Clinical Responsibilities:

• Assists with the completion of the assessment process for patients including but not limited to the following: medical checklist/physical health/nursing screening, medication list/reconciliation, depression screening, height/weight and vital signs as applicable
• Administers medications, observing the Seven Rights of medication administration
• Provides education regarding patient’s disease process
• Provides medication education for the consumer and family, including uses and potential side effects
• Monitors patients for potential side effects of medications and reports findings to the physician
• Provide direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care
• Accurately assign triage categories
• Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, pain management and assessment of changes
• Identify and address psychosocial, cultural, ethnic and religious/spiritual needs of patients and family
• Communicates effectively with the physician regarding the patient’s physical and mental condition
• Administers medical and psychiatric screenings as needed ( PHQ-2, UNCOPE, etc.)
• Completes medical checklist, AIMS, vital signs, infoscriber as indicated
• Perform ancillary testing and tasks as ordered by presiding physician (i.e. PFT, EKG, injections, audiograms, x-ray, etc.) or calls medical facility or department to schedule patient for tests
• Gives injections or treatments and performs routine laboratory tests
• Supervises nursing functions at the site including immediate supervision of medical assistants to assure conformance with established standards and procedural requirements
• Assists patients with the assistance programs and referrals; maintains updated file of referrals and provides referral information
• Responds to consumers’ request for medication refills
• Assist with meeting reporting requirements of SAMHSA grant
• Reviews chart for treatment compliance
• Follows up on missed injections and document in chart
• Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan
• Monitors laboratory results and reports all abnormal findings to the physician
• Provides emergency care as needed (CPR, MindSet, PRN medications), according to the Accordia Health Policy and Procedures
• Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
• Participates in general and medical staff meetings as required
• Keys data into computer to maintain office and patient records
• Educate the community and patients on health issues to increase health literacy
• May conduct infection control for staff and consumers when indicated
• Performs related duties as assigned
• Meets AltaPointe Health productivity standards
• Effectively demonstrates the application of nursing competencies
• Adheres to professional code of ethic

Administrative and Other related duties as Assigned:

• Actively participates in Performance Improvement activities
• Actively participates in Accordia Health committees as required
• Completes assigned tasks in a timely manner
• Accesses appropriate community resources according to consumer needs
• Follows Accordia Health Policy & Procedures
• Maintains current State license and requirements for renewals (i.e. CEU’s), and attends to required in-services and workshop