Registered Nurse (RN) Nights

Now Hiring a Full-Time Registered Nurse (RN), Night Shift!

POSITION SUMMARY:
The purpose of this position is to provide clinical oversight for the day-to-day operations of the hospital, work with patients in a therapeutic setting, follow and carry out physician orders, complete assessments, initiate and update treatment plans, direct patient care, group and individual therapy/education, referral for intake and continuum of care, application of treatment and restraints or seclusion interventions. Meeting patient goals, clinical documentation, IV administration, medication administration, educating family members, teaching and supervising other mental healthcare workers.

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Ensures that patient needs are met by ongoing assessments of patient needs, health status conditions, as well as patient response to interventions and provides nursing staff to meet those needs
• Actively involved in treatment modalities/interventions and documenting progress
• Evaluates the care for each patient on admission and on an ongoing basis in accordance with accepted nursing practice
• Ensures that the nursing staff develops and keeps current nursing care plans for each patient
• Makes all patient care assignments
• Supervise and evaluates the clinical activities of each non-employee nursing staff person
• Reviews staffing schedules and meets patient care need to make adjustment for nursing staff absenteeism
• Administer medications, IV administration and venipuncture techniques as authorized by state laws
• Carry out physician orders
• Patient/Family education regarding medication administration, patient disorder needs, benefits, side effects, disease prevention and basic living skills
• Complete comprehensive nursing assessments, treatment, and tests
• Complete psychiatric metric measures
• Complete documentation in medical charts that is organized, clear, complete, current and legible; compliance with completion, filing, retrieval of medical records.
• Ensure a safe therapeutic and sanitized environment
• Complete assigned tasks with minimal supervision and supervises personnel performance and nursing care for department
• Adhere to and respect all policies regarding patient rights, anonymity, and confidentiality of all patient records past and present. This covers any written or verbal communications regarding a patient’s identity, address and situation.
• Observes and evaluates patients' signs, symptoms, and therapy progress
• Identifies and interprets patient findings or changes requiring attention or notification of other professional staff
• Maintains a clean safe work environment
• Accepts orders from licensed physician, MD’s and maintains accurate inventory of medication and stores them in a secure area
• Investigates and documents complaints and incidents regarding patients, staff, visitors, and family members in compliance with federal and state laws, accreditation, policies and procedures
• Adheres, demonstrates, and monitors compliance regarding patient rights, abuse and neglect, seclusion and restraint, infection control, professional ethics, cultural competency, and advance directives as mandated by federal and state laws, accreditation, policies and procedures
• Functions in a friendly, supportive, courteous, respectful, cooperative, and professional manner with patients, families, physicians, referral sources, visitors, coworkers, and management
• Implements and complies with Advance Directives formulated by patients
• Bring questions or concerns regarding prescribing orders to the practitioner/physician
• Ensures that patient information is completed timely, filed timely, and accessible for retrieval from the medical record
• Ensures all entries are dated, timed and authenticated (this includes verbal orders which should be utilized at a minimum)
• Ensure results of consultative evaluations, complications, hospital acquired infections, and unfavorable reactions of the drugs are included in the medical chart
• Ensures informed consents are properly executed
• Ensures and demonstrates that medical records contain physician orders, nursing notes, care plans, reports of treatment, medication records, radiology reports, lab reports, vital signs, and any other information necessary to monitor the patient’s condition
• Provide pharmaceutical services within scope of license and education
• Prevents transmission of infections among patients, personnel and visitors, identifies persons who may be exposed or infected, provide treatment or preventative measures, and logistics issues (staff, medical supplies, re-supply, continued operations, and capacity)
• Measures for early identification of patients who require isolation in accordance with CDC guidelines. Utilizes and monitors for personal protective equipment (gowns, gloves, masks, and eye protection devices), uses techniques for isolation as recommended by CDC
• Promotes, monitors, and utilizes hand washing hygiene among staff and employees including utilization of alcohol based sanitizers, measures specific prevention of infections that are antibiotic resistant, prevention of device associated bloodstream infections or other device associated infections (central venous catheters, tube feedings, indwelling catheters); isolation procedures for highly immune-suppressed patients, care techniques (burns and other situations) utilizing disinfectants, antiseptics, germicides used in accordance with manufacturers instruction. Appropriate use of medical equipment, adherence to nationally recognized infection prevention and control precautions, and educates patients, visitors, caregivers and staff about infections and communicable diseases and methods to reduce transmission. Complies with reportable disease requirements.
• Demonstrates the development discharge plans/reassessment of plans that are made before discharge and arrangements for appropriate post-hospital care that avoid unnecessary delays in discharge
• Transfer or refers patients with necessary medical information to appropriate facilities, agencies or outpatient services as needed for follow-up or ancillary care
• Provide emergency care within safe and appropriate times
• Promotes, adheres, and monitors for a drug and violence free work place
• Meets all standards regarding continuing education and basic qualifications

Required Skills:
• Awareness and knowledge of standard nursing practice and knowledge of the persons served and the conditions of geriatric and/or mentally ill patients
• Communication and interpersonal skills to de-escalate potentially violent patients and prevention of and early intervention for assaultive, self-injurious behavior
• Able to problem solve and make decisions, especially during crisis situations
• Knowledge and demonstrates use of equipment including restraint systems
• Knowledge and demonstrates the specific needs of the population in the following:
o Techniques to identify patient behaviors, events and environmental factors that may trigger circumstances that require the use of restraint or seclusion
o The use of nonphysical interventions skills
o The safe application and use of all types of restraints or seclusion used in the hospital and how to recognize and respond to signs of physical and psychological distress
o Clinical identification of specific behavioral changes that restraint or seclusion is no longer necessary
o Monitoring the physical and psychological well-being of the patient who is restrained or secluded including but not limited to respiratory, circulatory, skin integrity, vital signs and any special requirements specified by the hospital policy associated with one-hour face-to-face evaluation
o The use of first aid techniques and certification in the use of cardiopulmonary resuscitation, including required periodic recertification
o Death reporting requirements associated with the use of seclusion and restraints
• Knowledgeable and demonstrates hospital policies, procedures regarding abuse, neglect, patient care, patient safety, reporting incidents, investigating incidents, and compliance in regulations with federal and state laws, accreditation, policies and procedures regarding seclusion and restraint, and patient rights
• Knowledgeable and demonstrates the needs of the population served
• Knowledgeable and demonstrates all legal issues and applicable in federal and state laws, accreditation, policies and procedures
• Knowledgeable and demonstrates universal precautions and the methods of controlling communicable diseases
• Knowledgeable and demonstrates ethics, compliance, cultural competency, advance directives, and legal aspects
• Knowledgeable and demonstrates IV administration, i.e., fluid/electrolyte balance, blood components, and venipuncture techniques
• Knowledgeable and demonstrates DSM IV diagnosis, psychotropic medication, and side effects of medications
• Knowledgeable and demonstrates thorough patient treatment plans that are based on an inventory of needs, strengths, and goals
• Legal aspects of clinical practice and professional standards
• Knowledgeable and demonstrates the mission of the hospital
• Promotion of the reduction of stigma of mental illness
• Knowledgeable of the persons served and their rights
• Advocate for the needs of the persons served

Required Work Experience:
• One (1) year of clinical nursing experience preferably in geriatrics and/or mental health

Licensing/Certification/Education Requirements:
• Graduate from an accredited school of nursing with a Registered Nursing Degree
• Current State Registered Nursing License.
• Current CPR Certification
• Current CPI Certification

Other Requirements:
• Position may require unscheduled overtime, week-end work
• Must be willing and able to work flexible hours
• Travel required

Required Computer Software/Equipment Used:
• Microsoft Excel, Word and Outlook
• Ability to learn HRIS and/or scheduling systems
• Standard Office Equipment
• Computer

Physical Requirements:
• Job will require frequent lifting of objects up to 40 pounds
• Subject to standing, walking, sitting, bending, reaching, kneeling, pushing and pulling
• Work is typically performed in a standard office environment; well-lit; comfortable temperature controlled; above-average conversational noise is frequent
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Required Safety Expectations:
• Working safely and follow safety rules
• Report unsafe working conditions and behaviors
• Take reasonable and prudent actions to prevent others from engaging in unsafe practices

Supervisory Responsibilities:
• Does not have direct supervisory responsibilities
• Supervisor frequently determines priorities
• Occasionally needs manager’s direction due to extraordinary circumstances

COMPETENCIES:
Analytical Thinking: Able to gather and analyze data and reach appropriate conclusion; Solves problems in a timely manner.
Customer Service: Possesses good interpersonal skills while dealing with emotional or difficult situations; Responds promptly to customer’s needs.
Accountability: Accepts responsibility for own decisions, actions and results; Able to maintain dependable behavior in times of crisis or complexity.
Attendance: Is consistently at work and on time; Ensures work responsibilities are covered; Arrives at meetings on time. Returns from lunch and breaks appropriately.
Communication: Speaks and writes clearly and persuasively; Listens and gets clarification.
Ethical Behavior: Upholds organizational values and abides by state and federal regulations; Maintains confidentiality of HIPAA information; Treats others with respect.
Initiative: Seeks increased responsibility; sets self-improvement goals linked to the organizational goals.
Job and Industry Knowledge: Demonstrates knowledge of the position and industry; Seeks additional information.
Productivity and Quality of Work: Maintains high level of performance while demonstrating commitment to accuracy and thoroughness.
Teamwork: Displays ease working with others; Contributes ideas and skills to team; Puts success of team above own interests.

EQUAL OPPORTUNITY EMPLOYER

Our organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.