Registered Nurse- Day Shift-2

Summit BHC•Harlingen, TX

1d•Onsite

About The Position

The Registered Nurse is responsible for providing nursing care to patients. This includes supervising the care, treatment, and services provided by LPNs, CNAs, and other staff on the assigned unit and shift. The role involves developing, implementing, and evaluating individual patient plans of care, performing patient assessments and re-assessments, and communicating pertinent information with the interdisciplinary team. The nurse is also responsible for reporting patient concerns and changes in condition to supervisors and/or physicians in a timely manner.

Requirements

Graduation from an approved/accredited school of nursing.
Valid current RN license from the state or from a compact state, where applicable.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility requirements.

Nice To Haves

One or more years’ nursing experience within clinical area of service provided by facility preferred.
Experience in behavioral health/psychiatric/addiction recovery environment preferred.
Certified in Psychiatric Nursing preferred.

Responsibilities

Provides and coordinates care by assessing physical and behavioral health needs of patient.
Develops and implements nursing care plans.
Maintains medical records.
Educates patients and their families about various physical and behavioral health conditions while ensuring patient safety at all times.
Assesses patient’s status on an ongoing basis and documents pertinent information gathered.
Ensures nursing treatment plans are specific to assessed needs and initial treatment plan is completed upon admission.
Takes physician’s orders (verbal or via telephone) accurately and documents appropriately; transcribes and reviews physician’s orders.
Ensures physician’s orders are legible if taken verbally and transcribed appropriately per policy and procedure.
Accurately administers medications per ordered note and documents accurate count of controlled substance.
Adjusts medications under provider’s supervision as needed; monitors lab results to validate medication compliance.
Notifies physician of significant changes in status such as difficulties with detox, medical emergency or change in medical status regarding response to medications, etc.
Supervises self-administration of medications using safety initiative of using two means of patient identification: documents and reports effects of scheduled and PRN medications.
Maintains accountability of administration, recording, control and security of medications, including narcotics.
Completes admission and discharge processes efficiently and accurately as directed.
Confers regularly with treatment team (e.g., nurses, therapists, program managers, physician) regarding patient care.
Attends and participates in the unit activities such as therapy groups, family meetings as appropriate, staffing, unit meetings, etc.
Provides education/explanation to patients, families, and co-workers regarding medication usage/maintenance, common side effects, patient's rights, as well as other topics necessary for optimal patient care.
Monitors patient acuity, census, staffing needs, and makes arrangements for coverage as needed, following established guidelines.
Assures thorough, accurate documentation is completed for all patients on each shift and patient assignment sheets are completed daily and tasks are carried out as assigned.
Gives thorough report to oncoming staff, supervisors, and physician.
Provides coverage in emergency services as needed.