RN PRN - Crisis

apartment Centerstone of Tennessee, Inc. location_onClarksville, TN 37040, US

Centerstone is among the nation’s leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people’s lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!

Centerstone, a trauma-informed organization, endorses an organizational culture built on understanding, recognizing and responding to those affected by trauma to strengthen resilience for our clients, staff and community. Come talk to us about joining the Centerstone team!

JOB DESCRIPTION:

SUMMARY OF POSITION

Provides nursing care to clients in crisis in the Walk-In Center and Crisis Stabilization Unit. Provides medication monitoring, adjusts medications within limits prescribed by authorized prescriber. Provides information, education, and support to individuals in crisis that promote wellness and recovery.

ESSENTIAL DUTIES & RESPONSIBILITIES

Performs nursing assessments on individuals being admitted to the WIC/CSU.
Monitors vitals, performs lab testing, and evaluates medical appropriateness for admission and continued stay. Obtain and enters orders into EMR from authorized prescriber.
Administers and gives medications to patients, monitors the dosage, side effects, use and documents patients’ reactions.
Provides medication training to the guest or guest’s family/guardian to administer the guest’s medication, to monitor proper levels of dosage and watch for side effects.
Develops and maintains the Treatment Plan of Care for guests.
Oversees the administering of nursing needs of guests.
Performs as a liaison role between guest and the authorized prescriber, pharmacist, family, and/or collateral support systems.
Coordinates guest- staff assignment of care and provides shift change report.
Observes guests on a day-to-day basis and provides documentation in the EMR.
Provides group or individual education as needed.
Participates and/or leads staff meetings and training as scheduled or necessary.

KNOWLEDGE, SKILLS & ABILITIES

Effectively communicate via written, verbal, in person and virtual methods.
Performs basic electronic medical record computer skills.
Detail oriented with effective problem solving skills
Possesses leadership skills
Knowledge base in psychotropic medications.
Skill in crisis intervention.
Ability to de-escalate patient/clients using evidence based de-escalation training (e.g. Theapeutic Options) to include safety holds as necessary.

QUALIFICATIONS

Education Level

Minimum of Associates Nursing Degree from an accredited school or a Waiver approved LPN by State of TN. RN Preferred.

Years of Experience

One year of behavioral health nursing experience preferred

Certification/Licensure

Licensure required. Valid driver’s license required.

PHYSICAL REQUIREMENTS

Standing – 20%

Sitting – 80%

Squatting – Occasional

Kneeling – Occasional

Bending – Occasional

Driving – Occasional

Lifting – Occasional

DISCLAIMER

The duties and responsibilities described in this document are not a comprehensive list and additional tasks may be assigned to the employee from time to time, or the scope of the job may change as necessitated by business demands.

Time Type:

Part time

Pay Range:

$29.63--$41.54

Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy:

Medical, dental, and vision health coverage
Flexible Spending and Health Savings Accounts
403b retirement plan with company match
Paid time off and ten paid holidays
AD&D Insurance, Life Insurance, and Long Term Disability (company paid)
Employee Resource Groups
Continuing education opportunities
Employee Assistance Program

Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. We treat all clients and colleagues with dignity and respect.

At Centerstone, we use our values as a guide for what we do. Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone, and particularly rooted in our Culture.

Our approach to culture is to create an environment that encourages, supports and celebrates the voices and experiences of our employees. We are committed to a culture of empowerment, respect, integrity and expertise that powers our innovation and connects us to each other, our clients and the communities we serve.

Centerstone is also committed to a strong culture of quality and safety, celebrating role-models who champion best practices for quality, clinical risk, and patient safety.

Share this job

Related Jobs

ICU

Per Diem

Critical Care Unit RN - PRN

apartment Jennie Stuart Health location_onHopkinsville, KY

To ensure the delivery of competent, high quality clinical care in a caring compassionate environment. • Completes nursing HX and assessment accurately within expected time frames. • Determines and delivers age appropriate care. • Delegates duties based on complexity of patient needs. • Utilization of critical thinking skills in prioritization of care. • Develops and prioritizes individualized plan of care. • Coordinates and collaborates plan of care with health care team. • Incorporates discharge planning needs in plan of care. • Documents interventions that are accurate, pertinent, timely, and legible. • Administers medication observing the "5 rights" • Administers medication correctly based on patient's age, and clinical condition. • Performs skills and tasks required by unit expectations. • Provides safe environment. • Includes patient, caregivers, and disciplines in care, council and health teaching. • Demonstrates correct use and troubleshooting of equipment. • Evaluates the efficacy of plan of care. • Modifies based on patient's current condition. • Ability to supervise staff member who provide direct patient care. • Provides health care at the best value without compromising patient care. • Responsible and accountable for all actions. • Practices within the scope of license. • Able to charge PP floor.

Med-Surg

Per Diem

Medical/Surgical Registered Nurse - PRN

apartment Jennie Stuart Health location_onHopkinsville, KY

Under general supervision, demonstrates proficiency in administering the fundamentals of the nursing process, contributes to the nursing assessment and the development of the nursing care plan, and participates in the evaluation of nursing care, in accordance with established philosophy. REQUIRED SKILLS • Excellent customer service skills. • Self-directing, able to work with little direct supervision. • Empathy for the needs of patients. • Effective oral and written communication skills. • Ability to communicate through spoken and written English. • Treats patients and others with courtesy and respect, presenting a positive public image. • Works well as a team member. • Ensures confidentiality and security of patients' medical information. WILL BE HELD ACCOUNTABLE TO THE FOLLOWING STUDER PHILOSOPHIES AND PRINCIPLES: • HCAPS Patient Perception • Hourly Rounding with intention • Bedside Shift Report • AIDET • Daily Huddles

Per Diem

Behavior Health Registered Nurse - PRN

apartment Jennie Stuart Health location_onHopkinsville, KY

Under the direction of the Clinical Nurse Manager, provides nursing care in accordance with departmental and hospital policies and procedures. Essential Functions: Demonstrates knowledge of hospital policies and procedures for administering and recording medication. Demonstrates knowledge of commonly used meds: action, dose, and side effects. Observe five R’s for administering meds: right patient, right drug, right method, right dose, and right time. Demonstrates proper procedures in all methods of medication administration. Maintains IV access according to hospital policy and procedures. Assesses and documents IV site every eight hours per unit standard. Reports change in patient status immediately. Reports the progress of the patient’s/significant other’s response to teaching plan to treatment team. Implements changes in plan of care. Patient is oriented to unit and vital signs recorded within one hour of admission. Each identified problem is addressed using BIRP format every twelve hours and PRN (if applicable). Flow sheets and I & O sheets are signed with name and title. Medication administration record must include full signature and title of nurse administering med, time given, reason for omission, and site for infection (if applicable). Documents narcotic use according to hospital policy and procedure. Practices within legal boundaries of nurse practice act and according to hospital policy and procedures. Attends continuing education programs. Attends hospital sponsored training programs as required by departments. Maintains CPR certifications. Attends all required safety education programs. Provides complete and accurate responses to safety questions when asked by supervisor. Operates assigned equipment and performs all procedures in a safe manner as instructed. Maintains work area and equipment in the condition required by department standards. Demonstrates proper body mechanics in all functions. If manager/leader, provides for the safety of department employees. Demonstrates knowledge of techniques, procedures, and correct use of protective barrier equipment. Attends annual education programs. Demonstrates knowledge of MRI patient care observation and management. Has knowledge of procedures for PCA pain management. Interacts with all of the above in a considerate, helpful, and courteous manner, as observed by the divisional director and peers. Fosters mature professional relationships with fellow employees in a courteous, friendly manner, as measured by management observation and peer input. Maintains professional composure and confidence during stressful situations. Maintains open communication using appropriate chain of command. Conducts all work activities with respect for rights and wishes of patients, visitors, families, and fellow employees. Maintains confidentiality of all hospital and patient information at all times. Presents neat appearance in proper attire and displays identification as required by hospital policy. Displays a positive attitude that contributes to the overall customer service program at the hospital. Supports the hospital’s mission, policies, and procedures. Completes work assignments on time/readily accepts assignments, as observed by divisional director. Reports to work on time and is at work as scheduled, as observed by the divisional director or staffing coordinator.

Other

Case Management Registered Nurse - PRN

apartment Jennie Stuart Health location_onHopkinsville, KY

Jennie Stuart Health is seeking a dedicated Case Management Nurse to join our healthcare team on a PRN basis. This role is integral to our patient care system, coordinating services through a multi-disciplinary process that provides both clinical and psychosocial support throughout the continuum of care. The Case Management Nurse will be based at our Medical Center location, working in a mid-career level position with an hourly compensation ranging from $23.02 to $35.97. As a Case Management Nurse at Jennie Stuart Health, you will be responsible for developing, planning, coordinating, and administering activities related to clinical review, discharge planning, resource utilization, and utilization review. Your primary goal will be to ensure quality, cost-effective care for our patient population, embodying the core values of patient advocacy, holistic assessment, care planning, and empowerment of patients and families. In this role, you will build collaborative relationships with staff, peers, and physicians while communicating with clarity, integrity, and purpose to optimize healthcare outcomes. You will assess the medical necessity of all admissions, validating the need for hospitalization under the correct patient status, and competently evaluate the needs of patients and their families from admission throughout their hospital stay. A critical aspect of this position involves proactive discharge planning beginning on the day of admission, which includes patient/family education and the development of safe, quality-driven post-discharge plans. You will collaborate with the multi-disciplinary team to develop and implement appropriate discharge plans for assigned patients and assist in monitoring and evaluating patient/family progress according to established goals. As our Case Management Nurse, you will serve as an effective liaison between our facility and payers to optimize patient/family reintegration into the community. You will coordinate the integration of various social services into all aspects of patient care and ensure documentation requirements meet facility, state, and federal guidelines. Your documentation should reflect psychosocial and medical background, including high-risk screenings related to case management and proposed interventions/outcomes. This position requires creative problem-solving skills, utilizing innovation and a team approach. You will need to demonstrate clinical judgment to determine appropriate interventions addressing patient needs and barriers to patient progression through the continuum. A thorough understanding of CMS regulations and other payer processes supporting authorization and identification of correct patient types (Inpatient, Observation, and Outpatient) is essential. You will collaborate with Social Workers on complex cases to ensure successful discharge plans, consult with providers for care as needed, and make referrals for identified continued care needs. Additionally, you will support chart audit functions including RAC and third-party requests, and assist in identifying department interventions and priority expectations to improve case management metrics such as length of stay reduction, readmission reduction, and discharge times. As a valued team member, you will practice autonomously, consistent with practice standards, policies, and procedures, escalating cases as needed to the Physician Advisor for intervention. You will provide excellent customer service and hand-off communication while participating in department and organizational performance improvement activities. Above all, you will demonstrate commitment to the mission, vision, and values of Jennie Stuart Health. This is a regular/at-will position with no travel requirements or per diem allowance.

Infusion

Full-time

Infusions Registered Nurse - Full Time

apartment Jennie Stuart Health location_onHopkinsville, KY

Patient assessment: Obtains and documents nursing history from the patient and/or significant other that is comprehensive of present condition and prior problems. Performs basic assessment of the patient, indicating adequate knowledge of anatomy, physiology, and pathology. Records vital signs, notes changes, and pursues more-specific investigation as needed. Makes pertinent observation, using language that correctly describes body parts and functions, and draws logical conclusions which direct formation of nursing care plan. Identifies abnormal diagnostic data and shows a fundamental understanding of its implications by reporting information to the physician and others caring for the patient, and by incorporating information in the nursing care plan. Nursing care plan: Uses assessment information to develop a care plan that communicates information for incoming personnel to adequately care for the patient. Reviews plans for assigned patients. Includes the patient and his or her family in planning care, establishing priorities, and setting goals. Plan implementation: Uses care plans as a basis for providing safe and therapeutic care to patients. Consistently follows established standards, policies, and procedures in providing nursing care. Accepts accountability for clinical care of assigned patients, including supervision of nonprofessional personnel. Communicates with the patient and his or her family and other members of the health care team in carrying out the goals of the care plan. Indicates an understanding of the roles of other health-care team members in patient care and incorporates their input into the care plan. Performs competently those technical skills considered basic to the type of care given on that unit. Identifies patient teaching needs and provides instructions for the patient and his or her family on an education level that they can clearly understand. Notes discharge planning elements and incorporates these in care plans, demonstrating an awareness of community care available after discharge. Responds appropriately in urgent and/or emergency situations. Evaluation: Evaluates and notes the individual patient's response to nursing care defined in the nursing care plan and medical records. Participates in the evaluation of nursing care given to groups of patients. Identifies strengths and weaknesses of nursing care systems. Leadership: Supports standards of nursing care through adherence to existing policies and procedures. Supervises care given by nonprofessional personnel, providing instruction as needed. Accepts reassignment as needed to provide necessary care for all patients