RN - Acute - Nights

Summit BHC•The Pavilion at Williamsburg Place, SC

2d•Onsite

About The Position

The Registered Nurse provides nursing care to patients and supervises care, treatment, and services delivered by LPNs, CNAs, and other staff on the assigned unit and shift. The RN develops, implements, and evaluates an individual plan of care for each patient; assesses and reassesses patients; communicates relevant information to the interdisciplinary team; and reports patient concerns and changes in condition to a supervisor or physician in a timely manner. The role coordinates care by assessing patients’ physical and behavioral health needs, developing and implementing nursing care plans, maintaining medical records, educating patients and families, and maintaining patient safety. The RN monitors patient status, communicates findings to providers, obtains and reviews provider orders, administers medications, monitors medication effects, and maintains medication accountability and security. The RN also completes admission and discharge processes, collaborates with the treatment team, monitors unit acuity and staffing needs, ensures accurate documentation, and provides thorough handoffs to oncoming staff.

Requirements

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

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 ongoing status; communicate findings and significant changes to providers in a timely manner.
Develop, implement, and evaluate individualized nursing care plans, including completing the initial treatment plan upon admission.
Provide and coordinate nursing care while ensuring patient safety.
Obtain verbal and telephone provider orders accurately, document them, and transcribe and review orders for completeness and appropriateness under policy and procedure.
Administer ordered medications using at least two patient identifiers; assess and document effects of PRN medications; maintain accountability, recording, control, and security of medications, including narcotics.
Notify providers of significant status changes, including detox difficulties, medical emergencies, pertinent laboratory results, and medication responses.
Complete admission and discharge processes accurately and efficiently as directed.
Maintain medical records and ensure thorough, accurate documentation for all assigned patients each shift; complete daily patient assignment sheets and carry out assigned tasks.
Collaborate regularly with the treatment team and participate in unit activities, including therapy groups, family meetings as appropriate, staffing, and unit meetings.
Educate patients, families, and coworkers about medication use and maintenance, common side effects, patient rights, and other topics necessary for patient care.
Monitor patient acuity, census, and staffing needs, and escalate coverage needs to the supervisor or Charge RN.
Communicate 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.