TX-HHSC-DSHS-DFPS-posted 5 days ago
Full-time • Mid Level
Onsite
1,001-5,000 employees

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. The Psychiatric Nursing Assistant IV performs advanced (senior level) rehabilitative patient care services work under the clinical supervision of a licensed nurse to provide quality psychiatric nursing care in an inpatient setting. Work involves coordinating assignments and specific duties for all PNAs which include assisting the patients with activities of daily living, instructing staff on hospital and program procedures and policies, and providing emergency, health, and personal care services to patients; interacting with patients therapeutically; observing, reporting, and documenting, in an electronic record, patient conditions and behaviors; and participating in individualized and unit-based programming. As an integral member of the recovery team or the admissions team provides verbal and supportive communication and documentation concerning individual patient behaviors, progress or lack thereof towards individualized goals of the recovery plan. Actively participates in shift reporting and recovery team meetings, or meetings with admissions staff. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations.

  • Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
  • Coordinates assignments and specific duties for PNAs which include assisting the patient with activities of daily living, hygiene, and eating to promote independence and self-care. Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients reaching their goals.  Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients. Accompanies patient to appointments as required.
  • Communicates effectively with other team members to promote a positive workplace.  Shares information with other PNAs so they understand their role in supporting the patient’s treatment.
  • Serves as a participant in the recovery team or admissions team. Provides on-going collaborative verbal, and written communication concerning patients. Instructs other PNAs on how to provide verbal and written communication concerning patient’s progress or lack thereof to their individualized goals. Develops plans for treatment and instructs other PNAs on how to take an active role with patients’ recovery processes.
  • Uses basic computer skills and responds to questions from other PNAs on reporting procedures to communicate patient care information clearly and concisely in a timely manner.
  • The PNA IV assists the licensed nurse and provides guidance to other PNAs in monitoring patients for medication administration or treatment, including taking and monitoring vital signs and performing other assigned tasks within competency level. 
  • Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries.
  • Promotes classes and programs offered and encourages patient participation. Co-facilitates groups as assigned or requested.
  • Models’ appropriate response in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all persons.
  • Performs the CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specification of the American Heart Association.
  • Instructs other PNAs on how to provide the RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, or behavioral escalation gained by direct observation/interaction with patients to promote safety. Actively participates in shift change.
  • Provides objective and relevant information to the supervising RN on an ongoing basis concerning the work performance of assigned PNAs to support a more comprehensive performance evaluation and to assist in the identification of training and/or other performance improvement opportunities.
  • Serves as a preceptor (orientation and on-going training) for new employees including PNA Is, IIs, and other temporarily assigned personnel to the unit.
  • Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
  • Knowledge and experience in CAPPS, CARE, Microsoft Word, and Excel
  • Knowledge of patient aggression reduction interventions
  • Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs
  • Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills
  • Skills in the use of computer and office equipment
  • Ability to prepare and maintain records, files, and reports
  • Ability to serve as a lead worker providing direction to others
  • Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions
  • Ability to provide patient care, to administer first aid and cardiopulmonary resuscitation, to conduct TIPS, and to communicate effectively
  • Ability to work with others and accept supervision
  • Ability to train others
  • If transporting patients, will be required to have a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
  • CPR certification or the ability to obtain certification for CPR within the first 60 days of employment.
  • Four years of work experience required.
  • At least three (3) years direct care experience required.
  • At least three (3) years Psychiatric patient experience preferred.
  • At least three (3) years Supervisory experience preferred.
  • Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.
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