Registered Nurse II - CMHHIP

Registered Nurse II - Full Time Colorado Mental Health Hospital in Pueblo (CMHHIP)

100% In-Person. This position is required to work at the assigned work location during your scheduled work times. A Shift. Days 6:30a-7p or B Shift. Nights 6:30p to 7a Days worked, flex days vary. Please note: Work arrangements are subject to change at any time. This position has a residency waiver and will be accepting applications from residents and non-residents of Colorado. This announcement is open to potential candidates who are legal residents of the United States. All legal residents of the United States are eligible to apply and compete. If appointed to a position, applicants from outside of Colorado will be required to relocate to Colorado prior to their start date, at their own expense. Please note: This posting will be open until filled {and filling multiple vacancies}, not extending beyond 12 months. All applications will be reviewed as they come in until all positions are filled, we advise applicants to apply early. Posting will close on May 05, 2027.

Description of Job

Registered Nurse II - Full Time. This posting may be used to fill Multiple Units. About the Position: Positions are Full Time, have a fixed schedule, and provide essential direct care of patients across various units. These units range from High Security to Low Security settings, with a diverse patient population including adolescents, adults, and geriatric patients experiencing psychiatric disorders, criminal involvement, or medical complexities. Staff may work in units featuring locked or unlocked doors, depending on the level of security required. Responsibilities include providing care to high-acuity patients in secure environments, such as high-security buildings with Sally Ports, or in lower-security community reintegration settings.

The purpose of this position is to provide nursing oversight, administrative oversight and lead worker over nursing personnel of three or more FTE's on a continuous basis as well as clinical supervision of all nursing staff during a specific shift. Provide direction to all direct care nursing staff on assigned shift(s). Serve as a resource and mentor to all nursing staff on assigned shift. Promote and maintain nursing staff efficiency. Oversee the attainment and achievement of Unit/Program/Hospital/Nursing Department goals for the specified shift. Primary duties consist of providing directions to nursing staff for the shift and providing therapeutic nursing care to mentally ill patients. Represents the Nursing Department in hospital-wide committees and work groups. Applications of knowledge, expertise and experience in providing safe and effective patient care. Provide immediate crisis intervention in the milieu and response to all emergency situations.

The Nurse II works in tandem with other staff assigned to the unit on that shift. The Nurse II works within multiple levels of patient care and is coordinated across a continuum. The Nurse II adheres to and references the professional codes of conduct, regulatory agency standards, the Nurse Practice Act, State Board of Nursing, professional codes of ethics, and scope of discipline practice guides to ensure various levels of nursing personnel function within their scope of practice. The Nurse II is responsible for communicating, implementing, and clarifying nursing policies at the unit level. Assisting with implementing performance improvements at the unit level along with procedures at the unit level. Participates in and collaborates with the Lead Nurse to prepare nursing personnel for onsite surveys, documentation requirements, and ensures quality of care is rendered according to the State Board of Nursing, The Joint Commission, Colorado Department of Public Health and Environment and the Colorado Department Personnel Rules and Regulations.

Responsibilities also include the provision of safe, appropriate nursing care on the unit by effective deployment of nursing staff resources, ensuring enough staff with licenses on each shift, coordination and timely statistical reporting of incidents, acuity, QA/PI activities, implementation of department policies and standards of care, responsible for education of the nursing staff on their shift(s) and retention of nursing staff on their shift(s).

Clinical Direction /Clinical Supervision :

• This position is responsible for the direction, clinical supervision and of all Nursing staff of the assigned unit while working in conjunction with the Lead Nurse.
• Assists in coordinating staffing schedules by utilizing knowledge of acuity, and pool staff to maximize the quality of care given to unit patients on the unit. Personnel needs are communicated to the Lead Nurse immediately.
• Responsible for helping the Lead Nurse to ensure all nursing services provided on the assigned unit are delivered correctly
• Ensure all nursing assignments and duties are completed and in compliance with CMHHIP policies and psychiatric and medical nursing standards, licensure requirements and governing bodies while working in conjunction with the Lead Nurse
• Unit nursing staff is notified promptly of changes to processes, policies and procedures through communication methods to include Cornerstone Rosters, meetings, email and individual contact. Individual clinical supervision sessions are conducted regularly
• Communication is conducted regularly with other disciplines, department leadership regarding nursing directives and disseminates information as appropriate. Interpretation of other leadership communication is received to understand changes that may or may not directly impact the nursing department
• Functions as the charge nurse for the shift and reports any injury of staff from assaultive/combative patients, other employee absences, and/or any other safety or nursing concerns to the Lead Nurses promptly
• Utilizes resources available in the Staffing Office

Department Standards:

• Maintains nursing standards of care for their assigned shift on the unit by creating and maintaining processes to communicate and follow up with assigned staff so that standards are kept in compliance.
• Adheres to CDHS Code of Conduct and CMHHIP Code of Ethics. Maintains current knowledge of new policies, standards, updates, literature related to nursing and specialty areas is maintained and communicated to subordinates.
• Works collaboratively with all departments, providing assistance as required.
• Provides guidance and direction for daily cross shift report, directs nursing care and communication to shift personnel.
• Assures the unit(s) is directed and staffed appropriately according to hospital procedure along with assuring staffing levels are maintained and accurate.

Staff Development/ Competencies:

• Implements actions to maximize the productivity of assigned nursing personnel by mentoring, training, leadership, and providing feedback through immediate feedback and guidance
• Ensures assigned staff's knowledge and fluency with electronic system BEHR, Cornerstone assignments to include mandatory rosters and training
• Promotes staff development and training by supporting staff compliance with hospital wide mandatory training
• Directs staff to follow various manuals, standards and regulations to include but not limited to: DSM, Pharmacy Formulary, Treatment Plans, Infection Control Manual, Physicians Orders, Court orders, Joint Commission on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure Manual, Affirmative Action policy, Colorado Workers Compensation guidelines, Rainbow book and Emergency Guides, ADA statutes, Colorado Alliance for the Mentally Ill Recommendations, Patients Rights Handbook
• Responsible to act as a resource for staff
• Provide direction and support to the assigned shift on the unit
• Knows and follows regulatory guidelines

Patient Care/ Nursing Care:

• Responsible for the nursing care provided on the assigned shift of a unit and maintenance of a safe, secure and therapeutic environment He/She promptly responds to patient's psychiatric and/or medical issues, participates in Trauma Informed Care initiatives and understands and promotes its principles, implements, audits and reviews nursing care provided on the shift/unit. This is accomplished through providing follow up for proper nursing care; ie., documentation for seclusion or seclusion and restraint monitoring, proper procedure for respiratory services, oxygen and oxygen equipment, and laboratory services after hours and obtaining data from the AED
• Participates and ensures staff correctly identify patient prior to administration of medications, treatments, blood testing, or starting an invasive procedure. Follows and maintains Infection control standards and regulations
• Evaluates concerns related to nursing care plan by assessing, identifying, planning, implementing, evaluating, and revising the nursing care given based on the nursing history
• Utilize Patient Rights for mental health legal issues and complies with policy and procedure in these areas
• Provide intervention in critical situations as necessary
• Counsels and educates patients on medications, physical care needs, and psychiatric care needs during group therapies, Plan of Care Reviews, Plan of Care Formulations, 1:1 therapies, talking and educating the patient's family
• Provide coverage on the shift/unit
• Ensures a safe milieu for patient treatment
• Reports staff and patient issues to the Lead Nurse if urgent

Other Duties as Assigned:

• Any other duties that may need to be completed for the shift/unit and or department

Minimum Qualifications, Substitutions, Conditions