Registered Nurse (Secure Residential)

Cascadia Health•Portland, OR

10d•$51 - $54•Onsite

About The Position

The Registered Nurse (RN) works at Faulkner Place, a secure licensed residential treatment facility in Southeast Portland, Oregon, serving adults with severe and persistent mental illness who have a history of state hospital institutionalization. The program is transitional and helps residents develop greater independence through a high level of support and staffing. The RN coordinates treatment for the shift, implements medical interventions, makes treatment decisions within the scope of RN licensure, and provides care prescribed by physicians and nurse practitioners. The RN also supports a trauma-informed care environment and must understand how trauma can affect health, coping, and residents’ lives. The role is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. It includes a site and shift differential totaling $5.00 per hour in addition to base compensation. The RN works in a clinical outpatient or residential setting and may support resident access to the community using agency vehicles. Meal periods and breaks may be interrupted, and the work can involve unpredictable routines and exposure to risks associated with violence, illness, disease, biohazards, noise, and contaminants. The position is represented by a labor union.

Requirements

Active, unencumbered Oregon Registered Nurse license.
CPR and First Aid certification.
Demonstrated competencies to become credentialed as a QMHA or QMHP under OAR 309-016-0005.
For QMHP qualification: a bachelor’s degree in nursing from an accredited college or university.
For QMHA qualification: an associate degree in nursing from an accredited college and at least one year of mental health work experience.
Knowledge of medical conditions commonly encountered by people with severe and persistent mental illness and the physiological basis for nursing care.
Motivational Interviewing skills.
Ability to maintain a trauma-informed care environment.
Ability to operate computer hardware and software and to enter and retrieve data.
Ability to commute to Cascadia sites and community locations as needed.
Ability to perform CPR and First Aid and properly use AED equipment.
Ability to assist the team in maintaining safety during potentially volatile situations.
Required licenses, certifications, registrations, and other credentials must be maintained as active and in good standing.

Nice To Haves

At least two years of clinical experience providing inpatient or outpatient services is preferred.

Responsibilities

Provide quality nursing care, medical interventions, and appropriate documentation.
Formulate nursing care plans for medical and physical conditions.
Assess residents and administer PRN medications when indicated.
Plan, implement, evaluate, and document direct resident care in accordance with psychiatric and program philosophies.
Coordinate with medical staff, pharmacies, and laboratories to support continuity of resident care.
Support community reintegration through rehabilitation services, including therapy and skills-building groups, dual-diagnosis treatment, nutrition and exercise, vocational training, and escorted community outings.
Administer psychotropic medications, interpret residents’ responses, and take appropriate action according to current psychopharmacology standards.
Collaborate with the team to establish medical treatment plans and resident care.
Interact appropriately with residents, visitors, and community members, and advise residents regarding treatment rights, refusal of treatment, and involuntary treatment procedures under applicable regulations.
Maintain accurate and compliant electronic health records and ancillary records.
Attend and participate in nursing meetings and resident case conferences.
Assist in crises using emergency protocols and coordinating trauma-informed interventions with the treatment team.
Support the safety of residents, staff, and property, and follow fire regulations and evacuation procedures.
Follow mandatory abuse-reporting laws, HIPAA requirements, compliance rules, and residents’ rights requirements.
Report laboratory results to the Licensed Medical Practitioner.
Lead resident nursing groups.
Coordinate with the oncoming shift about resident concerns, program needs, and other matters needed for smooth operations.
Administer seclusion and restraint techniques in accordance with non-violent physical intervention training, agency policies and procedures, and Oregon Administrative Rules.
Participate in a rotation that may require remaining on-site for up to eight additional hours if the following shift is inadequately staffed.
Complete required annual employee training and participate in seminars, training, and other professional development opportunities.
Perform other duties as assigned.

Benefits

Paid time off; full-time employees earn six weeks in their first year.
Medical and dental coverage beginning the first of the month after hire.
VSP Vision Discount Plan.
403(b) retirement plan with immediate 100% vesting and a 1-to-1 company match up to 3% per pay period, plus the possibility of an additional discretionary contribution of up to 5% at fiscal year-end.
Flexible Spending Account options for medical, dependent care, and transportation.
Short-term disability and long-term disability insurance.
Life insurance and voluntary life insurance.
Paid bereavement and jury duty leave.
Length of Service Award.
Supplemental insurance.
Student loan forgiveness options.
Employee Assistance Program.
Bike to Work Reimbursement.