RN - Charge (Per Diem)

Title of Position: Registered Nurse(RN)

Location: Gateways Hospital - Nursing


Exempt/Non-Exempt: Non-Exempt

Union/ Non-Union: Non-Union


Supervisor: Director of Nursing


Gateways Hospital and Mental Health Center, located in Los Angeles, is a non-profit organization that provides an array of comprehensive mental health services for Children, Adolescents, Transitional Aged Youth, and Adults suffering from mental illness in the Greater Los Angeles area. The organization consists of a standalone fifty-five (55) )-bed hospital and six outlying outpatient facilities that have anywhere from fourteen (14) beds to one hundred and thirty-four (134) beds. The organization has approximately four hundred (400) employees.

SUMMARY OF POSITION

The Registered Nurse is responsible for medical-related patient care services. They are expected to oversee all medication-related personnel and collaborate with other disciplines and departments to maintain the safety and quality of medical patient care.

ESSENTIALS DUTIES

• Administers nursing care, medications, injections, treatments, and other procedures to selected clients as authorized by hospital policy, licensure, and standards of practice.
• Educates clients on healthy lifestyle choices, diagnoses, medication, actions and reactions, both individually and in group settings.
• Schedules and coordinates medical appointments for clients
• Routinely consults with the respective Psychiatrists regarding treatment, medications, etc.
• Supports the Psychiatrist by scheduling weekly appointments, forwarding all necessary documentation (e.g. clinical reports, labs)
• Coordinates and performs weekly blood draws for clients.
• Orders, receives, reconciles, and delivers medical supplies and medications as to ensure prescribed medications and supplies are in stock at all times.
• Coordinates with the pharmacy on all medication insurance authorization requests (i.e. TARs), and enrolls clients in patient assistance programs (e.g. Janssen Connect).
• Monitors, reconciles, and approves all pharmacy and lab invoicing.
• Acts as a liaison with pharmacy and lab personnel.
• Participates in treatment team meetings, in-service training, and other meetings as scheduled.
• Observes and promptly reports changes in client's conditions and behavior to the treatment team.
• Assists in personnel actions, such as recruitment, training, evaluations and discipline for indirect reporting personnel.
• Provides training to treatment team staff on nursing-related matters (e.g., orienting staff to medication room procedures).
• Completes and maintains all required documentation, including electronic records, in a timely, accurate, and organized manner.
• Uses written communication effectively to document in accordance with all regulatory agency and hospital requirements.
• Administers and documents all staff and client TB tests, maintains due date log.
• Takes the lead in emergent and emergency medical situations (i.e., assesses client, notifies staff administration, police, fire department, ambulance and paramedics, as appropriate)
• Ensures emergency transportation is arranged for medical emergencies.
• Assists in situational crisis intervention as needed.
• Recognizes which tasks are a priority or urgent and proceeds accordingly.
• Seeks learning opportunities to gain new knowledge/skills which result in continuous quality improvement.
• Seeks appropriate guidance from immediate supervisor to achieve expected outcomes.
• Maintains a competence in all clinical skills necessary for performance of duties.
• Maintains competence in interpersonal skills necessary to direct and supervise ancillary staff.
• Demonstrate active listening skills that encourage open communication with staff, clients and families.
• Contributes to a positive therapeutic milieu by action and responsible communication with coworkers, supervisors and administration on any issue of concern relevant to job responsibilities and the agency.
• Performs other additional related tasks as assigned.

EDUCATION & CERTIFICATES

• Current CA RN license.
• BLS certification.
• BSN preferred.
• Current licensure by the California State Board in Nursing

EXPERIENCE/QUALIFICATIONS

• Experience working with individuals with severe and persistent mental illness.
• Experience with the management of aggressive and assaultive behavior.
• Completion of clinical rotation in Psychiatric Nursing.
• Completion of curriculum Pharmacology Class
• Experience working in a residential facility is a plus
• Knowledge of all medications, with emphasis on psychiatric medications.
• Basic understanding of legal aspects of mental health including confidentiality holds probable cause hearings and patients' rights.
• Ability to handle encounters with clients who may be unstable, angry, hostile, agitated, or intoxicated by alcohol or street drugs, in an appropriate and effective manner.
• Strong interpersonal and communication skills, leadership skills.
• Ability to communicate effectively in English both verbally and in writing.
• Proven ability to work with adult patients
• Ability to work independently, use good judgment, and remain calm in crisis situations

REQUIREMENTS

• Valid California Driver's license.
• Driving record acceptable for coverage by Gateways insurance carrier.

* Note: If indicated certifications/licenses are lacking, they must be obtained within 180 days of hire.

**Training needs to be completed within 30 days from the date of hire on a designated date provided by onboarding. Staff need to be certified at the commensurate level for their role to perform their job duties (staff will be taken off the schedule if certification is not achieved).

PHYSICAL REQUIREMENTS

• To perform this job you must be able to carry out all essential functions successfully. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the job.
• Employee will be required to lift and/or move unassisted up to 25 pounds.