Registered Nurse - PHP/IOP

Rogers Behavioral Health•Madison, WI

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. The role is governed by the Nurse Practice Act, applicable state Administrative Code, professional nursing standards, and Rogers Memorial Hospital policies and procedures. The nurse consults with other members of the health team as patient conditions and treatment goals warrant and works with Patient Accounts to provide patient information required for compliance with federal and state statutes. The nurse assesses patients, develops and updates treatment plans, implements and documents care, administers and monitors medications, identifies and responds to changes in patient condition, and provides patient and family education. The role also includes patient advocacy, safety and infection-control practices, participation in quality improvement and continuing education, and leadership responsibilities such as coordinating unit activities and assuming the charge nurse role. A BSN is preferred. Applicants must hold a registered nurse license in good standing in the state of employment. 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. Previous psychiatric experience with children, adolescents, and adults is preferred. A qualified medical professional 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 certification within 30 days of hire; recertification is required every two years.
  • Formal training in management of the aggressive patient within 60 days of hire; annual recertification is required.
  • For employees in Child/Adolescent Day Treatment programs licensed under HFS §40: training in psychiatric nursing, including work with children with mental health disorders, or one year of clinical experience working with these children.
  • If required by the Hospital, qualify and demonstrate competency for a qualified medical professional (QMP) designation under the Medical Staff bylaws; competency is evaluated and may be renewed at least annually.

Nice To Haves

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

Responsibilities

  • Complete and document initial assessments, including relevant medical, physical, cultural, spiritual, ethnic, medication, age-specific, discharge, and patient-strength information.
  • Involve patients’ support systems in assessment and documentation when appropriate, and observe and document relevant interactions.
  • Advocate for patients by explaining rights, obtaining signatures on required consents, protecting privacy and confidentiality, and assisting with orientation and admission procedures.
  • Participate in developing, interpreting, reviewing, and updating patient treatment plans and goals with patients, families, and the multidisciplinary team.
  • Review patient assessments and treatment plans, participate in care conferences, and represent the nursing component of care.
  • Identify, interpret, and document information from nursing interviews, observations, physical assessments, and diagnostic data; consult with other health professionals as appropriate.
  • Review laboratory data and follow up with physicians; assess fall risk, self-abuse, suicidality, assaultive behavior, and changes in patient status; and initiate appropriate precautions and interventions.
  • Administer medications safely, transcribe and implement physician orders, monitor medication effects and adverse reactions, document responses, and provide medication education.
  • Recognize potential patient-care problems, abrupt changes, or instability and intervene appropriately, including using appropriate de-escalation techniques and identifying withdrawal, medication-related syndromes, and serious cardiac or respiratory symptoms.
  • Identify patient and family health-education needs, provide age-appropriate teaching, and document education in the patient record and treatment plan.
  • Organize and implement patient care according to patient priorities, preferences, age-specific and cultural needs, established plans, Hospital policies, and unit standards.
  • When requested and designated as a qualified medical professional, ensure applicable admissions, transfers, and related care comply with EMTALA and associated requirements.
  • Follow nursing and Hospital standards of practice and patient care, safety procedures, and infection-control standards.
  • Participate in continuing education, in-service programs, Performance Improvement, and the sharing of relevant learning with unit staff; attend all required in-services.
  • Help develop and implement unit standards of care, identify system or resource issues and suggest solutions, identify educational equipment and supply needs, serve on a unit committee or project, and participate as a project leader.
  • Contribute to Nursing and Hospital functions through committee work and designated meetings; evaluate and improve unit standards of care.
  • Assume charge nurse responsibilities, including coordinating unit activities, leading during crises, facilitating admissions, communicating unit status and needs, managing the therapeutic milieu, and planning patient assignments.
  • Maintain an orderly unit, serve as a role model, supervise and delegate tasks to LPNs and psychiatric technicians within their competencies, provide acuity monitors to Patient Accounts, and maintain a primary caseload while directing patient care.
  • Develop professional-growth goals, discuss progress with the Clinical Services Manager, pursue continuing education and projects, and seek additional tasks based on unit or shift needs.
  • Promote Hospital and department goals and mission, maintain policies and procedures, account for applicable external requirements, communicate function backlogs, and educate new staff and student interns as directed.

Benefits

  • Health, dental, and vision insurance coverage for the employee and family
  • 401(k) retirement plan
  • Employee share program
  • Life and disability insurance
  • Flexible spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)
  • $2,500 new employee retention bonus for eligible new employees, defined as someone not employed with Rogers for more than six months
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