Psychiatric Registered Nurse
Psychiatric Registered Nurse
Incumbent works under the direction of the Director of Nursing, or designee, providing professional psychiatric nursing care to acutely and chronically ill patients and assists supervisor in providing direction and training to other Community Mental Health Center (CMHC) staff.
Douglas County is an EOE – Disability/Veteran
Salary Range: $ 37.91 – $ 47.91 /hour
*Implement psychiatric nursing processes and protocols including carrying out physicians’ orders and prescribed medical treatment.
*Prioritize data collection based on patient’s immediate condition or needs.
*Establish and maintain effective working relationships with clients, supervisors, County employees, elected officials, attorneys, law enforcement, judges, other agencies, and the public.
*Comply with Civil Service policies and regulations, collective bargaining agreements, county policies, and laws to create a cooperative, safe, respectful and quality work environment.
*Perform duties in accordance with CMHC policies and state and federal statutes and regulations.
*Observe and assess assigned patients on a daily basis to identify, interpret, and document physical and emotional status and/or patterns, such as assaultive or suicidal behavior and response to treatment or medication.
*Assist in developing and implementing ongoing individualized patient treatment plans based on observations. *Communicate insights and observations to team members including physicians.
*Delegate, direct, or assign nursing interventions that may be performed by others.
*Assist with planning, orienting, training, evaluating, and supervising the work of subordinates and other team members.
*Manage medication therapy and treatment regimens; administer psychotropic oral medications and injections; monitor patient response to medication, assess side effects, and document assessments; and educate patients on the purpose, dosage and side effects of medication.
*Assist patients in complying with their treatment regimen.
*Provide quality care based on the whole person, including health, nutrition, clothing, and spiritual needs recognizing each patient’s individuality and need for specialized treatment.
*Maintain accurate patient records of observations, assessments, and treatments.
*Provide care in a non-judgmental, non-discriminatory manner that is sensitive to the patient’s and family’s diversity, preserving their autonomy, dignity and rights.
*Accompany physicians on rounds and assist physicians with examinations and ordered treatments.
Educate patients, staff and, family members regarding overall treatment, nursing plans and related patient care issues directed towards awareness and understanding of health/mental health issues.
*Ensure cleanliness of equipment and environment.
*Assist in the daily operations and functions of the secure treatment facility. Serve as a team coordinator for an assigned shift.
*Direct and assist with the management of patients at risk for escalation.
*Maintain the therapeutic environment using acceptable nursing standards, and provide clinical supervision to licensed practical nurses and psychiatric nursing technicians.
*Participate in or lead individual or group counseling sessions, family conferences, and recreational and social therapy sessions to assist patients in understanding the nature of emotional and physical problems and need for treatment.
*Admit patients, obtaining medical and psychiatric history.
*Obtain and record vital signs, schedule tests, and perform basic procedures (e.g., catheterization, respiratory therapy, blood draws, etc.) as directed.
*Provide information and education to patient and the patient’s family to decrease fear and barriers in the acceptance of psychiatric care and continuation of treatment.
*Conduct and communicate shift-change reports ensuring continuity of patient care.
*Recognize and intervene when a patient is experiencing an acute episode. Provide crisis intervention ensuring patient and staff safety and security while complying with CMHC procedures and protocols.
*Coordinate and direct on-site interventions as necessary.
*Assist patients in obtaining proper follow-up care during acute hospitalization and at the time of discharge by identifying community agencies and resources to assist patients and their families with the stabilization of living in the community, and referring to same.
*Participate in departmental and/or team meetings to discuss patient care and progress as well as policies and procedures.
*Maintain current competency in psychiatric/mental health nursing care and specific nursing procedures.
*Recognize that individuals with co-occurring disorders are expected, not the exception, and are welcome into treatment.
*Recognize CMHC provides services to individuals who may have experienced trauma.
*Adhere to CMHC departmental procedures on handling, use, and disposal of hazardous chemicals and infectious materials.
*Maintain professional behavior and demeanor.
*Recommend changes to nursing services and clinic activities; assist in the development and implementation of policies, procedures, and protocols; and maintain updates to the department policy and procedures manual.
*Assist in the orientation of new employees.
*Participate in quality improvement activities.
*Provide and promote a positive image of CMHC services.
*Interact with staff from various community medical facilities, courts, and County and State agencies.
*Testify in court as to the patient’s mental and physical condition when directed.
*Perform duties of Access Nurse as assigned.
*Serve as a member of various committees as assigned.
*Report to work at assigned location with regular, predictable, and consistent attendance.
*Perform other duties as directed and assigned.
*Associate’s degree, Diploma or BSN from an accredited college or university in nursing required.
*Must be a Registered Nurse with current nursing license from Nebraska or a compact state recognized by the Nebraska Board of Nursing at the time of hire, and maintain the license in good standing throughout the course of employment.
*Nursing experience in an acute care facility preferred.
*Current CPR, first aid course and CPI within 6 months of hire.
November 15, 2023