Description

JOB PURPOSE:
Under the direction of the Nursing Director/Manager/Coordinator/Supervisor, the Registered Nurse (RN) is responsible for the delivery of quality patient care through the nursing process of assessment, planning, implementation and evaluation. The RN is responsible for directing all nursing care for patients based on established clinical nursing practice and federal, state, and local regulations. The RN incorporates knowledge of patient’s age specific development and cultural diversity into the plan of care. The RN contributes to quality nursing care through process improvement techniques and multidisciplinary collaboration that demonstrates positive outcomes in the delivery of patient care. The RN serves as an advocate for patients/families/caregivers and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Job may include direct supervision of students at the discretion of the area supervisor. Employee must have the same licensure or have completed the same training to satisfy the requirements of the discipline of the student. Direct supervision means the primary caregiver is readily available to the student throughout the shift. The RN serves as an advocate for patients/families/caregivers and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance.

KEY RESPONSIBILITIES:
A. Effective communication skills; both orally and written. Computer skills needed. Ability to manage a team and work with others within a team to ensure quality patient care. Strong problem-solving skills. Analyzes Data: Ability to break down data into component parts to analyze and identify underlying issues.
B. Remains Calm in Crisis: Ability to remain calm, productive, and effective during stressful or fast-paced work situations (not overreacting) and to keep challenges from negatively affecting job performance.
C. Uses Technology Efficiently: Ability to understand and utilize information systems and information management.
D. Implements Process Improvement: Ability to analyze the work flow to ensure current processes facilitate the accomplishment of work.
E. Aids Nurse Development: Ability to educate nurses through exposure, experiences, and feedback.
F. Prioritizes Tasks: Ability to shift attention between multiple activities and competing demands, and to manipulate the order of tasks by importance.
G. Demonstrates clinical knowledge and application of the nursing process to provide evidence-based patient care, consistent with ANA Scope and Standards of Practice for Psychiatric Mental Health Nursing.
H. Utilizes knowledge of growth and development, psychopathology, and psychosocial systems to plan and implement age-appropriate and culturally-sensitive care interventions.
I. Demonstrates competence in crisis management, including verbal de-escalation skills and appropriate application of seclusion or restraint, in accordance with federal, state, local and facility regulations.
J. Demonstrates clinical knowledge and application of the nursing process to provide evidence- based patient care, consistent with ANA Scope and Standards of Practice for Psychiatric Mental Health Nursing.
Degree of Supervision Required:
Involves general guidance and direction by the Department Manager. The employee will be expected to perform most job duties independently and in accordance with established departmental and hospital policies and procedures.
Job Responsibility: Provides direct patient care.
• Conducts initial and ongoing assessments and data collection regarding patients individually and in groups and uses that data to initiate appropriate therapeutic intervention.
• Identifies potential risk factors and communicates observations to the MD and treatment team. Implements interventions under the direction of the MD; such as safety levels, seclusion, restraint, etc. according to policy and procedure including associated documents.
• Assesses patient environment for any safety risks and/or non-compliance with regulatory standards; immediately corrects issue when possible and reports all risks/findings.
• Utilizes the multidisciplinary treatment plan and own knowledge and skill to guide interventions with patients. Provide comprehensive care to patients as assigned including physical, as well as psychological care. Contributes to the plan of care and revision of that plan.
• Documents observations, interventions and outcomes in the medical record according to policy and procedure.
• Performs the administration of prescribed medications. Monitors patient for therapeutic response. Notifies provider and intervenes as appropriate in the event of an unintended response to medication.
• Notifies provider and intervenes as appropriate in the event of an unintended response to medication.
• Provides educational information to patients and families. Teaches patients/families/caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding.
• Work in function of Charge Nurse as needed and as assigned.
• Other duties as assigned to meet the needs of the patient, unit, and facility.
• Teaches patients/families/caregivers about any non-medicinal follow-up measures, such as healthy diet and exercise, disease prevention, and/or other lifestyle changes. Prepares patients and families/caregivers for future self-management.
• Teaches patients/families/caregivers about patient medical condition, patient status, treatment plan, medications and side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding.