PSYCHIATRIC NURSE 3

Overview The Division of Public and Behavioral Health, Southern Nevada Adult Mental Health (SNAMHS) is recruiting for a Psychiatric Nurse 3. This position is based at Stein Forensic Hospital in Las Vegas, a secure inpatient facility that provides competency restoration services for individuals with alleged criminal charges who have been court ordered into forensic custody. This position serves as a first-line supervisor for the unit, providing work direction, resolving patient care and staffing issues. The incumbent will assign and review work, establish work performance standards, evaluate performance, and provide counseling and discipline to assigned staff as needed. Duties include assessing and identifying patient health care needs; making comprehensive clinical observations and evaluations; preparing nursing care plans; administering medications as prescribed by a physician or designee; and monitoring patients for medication side effects and/or allergic reactions. The position will also provide crisis intervention; help develop safety plan recommendations for patients; actively participate in a multidisciplinary team managing a wide variety of patients and diagnoses; and ensure compliance with CMS and HCQC standards, as well as established laws, regulations, and SNAMHS policies. Qualifications Current license to practice as a Registered Nurse and three years of professional nursing experience, two of which included working in a facility or institution with individuals with mental illness, developmental disabilities or intellectual disabilities; OR one year of experience as a Psychiatric Nurse II in Nevada State service; OR an equivalent combination of education and experience as described above. Responsibilities Identify patient health care needs utilizing physical and behavioral professional nursing assessment skills; make comprehensive clinical observations and evaluations of health needs including subtle abnormalities and changes in condition; record and report indicative signs and symptoms of physical and mental condition. Prepare nursing care plans by assessing patient’s psychological and physical condition and conferring with other health care professionals; evaluate needs and develop nursing diagnoses, plans for treatment, services and health education based on the present and predicted needs of the patient; identify immediate and long‑term care goals; review and revise care plans as needed. Participate in multidisciplinary treatment teams by coordinating health services and treatment; collaborate with professional and paraprofessional staff to ensure optimum health care. Administer medications subcutaneously, intramuscularly, topically and orally as prescribed by a physician or designee as allowed in the practice setting; ensure correct time, dosage and appropriate route of administration; count controlled medications to ensure security; monitor patient for medication side effects and/or allergic reaction; observe patient to determine if medication is effective for prescribed treatment and document; if necessary, notify appropriate personnel of action taken. Maintain safety, health and wellbeing of individuals in the therapeutic environment as allowed in the practice setting; may assist in physically restraining patients who are a threat to themselves or others and may be hostile and combative; follow facility procedures regarding techniques and duration of confinement; notify appropriate personnel of action taken and document as required. Triage and assess patient’s physical and mental health status and recommend admission for inpatient or outpatient services according to established policies and criteria. May serve as a community liaison nurse, assisting patients in making the transition from institution to the community or assisting patients which are community based, by providing a broad range of nursing services. Assist in physical examinations and diagnostic testing; obtain samples for laboratory tests as ordered by a physician or designee; perform assigned laboratory tests. Develop/implement nursing discharge plans; work with other disciplines to coordinate services; ensure that appropriate referrals are made; educate patients and families on medications, drug interactions, and special care requirements. Take timely, effective and proper measures to provide and maintain hygienic environments. Provide emergency medical treatments such as cardiopulmonary resuscitation (CPR) and first aid required to stabilize a patient’s condition and prevent more serious complications pursuant to established policy. Document nurse progress notes in medical charts including patient’s health status, changes in condition, and medications administered; review charts for changes in orders and transcribe; prepare written reports, records and summaries; perform quality improvement activities such as auditing charts and compiling statistics; ensure all applicable regulatory standards are met including documentation of the care delivery process. Perform quality assurance and/or utilization review audits and compliance activities; ensure effective and efficient patient care and adherence to community standards of nursing care and/or standards established by accrediting bodies. Carry out therapeutic procedures which provide for the emotional and physical comfort of patients. Provide education to patients and their families related to good health habits and answer questions regarding prescribed treatment; provide health related education and training to staff. Prepare and maintain medical treatment rooms, ensuring supplies are available and ready for use; order and stock medical and related supplies and equipment as needed. Assist patients with activities of daily living and encourage them to perform activities without help as appropriate; supervise and/or participate in therapeutic interventions; serve as a positive role model at all times. Coordinate and/or participate in clinics; obtain prior approval for billing purposes as needed; schedule appointments; provide or arrange for transportation; conduct screening tests; give immunization injections; create and maintain associated records. Supervise paraprofessional and technical staff which may include Mental Health or Developmental Support Technicians, and/or Forensic Specialists as assigned; delegate to other personnel direct care duties consistent with their licensure, certification and competency and as allowed in the practice setting. Perform related duties as assigned. Under direction, incumbents perform all of the duties described in the series concept, and serve as a first‑line supervisor including providing work direction, and resolving patient care and staffing issues; assign and review work, establish work performance standards, evaluate performance, and provide counseling and discipline to subordinate professional staff in an assigned work area on a shift. Knowledge and Skills This job specification lists the major knowledge, skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level. Detailed knowledge of: documentation process. Working knowledge of: quality assurance and/or utilization review audit and compliance activities including applicable regulatory standards; staff education and training techniques; organization and communication techniques. General knowledge of: staffing requirements for a shift; principles and practices of supervision. Ability to: deal effectively with personnel and staffing issues; respond to and resolve patient care issues; participate in internal investigations. #J-18808-Ljbffr State of Nevada (NV)