RN Full-time
RN Overnights | Sobriety Centers of New Hampshire | Tilton, New Hampshire

About the Job:

The Registered Nurse is responsible for providing nursing care to patients. Supervising care treatment and services of patient care provided by LPNs, CNAs and other staff on assigned unit and shift. Developing, implementing, and evaluating an individual plan of care for each client. Assessment and re-assessment of patients. Communicating appropriate information with the interdisciplinary team. Reporting client concerns and changes in condition to supervisor and/or physician in a timely manner.

Roles and Responsibilities:

· Provides and coordinates care by assessing physical and behavioral health needs of client, develops and implements nursing care plans, maintains medical records and educates clients and their families about various physical and behavioral health conditions while ensuring client safety at all times.

· Assesses client’s status on an ongoing basis and pertinent information gathered is documented.

· Ensures nursing treatment plans are specific to assessed needs and initial treatment plan is completed upon admission.

· Takes physician’s orders (verbal or via telephone) accurately and documents appropriately; transcribes and reviews physician’s orders. Ensures physician’s orders are legible if taken verbally and transcribed appropriately per policy and procedure.

· Accurately administers medications per ordered note and documents accurate count of controlled substance. Adjusts medications under provider’s supervision as needed; monitors lab results to validate medication compliance.

· Notifies physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc.

· Supervises self-administration of medications using safety initiative of using two means of client identification: documents and reports effects of scheduled and PRN medications.

· Maintains accountability of administration, recording, control and security of medications, including narcotics.

· Completes admission and discharge processes efficiently and accurately as directed.

· Confers regularly with treatment team (e.g., nurses, therapists, program managers, physician) regarding client care. Attends and participates in the unit activities such as therapy groups, family meetings as appropriate, staffing, unit meetings, etc.

· Provides education/explanation to clients, families, and co-workers regarding medication usage/maintenance, common side effects, client's rights, as well as other topics necessary for optimal client care.

· Monitors client acuity, census, staffing needs, and makes arrangements for coverage as needed, following established guidelines.

· Assures thorough, accurate documentation is completed for all clients on each shift and client assignment sheets are completed daily and tasks are carried out as assigned.

· Gives thorough report to oncoming staff, supervisors, and physician.

· Provides coverage in emergency services as needed.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

· Graduation from an approved/accredited school of nursing.

· One or more years’ nursing experience within clinical area of service provided by facility preferred.

· Experience in behavioral health/psychiatric/addiction recovery environment preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

· Valid current RN license from the state or from a compact state, where applicable.

· Certified in Psychiatric Nursing preferred.

Why Sobriety Centers of New Hampshire?Sobriety Centers of New Hampshire offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Sobriety Centers of New Hampshire is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

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Participates in activities to improve workflow and patient care. Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks. Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development. Registered Nurse II Functions as Nurse-in-Charge in the absence of the Nurse Specialist. When in charge role, makes shift nursing care assignments based on assessment of patient needs and acuity to assure appropriate level of care is provided. Provides direct nursing care through application of the Nursing Process to patient care management by assessing immediate and long-term nursing needs. Collects patient data by interview and/or observations to provide a basis for nursing assessment. Completes nursing assessment and diagnoses on patient admission and as often as clinically indicated to provide a basis for nursing care. Completes patient assessments prior to authorizing Seclusion/Restraint in an emergency situation. May perform venipuncture to collect blood for laboratory testing. Collaborates with interdisciplinary team members to formulate an individualized treatment plan. Defines patient problems, identifies goals and plans nursing interventions to address problems and meet goals of the treatment plan. Monitors and evaluates the effectiveness of the patient's care plan and documents patient's response to provide for revision of treatment plan and readiness for discharge. Coordinates and supervises subordinates in their provision of patient care through the use of patient assignment, staff meetings, performance appraisals, etc., to provide safe and quality nursing care. Administers medication and treatment according to Nursing Department Standards to assure a safe level of treatment. Educates patient/family/significant other regarding unit routines, rationale for interventions, medications, treatments and health care needs and documents same to prepare patients for discharge. Collaborates with the interdisciplinary treatment team to plan for discharge and documents the nurses' involvement. Evaluates and collaborates with Nursing Managers and unit staff to effect positive therapeutic milieu. Monitors patient's medical problems, reports findings to Internal Medicine Department, carries out medical treatments as indicated by Nursing Practice and as ordered by the physician to provide safe quality nursing care. Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks. Supervises the nursing care of RN subordinates and participates in orientation of staff. Identifies areas for improvement and participates in activities to improve workflow and patient care. Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development. Registered Nurse III Functions as Nurse-in-Charge in the absence of the Nurse Specialist. When in charge role, makes shift nursing care assignments based on assessment of patient needs and acuity to assure appropriate level of care is provided. Provides direct nursing care through application of the Nursing Process to patient care management by assessing immediate and long-term nursing needs. Collects patient data by interview and/or observations to provide a basis for nursing assessment. Completes nursing assessment and diagnoses on patient admission and as often as clinically indicated to provide a basis for nursing care. Completes patient assessments prior to authorizing Seclusion/Restraint in an emergency situation. May perform venipuncture to collect blood for laboratory testing. Collaborates with interdisciplinary team members to formulate an individualized treatment plan. Defines patient problems, identifies goals and nursing interventions to assist in formulation of treatment plan. Identifies complex treatment-related problems and workflow issues and presents possible solutions and goals. Evaluates the effectiveness of the patient's care plan and documents patient's response to provide for revision of treatment plan and readiness for discharge. Coordinates and supervises subordinates in their provision of patient care through the use of patient assignment, staff meetings, performance appraisals, etc., to provide safe and quality nursing care. Administers medication and treatment according to Nursing Department Standards to assure a safe level of treatment. Educates patient/family/significant other regarding unit routines, rationale for interventions, medications, treatments and health care needs and documents same to prepare patients for discharge. Collaborates with the interdisciplinary treatment team to plan for discharge and documents the nurses' involvement. Evaluates and collaborates with Nursing Managers and unit staff to affect positive therapeutic milieu. Monitors patient's medical problems, reports findings to Internal Medicine Department, carries out medical treatments as indicated by Nursing Practice and as ordered by the physician to provide safe quality nursing care. Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks. Supervises the nursing care of RN subordinates and participates in orientation of staff. Leads quality improvement activities to improve workflow and patient care. Promotes the use of evidence-based, expert nursing practices and acts as a professional role model for less experienced staff. Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development. Supervisors Workplace Safety Accountabilities Ensures compliance with established hospital and departmental safety policies and procedures by: Maintaining competency in hospital approved Crisis Management Program (CMP) and Cardiopulmonary Resuscitation (CPR) techniques for adults, children, infants and AED training. Conducting periodic (minimum quarterly basis) on site reviews. Completing competency-based review, when applicable. Providing on the spot reinforcement/training on safety issues; referring staff to formal training programs, as appropriate. Recording safety related initiatives for annual reporting. Total Commitment to Quality Participates in the formulation of the mission, philosophy, goals, and objectives for the Department. Carries out same by acting as an agent of the Department within the hospital. Supports the organizational mission, philosophy, goals, and objectives as demonstrated by a positive leadership presence in unit based, departmental, hospital wide, or in public meetings/committees. Participates in the process of continuous quality improvement by supporting unit-based quality improvement activities. Demonstrates commitment to customer service values in professional conduct and by promoting such values in assigned staff. DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information you may contact Human Resources at: NHH-HR@dhhs.nh.gov TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits is based on the employee's union status, and employee per pay period health benefit contributions will vary depending on the type of plan selected. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964