Registered Nurse- IOP/PHP

Rogers Memorial Hospital•Bellevue, WA

19h

About The Position

The Registered Nurse performs professional nursing activities to help patients achieve or regain and maintain their maximum physical, emotional, and social functioning. Practice is governed by the Nurse Practice Act and applicable state administrative code, professional nursing standards, and Rogers Memorial Hospital policies and procedures. The nurse consults with other members of the health team according to patient condition and treatment goals and works with Patient Accounts to provide information needed for compliance with federal and state statutes. The role includes assessing patients, developing and updating treatment plans, advocating for patients, implementing and documenting care, administering medications safely, identifying changes in patient status and safety risks, and providing patient and family education. The nurse contributes to unit operations and leadership, including coordinating care, serving as charge nurse when assigned, supervising and delegating tasks to LPNs and psychiatric technicians, and participating in committees, performance improvement, continuing education, and professional development. The position supports department goals and hospital policies, regulatory compliance, patient safety, and a professional, respectful care environment. The position is full-time, Monday through Friday on the day shift. A $2,500 new-employee retention bonus is available to individuals who have not been employed with Rogers for more than six months. Compensation is $34.01–$54.60, with placement based on experience and education. A BSN is preferred; a current, good-standing registered nurse license in the state of employment is required. Healthcare Provider CPR certification is required or must be obtained within 30 days of hire, and formal training in management of the aggressive patient is required within 60 days of hire, with recertification requirements. Previous psychiatric experience with children, adolescents, and adults is preferred. A QMP designation may be required at the hospital’s discretion.

Requirements

Registered nurse license in good standing with the State Board of Nursing in the state of employment.
American Health Association Healthcare Provider CPR certification, or obtain it within 30 days of hire; biannual recertification is required.
Formal training in management of the aggressive patient within 60 days of hire; annual recertification is required.
Employees at Child/Adolescent Day Treatment programs licensed under HFS §40 must have training in psychiatric nursing, including work with children with mental health disorders, or one year of experience working in a clinical setting with these children.
Must be deemed competent to serve as a qualified medical professional (QMP) if required by the hospital; QMP competency is evaluated and potentially renewed at least annually.

Nice To Haves

Bachelor’s degree in nursing (BSN).
Previous psychiatric experience with children, adolescents, and adults.

Responsibilities

Complete initial assessments and document admission information within the prescribed timeframe, including medical and physical status, patient strengths and limitations, cultural and other relevant factors, medication history, age-specific needs, and discharge needs.
Involve patient support systems in assessment and documentation when appropriate, and observe and document relevant interactions with family and friends.
Advocate for patients by explaining rights, obtaining required signatures and consents, protecting privacy and confidentiality, and assisting with orientation.
Follow hospital policies and procedures for unit safety and admission processes, including gown and contraband searches, while responding respectfully to patient and family stressors.
Participate in planning, developing, interpreting, and updating patient plans of care and treatment goals with patients, families, and the multidisciplinary team.
Review treatment plans and multidisciplinary assessments; participate in care conferences and represent the nursing component of care.
Gather and document information from nursing interviews, observation, physical assessment, and diagnostic data; confer with other healthcare professionals as appropriate.
Review laboratory data and follow up with the doctor; assess fall risk and initiate precautions; identify potential self-abuse, suicidality, assaultive behavior, and changes in patient status.
Administer medications safely, accurately transcribe and implement physician orders, monitor medication effects and adverse reactions, and provide and document medication education.
Identify patient-care problems, abrupt changes, or instability and intervene appropriately; use de-escalation techniques and reassess safety levels.
Recognize alcohol withdrawal, extrapyramidal side effects, neuroleptic malignant syndrome signs, and cardiac or respiratory symptoms requiring immediate intervention.
Identify patient and family health-education needs, implement age-appropriate teaching, and document education in the patient record and treatment plan.
Organize and implement patient care according to patient priorities, care plans, hospital policies, unit standards, age-specific and cultural needs, and time constraints.
When requested and if designated as a QMP, ensure admissions, transfers, and related care activities comply with EMTALA and associated requirements.
Protect patients, visitors, and staff by adhering to environmental safety and infection-control standards; follow nursing and hospital standards of practice and patient care.
Participate in continuing education and in-service programs, attend required in-services, and share relevant learning with unit staff.
Participate in performance improvement and help develop and implement unit standards of care, identify system and resource issues, and suggest solutions.
Serve on a unit-based committee or participate in unit projects, and participate as a project leader when applicable.
Contribute to nursing and hospital functions through committee participation and attendance at designated meetings; evaluate and improve unit standards of care.
Assume charge nurse responsibilities when assigned, including coordinating unit activity, leading in crises, facilitating admissions, communicating unit status, managing the therapeutic milieu, planning care assignments, and maintaining an orderly unit.
Supervise and delegate tasks to LPNs and psychiatric technicians in consideration of their preparation and demonstrated abilities.
Provide acuity monitors to Patient Accounts, maintain a primary caseload according to unit standards, and direct patient care.
Set professional growth goals, pursue continuing education and projects, and discuss progress with the Clinical Services manager.
Promote department goals and the hospital mission; maintain department policies and procedures and communicate relevant requirements to staff as directed.
Support regulatory compliance by learning and applying relevant Joint Commission and other agency standards and participating in related education and meetings.
Demonstrate punctuality, preparedness, effective communication and organization, professional conduct, accountability, and a positive, solution-focused approach.
Comply with hospital policies and procedures, including Human Resources, Infection Control, and Employee Health requirements; maintain professional and respectful interactions.
Support staffing and scheduling changes when patient-care needs require, accept reassignment positively, adjust work schedules when able, and seek or offer assistance as appropriate.
Demonstrate acceptance of and train student interns as directed.