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　　* Description and Responsibilities*

　　License to practice nursing as a registered nurse issued by Ohio Board of Nursing pursuant to Section 4723.09 Ohio Revised Code.Certified health care provider CPR.Valid Ohio driver's license, current certificate of vehicle insurance, and access to reliable transportation to all assigned work locations.Mental health and chemical dependency experience preferred.National Incident Management System (NIMS)/Incident Command System (ICS) 100.c, 700.b, and 200.c certifications within one month of employment.

　　Under general supervision and/or as part of the Behavioral Heath team, the RN performs the following essential functions and major responsibilities within the framework of the Erie County Health Department and the Erie County Community Health Center's provision of the core functions and essential services of public health:

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　　Provides direct nursing care as ordered by the providers under general supervision of a supervisor, director, and chief of the Behavioral Health Division.

　　12-hour shift assignments that includes nights, weekends & holidays within the detoxification unit.

　　Administers prescribed oral and injectable medications as defined by departmental policies and procedures. Follow up care per program policies and procedures to determine patient response to medication.

　　Evaluate detoxification needs of substance use patients using the CIWA (Clinical Institute Withdrawal Assessment Scale) and COWS (Clinical Opiate Withdrawal Scale) tools and provide appropriate interventions based on the results.

　　Screen patients upon admission and work with providers to determine whether patient is appropriate for admission.

　　Completes admissions, transfers, and discharges.

　　Appropriate documents in the electronic medical record.

　　Appropriate medication administration documentation.

　　Oversees and properly instructs LPNs on patient care, responsibilities, and assignments during shift according to scope of practice.

　　Educates and instructs patients on substance use disorders, medication, health care matters, disease prevention, and care of common health problems.

　　Participates in development and implementation of the plan of care.

　　Works as a member of the interdisciplinary team.

　　Determines when providers need to be contacted for clarification of orders, medications, expectations, new developments, or medical concerns regarding patients.

　　Communicate concise and appropriate information throughout assigned shift with supervisors, and other team members.

　　Maintain correctly stocked medication inventory, ensure safety of medications/supplies, keep an accurate log of reports of medications, and communicate with pharmacy representatives as needed.

　　Takes verbal and telephone orders from providers, transcribes orders accurately.

　　Clear communication with pharmacies when calling in verbal/telephone orders, clarifying orders and facilitating fulfillment.

　　Demonstrates ability to defuse combative or aggressive patient behavior.

　　Respond immediately to medical emergencies and assume leadership until a medical provider or EMS takes over.

　　Operates and maintains health care equipment.

　　Performs other duties as assigned consistent with job classification and scope of practice.

　　Shares responsibility for proper maintenance and operation of office machines.

　　Obtains and completes appropriate patient forms, ensures patient confidentiality, and maintains orderly medical records. Follows established public health medical records policies and procedures as well as the State and Federal laws that govern the release of health care information.