RN ED Behavioral Health Psych Observation Dept

Registered Nurse Senior Mental Health

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Job Summary and Qualifications

Position Objective:

The RN Behavioral Health is primarily responsible for adhering to the hospital's Standards of Patient Care to deliver safe and quality patient care. The RN performs all treatments and procedures as outlined in the Standards Manual and applicable regulatory and professional entities/guidelines, standards, protocols and procedures within the scope of RN practice.

Patient Population Served:

The Emergency Department Behavioral Health RN is expected to demonstrate the knowledge and skills necessary to provide care based on the physical ability, intellectual development, psychosocial, education and safety needs of the behavioral health patient.

Essential Position Functions:

The following functions must be able to be carried out by the incumbent with or without reasonable accommodation:

1. Assessment

l Interviews patient and caregiver/family on admission to obtain a bio-psycho-social history relevant to reason for evaluation.

l Assesses the patient's physical, emotional and psychosocial status.

l Reviews all test results including neuropsychological, lab, x-ray for ongoing assessment and reporting to physicians.

l Assesses patient and family/caregiver for discharge needs.

l Assesses patient status on an ongoing basis.

l Communicates patient needs/assessment to physicians/APRN/PA, social work (PARS).

l Assesses for developmental needs.

2. Planning of Care

l Develops a written nursing care plan with patient and family input that is individualized to patient needs, supportive of clinical diagnostic presentation and supportive of all skills and abilities.

l Coordinates and documents the interdisciplinary plan of care.

l Directs the patient's participation in the therapeutic milieu and bio-psychosocial program.

l Develops teaching plans to meet the learning needs of patients, family, and caregiver relevant to discharge needs.

3. Implementation of Interdisciplinary Plan

l Acknowledges, validates accurate transcription, coordinates and implements physician orders.

l Applies the interdisciplinary plan of care, monitoring for effectiveness.

l Administers medications and monitors for desired, side or adverse effects.

l Provides instruction to patient.

l Applies behavioral and supportive therapeutic approaches with individuals and groups to accomplish clinically sound behavior management outcomes.

4. Evaluating Plan of Care

l Reviews and updates the interdisciplinary treatment plan in collaboration with the interdisciplinary team, the patient and the family.

l Communicates ongoing care needs to caregivers regarding discharge planning (nursing homes, group homes, families, etc.)

5. Establishes a therapeutic relationship with the patient focused on empathy and clinically appropriate, evidence based treatment modalities.

6. Applies principles and techniques of crisis prevention and intervention.

7. Maintains a safe therapeutic environment for patients, families, staff, and corrects hazards promptly. Adheres to hospital safety policy and procedure.

8. Provides patient education to patient/family minimally regarding the hospitalization disease process and medications.

9. Documents all pertinent information on the patient's medical record in an accurate, detailed manner adhering to policy and format for charting. Documentation is relevant, legible, clear and concise.

10. Participates actively in department meetings: patient care rounds, interdisciplinary staff meetings and nursing staff meetings.

11. Supports Department's customer service efforts. Provides service excellence to patients and their families, medical staff, peers, support services and other hospital personnel. Provides immediate and satisfactory problem resolution for valid customer complaints or refers complex customer service problems to the Clinical Coordinator.

12. Demonstrates knowledge of, and support for, hospital Mission and Values Statement, department goals and objectives. Assists in development and implementation of department mission and values statement, goals and objectives.

13. Develops and maintains professional relationship with physicians, peers, and medical support services, demonstrating an internal customer service attitude of openness, constructive problem solving and respect for all.

14. Follows the principles of infection control as outlined in the Policy and Procedure manual including the initiating of airborne droplet and strict precautions as soon as patient's symptoms/lab values indicate they are needed.

15. Participates in the department's Performance Improvement program by collaborating with the department's PI representative in developing and implementing effective PI programs.

16. Assumes responsibility for own professional behavior, development and on-going education with self-awareness of strengths and areas for improvement. Self-initiates learning/growth activities. Keeps Clinical Coordinator informed of mandatory education/competency compliance.

17. Demonstrates a commitment to containing costs and efficient use of material resources.

Non-Essential Position Functions:

Performs other duties as assigned or as judgment of necessity dictates. Participates in hospital/unit committees.

Position Qualifications:

Graduate of an accredited school of nursing.

Current licensure as a Registered Nurse in the State of New Hampshire or a compact state.

Active BLS

Active Nonviolent Crisis Intervention Certification within 90 days

Ability to work in a fast-paced, high stress work environment. Ability to maintain customer focused interpersonal communication skills and patient confidentiality.

Physical Demands:

The incumbent must be able to carry out the following physical activities with or without the aide of mechanical devices or a combination of skills which will result in the safe performance of the job:

Primary functions demand ability to bend body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spine; extend hand(s) and arm(s) in any direction; standing for sustained periods of time; moving about on foot to accomplish tasks; use upper extremities to press against something with steady force in order to thrust forward, downward, or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise object from a lower to a higher position or moving object horizontally from position-to-position; pick, pinch, type or otherwise work with fingers rather than the whole hand or arm; applying pressure to an object with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Ability to express or exchange ideas by means of the spoken word. Ability to receive detailed information through oral communication and to make fine discrimination in sound. Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic physiologic details, as well as the whole patient, and sufficient for preparing and analyzing data and figures, transcription, computer terminal operation, extensive reading and visual inspection. Ability to transmit oral communication. Near visual acuity required to detect changes in patients' condition; color vision for perceiving changes in patient's skin color and color of medicines and solutions.

May be exposed to patients having contagious conditions. Ability to exert up to 100 pounds of force occasionally and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.

Benefits Summation:

Equipment Used:

The ED BH RN is responsible for the proper application, and safety standards for all electronic, mechanical, and manual equipment in the unit.

Mandatory Training and Education :

Current licensure as a Registered Nurse in the State of New Hampshire.

Associates degree in Nursing

Knowledge of psychiatric nursing principles and behavioral health diagnoses/clinical treatment modalities preferred.

Working knowledge of underlying principles and standards for the following entities: CDC, HCFA.

Benefits

Frisbie Memorial Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability