Registered Nurse

Position Summary:

We Level Up, under new leadership, is growing our residential treatment team in Spokane Valley and is seeking dedicated Registered Nurse who value collaboration, structure, and quality care. The Registered Nurse (RN) is responsible for the day-to-day nursing services provided to all patients admitted to the facility, including but not limited to, intake, assessment, vital signs, suicide risk assessment, medication management, and general health care education.

Position Responsibilities:

• Complete nursing intake and assessment as requested by Director of Nursing and/or other facility leadership; interviewing with patients and/or family as needed.
• Process, manage, and implement orders from Licensed Independent Practitioners (LIPs).
• Monitor patient's vital signs as ordered and/or according to standard protocol.
• Maintain medication cart in order and always locked.
• Dispense medications as ordered. Monitor and document all medication activity, keeping medication administration record (MAR) up to date.
• Observes and notes patient's reactions to psychotropic drugs and other medications.
• Ensure compliance with Do Not Use Abbreviation and Sound Alike/Look Alike medication lists.
• Document all patient interactions and interventions in the medical record within the electronic management record system.
• Complete incident report for any unusual or adverse event including medication errors and medication reactions.
• Monitor food and nutrition orders to ensure patients are served an appropriate diet in accordance with medical record.
• Record patient weight on admission, monitor weight as ordered by LIP.
• Completes suicide risk assessment on all new admission and as needed during the patient's course of treatment.
• Complete a physical assessment of all patients upon admission or as needed to assess skin integrity, markings, or signs and symptoms of disease or medical issues.
• Obtains patient specific medications from pharmacy.
• Establish rapport, systematically gather data, determine the readiness of the individual for treatment and apply accepted criteria for diagnosis of substance use and/or mental health disorders.
• Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms.
• Screen for danger to self or others.
• Screen for co-occurring mental health issues.
• Analyze and interpret data to determine treatment recommendations and priorities.
• With the individual served, formulate mutually agreed-upon, measurable treatment goals and objective.
• Demonstrate adherence to accepted ethical and behavioral standards of conduct.
• Participate in continuing professional development.

• Demonstrates competence in one or more of the following areas:
  • Establishing rapport, systematically gathering assessment data, evaluating readiness for treatment and change, and applying accepted diagnostic criteria for substance use disorders.
  • Screening for psychoactive substance toxicity, intoxication, and withdrawal symptoms.
  • Screening for co-occurring mental health conditions.
• Supports the organization's efforts to comply with National Patient Safety Goals related to:
  • Infection prevention
  • Suicide risk assessment
  • Patient identification
  • Medication reconciliation
• Performs additional responsibilities as assigned by leadership.

Workplace Behaviors

• Demonstrates the ability to complete daily tasks as assigned and meet required deadlines.
• Complies consistently with attendance and punctuality standards.
• Safeguards client rights to privacy and confidentiality at all times.
• Preserves the personal dignity and respect of all clients.
• Maintains a positive, professional, and supportive attitude in the workplace.
• Provides leadership by coaching, supporting, and motivating staff.

Workplace Responsibility

• Seeks supervision, guidance, or direction when necessary.
• Demonstrates initiative in carrying out assigned responsibilities.
• Actively participates in committees and organizational activities as assigned.

Adaptability

• Demonstrates the ability to work objectively and maturely under stress.
• Performs in other capacities as needed to support operational needs.
• Responds positively and professionally to changing workplace situations.
• Actively participates in coaching and makes appropriate corrections to work processes.
• Participates in emergency management and response processes as required.

Professionalism

• Performs duties in a professional manner and consistently conveys a positive image of the mental health profession.
• Works effectively as a collaborative member of the team.
• Complies with organizational dress code and professional appearance standards.

Ongoing Training & Development

• Attends all required in-service trainings and educational courses.
• Assumes responsibility for individual professional growth.
• Contributes to the professional development of colleagues.

Communication

• Seeks and responds constructively to feedback and supervision.
• Develops, interprets, and communicates required policies and procedures appropriately.
• Recognizes and takes appropriate action regarding violations of facility policies and procedures, especially those impacting safety.
• Actively participates as a member of assigned organizational teams.
• Participates in facility performance improvement activities.
• Establishes appropriate rapport with coworkers, clients, and visitors.
• Clearly communicates job-related concerns to supervisors and during staff meetings.
• Consistently reports critical information to supervisors, particularly regarding client care, equipment issues, and supply needs.
• Seeks guidance from appropriate leadership when facility-related issues arise.
• Reports all incidents promptly and completes accurate incident documentation.

Safety, Risk Management, Infection Control & Regulatory Compliance

• Reports any personal symptoms of suspected illness or contagious disease to a supervisor in a timely manner.
• Consistently utilizes proper hand hygiene and infection prevention techniques.
• Reports all incidents and near-misses in accordance with organizational policies and procedures.
• Adheres to all facility policies, procedures, and safety protocols.
• Maintains a safe, clean, and secure physical environment at all times.
• Ensures appropriate protection of client confidentiality in accordance with HIPAA and organizational standards.
• Complies with all Joint Commission Standards applicable to the role.
• Complies with all State Licensing and Regulatory Guidelines .
• Actively participates in Performance Improvement (PI) and Quality Assurance (QA) activities.

Substance Abuse Competency

• Staff who assess, plan services for, and provide care to individuals with substance use disorders demonstrate the knowledge and skills to:
• Establish rapport, systematically gather data, assess readiness for treatment and change, and apply accepted diagnostic criteria for substance use disorders.
• Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms.
• Screen for danger to self or others.
• Screen for co-occurring mental health conditions.
• Analyze and interpret assessment data to determine treatment recommendations and clinical priorities.
• Collaborate with the individual served to formulate mutually agreed-upon, measurable treatment goals and objectives.
• Demonstrate adherence to accepted ethical, professional, and behavioral standards of conduct.
• Participate in continuing professional development and ongoing competency training.

Mental Health Competency

• Staff who assess, plan services for, and deliver care to individuals with mental health conditions demonstrate the knowledge and skills to:
• Establish rapport, systematically gather data, assess readiness for treatment and change, and apply accepted diagnostic criteria for mental disorders.
• Screen for common symptoms of mental illness and psychiatric instability.
• Demonstrate working knowledge of general DSM terminology and diagnostic language .
• Demonstrate understanding of common mental health risk factors .
• Screen for suicidality, self-harm, and other high-risk behaviors .
• Analyze and interpret assessment data to determine treatment recommendations and clinical priorities.
• Collaborate with the individual served to develop mutually agreed-upon, measurable treatment goals and objectives.
• Demonstrate adherence to accepted ethical, clinical, and professional standards of conduct.
• Participate in ongoing continuing education and professional development activities.

Licensures and/or Certifications

This position requires a valid, active, and unencumbered RN license from the State.

CPR certification required.


Education and Experience:

Nursing degree from an accredited school.


Minimum of 2-4 years' experience as a nurse in behavioral health care, substance abuse, or hospital setting.


1 year substance abuse or mental health preferred.

Requirements:


TECHNOLOGY


General knowledge of:


Excel, WORD, and Power Point, KIPU, Email, Tablet, and general desktop applications.


EQUIPMENT


Computer, calculator, Fax Machine, copy machine, telephone system, ID camera, cell phone.


VEHICLE OPERATIONS


Valid driver's license


AGE SPECIFIC CONSIDERATIONS


Adults 18 years or above


ENVIRONMENTAL CONDITIONS


Controlled environment temperature with 80%-90% of the time spent indoors.


JOB CATEGORY STANDARD PRECAUTIONS


Universal precautions


PERSONAL PROTECTIVE EQUIPMENT


None


POTENTIAL WORKPLACE HAZARDS


Normal Workplace Hazards


POTENTIAL WORKPLACE VIOLENCE


Low/Medium


SPECIAL CERTIFICATIONS


CPR Certification (if applicable)

PHYSICAL DEMANDS

Physical Tasks

0-25%

26-50%

51-75%

76-100%


Standing

X

Walking

X

Bending

X

Crouching

X

Carrying

X

Pushing

X

Pulling

X

Sitting

X

Reaching

X

Reading

X


Driving


X

LIFTING/LOWERING


Light (1-20 lbs)

X

Medium (21-50 lbs)

X

Heavy (51+ lbs)


X