Registered Nurse - PRN

Schedule PRN – as needed coverage when clinic is open (Mon‑Fri). No set hours or consistent days. Responsibilities Complete initial assessments and documentation as required. Collect, record, and analyze admission assessment data within prescribed timeframe according to hospital policy, including: Patient strengths and limitations that can be addressed in reaching health goals. Cultural, spiritual, and ethnic factors that may impact patient’s course of treatment. Patient needs to be addressed at discharge. Medical and physical status. History of medication compliance, reactions, current schedule, and age‑specific data regarding the patient’s needs. Involve patient’s support systems (family, friends) in assessment and documentation. Observe and document the patient’s interaction with family and friends as it is pertinent to the patient’s treatment. Obtain assessment data from support systems, when appropriate, regarding the patient’s history and individual needs. Act as an advocate for patients, explain patient rights, obtain signatures on necessary consents, and protect privacy and confidentiality. Assist in patient orientation process and employ hospital policies regarding unit safety and contraband search on admission. Remain sensitive to individual patient/family stressors upon admission while providing pertinent unit information. Initiate and update treatment plan and documentation as required; participate in planning and modifying the patient’s plan of care. Evaluate data obtained by others by reviewing the patient’s treatment plan and multi‑disciplinary assessment for assigned patients. Participate in care conferences (staffings) and represent the nursing care component of the treatment plan to others at the staffing. Develop and interpret plan of care with the patient/family, updating it as indicated. Write clear, concise, and obtainable treatment goals on the treatment plan for each problem. Review the treatment plan as goals are achieved, changed, or updated. On an ongoing basis, identify, interpret, and document information collected in nursing interview, observation, physical assessment and diagnostic data, and confer with other healthcare professionals, as appropriate. Review current lab data and follow up with the doctor. Evaluate potential for falls and initiate fall precautions, as indicated. Identify potential for self‑abuse, suicidality and/or assaultive behavior. Develop age‑appropriate interventions for the patient’s plan of care. Assess changes in patient status and document interventions accordingly. Demonstrate safe and correct medication administration, maintaining knowledge of medication purpose, effects, and documentation. Accurately transcribe and implement physician medication orders. Monitor expected and unexpected medication effects, including adverse drug reactions and interactions. Conduct and document patient education about medications. Identify potential patient care problems, abrupt changes, or impending instability and intervene appropriately to prevent adverse patient outcomes. Use appropriate de‑escalation techniques (quiet room, locked seclusion, restraints); re‑evaluate safety level. Identify alcohol withdrawal syndrome, extra‑pyramidal side‑effects, neuroleptic malignant syndrome signs, and significant cardiac/respiratory symptoms requiring immediate medical intervention. Identify health education needs of the patient/family and address them before discharge with teaching interventions. Document in the patient record and treatment plan. Organize patient care activities and interventions according to patient priorities and preferences, unit needs, and time constraints. Implement patient care based on established care plans, hospital policies and procedures, and unit standards of care, incorporating patient’s age‑specific and cultural needs, as appropriate. Assure delivery of admissions, transfers, and related patient care activities in accordance with Emergency Medical Treatment and Labor Act (EMTALA) and regulatory requirements. Adhere to the nursing department and hospital standards of nursing practice and patient care. Protect patients, visitors, and staff from environmental hazards by adhering to safety and infection control standards. Attend continuing education and in‑service programs; attend 100% of required in‑services. Participate in Performance Improvement program on an ongoing basis. Assist in development and implementation of unit standards of care, identify problems with unit systems and suggest solutions to the Clinical Services manager. Identify unit educational equipment and supply needs. Serve on one unit‑based committee or participate in unit‑based projects; lead projects as necessary. Carry out leadership functions in patient care, staff operations, and department organization. Contribute to nursing and hospital functions through active committee participation and attendance at meetings. Take initiative in evaluating and upgrading unit standards of care. Assume charge nurse role: coordinate unit activities, lead crises, facilitate admission process, communicate unit status, manage therapeutic milieu, plan patient care assignments, maintain unit order, serve as role model, supervise and delegate tasks to LPN/psychiatric technician. Provide primary caseload to the Patient Accounts department, assist in accurate billing. Maintain professional development through continuing education, projects, and seeking additional tasks as needed. Promote department goals and the hospital’s mission; communicate goals to staff; demonstrate measurable goal achievement and maintain policies and procedures. Education and Training Requirements Bachelor’s degree in nursing (BSN) preferred. Registered nurse licensed by the State Board of Nursing in the state of employment, in good standing. American Health Association Healthcare Provider CPR certification required within 30 days of hire; bi‑annual re‑certification required. Formal training in management of aggressive patients required within 60 days of hire; annual re‑certification required. Previous psychiatric experience with children, adolescents, and adults preferred. Possibly required to hold a qualified medical professional (QMP) designation; evaluated annually. Employees at the Child/Adolescent Day Treatment programs licensed under HFS §40 must have either training in psychiatric nursing or one (1) year of experience working with children with mental health disorders. Benefits Health, dental, and vision insurance coverage for you and your family. 401(k) retirement plan. Employee share program. Life/disability insurance. Flex spending accounts. Tuition reimbursement. Health and wellness program. Employee assistance program (EAP). Equal Employment Opportunity Equal Employment Opportunity and affirmative action – Rogers Behavioral Health. #J-18808-Ljbffr