Registered Nurse (Secure Residential)

Cascadia Health•Portland, OR

6d•Hybrid

About The Position

Cascadia Health delivers whole health care – integrated mental health and addiction services, primary care, and housing – to promote hope and support the well-being of the communities we serve. We envision a community where everyone benefits from whole health care, experiences well-being, and has a self-directed, connected life. Secure Residential Treatment Programs serve adults living with severe and persistent mental illness (SPMI) who have a history of institutionalizing in the state hospital system. They are transitional facilities with a goal of helping residents become more independent. Due to the high level of support for the residents, these programs have a higher level of staffing. The Registered Nurse (RN) for Secure Residential coordinates the provision of treatment for the shift and implements medical interventions. The RN assumes responsibility for treatment decisions in keeping with RN licensure provisions and renders care prescribed by physicians and nurse practitioners, while supporting a Trauma Informed Care environment. With the high prevalence of trauma among individuals receiving mental health services, it is required the RN understand the effects of trauma on health, coping, and other aspects of the lives of those we serve.

Requirements

An active, unencomp ered Oregon Registered Nurse License and CPR/First Aid Certification.
Must demonstrate the competencies to become credentialed as a QMHA or QMHP as outlined in OAR 309-016-0005.
QMHP: A Bachelors degree in Nursing degree from an accredited college or university.
QMHA: An Associates Degree in Nursing from an accredited college and at least one year of mental health work experience.
A minimum of two years of clinical experience providing inpatient or outpatient services is preferred.
Knowledge of the kinds of medical conditions most commonly encountered by people with a severe and persistent mental illness and an understanding of the physiological basis for the nursing care delivered
Motivational Interviewing
Ability to maintain a trauma informed care environment
Operate Computer hardware and software at a level to effectively perform the job functions
Enter and retrieve data.
Ability to commute to various Cascadia sites and community locations as needed.
Ability to perform CPR, First Aid, and properly use AED equipment.

Responsibilities

Provide quality nursing care, including all medical interventions and appropriate documentation.
Formulate Nursing Care Plans for all medical/physical conditions.
Administer PRN medications based on presenting systems and proper assessment to determine the need for the PRN.
Participate in planning, implementing, evaluating and documenting direct resident care activities based on sound psychiatric and Arbor/Faulkner place philosophy.
Act as liaison with medical staff, pharmacy and laboratory services when appropriate to assure continuity of quality resident care.
Place strong emphasis on community reintegration, utilizing a comprehensive rehabilitation program that includes therapy and skills-building groups, dual-diagnosis treatment, nutrition and exercise, a vocational training program and staff-escorted community outings.
Administer psychotropic medications, interpret resident response to medication and take appropriate action based on current psycho-pharmacy standards.
Collaborate and participate as a team member to establish medical treatment plans and resident care.
Interact appropriately with residents, visitors and other community members to support the treatment process, and advise on resident rights to treatment, refusal of treatment and involuntary treatment procedures as provided by applicable regulations.
Document and maintain electronic health record (EHR) and ancillary records in a manner that is compliant and accurate.
Attend and actively participate in Nursing meetings and resident case conferences.
Assist in crisis situations as appropriate, following emergency protocols/procedures and coordinating with the treatment team with interventions which support a trauma informed environment for residents and staff.
Demonstrate responsibility for safety of residents, staff and property; is familiar with fire regulations and evacuation procedures.
Adhere to mandatory abuse reporting laws and HIPAA requirements, follow compliance and respect and clients rights
Call the Licensed Medical Practitioner (LMP) with laboratory results.
Lead resident nursing groups.
Coordinate with oncoming shift regarding resident concerns, building/program needs, and any issues relevant to ensure the smooth operation of the program.
Responsible for administration of seclusion and restraint techniques as defined in non-violent physical intervention training, agency Policies and Procedures, as well as applicable Oregon Administrative Rules.
Be a part of a rotation to remain working on-site for up to eight (8) additional hours in the event that the following shift has inadequate staffing.
Complete annual employee training requirements on a timely basis as indicated in the licensing requirements for the facility as well as agency requirements.
Attend seminars, training and other educational opportunities in order to develop professional skills and abilities.
Perform other duties as assigned

Benefits

Generous Paid Time Off Package - Full-time employees earn 6 weeks of PTO in their first year!
Medical and Dental Coverage (begins 1st of the month following hire date)
VSP Vision Discount Plan
403(b) Retirement Plan - Eligible after 60 days with immediate 100% vesting and a 1-to-1 company match up to 3% per pay period, plus the opportunity for an additional discretionary contribution (up to 5%) at the end of the fiscal year .
Flexible Spending Account (FSA) (Medical, dependent care, and transportation options)
Short-Term Disability, Long-Term Disability, and Life Insurance
Paid Bereavement and Jury Duty Leave
Length of Service Award
Voluntary Life Insurance
Supplemental Insurance
Student loan forgiveness options
Wellness Benefits: Employee Assistance Program (EAP)
Bike to Work Reimbursement
Discounted Fitness Memberships
Trauma Support Team