POSITION SUMMARY:
The Behavioral Health Staff Registered Nurse holds a shift accountability to provide direct patient
care by utilization of the nursing process in accordance with the established policies and
procedures of Southwestern Medical Center; maintains clinical competencies through continuing
education and delegates patient care priorities commensurate with the education and experience
of available staff.
Service Excellence:
Participates in the Hospital’s Service Excellence Program designed to improve patient care, employee and physician satisfaction. Participation includes knowledge of HCAHPS (Hospital Consumer Assessment of Healthcare Systems and Providers, which measures patient’s perceptions of care received and Core Measure Set, which measures performance of patients’, care based on medical research.
TASKS:
Daily
· Directs and supervises LPNs, MHTs, Nurse Techs
· Ensure shift report is given daily
· Assign patients to each team member and other unit duties
· Assign meal breaks to all team members
· Completes acuity sheet every shift
· Ensure all medication education is complete per schedule, and all first doses are completed and found in charts
· Administer medications to include educating patients and families indication use and side effects to include immunizations available during their shift
· Ensure immunizations are given and appropriate paperwork is completed
· Review birth certificate and immunization status and call guardians to request
· Ensure medication discrepancies are resolved at end of shift
· Ensure discharge medications information is provided in terms patient/family can understand and document
· Ensure restraint/seclusion log is completed appropriately per event
· Report patient/team member On-job injuries to supervisor immediately
· Complete occurrence report for all unusual events/incidents
· Maintain accurate, detailed reports and records
· Monitor, record and report symptoms and changes in patient’s conditions
· Record patients' medical information and vital signs
· Modify patient treatment plans as indicated by patients' responses and conditions: and provide ongoing patient family education regarding diagnosis, treatment, and intervention
· Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans
· Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition
· Monitor all aspects of patient care, including diet and physical activity
· Assist with coordinating discharge plan and care
· Ensure any signatures needed in charts are completed
· Attend morning meeting with Dr. and Therapist
· Reports and updates staffing hours/variance to supervisor every shift
· Maintain the safety of the Milieu
· Ensure patient safety and staff supervision and intervention to include: Properly implement behavioral medical emergency protocol
· Assist with new hire training/preceptor
· Promote customer service (Patients, Families, Visitors, Team Members, Physicians)
LICENSURE/CERTIFICATION/REGISTRATION :
· Must possess a current Registered Nurse License for the State of Oklahoma
· Current BLS certification
· MAB-Managing Aggressive Behavior within 30 days of hire
· First Aide within 30 days of hire
· Valid Drivers License issued by the State of Oklahoma (if applicable)
EDUCATION:
· Graduate from an accredited professional nurse program
SKILLS:
· Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
· Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
· Time Management : Managing one's own time and the time of others
· Leadership – Exhibiting a positive attitude/behavior on the job and fostering employee loyalty to the organization.
· Service Orientation: Actively looking for ways to help people.
· Monitoring: Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
· Service Orientation: Actively looking for ways to help people.
· Social Perceptiveness: Being aware of others' reactions and understanding why they react as they do.
· Instructing: Teaching others how to do something.
· Teamwork: Employee working collaboratively
DEGREE OF SUPERVISION REQUIRED:
Involves general guidance and directions by Clinical Supervisor. The RN is expected to perform most job duties independently and in accordance with established departmental and hospital policies and procedures.
AGES OF PATIENTS SERVED:
This position requires competence in assessment, treatment, and/or care for the age groups indicated. The staff member must be able to demonstrate the knowledge and skills necessary to provide care, based on physical, psycho/social, educational, safety, and related criteria, appropriate to the age of the patients served in his/her assigned service area. The skills and knowledge needed to provide such care may be gained through education, training, and/or experience.
4-12 yrs | Child/Pediatric |
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13 –17 yrs | Adolescent |
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18- 64 yrs | Adult |
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65 yrs and greater | Geriatric |
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WORKING CONDITIONS:
Hospital rooms, clinical departments, hospital grounds, and the surrounding community. Potential hazards include:
Exposure to | None | Some | Frequent | Very frequent | Exposure to | None | Some | Frequent | Very frequent |
· Toxic/caustic chemicals |
| X |
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| · Blood or body fluids |
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| X |
· Extreme conditions, hot or cold | X |
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| · Communicable diseases |
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| X |
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· Dust/fumes/ gases (including asbestos) |
| X |
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| · Unprotected heights | X |
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· Moving mechanical parts |
| X |
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| · CRT (computer monitor) |
| X |
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· Potential electric shock |
| X |
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| · Frequent, repetitive motions |
| X |
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· X-ray / electromagnetic energy |
| X |
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| · Asbestos | X |
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· High pitched noises |
| X |
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| · Other (as listed) |
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· Needles or other sharp objects |
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| X |
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PHYSICAL DEMANDS:
Must be able to tolerate sitting and standing for prolonged periods in a noisy, fast-paced
environment. Job also requires lifting objects up to 50 pounds, turning, stooping, and
bending. Must have the agility and coordination to participate in the application of physical
holds on violent patients. Requires corrected vision and hearing to within functional limits.
- Full range of motion in both arms
- Ability to grasp with both hands
- Ability to stand and walk at a brisk pace
- Ability to do squats with full involvement of both knees
- Ability to move legs and arms quickly
- Sufficient mental and physical ability to react quickly in an emergency
- Ability to bend a least 80 degrees at the waist
- Ability to push, pull, and carry at least 50 pounds
- Ability to communicate verbally and follow verbal directions
- Ability to bend arms at the elbow
PERSONAL PROTECTIVE EQUIPMENT:
This position requires the use of personal protective equipment during various patient care and equipment related activities. Personal protective equipment includes but is not limited to: back support belts, gloves, lab coats, face shields, masks, gowns, and safety glasses.