Nurse RNLPN VA First Responder Program

Available Positions

We are currently hiring full-time and part-time RNs and LPNs for this position.

Job Summary

The role of the RN / LPN in Sanford’s Veteran and First Responder program is to assess and identify clients’ needs, then implement and monitor the patient’s medical plan and treatment. This position also ensures that patient care is being conducted according to policies and standards set by Sanford Behavioral Health. This role is also responsible for establishing a positive and trusting rapport with Veteran and First Responder clients. As a nurse, this position will provide high-quality, client-centered care to Veterans and Frist Responders struggling with behavioral health and substance abuse challenges.

Role and Responsibilities

• Understanding the unique challenges and culture of Veterans and First Responders.
• Ensures clients remain medically stable and continuously assesses appropriate level of care using level of care guidelines.
• Trains, supports, and communicates with resident support specialists on medication administration as well as with other job functions.
• Communicates client concerns to the provider daily, which includes but is not limited to, acute withdrawal symptoms, medication effectiveness, medication side effects, and / or abnormal vital signs.
• Works closely with interdisciplinary treatment team to ensure client safety and comfort. This includes clinicians, safety officers, recovery technicians, resident support specialists, and administration.
• Performs daily assessments on residential clients regarding their substance use disorder, mental health illness, eating disorder, or other medical concerns that may arise.
• Identifies medical parameters that require additional intervention, or staffing with provider, including laboratory values, vital signs, and one-on-one conversation or observation of behavior.
• Assesses client suicidality and possibility of danger to self or others.
• Provides effective communication by directing clients in a clear, concise, and informative manner.
• Safely administers medications, including narcotics through identifying mechanism of action, contraindications, and interactions of medications used to treat alcohol and drug withdrawal.
• Educates clients on medications, as needed.
• De-escalates clients and therapeutically responds to clinical signs / symptoms of withdrawal including increased anxiety, irritability, agitation, and aggression while maintaining professional boundaries and fostering a trusting nurse to client relationship.
• Utilizes an electronic medical record (EMR) system for all documentation.
• Obtains appropriate orders from the provider and submits e-prescriptions as needed for all clients.
• Completes documentation and medication ordering in a timely manner.
• Works with local emergency departments on coordinating care and incoming transfers.
• Protects patients’ rights by maintaining confidentiality of medical, personal, and financial information.
• Meets regularly with the interdisciplinary team to discuss client treatment.
• Counts all controlled medications every shift and logs appropriately in the medication log.
• Ensures all orders from providers are carried out and any information about clients and their wellbeing is promptly and clearly communicated to providers as well as during treatment team meetings.
• Completes admission and discharge paperwork.
• Assists in other units / departments when there are changes in census, staffing or a need for a higher level of care than what current staffing can provide, as needed.
• Transports clients using a company vehicle when other staff members are unavailable.
• Performs blood draws, as ordered by the provider.
• Collects samples for urinalysis and urine drug screens.
• Obtains vital signs or orthostatic vital signs, as needed.
• Attends and stays up to date on trainings and policies, like Handle With Care, Basic Life Support (BLS), and HIPAA.
• Adheres to the established Code of Ethics, Standards of Practice, Patient Centered Philosophy and employee handbook.
• Keeps professional license current and in good standing with the state of Michigan.
• Actively engages with the milieu during periods of downtime.
• Works collaboratively and autonomously to provide 24 / 7 nursing care to clients experiencing acute mild to severe signs and symptoms of withdrawal from alcohol and drugs with medical and psychiatric co-morbidities using critical thinking, nursing judgment and standardized assessments including Clinical Opiate Withdrawal (COW) and Clinical Institute Withdrawal Assessment (CIWA) scales.
• Assesses sedation levels using standardized scales, including Richmond Agitation-Sedation Scale (RASS).
• Determines appropriate level of care using American Society of Addiction Medicine (ASAM) care guidelines.
• Conducts alcohol or other drug-focused nursing assessments at time of admission communicating any medical needs or concerns to the provider.
• Performs stability checks on all clients prior to admission to ensure they meet ASAM 3.7 guidelines for admission.
• Identifies and responds to drug and alcohol intoxication including signs / symptoms of drug overdose and drug and alcohol withdrawal.
• Identifies signs / symptoms of severe withdrawal and responds to medical emergencies calmly and safely using evidence-based practices and established protocols. These can include seizures, delirium tremens, overdose, psychosis, and suicidal ideations / attempts.
• Educates clients on the neuroscience and process of addiction and withdrawal, including leading groups.
• Helps with Medication Assisted Therapy (MAT) clients, as needed.
• Facilitates Vivitrol Enrollment for all clients, as needed.
• Attends mandatory monthly nursing meetings for continuity of care, education and implementing new processes.
• Performs other duties, as assigned.

Qualifications and Education Requirements

Knowledge / Skills / Abilities

Physical Requirements

ADA Disclaimer

The employee must be able to perform the essential functions of the position adequately. If requested, reasonable accommodations will be provided to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. All requests must be made to the Human Resource Department in writing.