Licensed Vocational Nurse - PRN

About Nexus Family Recovery Center

Nexus Family Recovery Center is a Dallas-based nonprofit dedicated to helping women and families heal from substance use disorder. We provide a comprehensive continuum of care, from detox through residential and outpatient treatment, rooted in trauma-informed, evidence-based practice and a deep belief that recovery is possible for everyone we serve.

At Nexus, our culture is built on the same values we bring to our clients: respect, compassion, and integrity. Our team is made up of professionals who are serious about the work and about each other, and we are committed to building a workplace where staff feel supported, valued, and able to grow.

If you're looking for work that matters, a team that shows up, and an organization that invests in the people doing the hard work, then we'd love to meet you.

Summary

The Licensed Vocational Nurse (LVN) – PRN provides direct nursing care to clients undergoing medical detoxification for substance use disorders. The LVN is responsible for monitoring withdrawal symptoms, observing administration of medications as ordered, supporting medical assessments, and ensuring the safety and comfort of clients during the detoxification process. The LVN works collaboratively with the Medical Director, Medical Providers, clinical and support staff to provide safe, compassionate, and effective care.

Essential Duties & Responsibilities

• Conduct regular admission nursing assessments including vital signs and withdrawal monitoring tools (e.g., CIWA, COWS), and document in Welligent and/or CMBHS.
• Monitor clients experiencing withdrawal from alcohol, opioids, and other substances.
• Provides supervision of medication to clients according to guidelines established by licensing/regulatory/agency standards, and per each client’s individual medication protocol.
• Observe and report changes in client condition to the physician, nurse supervisor, or medical provider.
• Provide nursing care in accordance with medical orders, nursing standards, and facility policies.
• Administer medications as ordered by the physician or medical provider.
• Monitor clients for medication effectiveness and potential side effects.
• Ensure proper medication storage, documentation, and controlled substance procedures.
• Educate clients on prescribed medications and withdrawal management when appropriate.
• Assist with medical intake assessments for detox admissions.
• Review medical history, current medications, and withdrawal risk factors.
• Conduct initial vital signs and withdrawal screenings during the admission process.
• Communicate relevant medical concerns to the provider or nursing supervisor.
• Monitor for signs of severe withdrawal, medical complications, or psychiatric concerns.
• Respond to medical emergencies and follow established emergency protocols (this shall also include responding to code blues outside of the detox unit).
• Assist with crisis intervention when clients experience agitation, distress, or medical instability.
• Maintain accurate and timely medical documentation in the electronic health record (EHR).
• Document nursing assessments, medication administration, withdrawal scores, and client responses to treatment.
• Ensure compliance with facility policies, licensing standards, and regulatory requirements.
• Maintain strict confidentiality in accordance with HIPAA regulation.
• Participate in multidisciplinary team meetings when required.
• Support coordination of care between medical, clinical, and support staff.
• Provide education on withdrawal symptoms, detox medications, and recovery support when appropriate.
• Encourage clients to engage in treatment programming once medically stable.
• Offer compassionate support to clients during the detox process.
• Complies with all licensing and regulatory standards for medication storage, disposal, counting, reconciliation, etc.
• Completes all required online trainings, attends all required in person trainings and/or staff meetings.
• Other duties may be assigned.