Registered Nurse- FT (Nights)

Summit BHC•Harlingen, TX

1d•Onsite

About The Position

The Registered Nurse provides nursing care to patients in an acute psychiatric setting and supervises the care, treatment, and services delivered by LPNs, CNAs, and other staff on the assigned unit and shift. The role includes developing, implementing, and evaluating individualized plans of care; assessing and reassessing patients; communicating relevant information to the interdisciplinary team; and reporting patient concerns or changes in condition to a supervisor or physician promptly. The nurse coordinates care by assessing patients’ physical and behavioral health needs, maintaining medical records, educating patients and families, and ensuring patient safety. Responsibilities also include administering and monitoring medications, completing admission and discharge processes, collaborating with the treatment team, monitoring unit acuity and staffing needs, and maintaining complete documentation and handoff reports.

Requirements

Graduation from an approved or accredited school of nursing.
Valid current RN license from the state or from a compact state, where applicable.
CPR certification and de-escalation and restraint certification are required; training is available upon hire and offered by the facility.
Knowledge of and experience with psychotropic medications and medication administration procedures.
Ability to apply nursing standards and practice within an acute psychiatric setting.

Nice To Haves

One or more years of nursing experience within the clinical area of service provided by the facility.
Experience in a behavioral health, psychiatric, or addiction recovery environment.
Certification in Psychiatric Nursing.
First aid, which may be required based on state or facility requirements.

Responsibilities

Assess patients’ physical and behavioral health needs and status on an ongoing basis, and communicate findings to providers in a timely manner.
Develop, implement, and evaluate nursing care plans specific to assessed needs; complete the initial treatment plan upon admission.
Obtain provider orders accurately, document them, and transcribe and review orders for required elements and compliance with policy and procedures.
Administer medications as ordered using at least two patient identifiers.
Notify providers of significant changes in patient status, including detox difficulties, medical emergencies, pertinent lab results, and medication response changes.
Assess and document the effects of PRN medications.
Maintain accountability for the administration, recording, control, and security of medications, including narcotics.
Complete admission and discharge processes efficiently and accurately as directed.
Confer regularly with the treatment team regarding patient care and participate in unit activities, including therapy groups, family meetings, staffing, and unit meetings as appropriate.
Educate patients, families, and co-workers about medication use and maintenance, common side effects, patient rights, and other topics needed for optimal care.
Monitor patient acuity, census, and staffing needs, and escalate coverage needs to a supervisor or Charge RN.
Complete thorough and accurate patient documentation each shift, complete patient assignment sheets daily, and carry out assigned tasks.
Provide thorough handoff reports to oncoming staff and supervisors.
Supervise care, treatment, and services provided by LPNs, CNAs, and other staff on the assigned unit and shift.
Maintain patient safety while providing nursing care.