PRN Registered Nurse (Nursing Department)
San Antonio Behavioral Health
The Registered Nurse renders highly professional and technical nursing care to assigned patients with mental health disorders or substance abuse use. Provides direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation). Directs and supervises other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with unit standards of care. Essential Duties Provide direct care to patients, which includes facilitating social and emotional needs, supervising medication schedules and evaluating patient progress. Manages team comprised of LVN(s) and MHT(s) to ensure effective patient care delivery and achievement of desired patient outcomes. Collaborate with a variety of interdisciplinary professionals to determine and provide the best possible care for their patients. Ensure the correct administration of medication, including injections, and monitor the results of treatment Respond to distressed patients in a non-threatening manner and attempt to understand the source of their discomfort Provide social support for patients by creating and encouraging patients to take advantage of opportunities such as support groups, social activities and other therapeutic measures. Build relationships with patients to encourage trust, while listening to and interpreting their needs and concerns Help patients manage their emotions through de-escalation techniques Responsible for maintaining a safe environment on the unit. Conducts intake assessments through interviews with patients and relatives to gather case history. Plans and provides nursing care for patients. Makes nursing diagnosis of the medical and emotional status of patients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Administers and notes reactions to psychotropic drugs and other medications. Arranges further medical attention when necessary. Assists the client in understanding the nature of emotional disturbances and accepting the need for treatment. Keep accurate written charts and records of patient activities and progress. Comply with laws, rules, regulations, protocols, and procedures. Use professional judgment to ascertain and to apply appropriate intervention techniques with patients in crisis. Assists in maintaining a safe and secure environment for staff and patients. Test for vital signs of pain and ensures treatments of pain. Documents all patient information on medical charts and follows physician’s written orders. Maintains patient confidentiality. Maintains accurate records and documentation of patient treatments, immunizations and laboratory results according to standard medical record keeping. Performs administrative assignments such as filing, answering phones, typing, and completing progress notes in the computer system. This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital. Duties may be modified or changed with or without notice. Requirements Education and/or Licensure – ADN/BSN or equivalent. Must possess current RN licensure in the State of Texas by the Nursing Board. Must possess or obtain a valid CPR certification and SAMA training within 30 days of hire. Experience – None required. Prior psychiatric healthcare experience helpful. Additional Requirements – None Knowledge, Skills, and Abilities Must be able to concentrate on work amidst distractions such as noise, conversations and foot traffic; must be able to consistently meet deadlines; and finish all food preparation at specified serving time; must be flexible in work hours in order to meet patient and organization operating needs. Must maintain self-control in volatile or hostile customer services interactions. High school level reading and writing skills; acceptable oral and written communication skills along with legible handwriting. Customer service skills in face to face interactions with dealing courteously with patients, the public, and other staff within the organization. Use of appropriate social skills, including demonstration and respect for patients and staff; empathy toward patients; skills in teaching or assisting with activities of daily living helpful. Must be able to work independently, in a result restricted physical environment for extended periods of time. Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc. Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines. Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities. Physical Requirements/Environmental Conditions Perform the following with or without reasonable accommodations: Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips. Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly. Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound. Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull, or otherwise move objects. Light work most of the time, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently; and occasionally medium work, that is exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently. Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks, as well as inspect and analyze. Must be able to work and concentrate amidst distractions such as noise, conversation and foot traffic; ability to handle interruptions often and be able to move from one task to another. While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside. Benefits 401K Retirement Plan #J-18808-Ljbffr
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