Residential Nurse

The Residential Nurse (RN) will assist in the physical health care of the clients including the admission process, physical health care during the stay, medication management, and the administration of the MAR. The RN will assist in providing knowledge and training in all areas of behavioral health care, including but not limited to, First Aid, CPR, Medication Management, Vitals, and Physical Health Care.

Roles and Responsibilities

• The nurse will complete a medical/risk assessment within 24 hours to determine if the client can be admitted into the facility.

• The Nurse may assist in the evaluation and monitoring of social/medically monitored detoxification clients to ensure their safety.

• The RN will ensure the Medication Administration Record (MAR) is accurate, complete, and verified as per the policies. This information must be completed in the EHR system and communicated to the appropriate personnel. Verification, safety, securement, and accountability are critical to this process. The transcription of medication order must be verified and entered into the EHR system or applicable method.

• The Nurse will educate and train the medication aides as per the guidelines established by the Department of Health and Human Services. The Nurse will audit the medication aid’s practices on a periodic basis to ensure conformances to the requirements/procedures (172 NAC; Chapter 95, 96). The nurse determines competencies as set forth by Department of Health and Human Services. The Nurse shall follow the Medical Management policy and procedure for BHS.

• The nurse will provide physical health care services as appropriate to ensure the safety of the clients and the facility. This includes, but not limited, evaluation of injuries, illnesses, and/or any other relevant physical health. The Nurse will determine, through observations and/or consultation, if the client needs to seek further physical/behavioral care services. This includes assisting the STR when there is a medical emergency at the facility.

• The Nurse is responsible for the destruction of applicable medication as appropriate and to ensure all personnel as following the policies and procedures.

• The Nurse should provide adequate and timely documentation as per the agency’s policies and procedures. This includes, but not limited to, nurse assessment and/or any documentation from the Medical Management procedure and regulation.

• The Nurse will assist other residential facilities during an absence of the nurse. The nurse may rotate 24/7 availability to handle any physical care situations. Collaboration through third party entities, such as a physician, shall be thorough and finalized within our policies and procedures.