Rosalinda Perez

The Withdrawal Management Licensed Vocational Nurse (LVN) is an integral part of the interdisciplinary team who prioritizes client safety. The LVN will provide detox-focused services related to the safe and appropriate administration of medical treatment (including medications) as prescribed by the physician. They are responsible to provide safe, effective, and efficient implementation of direct care in accordance with established policies, procedures, and standards of care. The LVN works with the larger nursing and medical team on-site in the provision of MAT therapies. Monitors patient medication use, vital, and other physical signs and symptoms to support the client through the withdrawal phase of treatment. Liaises with on-call provider, nurse manager, nurse director, and/or medical director as necessary. Triages and provides complex care coordination for all clients.

The Withdrawal Management LVN will:

• Monitor and support patients through the withdrawal process using established protocols and clinical judgment.
• Administer medications and monitor for side effects or changes in condition.
• Collaborate with nurses, physicians, and clinical staff to ensure coordinated, comprehensive care.
• Conduct regular patient assessments including vital signs, withdrawal scales (e.g., CIWA, COWS), and documentation of observations.
• Respond promptly to medical and behavioral health emergencies and initiate appropriate actions.
• Maintain accurate and confidential health records in electronic systems.
• Participate in shift reports and care planning discussions.
• Communicate with on-call providers and clinical leadership as needed for patient care decisions.
• Support and educate patients in medication-assisted treatment (MAT) protocols.
• Adhere to all clinical, safety, and confidentiality guidelines, including HIPAA compliance.
• Foster a supportive, respectful environment for clients of all backgrounds and life experiences.
• Adherence to HIPAA, maintaining confidentiality of patients' medical and personal information.
• Respond to emergencies and initiate action, as required.
• Prepare patients for exams and procedures, including vital sign collection.
• Observe, document, and record-keeping of the client’s health status.
• Familiarity with common detox assessments (CIWA and COWS preferred).
• Assist clients accurately with self-administering medications as prescribed by physicians.
• Specimen collection and labeling according to policy.
• Assist with intake and orientation processes for new patients.
• Provide safe, effective, and efficient implementation of direct care in accordance with established policies, procedures, and standards of care.
• Monitor patient medication use, vital signs, and other physical signs and symptoms to support the client through the withdrawal phase of treatment.
• Liaison with on-call provider, managers, nurse director, and/or medical director as necessary.
• Triages and provides complex care coordination for all clients.
• Oversee duties performed by unlicensed assistive personnel.

Communication and Teamwork:

• Communicate effectively with physicians, nurses, and other healthcare professionals.
• Collaborate with interdisciplinary team members to ensure comprehensive care.
• Receive and present the change of shift report as assigned.
• Notify supervisor of any changes in behavior and/or condition.

Administrative Tasks:

• Enter data into electronic health systems while maintaining data integrity and accuracy.
• Maintain accurate and up-to-date records.
• Assist with maintaining medical supplies and equipment.

• Admissions
• Nursing assessment
• DHCS
• Detox Treatment

-CIWA/COWS/RASS

-induction/tapering procedures per Dr. orders

• 3.2 and 3.5 observational rounds
• safety plans
• RTC
• MAT
• limitlis BOCH
• MedHost
• Bestnotes
• Noting and auditing of orders
• Daily vitals

• Methadone clinic
• knowledgeable with automatic pump dispenser

priming/emptying/calibrating

• Methasoft computer program
• needle exchange
• community outreach

• 89 bed MHRC
• AM and Noon medication administration
• PCC
• Medication observation

• 16 bed Psychiatric Hospital
• Medication Nurse
• Charge Nursing
• Medication Administration IM/subQ/immunizations/vaccinations
• Monitoring of antipsychotic medication
• Medication management
• IDT
• Verbal Dr. Orders
• Crisis response/deescalation
• PCC
• Omnicare
• Admissions/discharges/transfers
• Nursing care
• Floor supervision

Provides recovery focused services related to the safe and appropriate administration of medical treatment (including medications) as prescribed by the physician. Behavioral Health Specialists and LVNs/LPTs.

• Management and implementation of client care plans; behavioral/medical
• Client behavioral observation and intervention implementation
• Crisis response and deescalation intervention
• Providing of education to floor staff: trauma awareness/behavioral awareness/safety awareness/communication and policy education.
• Coordination with clinical team to reevaluate clients plan and progress.
• Trauma informed and Behavioral Informed
• Behavioral modification certified

· For Community Crisis Homes supports Administrator by sharing 24-hour on call responsibilities on a schedule to be determined by Administrator and Direct Care Leads; Requires carrying program cell phone and being first contact for program support during scheduled on call shifts; Must be available to come to program within 30 minutes in case of emergency

· Oversees and provides direct nursing care

· Organizes, prioritizes, and delegates work on the assigned shift

· Contingent upon program structure and needs, assumes charge or shift lead responsibility, as needed

· Supervises designated staff; provides orientation and training; directs the recruitment, selection, and when necessary, disciplinary action for designated direct reports

· Establishes and maintains a therapeutic relationship with members served

· Provides nursing care and assists in the welcoming, admissions, and discharge processes

· Collects data relevant to the care of members served; develops and implements nursing care plans

· Demonstrates knowledge of crisis management and intervention

· Transcribes physician orders accurately and in a timely manner

· Administers medication and treatments to members served

· Adheres to medication management policies and procedures

· Coordinates and participates in counting medications and giving report at the beginning and end of each shift

· Receives and presents change of shift reports as assigned

· Notifies the prescriber and nursing supervisor of any changes in behavior or condition

· Documents the progress of members served toward their Recovery Plan goals

· Attends and participates in community meetings and groups

· Actively participates in multidisciplinary team meetings and treatment planning meetings

· Assistance with restraint of members served in the event of assaultive behavior and pass assault crisis/crisis prevention training

• Trauma informed and behavioral diagnosis informed care.
• Dual Diagnosis informed care
• Developmental disability informed
• Coordination of care with clinical team
• Implementation of care plans
• Part of a mental and health care team providing medical case management coordination and care to clients ages 18-24.
• Triage participants at intake/assessment and throughout enrollment in program.
• Administer psychotropic medication injections, order medications, and coordinate with the treatment team.
• Support participants and treatment team with access to refills acting as a liaison between pharmacies and insurance.
• Provide support, education, and medical information to staff, participants, caregivers, and family.
• Aid participants in understanding their medical needs and help them plan for coordination of care with PCPs.
• Document all participants’ treatment and interactions accurately and completely.
• Establish a harmonious and collaborative working relationship with the participant and treatment team.
• Embrace diversity in all aspects and work positively using a teamwork approach.
• Develop procedures for monitoring participants on antipsychotic medications.
• Smartcare computer system knowledge
• Clinicians gateway
• Lab ordering

FSP Regional Float LPT Full Time

The Regional Float Pool LVN/LPT/LPN provides recovery-focused services related to the safe and appropriate administration of medical treatment (including medications), as prescribed by the physician.

Community based care, case management.

• Intake assessments
• Administration of psychotropic medication injections
• Provide client support with PCPs
• Documentation using Avatar program
• Medication maintenance support
• Monitoring participants on antipsychotic medications.
• Trauma informed care
• Developmental disability informed
• Behavioral modification informed
• Dual Diagnosis informed care

• Assesses clients to identify individual problem areas necessitating treatment and complete assessments.
• Coordinates the interdisciplinary team meetings and discharge planning efforts between the multidisciplinary treatment team.
• Coordinates the overall treatment plan implementation for the client on the unit, working closely with the nursing staff to ensure continuity of treatment efforts.
• Medication administration of +60 patients daily.
• Knowledgeable in pharmacology, and contraindications
• Intake admission, psychotropic consent forms
• Discharge of clients/transfer of clients in crisis
• Suicide prevention/crisis prevention
• Daily use of PCC charting program
• Assessment ((602, AIMS, Sexual Risk Assessments)
• Nurse weekly’s
• IDT- interdisciplinary team meeting admit/annual/quarterly
• Care plans
• Leave of absence medication release/disposition and or Day Pass
• Trident care lab/diagnostic ordering
• Daily vitals
• Dr. Orders-phone/written/verbal
• Orders for pharmacy
• E-Kit usage
• Proper disposal of medications
• Proved successful working within tight deadlines and fast-paced atmosphere.
• Knowledgeable in pharmacology daily administration of psychotropics
• Administration of psychotropics IM/SubQ
• Administration of vaccines
• Administration of PPDs
• Administration of stat trifecta orders (haldol, diphenhydramine ,lorazepam)
• Daily clinical and mental health care charting
• Very experienced and knowledgeable in de-escalation techniques
• Client Observation both clinical and psychological/psychiatric
• Scheduling of health care appointments for clients
• Daily monitoring and charting of “alert patients” ex. ER returns/new admits/abnormal health conditions/antibiotic administration/ patients on 1:1, Q15s, Q30s/injuries/abnormal labs
• Ability to act quickly in times of crisis
• Ability to multi task
• Faxing/scanning documents
• Team work and staff support
• Wound care
• Facilitator of patient education classes
• Preceptor with new employees/student interns

0630-1530 Thursday thru Monday shift

Administrative Segregation Unit/Crisis Unit/EOP Unit

Worked in unit where self initiative working within scope of practice unsupervised is top priority.

Provided trauma infomed care, dual diagnois informed

Worked with clients diagnosed with cooccuring Dev disability and psychiatric diagnosis.

Worked closely with clinical and medical teams to provide proficient care for said clients.

Worked in locked building with one other LPT for 8hrs sometimes 16hr shifts. (With 150+ to care for)

Work with other disciplines as part of the treatment team to provide an overall treatment program for the forensic client, patient, or inmate.

Observing forensic clients', patients', or inmates' physical condition and behavior and reporting significant changes to physician/psychiatrist

Recording nursing notes in the forensic clients', patients', or inmates' record; preparing and caring for forensic clients, patients, or inmates during treatment

First aid as needed; and participating as a member of the multidisciplinary team with the development of treatment plans and objectives from assessment of the forensic clients, patients, or inmates.

Preceptor of Psychiatric Technician Students, Psychiatric Technician Training Candidates, Psychiatric Technician Trainees, and other ancillary staff;

The keeping of a clean, safe, and therapeutic environment for forensic clients, patients, or inmates;

Applying of mental health principles in all relationships with forensic clients, patients, or inmates;

Developed, encourage participation in, and supervise on-the-unit group and individual program activities for forensic clients, patients, or inmates;

Assist with rehabilitation therapists in occupational, recreational, vocational, and educational therapy programs for forensic clients, patients, or inmates;

Motivate forensic clients, patients, or inmates to develop self-reliance in daily living and assist them with activities of daily living such as feeding, habit training, and maintaining a well-groomed appearance; (daily ADLs)

Conduct safe work practices; protect forensic clients, patients, inmates, and others from personal injury;

Ordering supplies as needed; keep records; and participate in in-service training programs.

• Medication administration to 150+ persons daily
• Medication inspection and dispensing knowledge
• Daily administrations of IM/subQ medications/vaccines/ppd
• Daily mental health evaluations 150+ and medical/psychiatric recommendations as necessary.
• Crisis intervention
• Specialized in mediation and crisis prevention
• Medical treatments done as necessary

Knowledge of: Custody procedures, and public and property protection policies; fundamentals of nursing care, general behavioral and psychiatric procedures, forensic client, patient, or inmate behavior and mental health principles and techniques involved in the care and treatment of individual or groups of developmentally or mentally disordered forensic clients, patients, or inmates; current first-aid methods; medical terminology; pharmacology; cardiopulmonary resuscitation; Management Assaultive Behavior techniques; hospital procedures.

Ability to: Learn and apply sound judgment for situations including the protection of persons and property; apply basic nursing knowledge, skills, and attitudes; establish effective therapeutic relationships with developmentally or mentally disordered forensic clients, patients, or inmates; recognize symptoms requiring medical or psychiatric attention; think and act quickly in emergencies; work with a treatment team to provide occupational, recreational, vocational, and educational therapy programs for forensic clients, patients, or inmates; follow directions; keep appropriate records; develop clear and concise reports of incidents; analyze situations accurately and take effective action.

Possession and maintenance of sufficient strength, agility, and endurance to perform during physically, mentally, and emotionally stressful and emergency situations encountered on the job without endangering the health and well being of the incumbent, fellow employees, forensic clients, patients, inmates, or the public.

• Coalinga State Hospital
• Kings View Rehabilitation
• Coalinga SNF
• Porterville Developmental Center
• Atascadero State Hospital
• Nursing School training for licensure as Psychiatric Technician.
• Graduated with A.S. In Psychiatric Tech
• Main focus of A.S classes in Psychology
• Deans list and Presidents list