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Assist the prescriber on the team with assessment of client physical health, making appropriate referrals to community physicians for further assessment and treatment, and coordinating medical treatments with psychiatric treatment.
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Complete nursing assessment within 30 days of admission and yearly thereafter.
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Collaborate with the treatment team in comprehensive assessment of psychiatric history, mental status, and diagnosis; physical and dental health; use of drugs or alcohol; education and employment; social development and functioning; activities of daily living and family structure and relationships.
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Perform individual, group and family supportive therapy and illness education in the process of carrying out the tasks above.
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Transcribes the prescriber’s medication orders; administers prescribed injections and medications as needed. Observes consumer, records significant conditions and reactions, and notifies current prescriber of consumer’s condition and reaction to drugs, treatments, and significant incidents.
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Monitor and draw labs for clients as needed.
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Instructs consumers about daily medications (e.g., names of drugs, dosages, interactions, benefits). Reviews medication record of each consumer for potential adverse reactions, allergies, interactions, and contraindications on a monthly basis.
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Advise the prescriber of any medication errors and suggests changes.
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Records vital statistics and other pertinent data on consumers; maintains records of same.
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Maintains the medication administration record on a daily basis.
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Takes temperature, blood pressure, pulse, weight, and other vital signs to detect deviations from normal and determine progress of consumers.
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Liaisons with physician, dietitians, hospitals, pharmacies, and the consumer’s family on all health situations.
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Utilize the agency vehicle to conduct visits, escort consumers to appointments, transport food or goods for the consumers home or program sponsored activity.
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Responsible for input into CAIRS upon admission, bi-annually and discharge.
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Act as a clinical liaison between the team and outside entities.
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Document any progress notes in EHR within 48 hours of all client and collateral contacts.
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Ensure all documentation is completed in a timely fashion and remain in compliance with agency, OMH, and AOT regulations.
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Develop treatment plans with the input of other members of the ACT team and the consumers, if applicable.
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Coordinate services with other specialist on the ACT Team, ie family specialist, employment specialist, substance abuse specialist, case manager.
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Provides networking and linkages between the programs, mental health providers, requires both telephone and face-to-face contact;
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Attend and participate in all team meetings.
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Responsible for input into CAIRS upon admission, bi-annually and discharge.
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Act as a clinical liaison between the team and outside entities.
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Document any progress notes in EHR within 48 hours of all client and collateral contacts.
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Ensure all documentation is completed in a timely fashion and remain in compliance with agency, OMH, and AOT regulations
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Assists in the planning, developing and implementation of goals and training to further develop participants’ skills, including but not limited to:
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Budgeting
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Grooming
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Nutritional planning
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Use of public transportation
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Use of community resources
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Shopping
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Housekeeping
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Physical health & development
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Adaptive behavior/independent living
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Nutrition
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Vocational development
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Social development
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Acts as a role model for participants; furthers participants in researching and obtaining community resources appropriate and applicable to their needs and goals; follows-up on any aftercare/recommendations for treatment. Escorts/ accompanies participant as needed on appointments (medical, psychiatric, substance abuse).
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Provide crisis intervention and mental health counseling as needed.
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Input all visits and data into Vellohealth software.
