machine. May require the lifting of boxes weighing up to thirty pounds.

ESSENTIAL DUTIES AND EXPECTATIONS:

1. Performs general and psychiatric nursing services, including but not limited to, medication administration and delivery, intramuscular injections, weights, vital signs, body mass indices, glucose monitoring, mental status examinations, and phlebotomy.

2. Administers and delivers medications in accordance with physician orders and documents activities in accordance with OTP and other policies and procedures.

3. On a daily basis, verifies opening quantity of methadone and buprenorphine stock; verifies and documents closing quantities of methadone and buprenorphine stock.

4. Maintains daily chain of custody of take-home bottles of methadone, ensuring accurate delivery, storage and return of undelivered bottles back to the pharmacist in accordance with program policy and procedures.

5. Provides clinical surveillance for indication of recent alcohol or other substance use that may require the withholding of methadone or buprenorphine and consultation with a program physician.

6. Ensures follow-up of abnormal laboratory results and the referral of patients to the appropriate physician for the medical evaluation of any patient physical complaints.

7. Collects drug screen specimens (monitored and unmonitored) as required by patient's treatment plan.

8. Screens all female patients for pregnancy at enrollment and as necessary; reports positive pregnancy test results to both the program physician and the patient's care coordinator to assure linkage to appropriate services.

9. Provides nursing services within the Opioid Treatment Program and the Buprenorphine Clinic including initial and ongoing screenings, admission nursing assessments, specimen collection, medication administration, referral and consultation, scheduling appointments, and other administrative activities in accordance with the QTP and the Buprenorphine Clinic policies and procedures. Documents all activities according to agency requirements.

10. Maintains up to date, well documented, and legible medical records that comply with Federal and State requirements, program requirements, and accreditation standards (CARF.)

11. Facilitates individual and group education to patients.

12. Completes pre-treatment nursing assessments, to include medical and psychiatric histories, to assist in determining appropriateness of the patient for admission. The OTP LPN does not make the determination of appropriateness for admission but collects and shares the information with the program's Registered Nurse and physician for final determination.

13. Assists the physician with patient evaluations, admissions, and interventions.

14. Performs phlebotomy services on patients to collect necessary laboratory specimens.

15. Participates in case reviews as a member of the interdisciplinary team.

PERFORMANCE REQUIREMENTS:

Knowledge • General Nursing skills. • Effective interventions with individuals who have opioid dependency, with or without cooccurring psychiatric disorders. • Client Rights Regulations. • Familiarity of clinical functioning of Opioid Treatment programs and services. • State licensure requirements. • Current pharmacotherapy protocols for psychiatric disorders, including medications, side effects, dosages, and routes of administration. • Diagnostic criteria included in the current Diagnostic and Statistical Manual of Mental Disorders; signs and symptoms of mental disorders, including co-occurring disorders, etc. Skills • Linking, coordinating, monitoring, assessing. • Crisis prevention, intervention, and management. • Familiarity with collecting specimens for drug testing (urine and saliva based.) • Familiarity with the use of an alcohol breath analyzer. • Phlebotomy skills for obtaining blood for lab specimens. • Maintenance of client records in accordance with all regulatory standards. • Liaison with community resources. • Advocacy. • Boundary and limit setting. • Facilitate group and individual educational or skill building sessions. • Administer medications, including the use of a computerized dispensing system. Abilities/Competencies • Demonstrate positive interpersonal communication and effective listening skills. • Function as a member of an interdisciplinary team. • Works under the supervision of a Registered Nurse or physician. • Establish and maintain effective working relationships with colleagues, clients, and families. • Demonstrate adherence to strict confidentiality (HIPPA) and ethical standards. • Exercise sound judgment. • Manage multiple work priorities. • Computer literacy and ability to utilize available technology in the performance of duties. Performance Responsibilities: Although each position has its own unique duties and responsibilities, the following areas apply to every employee • Will adhere to Corporate Compliance Plan and Code of Conduct and will report all real and suspected violations to their supervisor, director, the Corporate Compliance Officer, and/or the Alert Line. • Will strive to maintain positive internal and external customer service relationships. • Must be able to be depended upon to plan and organize work effectively and ensure its completion. • Must be able to demonstrate reliability by arriving to work on time and taking breaks in expected time frames. • Will be expected to meet all productivity requirements. • Must be able to demonstrate team behavior and must be willing to promote a team-oriented environment. • Must be able to demonstrate initiative, strives to continually improve processes and relationships.

EDUCATIONAL & LICENSURE REQUIREMENTS:

Licensure as a Licensed Practical Nurse from the Virginia State Board of Nursing or license from a participating state in the Nursing Licensure Compact (NLC). One-year nursing experience in a medical environment performing patient care duties preferred with one-year prior experience working in an Opioid Replacement treatment facility, but not required. Experience with persons seeking treatment for substance use disorders, with or without co-occurring mental disorders and experience in the administration of opioid medication is desirable. Possession of a valid driver's license and acceptable driving record as reported by the Department of Motor Vehicles are required for persons using a personal or agency vehicle in the performance of their duties.

POSITION CONTENT: This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, management reserves the right to modify, add or remove duties and assign other duties as necessary.

Job Types: Part-time, Contract

Pay: $25.00 per hour

Expected hours: 30 per week

License/Certification:

• LPN (Required)
• BLS Certification (Required)

Ability to Commute:

• Norfolk, VA 23505 (Required)

Ability to Relocate:

• Norfolk, VA 23505: Relocate before starting work (Required)

Work Location: In person