Nurse- LPN-RN

Yellowstone Boys and Girls Ranch•Billings, MT

About The Position

At Yellowstone Boys & Girls Ranch (YBGR), Nurses are integral members of the interdisciplinary care team supporting adolescents experiencing emotional, behavioral, psychiatric, and developmental challenges. They assist with evaluating and treating the medical and psychiatric needs of youth at YBGR. The starting salary is based on the applicant’s education and relevant experience and reflects steps 1–5 of an 11-step pay schedule. The stated hourly range for a current Montana LPN license is $24.50–$27.57; for a current Montana RN license, it is $34.13–$38.41.

Requirements

  • Be at least 21 years old.
  • Pass the criminal record and child abuse registry background checks required by the State of Montana.
  • Have an associate degree in nursing from an accredited nursing program.
  • Hold a current LPN or RN license in Montana or a compact state.
  • Be able to conduct nursing assessments, evaluate symptoms, identify risk factors, and formulate nursing diagnoses.
  • Be able to establish rapport with youth, listen actively, and communicate empathy, support, and encouragement.
  • Be able to assess and manage psychiatric emergencies, including suicidal ideation, aggression, or acute psychosis, using appropriate de-escalation techniques and interventions.
  • Be able to collaborate with interdisciplinary team members, including psychiatrists, other licensed medical professionals, and therapists, to develop and ensure quality care.
  • Demonstrate cultural competence and sensitivity to the needs and beliefs of people from diverse cultural backgrounds.
  • Demonstrate empathy and compassion when supporting youth.
  • Maintain accurate, up-to-date clinical documentation in compliance with regulatory standards and YBGR policies.
  • Demonstrate self-motivation, self-discipline, diligence, and forward thinking.
  • Demonstrate a team-oriented approach and define success collectively rather than individually.
  • Communicate and interact effectively with others.
  • Demonstrate the stated values of Faith, Integrity, Relationship, and Stewardship.
  • Be willing and able to obtain First Aid/CPR and Violence Intervention Prevention certification.

Responsibilities

  • Assist with evaluating, treating, and referring individual health and psychological concerns of YBGR youth.
  • Provide nursing assessments and required testing under the Admission Protocol.
  • Assist with implementing medical treatment plans for each youth.
  • Dispense medications safely and perform medical treatments according to physicians’ orders.
  • Maintain clear, concise, and current documentation of medical and psychiatric services in each youth’s medical records.
  • Provide direct intervention, obtain physicians’ orders, and assess Special Treatment Procedures and Suicide Precautions in accordance with YBGR policy.
  • Work collegially with core team members to develop patient treatment plans.
  • Obtain informed medication consent from parents and guardians.
  • Assist with random compliance audits.
  • Review nursing protocols and recommend changes.
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