Psychiatric Medical RN (Infirmary) - FT - Days - BH Flex (New Behavioral Hospital)

DHR Health - US:TX:Edinburg - Days

Summary

FLSA STATUS: ☐ Exempt ☒ Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY

The Psychiatric Medical Registered Nurse (RN) demonstrates comprehensive knowledge of cognitive, emotional, developmental, social, and behavioral disorders across all lifespans. Provides timely assessment, crisis intervention, and therapeutic nursing care to patients experiencing behavioral health conditions and psychiatric emergencies along with being competent in medical aspects of patient care and medical emergencies. Practices professional nursing in accordance with the Nurse Practice Act and accepted standards of care, utilizing the nursing process to assess, diagnose, plan, implement, and evaluate patient care. Delivers evidence-based, patient-centered care that promotes safety, recovery, and optimal health outcomes. Responsibilities include, but are not limited to, performing comprehensive patient assessments; administering medications and therapeutic treatments; interpreting diagnostic and laboratory findings; developing and modifying individualized plans of care; collaborating with physicians and the interdisciplinary treatment team; coordinating patient care; providing patient and family education; and documenting care in accordance with regulatory and organizational standards. Demonstrates sound clinical judgment, critical thinking, and effective decision-making while managing behavioral and medical health crises and promoting a safe, therapeutic environment. Maintains compliance with all applicable regulatory, accreditation, and organizational requirements. The successful candidate must successfully complete all required orientation, competency validations, and annual competency assessments associated with the position

POSITION EDUCATION/ QUALIFICATIONS

• Traditional high school diploma or general educational development (GED) certificate required.
• Graduate of accredited school of nursing required.
• Bachelor of Science in Nursing (BSN) preferred.
• Associate’s degree in nursing (ADN) accepted.
• Current/Active, unrestricted Registered Nurse (RN) license in the State of Texas or compact state licensure required.
• Current/Active Advance Cardiovascular (or Cardiac) Life Support within 6 months of hire
• Current/Active Pediatric Advanced Life Support (PALS) within 6 months of hire.
• Current/Active Trauma Nursing Core Course (TNCC) within 6 months of hire.
• Current/Active Emergency Nursing Pediatric Course (ENPC) within 6 months of hire.
• Current/Active Basic Life Support (BLS) certification required, American Heart Association (AHA) preferred.
• Crisis Prevention Institute (CPI) training within 30 days of hire date and annually thereafter.Abuse, Neglect, and Exploitation (ANE) competency training completed prior to competition of orientation and annually thereafter.
• Demonstrated proficiency in electronic health records (EHR) and other computer applications required to support clinical documentation and patient care to be effective on assigned units.
• Demonstrates cultural competence and the ability to provide compassionate, patient-centered care to individuals from diverse cultural, ethnic, linguistic, and socioeconomic backgrounds.
• English Proficiency- verbal, reading, and writing required.
• Spanish Proficiency- verbal, reading, and writing preferred.
• JOB KNOWLEDGE/EXPERIENCE:
• One (1) – two (2) years of experience preferred but not required.
• Adherence to Nursing Scope and Standards of Practice.
• Ability to utilize the best nursing process in the provision of nursing care including but not limited to administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers and providing education to patients and/or significant others.
• Require constant and frequent judgment and response, occasionally in response to disasters or emergencies, actual events or drills.
• Knowledge of psychiatric, behavioral, cognitive, emotional, developmental, and substance use disorders across the lifespan.
• Ability to assess, intervene, and respond effectively to psychiatric and behavioral health crises using therapeutic communication and de-escalation techniques.
• Knowledge of trauma-informed care, recovery-oriented practice, suicide risk assessment, violence prevention, and crisis intervention principles.
• Previous behavioral health, psychiatric, forensic, correctional, emergency, or acute care nursing experience preferred.
• Knowledge of forensic and civil behavioral health populations, legal and ethical standards, patient rights, and safety practices preferred.
• Successful completion of all required orientation, competency validations, and annual competency assessments.
• Ability to provide compassionate, culturally competent, and patient-centered care while maintaining professional boundaries.
• Strong critical thinking, clinical judgment, conflict resolution, and decision-making skills in a fast-paced behavioral health environment.
• Exhibits tact, enthusiasm, and patience.
• Must have excellent customer service, good communication, and organizational skills.
• Requires reasoning ability and good independent judgment.

Responsibilities

POSITION RESPONSIBILITIES

• Adhere and remain current with all policies and procedures that guide and support the provision of services published by DHR health.
• Abide by the rules and regulations set forth by the Texas Board of Nursing and State Laws.
• Promote the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices.
• Build a positive work environment by guiding employees to support the mission of the hospital, providing developmental opportunities and encouraging teamwork.
• Make rounds on assigned patients and prioritize patient needs.
• Demonstrate competency in providing safe, therapeutic, and age-appropriate nursing care to pediatric, adolescent, adult, and geriatric behavioral health patients, recognizing developmental, psychosocial, medical, and psychiatric needs across the lifespan.
• Monitor vital signs, laboratory results, diagnostic findings, and patient responses to treatments, promptly communicating significant changes to the provider.
• Formulate, modify and implement goal-oriented patient care plans according to facility Competent within nursing skills such as intravenous insertions, Foley catheter insertions, nasogastric tube insertions, etc.
• Assume responsibility to report clinical limitations or the need for assistance to the supervisor.
• Inform the charge nurse of any anticipated and/or actual issues/problems.
• Recognize and respond appropriately to medical emergencies, deterioration, and changes in patient condition, including activation of emergency response protocols
• Coordinate patient care with physicians, advanced practice providers, therapists, case management, pharmacy, and ancillary departments to promote optimal outcomes.
• Adapt to the needs of the unit by demonstrating flexibility/adaptability.
• Accept assignment to any behavioral health unit.
• Perform nursing care using sound clinical judgment.
• Implement physician orders safely and accurately.
• Assist with admissions, discharges, and transfers.
• Transcribe and implement physician orders.
• Maintain detailed and accurate documentation.
• Participate in patient/family education and emotional support.
• Maintain a safe and clean environment.
• Give and receive shift report.
• Administer medications and therapies.
• Perform other duties as assigned.
• Provide direction to unlicensed nursing personnel.
• Anticipate problems and intervene appropriately.
• Plan and coordinates work schedules with peers.
• Ensure distribution of equipment and supplies.
• Other duties as assigned.

Other information:

LINES OF REPSONSIBILITIES:

(Chain-of-command)

• Charge Nurse → 2. House Supervisor/Coordinator → 3. Nursing Director → 4. Vice President of Behavioral Services → 5. Assistant Chief Nursing Officer → 6. Chief Nursing Officer

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs., from the floor to shoulder height.

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3