Registered Nurse I, RN I - Grand Mesa Youth Services Center

Job Title

Delivers health care to detained and committed youth within the nurse's scope of practice.

Job Description

Summary of Position:

Delivers health care to detained and committed youth within the nurse's scope of practice. Primary care is provided by independent practitioners with responsibility for a continuum of care from the initial assessment through development and maintenance of health care including physical, psychiatric and dental maintenance.

Specific Job Duties:

Clinical Duties: Initial nursing assessments and triage of requests for health/medical care submitted by youth. Reviews the admission medical information obtained by security staff at intake. Administers nursing care and provides the youth education for routine, urgent and emergent medical situations within scope of practice. Obtains laboratory and other diagnostic procedures ordered by medical providers, review results and notify provider of results when indicated. Initiate nursing/medical treatment plans for youth with special health care needs. Reviews and revises treatment plans as needed. Completes health appraisals, physical exams, vision/hearing screenings, in-house laboratory diagnostic testing (e.g. urine dipsticks, pregnancy tests, STI urine testing, PPD tests etc.), and immunizations per Division of Youth Services (DYS) policy. Documents all encounters with youth in electronic medical records system and/or appropriate medical logs in an accurate and timely manner. Maintains confidentiality of all patient information (oral and written) according to federal Health Insurance Portability and Accountability Act (HIPAA) regulations. Initiates consultations/referrals to mid-level provider and/or appropriate physician when indicated. Responds to requests for emergent situations (Code Blue, Code Red) occurring on campus, administer CPR/First Aid and initiate a 911 call if indicated. Delivers medications, medical supplies and evaluates youth who may be confined to specific buildings or rooms throughout the campus setting. Other nursing duties as delegated/ordered by DYS physicians or mid-level providers.

Medication and Treatment: Responsible for the ordering and preparation of youth's medications for administration within the facility. Transcription and procurement of psychiatrist, physician, and/or mid-level provider medication orders. Maintains accuracy of individual Medication Administration Records through reviewing and updating on a continuous basis. Monitors those records for medication errors and reporting them to medical clinic supervisor and facility administration. Educates youth and staff about medications, side effects, desired effects and importance of compliance with prescribed medications. Investigates and documents interviews with youth refusing prescribed medications and initiates interventions. Maintains inventory logs of medications arriving at the facility for youth, preparing them for administration by medical and QMAP staff and delivering them to youth.Transcribes, orders, prepares and administers medications including intramuscular medications per prescribed providers' orders. Updates Medication Administration Record (MAR). Monitors MARs for errors and reports errors to medical clinic supervisor and facility administration. appropriate living units located throughout the campus. Assists in ordering and maintaining stock supplies, medications and equipment within the campus clinics. Monitors inventory and restocks medications and supplies in campus clinics and living units. Checks campus First Aid Kits, AED's, pharmaceutical refrigerators and other equipment on a continuing basis to maintain adequate functioning of the medical department and provision of health care for youth. Documents administration of youth medications and behavioral contacts in electronic medical record database. Assess vaccine status and administers needed vaccines per CDC Advisory Committee on Immunization Practices (ACIP) and provider recommendation. Follows Vaccine for Children's Program protocols for immunization administration and safe storage and handling.

Mental Health: Evaluates resident's mental status/mental health and behavioral health conditions through interview, health appraisal, and observation. Performs nursing assessment of youths' mental status through interview and observations, health screen, and health appraisal. Provides basic mental health intervention and refer to psychiatrist or mental health resource for further evaluation, intervention or transfer to a mental health institution. Provides basic nursing interventions/education during encounter with youth as indicated. Makes appropriate referrals and/or consultations with mental health providers or psychiatrist. Conducts mental health referrals as necessary. Actively involves parents and legal guardians in the care and treatment of the mental health of their youth.

Health Education: Assesses and identifies the knowledge deficits regarding general health and hygiene topics presented by youth in routine and formal encounters. Provides individual and group education regarding health promotion, disease and injury prevention to youth and staff on an ongoing basis. Topics specific to this population include but are not limited to: healthy lifestyle i.e. diet, exercise, sleep hygiene, stress management, proper hygiene practices, dental care, STI's and safe sexual practices, contraceptive options, injury prevention using helmets and other protective sports gear and other issues identified by youth/staff. Identifies gender-specific educational needs of youth. Provides ongoing education regarding medication administration, infection prevention and other health related topics specific to staff.

Other Duties as Assigned

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

You are required to work at your assigned work location during your scheduled work times. Schedule: Wed-Fri 7a-7p; Sat 11a-3p* Please note: Work arrangements are subject to change at any time. Applicants must meet the minimum qualifications listed below to continue in the selection process for this position. Education/Licensure/Certification/Experience:

• Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC)

No Substitutions

• Note, nothing in these Minimum Qualifications alleviates the criteria to transfer licensing or any requirements by the respective board under the Colorado Department of Regulatory Agencies (DORA).

Preferred Qualifications:

• Experience with adolescent health care.
• Experience with mental health nursing
• Experience with correctional nursing
• Relatable experience as a current or previous State of Colorado employee.

Highly Desirable Competencies:

• Knowledge of current medications, administration, their actions and use.
• Ability to work in collaborative relationships with other professionals to achieve interdisciplinary goals set for the client.
• Ability to assess and coordinate community health care services to meet the needs of clients and their families.
• Ability to collect, record, and interpret data concisely and accurately.
• Ability to self-regulate emotions when provoked or when working under conditions of stress

Conditions of Employment:

• Be a minimum of 21 years of age, with no felony convictions or history of domestic violence
• Full Background. CDHS employees (all Direct contact with vulnerable persons): CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults – Mental Health Institutes, Regional Centers, Veterans Community Living Centers).
• This position requires State of Colorado residency at the time of application (unless otherwise identified in the posting), and residency within the state throughout the duration of employment in this position.
• Motor Vehicle Record (MVR) Check
• Must possess a valid, non-restricted Colorado Driver's License
• Ability to work shift work as required.
• Essential Services Designation – Required to report without delay or interruption to provide essential or emergency services to ensure health, safety, and welfare.
• Travel. May require floating to other DYS Youth Centers to help with coverage, travel to meetings and training.
• Use, Handling, or Exposure to hazardous materials – Explain: Medical Waste
• Must maintain a current CPR Card and perform CPR adequate compressions and ventilations per CPR guidelines.
• Continued employment is contingent upon successful completion of the DYS Pre-service Training Academy, Field Training Program (FTO) and mandatory annual training in all subject areas.
• The Diana Screen®, a sexual risk screening tool, is administered to all applicants to the Division of Youth Services (DYS) seeking positions of trust with children and teens to help ensure that ethical boundaries between children and adults are maintained. At the DYS, the safety and protection of the youth who have been entrusted to us is our #1 priority. The results of the Diana Screen will be provided to the Division of Youth Services and may be used as part of the Division's decision on whether a candidate is selected.
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must:
• Disclose that information on the application.
• Explain why the prior termination or resignation should not disqualify you from the current position.
• Provide your employee number from your prior State employment. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

Minimum Qualification Screening Process:

• A