Download Position Description - Bobby Benson Center

Bobby Benson Center
Policy and Procedure Manual
Personnel
Bobby Benson Center
Position Description
Employee’s Name (printed): __________________________________ Date: ________
Title:
Effective:
Revised Date:
Reviewed Date:
Reports to:
Nurse (R.N.)
2/09
2/09
2/09, 8/10, 8/11, 8/12, 8/13, 8/14, 8/15
Executive Director
Registered Nurse
The primary responsibility of the Day Nurse (Monday through Friday) is to address the
physical concerns and needs of Bobby Benson Center clients. Gives direct client care,
implements and evaluates each unique client treatment plan, assessing data and
client/family needs and solutions. Monitors adherence to the medical directives of the
Medical Director and Consulting Psychiatrist. Reviews all medical policies and
procedures and ensures compliance with state and federal laws as licensing and
accreditation standards. Obtains a nursing assessment on each client admitted to the
center. Oversees the implementation of the medical treatment plan and provides a limited
amount of biomedical screening. Initiates and participates in medical discharge planning,
including placement (as necessitated) and referral. Leads health education seminars for
clients and staff as needed. Maintains skills and knowledge through participation of
educational programs. And, is involved in quality assurance by participating in the
Safety and Infection Control Committee.
Specific Duties/Responsibilities:
1. Completes nursing assessments on all admitted clients.
2. Provides risk management by attending to all injuries and when medically
appropriate will notify the Medical Director or Consulting Psychiatrist or
additional medical facility when necessary.
3. Reviews all training, procedures, and policies and revises as necessary to meet
CAMHD/OCHA/CARF standards. Reports to the Clinical Director, Medical
Director, with a plan of completion.
4. Prepares medications for passes and outings as necessary.
5. Provides medication certification training to all staff members who are scheduled
to administer mediations. Those certified to administer medications would be
able to demonstrate the ability to accurately follow the policies and procedures for
medication administration to the R.N before being certified to offer medications.
6. Provide and improve all medical training materials as needed.
7. Be responsible to dispense medication, attend to all client medical needs, train
staff, and provide clinical oversight to certified personnel / shift leaders. The
E.D. /H.R. – approved August 2010
Bobby Benson Center
Policy and Procedure Manual
Personnel
R.N. will be available for the majority of all the daily scheduled medication
administration times.
8. Write orders that are specific and communicate clearly their intent with the
nursing staff and certified medication trained staff members. The R.N will
transcribe all orders immediately and implement them as directed by the
physician. Orders will reflect individual needs of the client. Nursing staff will be
consulted if a client requests PRN medication. The medical physician will be
available at all times at his office or through the Physicians Exchange.
9. Written (typed) instruction will be available for unlicensed persons to follow if
the R.N. is not on site / or there is a med error or drug reaction.
10. Medications will be adequately stored: Each client’s medication will be labeled.
Off-site medication will have locked bags. Shift leaders will have the keys on site
and off-site.
11. Medication is delegated by the presented and documented monthly. Auditing
tools will also be utilized.
12. All doctors’ orders will be recorded on physician order sheets. Transcription of
medical orders will be viewed as part of chart audit that is presented in the
monthly medical meetings as of 12-01-08.
Checklist of Specific Operations
1. Documents all physician medication orders and supervises compliance by staff in
following physician directives.
2. Ensures that all incoming medication has proper orders from physician and is
properly documented.
3. Regularly reviews medication log for completeness and client PRN use for patterns
4. Maintains close control / supervision of all locked meds.
5. Maintains an inventory of medications. Orders medication when necessary.
6. Reviews completed physician physical and lab work on each patient.
7. Provides periodic review of the medical section of the chart to ensure accurate
documentation of medical services.
8. Updates staff regarding medical policy and procedural changes subsequent to
review by and approved from the Executive Director.
9. Conducts group education and individual counseling on medical-related issues to all
clients.
10. Acts as primary BBC contact for the Medical Director. Provides Medical Director
with all appropriate documentation and information.
11. Facilitates client medical / dental appointments as necessary.
12. Participates in bi-monthly visits by consulting psychiatrist. Ensures that clients and
parent / guardian are educated in medication need and effect. Obtains parental
permission for medication prescription.
13. Oversees implementation of, and provides staff training on infection control
policies and procedures.
E.D. / H.R. approved August 2010
Bobby Benson Center
Policy and Procedure Manual
Personnel
14. Ensures that all medical issues are presented to the treatment team through the
client’s assigned addiction counselor or designee.
15. Communicates with health insurance companies to verify client coverage and
request referrals.
16. Provides PPD testing for clients and staff.
17. Participates in Quality Assurance activities through the Safety and Infection Control
Committee.
18. Completes documentation as required by state and federal regulatory laws.
19. Reviews all medical policies and procedures on a regular basis to ensure
compliance with state, federal and licensing / accreditation standards.
20. Assists in the implementation of quality improvement projects as required by the
executive director.
21. Maintains current FA/CPR certification.
22. Maintains legible and neat documentation.
23. Brings all client concerns to the attention of the clinical director, collateral contacts
and family / guardian in timely manner.
24. Provide ongoing supervision of clients both on and off premises (when in care of
the Nurse).
Dependability - follows instructions well, on time for work, no unplanned absences
except in the event of an emergency, available after hours for phone consult, as needed.
Cooperates with co-workers and supervisors. Good team player, professional and will
always do full share of work.
Client Care – practices clear professional boundaries at all times.
Knowledge of Job – has comprehensive understanding of job, grasps details. Able to
practice all job tasks with minimum supervision.
Problem Solving – does not complain or blame others, solution oriented, open to
constructive criticism and self-improvement.
Rule Adherence – thoroughly knows and follows BBC policies and procedures without
formal corrective action. Meets timelines for required physicals, TB clearance,
supervision, training, and documentation.
E.D. / H.R. approved August 2010
Bobby Benson Center
Policy and Procedure Manual
Personnel
Qualifications
Associates Degree OR Bachelor’s Degree in Registered Nursing.
Minimum of one (1) year nursing experience in a hospital, clinic, or residential chemical
dependency unit.
Valid Driver's License/good driving record
Prior experience working with adolescents preferred.
Working knowledge of 12 step programs preferred.
Must be in good physical condition.
_____________________________________
Employee’s Signature
_________________________
Date
_____________________________________
Supervisor’s Name (printed and signature)
_________________________
Date
E.D. / H.R. approved August 2010