Registered Nurse (7pm-7am)

Summit BHC•Leland, NC

4d•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 role develops, implements, and evaluates individual patient care plans; assesses and reassesses patients; communicates relevant information with the interdisciplinary team; and promptly reports patient concerns and changes in condition to a supervisor or physician. The RN coordinates care by assessing patients’ physical and behavioral health needs, developing and implementing nursing care plans, maintaining medical records, educating patients and families, and ensuring patient safety. The nurse assesses patient status on an ongoing basis, ensures treatment plans reflect assessed needs, obtains and documents provider orders, administers and monitors medications, and communicates significant changes in patient condition to providers. The role also supports admission and discharge processes, collaborates with the treatment team, contributes to unit activities, monitors acuity and staffing needs, completes shift documentation, and provides hand-off 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.
Knowledge of and experience with psychotropic medications and medication-administration procedures.
Ability to apply nursing standards and practice within an acute psychiatric setting.
CPR and de-escalation and restraint certification required; training is available upon hire and offered by the facility.

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, where required by state or facility requirements.

Responsibilities

Assess patients’ physical and behavioral health needs and status on an ongoing basis, including reassessment, and communicate findings to providers in a timely manner.
Develop, implement, and evaluate individual nursing care plans and ensure treatment plans are specific to assessed needs and initial plans are completed upon admission.
Coordinate and supervise patient care, treatment, and services provided by LPNs, CNAs, and other assigned staff.
Maintain medical records and complete thorough, accurate documentation for patients on each shift; complete assignment sheets daily and carry out assigned tasks.
Obtain verbal or telephone provider orders accurately, document them appropriately, and transcribe and review orders for completeness and compliance with policy and procedures.
Administer ordered medications accurately using at least two patient identifiers; assess and document effects of PRN medications; maintain accountability for the administration, recording, control, and security of medications, including narcotics.
Notify providers of significant changes in patient status, including detox difficulties, medical emergencies, pertinent laboratory results, and medication responses or other medical-status changes.
Complete admission and discharge processes efficiently and accurately as directed.
Confer regularly with the treatment team about patient care and attend 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, patients’ rights, and other topics needed for optimal patient care.
Monitor patient acuity, census, and staffing needs and escalate coverage needs to a supervisor or Charge RN.
Communicate thorough hand-off reports to oncoming staff and supervisors.
Ensure patient safety at all times.