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Registered Nurse
Newark Residential 75, Newark, NJ, US
4 days ago Requisition ID: 1045
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Conduct nursing assessments and obtain clients' medical and health histories upon admission and as clinically indicated.
- Assess clients for changes in physical and behavioral health status.
- Monitor clients for signs and symptoms associated with substance withdrawal, intoxication, medication reactions, and other medical concerns.
- Administer medications safely and accurately in accordance with physician orders, facility policies, and applicable laws and regulations.
- Maintain accurate medication administration records and controlled-substance documentation.
- Monitor clients receiving medications for effectiveness, adverse reactions, and potential complications.
- Communicate significant changes in a client's condition to the physician, Director of Nursing, Clinical Administrator, or other appropriate medical personnel.
- Respond appropriately to medical emergencies and initiate emergency procedures when necessary.
- Coordinate emergency medical services and transfers to hospitals or other healthcare providers when clinically indicated.
- Obtain and document vital signs, including blood pressure, pulse, temperature, respirations, oxygen saturation, and other clinical measurements as required.
- Provide wound care, basic nursing treatments, and other nursing interventions within the RN's scope of practice.
- Assist with admission, discharge, and transfer procedures.
- Review medical orders and ensure that nursing interventions are carried out appropriately.
- Provide health education regarding medications, substance use, overdose prevention, infectious diseases, nutrition, hygiene, and other health-related matters.
- Support clients receiving medication-assisted treatment/MOUD as applicable to the program.
- Identify and report suspected medication errors, adverse drug reactions, injuries, abuse, neglect, or other reportable incidents in accordance with agency policy and applicable requirements.
- Maintain confidentiality of client information in accordance with HIPAA and agency policies.
- Complete timely and accurate nursing notes, assessments, medication records, incident reports, treatment-plan documentation, and other required clinical records.
- Participate in treatment team meetings and communicate relevant nursing information to the interdisciplinary treatment team.
- Collaborate with counselors and other clinical staff regarding clients' medical needs and treatment progress.
- Assist in maintaining a safe, clean, and therapeutic environment for clients.
- Monitor and maintain appropriate nursing supplies, medications, and medical equipment.
- Follow infection-control, emergency preparedness, workplace safety, and medication-management procedures.
- Participate in quality improvement activities, audits, staff meetings, and required in-service training.
- Maintain current CPR/BLS certification and any other certifications required by the facility.
- Maintain professional boundaries with clients and comply with the agency's code of conduct.
- Perform other nursing duties as assigned by the Director of Nursing or Clinical Administrator.