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Community-Based Nurse

Division: Client Support Services
Department: CSS-I Outpatient Services
Supervised By: Progra, Manager
FLSA Status: Non-exempt/Regular/Full-time
Effective Date: February 2007

Position Summary

Provides general and specialized psychiatric nursing services to clients individually or in groups. Primary activities include: train for and over-see medication administration; monitor sites and program activities for safety, infection control and disease prevention; conduct patient education and training; and provide nursing assessments. Additional major duties include staff training, report writing, serving on treatment teams, and on-call crisis assistance.

Essential Duties/Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Monitors and coordinates basic health services and mental health services for designated clients. Identifies client needs in all nursing-related areas, and initiates and maintains effective programs and services to respond to those identified needs.
  • Serves as program liaison with the clients’ various physicians. Obtains and correctly transcribes physician orders. Calls in new physician’s orders to the pharmacy provider. Monitors that physicians’ orders are signed and being implemented. Notifies appropriate physician of any client health changes or problems.
  • Completes initial and periodic nursing assessments on designated clients.
  • Maintains an adequate supply of medication for designated clients. Reorders medications from the pharmacy provider. Monitors the security and safe storage of all medications on Center premises. Maintains records and reports accounting for all medications and their administration and/or other disposal. Trains clients to self-medicate properly, and trains staff to administer, monitor and store medications.
  • Identifies needs for patient education and direct training activities, especially related to mental illness symptoms, health and fitness, medications, and medical care.
  • Monitors and documents that clients are receiving all ordered: medical evaluations, laboratory tests, allied health evaluations, and immunizations. Maintains a routine of regularly recording clients’ weights and vital signs.
  • Provides an injection clinic for clients and staff, including but not limited to Hepatitis B inoculations and annual PPD tests.
  • Monitors premises and program activities for infections, infestations, unsanitary conditions, and safety risks. Reports problems as directed, and provides guidance for remedial steps.
  • Sees that all physician orders for special diets, activity restrictions, and special treatments are communicated and implemented.
  • Serves as a resource to the organization in the area of specialty for training, problem-solving, and decision making.
  • Performs other duties as assigned.
Minimum Qualifications/Requirements
  • Basic knowledge and skills in all aspects of nursing, psychiatric disorder, treatment of mental illness conditions, general pharmacology, medical record keeping, infection control, laboratory results, and the operation of routine medical equipment.
  • Advanced knowledge and skills in psychotropic medications, medication administration, crisis intervention and emergency care, nursing assessment, and patient education.
  • Agreement to use personal transportation in work capacity.
Certificates, Licenses, Registrations
  • Licensed in the State of Indiana as a Registered nurse or a Licensed Practical Nurse. Registered Nurse preferred.
  • Valid Indiana driver’s license.
  • Current CPR certification. (Re-certification annually)
  • Current First Aid certification. (Re-certification every 3 years)
  • Current CPI certification. (Re-certification annually)
  • Maintain TB Certification
Physical Demands

While performing the essential duties of this job, the employee may be required to climb and/or lift.

Work Environment

Nurses work in various community settings with limited on-site supervision. Office and program areas may not be air conditioned and could become overly warm in summer months. Many program activities are conducted in community settings away from Hamilton Center, Inc. premises. Work conditions, such as cleanliness, comfort and safety may vary widely. Exposure to all types of weather elements is likely. Staff may be scheduled to work evenings and/or weekends. Safety management and crisis intervention decisions and actions are dependent on staff present. Management of emergencies is dependent on staff and/or outside emergency services. A crisis could arise which may be stress producing and/or exhausting.

Conditions of Employment
  • Satisfactory reference and background investigation checks
  • Completion of tuberculin screening no later than three days prior to first work day of employment and annually thereafter.
  • Completion of a pre-employment drug screening and completion of post-employment drug or alcohol tests upon reasonable suspicion of use.
  • Completion of Center-wide new employee orientation and ALL required paperwork prior to reporting for work.
  • Completion of Total Quality Management training within first six months of employment.
  • Attendance at all mandatory staff development and training.
  • Successful completion of a six month on the job orientation period.
  • Participation in payroll electronic deposit.
  • Adherence to Compliance Program Plan.

Job descriptions are not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with a job. They are meant to be accurate reflections of the principle job elements essential for making fair pay decisions about jobs.

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