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About the Role
The Licensed Practical Nurse (LPN) is responsible for the safe and accurate preparation, dispensing, administration, inventory, and documentation of medications for clients in the Opioid Treatment Program (OTP). The LPN performs all dispensing functions within the scope of LPN licensure and in compliance with THRIVE policies and procedures, authorized prescriber orders, OASAS requirements, applicable state and federal regulations, HIPAA, and 42 CFR Part 2.
Responsibilities
- Prepare, dispense, and administer methadone, buprenorphine products, Vivitrol, and other authorized medications.
- Verify each client’s identity, medication, dose, route, timing, and take-home authorization before dispensing or administration.
- Review the medication order and required documentation before dosing; clarify discrepancies with authorized nursing or medical staff.
- Observe clients at the time of dosing for signs of intoxication, impairment, withdrawal, adverse reaction, or other conditions that may affect safe medication administration.
- Accurately record every medication dispensed or administered in the electronic health record and all required medication logs.
- Complete daily inventory counts and reconciliation of methadone, buprenorphine products, and other controlled medications.
- Participate in the required monthly inventory review with the medical provider and assist with medication audits and inspections.
- Securely store, handle, prepare, dispense, administer, waste, inventory, and document all prescription and over-the-counter medications.
- Prepare authorized take-home doses, labels, lists, and supporting documentation.
- Maintain current backup take-home lists and labels to support manual dispensing during power outages or electronic health record downtime.
- Report medication discrepancies, dosing errors, documentation errors, spills, waste, loss, or suspected diversion immediately.
- Coordinate with authorized nursing and medical staff regarding medication orders, dose holds, missed doses, guest dosing, take-home status, and other dispensing-related concerns.
- Notify the medical provider when medication supplies need to be reordered.
- Respond to medication-related calls from clients, pharmacies, and authorized providers, and document the communication and action taken.
- Maintain complete and accurate medication records.
- Maintain the dispensing area and nursing station in a clean, organized, secure, and operational condition.
- Follow medication safety, infection-control, diversion-prevention, and emergency procedures during all dispensing activities.
- Provide emergency first aid and initiate the appropriate emergency response when an urgent medical issue occurs during medication dispensing.
- Maintain practice within the LPN scope of practice and complete required supervision, meetings, and training.
- Perform other medication-dispensing duties consistent with licensure, regulatory requirements, and program operations.
Requirements
- Licensed as a Licensed Practical Nurse in New York State
- Experience in the Chemical Dependency and/or Mental Health field is preferred.
Work Type
- Full Time