Enfermero(a) Graduado

San Juan Capestrano • Río Piedras, PR

6d

About The Position

This role involves providing and coordinating patient care by assessing physical and behavioral health needs, developing and implementing nursing care plans, and maintaining medical records. The nurse will educate patients and families about various health conditions and provide care within the scope of nursing practice and facility policies. Key responsibilities include transcribing physician's orders, ongoing patient status assessment and documentation, notifying physicians of significant changes, completing treatment plans, utilizing universal precautions, administering medications, documenting controlled substance counts, and efficiently processing admissions and discharges. The role also emphasizes maintaining therapeutic rapport with patients, providing direction to unit activities as needed, and communicating effectively with all stakeholders.

Requirements

• Must have graduated from an accredited school of nursing.
• Must possess a current Registered Nurse (RN) license as required by the state of employment or be eligible to practice nursing in accordance with state requirements
• One year of nursing experience
• CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility requirements.

Nice To Haves

• previous psychiatric, mental, behavioral, or substance use nursing experience a plus

Responsibilities

• Provide and coordinate care by assessing patients’ physical and behavioral health needs.
• Develop and implement nursing care plans.
• Maintain medical records and educate patients and their families about various physical and behavioral health conditions.
• Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, as well as facility and corporate policies and procedures.
• Ensure physicians’ orders are legible if taken verbally and transcribed appropriately per policy and procedure.
• Ensure patients’ status is assessed on an ongoing basis and pertinent information is gathered and documented.
• Notify physicians of significant changes in status such as difficulties with detox, medical emergency, change in medical status regarding response to medications, and related challenges.
• Ensure that initial nursing treatment plans are completed upon admission and that all nursing treatment plans are specific to assessed needs.
• Demonstrate knowledge and utilization of universal precautions in providing direct patient care.
• Accurately administer medications per ordered note.
• Document accurate count of controlled substance medication administration on required documents.
• Complete admission and discharge processing efficiently and accurately as directed.
• Exhibit therapeutic rapport with patients by maintaining professional boundaries, respecting personal space, giving patients direct attention, and maintaining rational detachment.
• Provide direction or coordinate the activities of the unit as directed.
• Communicate therapeutically and professionally with patients, visitors, co-workers, and others involved inpatient treatment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level