Maintains effective working relationships with professionals and support personnel within the medical center and the community. Maintains expertise in the nursing care of individuals with substance use disorders. Maintains professional knowledge and skills based on current evidence-based practice. Actively participates in reviewing and updating policies, procedures, and standards to promote evidence-based, patient-driven care. Serves as a resource for patient and family rights, responsibilities, and decision-making information and processes. Accurately documents coordination and care provided in CPRS. Utilizes approved Protocols and Guidelines to facilitate autonomy in providing care. Provides patient centered care while respecting patient's personal values, cultural, and belief system. Collaborates with patients to assess and identify needs, issues, care goals, and resources for achieving desired outcomes by effectively using Motivational Interviewing and TEACH techniques. Demonstrates ability to collaborate and coordinate with all levels of services and disciplines. Retains current knowledge of multidisciplinary resources, programs, and services, referring patients for community resources as appropriate. Promotes patient, family, and team problem solving interactions by actively participating in interdisciplinary meetings to facilitate coordination and the achievement of identified goals. This may include assisting other nursing staff with maintaining clinic flow and providing clinical coverage as necessary. Collaborates with ancillary team members and resources within the clinic to manage clinic access issues. Assists in determining appropriate scheduling based on patient's clinical need. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Provides care coordination and case management for patients receiving care in community partner programs. Administers screening tools, e.g., PHQ9, GAD, PCL, MOCA, Suicide Risk Assessment, Audit C, COWS. Provides education and demonstration of naloxone rescue kits. Monitors ongoing treatments for adherence, medication side effects, and clinical outcomes, including symptoms, therapeutic response, side effects, and provides and/or coordinates appropriate follow up. Exhibits pharmacological knowledge of indications, actions, and effects of buprenorphine/naloxone formulations, methadone, naltrexone formulations, and naloxone. Administers long-acting injectable medications, including antipsychotics and opiate antagonists. Coordinates the urine collection process, including performing observed and monitored urine collection per SOAR clinic guidelines. Exhibits leadership in promoting proactive and evidence-based care by bringing up to date research and data to the team and leading process improvements to keep team practices current. Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for a panel of patients with a primary diagnosis of SUD across the continuum of care.
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