Nurse III - Supervisory

Texas Health & Human Services Commission•San Antonio, TX

13d•$7,533 - $8,886•Onsite

About The Position

The Nurse III - Supervisory position serves as a Charge Nurse at San Antonio State Hospital. The nurse provides direct patient care and manages the assigned service area during the shift, including coordinating staffing and patient-care activities. The position works under the direct supervision of the Chief Nurse Executive, Nurse Administrator, or Assistant Chief Nurse Executive, and may supervise, counsel, and evaluate nursing staff. It collaborates with nurse coordinators, other charge nurses, and mental health staff to maintain continuity of care and may assume Nurse Coordinator or Nurse Manager duties when they are absent. The position is scheduled to work 7:00 p.m. to 7:00 a.m.; the assigned unit depends on hospital needs. Work schedule, location, and shift may change to meet hospital needs. The role requires flexibility and may include rotating or extended shifts, overtime, or an alternate shift or location during disaster response or Continuity of Operations activation. Duties may involve exposure to blood or other potentially infectious materials. The position is not eligible for telework. The nurse assesses, plans, implements, documents, and evaluates patient care; coordinates unit staffing and patient-care activities; supports admissions and transfers; carries out practitioner orders; implements precautions and restraint or seclusion procedures according to policy; and helps protect patient safety and rights. The nurse also supports staff competence through training and education and communicates relevant information to staff and nursing leadership. Applicants must hold an RN license valid in Texas or through a state recognized by the Nurse Licensure Compact, and must have three years of RN work experience in a recognized health agency, hospital, or health care facility. Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners is preferred. Applicants must pass specified pre-employment screening and meet applicable facility and immunization requirements.

Requirements

Three years of work experience as an RN in a recognized health agency, hospital, or health care facility.
Current license to practice as a registered nurse in Texas, or a license from a state that recognizes reciprocity through the Nurse Licensure Compact.
Knowledge of recognized American Nurses Association Nursing Standards, departmental policies and procedures, and the Nurse Practice Act.
Supervisory and management skills.
Ability to perform CPR, agency-approved aggression management and restraint techniques, and emergency care in medical or psychiatric emergencies.
Ability to interact positively with patients, staff, families, and the public.
Ability to handle crisis situations calmly.
Effective verbal and written communication skills.
Sound judgment and critical-thinking skills.
If transporting patients, a valid Texas driver license or ability to obtain one within 90 days of hire to drive a state vehicle; eligible driving record required under HHSC Fleet Management policy. Applicants with an out-of-state license must provide an original certified driving record from the licensing state.
Must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks, including CANRS, Nurse Aid, Medication Aide and Employee Misconduct, and LEIE checks.
Must be at least 18 years old for employment at a state-operated facility.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required.
Flexibility in work hours may be required; the position may require overtime or extended hours.

Nice To Haves

Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners is preferred.

Responsibilities

Assess patients’ health and mental status at admission, transfer, and on an ongoing basis; document assessments, plans, interventions, and evaluations in patient records.
Perform CPR and Heimlich techniques according to American Heart Association specifications.
Direct and coordinate staffing and patient-care activities on assigned units in consultation with nurse administrators and staff nurses; address performance problems promptly and document interventions.
Coordinate and administer the effective use of nursing service personnel on assigned units.
Facilitate admissions and transfers by communicating with admissions and unit staff, reviewing documentation, and triaging patients when needed.
Carry out medical staff practitioners’ orders and implement nursing interventions in accordance with nursing standards and hospital policies and procedures.
Assist in the client abuse and neglect investigation process.
Implement ordered special precautions; explain and document rights restrictions; and follow restraint and seclusion procedures to maintain safety and uphold patient rights.
Monitor treatment, intervention, and protection strategies (TIPS) and compliance with program requirements during patient restraint episodes.
Attend mandatory training and participate in ongoing in-service, education, and training programs appropriate to the patient population.
Communicate current information to staff on assigned units and maintain open communication with nursing leadership.
Provide direct nursing care as needed and collaborate with nursing and mental health colleagues to support continuity of care.
May supervise, counsel, and evaluate nursing staff and may assume Nurse Coordinator or Nurse Manager duties during their absence.
Participate in disaster response, recovery, or Continuity of Operations activation as assigned.
Perform other duties as assigned.