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WL
Registered Nurse
We Level Up · 0SY44 - 276 BAKERS DETOX - Lawrenceville, NJ 08648
About The Role
## Description
**Position Summary:**
The Registered Nurse (RN) is responsible for the day-to-day nursing services provided to all patients admitted to the facility, including but not limited to, intake, assessment, vital signs, suicide risk assessment, medication management, and general health care education.
**Position Responsibilities:**
- Complete nursing intake and assessment as requested by Director of Nursing and/or facility leadership; interviewing with patients and/or family as needed.
- Process, manage, and implement orders from Licensed Independent Practitioners (LIPs).
- Monitor patient’s vital signs as ordered and/or according to standard protocol.
- Maintain medication cart in order and always locked.
- Dispense medications as ordered. Monitor and document all medication activity, keeping medication administration record (MAR) up to date.
- Observes and notes patient’s reactions to psychotropic drugs and other medications.
- Ensure compliance with Do Not Use Abbreviation and Sound Alike/Look Alike medication lists.
- Document all patient interactions and interventions in the medical record within the electronic management record system.
- Complete incident report for any unusual or adverse event including medication errors and medication reactions.
- Monitor food and nutrition orders to ensure patients are served an appropriate diet in accordance with medical record.
- Record patient weight on admission, monitor weight as ordered by LIP.
- Completes suicide risk assessment on all new admission and as needed during the patient’s course of treatment.
- Complete a physical assessment of all patients upon admission or as needed to assess skin integrity, markings, or signs and symptoms of disease or medical issues.
- Obtains patient specific medications from pharmacy.
- Establish rapport, systematically gather data, determine the readiness of the individual for treatment and apply accepted criteria for diagnosis of substance use and/or mental health disorders.
- Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms.
- Screen for danger to self or others.
- Screen for co-occurring mental health issues.
- Analyze and interpret data to determine treatment recommendations and priorities.
- With the individual served, formulate mutually agreed-upon, measurable treatment goals and objective.
- Demonstrate adherence to accepted ethical and behavioral standards of conduct.
- Participate in continuing professional development.
## Qualifications
**Licensures and/or Certifications**
- This position requires a valid, active, and unencumbered RN license from the State.
- CPR certification required.
**Education and Experience:**
- Nursing degree from an accredited school.
- Minimum of 2-4 years’ experience as a nurse in behavioral health care, substance abuse, or hospital setting.
- 1 year substance abuse or mental health preferred.
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