Registered Nurse- IOP/PHP

Rogers Behavioral Health•Bellevue, WA
•$34 - $55

About The Position

The Registered Nurse performs professional nursing activities to help patients achieve or regain and maintain the highest possible physical, emotional, and social functioning. Nursing practice 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 care team as warranted by patients’ conditions and treatment goals and works with Patient Accounts to provide information needed for compliance with federal and state statutes. The position provides nursing care in an IOP/PHP setting, including assessments, care planning, medication administration, patient and family education, safety monitoring, and documentation. The nurse advocates for patient rights and privacy, contributes to multidisciplinary treatment planning, and identifies changes in patient status that may require intervention. The role also includes leadership and unit operations, such as coordinating care, serving as charge nurse, delegating and supervising tasks, supporting quality improvement, and participating in professional development and regulatory compliance activities.

Requirements

  • Registered Nurse license in good standing with the State Board of Nursing in the state of employment.
  • American Heart Association Healthcare Provider CPR certification, or obtain it 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.
  • May be required, at the Hospital’s discretion, to hold a qualified medical professional (QMP) designation and meet the applicable competency requirements.

Nice To Haves

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

Responsibilities

  • Complete and document initial assessments, including admission data, patient strengths and limitations, cultural and spiritual factors, discharge needs, medical status, medication history, and age-specific needs.
  • Involve patients’ families and other support systems in assessment and documentation when appropriate.
  • Advocate for patients, explain their rights, obtain required signatures and consents, protect confidentiality, and assist with orientation.
  • Follow unit safety procedures, including respectful completion of required admission searches.
  • Initiate, review, and update treatment plans and nursing documentation in collaboration with patients, families, and the multidisciplinary team.
  • Review treatment plans and assessment information, participate in care conferences, and represent the nursing component of patient care.
  • Monitor and document patient status, review laboratory data, follow up with physicians, assess fall risk, and identify risks such as self-harm, suicidality, or assaultive behavior.
  • Develop age-appropriate interventions and update care plans in response to changes in patient status.
  • Administer medications safely, implement medication orders, monitor and document medication effects and adverse reactions, and educate patients about medications.
  • Recognize changes in condition and potential instability, intervene to prevent adverse outcomes, use appropriate de-escalation techniques, and reassess safety levels.
  • Identify alcohol withdrawal, extrapyramidal effects, neuroleptic malignant syndrome, and significant cardiac or respiratory symptoms requiring immediate intervention.
  • Identify patient and family health education needs, provide age-appropriate teaching, and document education in the patient record and treatment plan.
  • Organize and implement care according to patient priorities, care plans, hospital policies, unit standards, and patients’ age-specific and cultural needs.
  • When requested and appropriately designated, ensure admissions, transfers, and related care activities comply with EMTALA requirements.
  • Follow nursing and hospital standards of practice and patient care, including safety and infection-control standards.
  • Participate in continuing education, in-service programs, and performance improvement activities; attend all required in-services.
  • Help develop and implement unit standards of care, identify system or resource problems, and suggest solutions to the Clinical Services Manager.
  • Participate in a unit-based committee or project and take part in project leadership as appropriate.
  • Contribute to nursing and hospital functions through committee participation and attendance at designated meetings.
  • Assume charge nurse responsibilities, including coordinating unit activities, leading during crises, facilitating admissions, communicating unit status, managing the therapeutic milieu, and planning patient assignments.
  • Maintain an orderly unit, serve as a role model, and supervise and delegate tasks to LPNs and psychiatric technicians according to their preparation and abilities.
  • Provide acuity information to Patient Accounts and maintain a primary patient caseload according to unit standards.
  • Develop professional growth goals, pursue continuing education, discuss progress with the Clinical Services Manager, and seek projects or additional tasks based on unit needs.
  • Promote hospital and department goals, maintain policies and procedures, and support applicable external regulatory requirements.
  • Educate new staff and student interns as directed and participate in regulatory education and compliance activities.
  • Participate in hospital committees, performance improvement teams, and projects as directed.
  • Demonstrate punctuality, preparedness, effective communication, organization, professionalism, and accountability.
  • Comply with hospital policies, including Human Resources, Infection Control, and Employee Health policies; communicate concerns constructively and work respectfully with patients, families, colleagues, and others.
  • Support staffing or scheduling changes and accept reassignment when patient care needs require; adjust the work schedule when able to meet patient needs.

Benefits

  • New employee retention bonus of $2,500, subject to the stated eligibility definition.
  • 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).
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