Registered Nurse (RN) - Med Surg
Laredo Medical Center
Laredo, TX

Registered Nurse I, (B257410-1), 208, Detoxification

Performs advanced technical nursing duties and assists with other related nursing duties including phlebotomy. Involved in providing conducting patient admissions collecting patient medical history, including substance use disorders and mental health illness; assessment will also include history of infectious disease, chronic disease, involved in providing patient care in substance use withdrawal management, infectious disease, chronic disease, counsels on disease management, refer to medical homes.  Performs work under the administrative supervision of a licensed physician and/or the immediate supervision of a disease intervention manager. ESSENTIAL DUTIES & RESPONSIBILITIES The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description. * Conducts early detection screening services including phlebotomy * Stabilize clients according to medical protocols * Communication with staff of all significant information, which includes but is not limited to client mental status, vital signs, medications and my medication * Maintains the confidential nature of all patients and facility activities  * Documents client progress/regress according to established policies and procedures * Performs clinical nursing activities in a safe, professional manner * Obtains lab specimens as ordered by doctor  * Supervise shift nurses * Ensure that shifts are always covered  * Participates in interviewing of nursing staff  * Facilitate monthly staff training or as needed  * Part of the Audit Staff for Medical Reviews and will be trained to audit, prepare for, and sit through on-site audits * Attend and participate in interdisciplinary staff meetings * Ensuring that Intake Team completes all admission forms * Participates in Interdisciplinary Treatment Plan meetings * Ensuring that Intake Team completes all admission form * Participates in Interdisciplinary Treatment Plan meetings * Complete nursing assessments * Chart in the client medical record * Monitor vital signs according to policies and procedure, conduct patient checks and observe monitor or assign LVNs to assist with the above  * Review med pass compliance reports where applicable and report findings to supervisor * Reviews all lab results and communicate results with medical director * Reports to supervisor any administrative concerns * Oversee Doctors Orders for compliance and accuracy  * Oversee all medication administration for complaince and accuracy, inclusive of documentation * Complies with all polices and procedures in accordance with State Licensing Standards and Joint Commission regulations * Maintains required training and continuing education  * Serves on committees as appointed to by Director * Facilities team interaction ofr discharge planning * Collects and records data in a comprehensive, accurate and systemic manner * Evaluates the impact of therapeutic interventions upon the therapeutic milieu * Knowledge of program policies and procedures * Collaborates with the medical staff to provide medical and nursing care * Assists in formulating standards for patient policies and procedures * Promotes good public relations between program and nursing/direct care team * Maintains compliance with established nursing care standards * Supervises and instructs patients in medication self-administration (the preparation and giving of injections) as ordered by doctor  * Supports and assists with the orientation of new employees * Serves as a resource in speciality to other team members * Manages time effectively for proper balance between administrative responsibilities and other program requirements * Assists in formulating standards of care for patient care as required by State licensure requirements  * Reviews, revises, and formulates policies and procedures specific to program, with approval of the Medical Director and Performance Improvement Coordinator * Evaluates patient care daily by assessing patients and reviewing nursing documentation * Supervises all clinical nursing activities, assuring comfort and safety of the patients * Ensures continuity of care through the use of fore sight in directing, controlling, planning and organizing patient care * Expected to report, without the threat of retaliation, any concerns regarding policies and producers on patient privacy and any observes practices in violation of the policy to their supervisor. * Coordinates drugs testing for patients; follows mandated protocols; maintains accurate and complete records * Assists in blood draws, blood results consultations, in-body test, rapid COVID-19 test, rapid strep test, rapid influenza A/B test, rapid urine analysis, albuterol aerosol treatment, pregnancy test, intravenous hydration, glucose checks bloods pressure checks, electrical nerve stimulator treatment, ear wax removal, and eye washing * Evaluates and monitors patients until EMS arrives * Performs other related work as required. COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES Knowledge of:  * Knowledge of disease prevention and early detection * Knowledge of infection control, disease prevention, and chronic disease primary care * Knowledge of modern nursing practices, procedures, and techniques * Knowledge of epidemiology * Knowledge of nursing assessment techniques, triage, and screening services * Knowledge of modern office procedures and methods including computers and applicable software  * Knowledge of English grammar, spelling, and punctuation * Knowledge of Health Insurance Portability and Accountability Act (HIPPA) * Knowledge of the City of Laredo Drug and Alcohol Policy  Skills and Abilities: * Skill in organization and time management * Skill in performing a variety of duties, often changing from one task to another of a different nature  * Skill in customer service * Ability to communicate effectively both orally and in writing * Ability to establish and maintain effective working relationships * Ability to meet schedules and deadlines of the work * Ability to maintain confidentiality of information and professional boundaries * Ability to assess, evaluate, and treat acute injuries and illnesses. * Ability to maintain good health and physical condition sufficient to permit the full performance of the duties of the position. * Ability to maintain good planning and organizational skills. * Ability to take and follow directions from supervisor. * Ability to give directions to and gain compliance from assigned staff. * Ability to perform strenuous work and routine work. * Ability to project a positive and professional image of the City of Laredo. * Ability to effectively communicate both orally and in writing in the English language and orally in the Spanish language. * Ability to comply with all City of Laredo's policies and procedures. * Ability to maintain good health and physical condition sufficient to permit the full performance of the duties of this position. WORK ENVIRONMENT/CONDITIONS AND PHYSICAL DEMANDS Physical Effort Requirements  Position will have the following exposures * Office or similar indoor environment, relatively free from unpleasant environmental conditions or hazards. * Exerting up to 10 pounds of force occasionally, a negligible amount of force frequently, and/or constantly having to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Work Environment Locations  Position will require the employee to work in the following types of work environments    Never * Outdoor environment * Street environment (near moving traffic) * Construction site * Vehicles * Warehouse environment * Other: ______  Sometimes * Confined space   Often * Office or similar indoor environment Exposures Position will require the employee to be exposed to the following environmental elements   Never * Extreme cold (below 32 degrees) * Extreme heat (above 100 degrees) * Moving mechanical parts * Fumes or airborne particles * Loud noises (85+ decibels such as heavy trucks, jack hammers, construction) Sometimes * Toxic or caustic chemicals or substances Often * Individuals who are hostile or irate * Individuals with known violent backgrounds * Communicable diseases Travel  Position will require the employee to travel   Never * National travel * International travel Seldom * Local travel * Regional travel Required Education and Experience * Associate's degree from an accredited* college or university with a degree in Nursing * At least two (2) years of experience working as a nurse in a health care institution.         *Council of Higher Education Accreditation (C.H.E.A.) Proof of TB Test/Screening will be required to be presented prior to employment Required Licenses or Certifications * State of Texas Registered Nurse License * Valid Texas Identification card or Government Issued card is required at the time of job offer and hire. Must have reliable form of transportation to and from work site and is expected to arrive at work site on a timely basis. As part of the minimum requirements for all positions with the City of Laredo, a thorough background check and certified school transcripts will be required from all applicants who are offered employment. Effective February 24, 1997, all selected applicants are required to undergo a drug and alcohol test prior to employment. Effective January 7, 2008, all persons in safety-sensitive functions/positions, as per City of Laredo Drug and Alcohol Policy definition, shall be subject to random drug and alcohol testing. A person with a disability who needs a reasonable accommodation related to a selection process is requested to contact the Human Resources Department at (956) 791-7480 two days prior to the scheduled interview and/or test if applicable.   City of Laredo is an Equal Opportunity/Affirmative Action/Pro Disabled and Veteran Employer. We welcome differences in the form of gender, race, ethnicity, disability, geography, socioeconomic status, age, politics, religion, philosophy, sexual orientation, or gender identity. All applicants who share this goal are encouraged to apply. Must be able to function in a principle-based organization that has a culture built on character and core values.