Registered Nurse (7am-7pm)

Summit BHC•Leland, NC

4d•Onsite

About The Position

The Registered Nurse provides nursing care to patients and supervises care, treatment, and services provided by LPNs, CNAs, and other staff on the assigned unit and shift. The role includes developing, implementing, and evaluating individual patient care plans; assessing and reassessing patients; communicating with the interdisciplinary team; and promptly reporting patient concerns and changes in condition to a supervisor or physician. The nurse coordinates care by assessing patients’ physical and behavioral health needs, maintaining medical records, educating patients and families, and ensuring patient safety. Responsibilities also include monitoring patient status and medication effects, obtaining and documenting provider orders, managing medication security and administration, completing admissions and discharges, collaborating with the treatment team, monitoring acuity and staffing needs, and ensuring accurate documentation and shift handoffs. This is an onsite, individual-contributor position at the facility.

Requirements

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

Nice To Haves

One or more years of nursing experience in the clinical area served by the facility.
Experience in a behavioral health, psychiatric, or addiction recovery environment.
Certification in Psychiatric Nursing.

Responsibilities

Assess patients’ physical and behavioral health needs and develop, implement, and evaluate nursing care plans.
Supervise and coordinate care, treatment, and services provided by LPNs, CNAs, and other staff on the assigned unit and shift.
Assess and document patient status on an ongoing basis and communicate findings to providers in a timely manner.
Ensure nursing treatment plans address assessed needs and that an initial treatment plan is completed upon admission.
Obtain, accurately document, transcribe, and review provider orders in accordance with policy and procedures.
Administer medications as ordered using at least two patient identifiers.
Notify providers of significant changes in patient status, medical emergencies, relevant laboratory results, detox difficulties, and medication responses.
Assess and document the effects of PRN medications.
Maintain accountability for the administration, recording, control, and security of medications, including narcotics.
Complete admission and discharge processes accurately and efficiently.
Communicate and collaborate regularly with the treatment team and participate in unit activities, meetings, and groups as appropriate.
Educate patients, families, and coworkers about medications, common side effects, patient rights, and other topics relevant to patient care.
Monitor patient acuity, census, and staffing needs and escalate coverage needs to a supervisor or Charge RN.
Complete accurate documentation for patients on each shift, complete daily assignment sheets, and carry out assigned tasks.
Provide thorough handoff reports to oncoming staff and supervisors.