Overview
Adult Outpatient Programs provide the least restrictive level of care where adults may receive clinical interventions aimed at decreasing existing signs and symptoms. Outpatient treatment focuses on recovery, problem resolution, symptom reduction, stabilization and/or prevention of movement to a higher level of care. Treatment varies widely and depends upon the consumer’s presenting symptoms.
Responsibilities
Clinical Responsibilities
Completes Nursing Assessment as indicated by AltaPointe’s Policy and Procedure
Responds to consumers’ requests for medication refills. Reviews charts for treatment compliance.
Administers medication observing the seven rights of medication administration and ordering of medications to the pharmacy
Performs venipuncture for laboratory requests, drug screens, TB skin tests, monitors lab results and reports all abnormal findings to the physician
Provides individual, family and group education regarding consumer’s psychiatric illness
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
Communicates effectively with the physician regarding the consumer’s physical and mental condition
Follows up on missed injections and documents in consumers record appropriately
Completes admission procedures for consumers and updates accordingly to AltaPointe’s Policy and Procedures. This process includes at a minimum: medical checklist, AIMS, vital signs, Medication List, and MARS if applicable
Documents on, Updates, and reconciles MARS if applicable
Interacts with consumer and evaluates needs to ensure that proper information is reported during staffing with the treatment team
May conduct infection control training for staff and consumers when indicated
May provide HIV education
When necessary provides nursing coverage to other Adult Outpatient programs within AltaPointe
Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan. For Psychopharm consumers, the nurse will create and update the treatment plan as needed.
Provides emergency care as needed (CPR, Mindset, Emergency Medications), according to AltaPointe Policy & Procedures
Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
Adheres to professional code of ethics
Effectively demonstrates the application of adult specific competencies
Supervision and Consultation
Seeks clinical supervision and consultation needs
Accepts and employs suggestions for improvement
Actively works to enhance clinical skills
Clinical Record Keeping
Documents in a timely fashion per AltaPointe policy
Documents in a clear, concise manner, types of consumer problems, addresses treatment plan goals and objectives and progress regarding those goals/objectives and services provided in the direct service record
Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate
Documents legibly
Meets AltaPointe productivity standard
Courteous and respectful towards consumers, visitors and co-workers
Treats consumers with care, dignity and compassion
Respects consumer’s privacy and confidentiality
Is pleasant and cooperative with others
Assists consumers and visitors as needed
Personal values don’t inhibit ability to relate and care for others
Is sensitive to the consumer’s needs, expectations and individual differences
Is gentle and calm to consumers and families
Works in a dependable, cooperative and positive manner with both program and other AltaPointe staff members
Administrative and Other related duties as assigned
Actively participates in Performance Improvement activities
Actively participates in AltaPointe committees as required
Completes assigned tasks in a timely manner
Accesses appropriate community resources according to consumer needs
Complies with AltaPointe policies & procedures
Maintains current State license and requirements for renewals (i.e. CEU’s), and attends to required in-services and workshops
Qualifications
Current LPN or RN in Alabama.