Registered Nurse- IOP/PHP

Rogers Behavioral Health•Bellevue, WA

22h•$34 - $55

About The Position

The Registered Nurse performs professional nursing activities to help patients achieve or regain and maintain optimal physical, emotional, and social functioning. Practice is governed by the applicable Nurse Practice Act and Administrative Code, professional nursing standards, and Rogers Memorial Hospital policies and procedures. The nurse consults with other members of the health team as patient needs and treatment goals warrant and works with Patient Accounts to provide information needed for compliance with federal and state statutes. This PRN role provides coverage as needed when the clinic is open, with no set hours or consistent days. The nurse assesses patients, develops and updates care plans, implements and documents care, administers and monitors medications, supports patient and family education, and responds to safety and clinical concerns. The role also includes leadership and coordination of unit activities, participation in quality improvement and continuing education, and compliance with hospital and regulatory requirements. A Bachelor of Science in Nursing is preferred. The candidate must be a registered nurse licensed in good standing in the state of employment. American Health Association Healthcare Provider CPR certification is required or must be obtained within 30 days of hire, with recertification every two years. Formal training in management of the aggressive patient is required within 60 days of hire, with annual recertification. Compensation is $34.01–$54.60, with placement dependent on experience and education.

Requirements

Registered nurse license in good standing with the State Board of Nursing in the state of employment.
American Health Association Healthcare Provider CPR certification, or ability to 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.
Ability to comply with applicable nursing practice laws, hospital policies, safety and infection-control requirements, and professional standards.

Nice To Haves

Bachelor’s degree in nursing (BSN).
Previous psychiatric experience with children, adolescents, and adults.
Qualified medical professional (QMP) designation may be required at the Hospital’s discretion; competency and renewal are evaluated at least annually.

Responsibilities

Complete initial assessments and document required information, including admission data, medical and physical status, patient strengths and limitations, cultural and spiritual factors, discharge needs, medication history, and age-specific needs.
Involve patient support systems in assessment and documentation when appropriate, and observe and record interactions relevant to treatment.
Explain patient rights, obtain necessary signatures and consents, protect privacy and confidentiality, and advocate for patients.
Assist with patient orientation and follow hospital safety procedures, including admission searches when required, while remaining sensitive to patient and family stressors.
Participate in planning, developing, reviewing, and modifying patient treatment plans and goals with patients, families, and the care team.
Review multidisciplinary assessments and treatment plans, participate in care conferences, and represent the nursing component of the plan of care.
Collect and interpret nursing interview, observation, physical assessment, diagnostic, and laboratory information; consult with other health professionals and follow up with physicians as appropriate.
Assess and document changes in patient status; identify risks including falls, self-abuse, suicidality, assaultive behavior, withdrawal, medication side effects, and serious cardiac or respiratory symptoms; and initiate appropriate interventions.
Administer medications safely, accurately transcribe and implement physician orders, monitor medication effects and adverse reactions, maintain medication knowledge, and provide and document medication education.
Use appropriate de-escalation and safety interventions, and reassess patient safety levels.
Identify patient and family education needs and implement age-appropriate teaching before discharge.
Organize and implement care according to patient priorities, preferences, age and cultural needs, established care plans, hospital policies, and unit standards.
When requested and designated as a qualified medical professional, ensure admissions, transfers, and related care activities comply with EMTALA and associated requirements.
Follow nursing and hospital standards, safety and infection-control requirements, and applicable regulatory policies.
Participate in continuing education, required in-services, performance improvement, unit projects, and committees; share relevant learning with unit staff.
Help develop and implement unit standards of care, identify system and resource problems, suggest solutions, and identify educational equipment and supply needs.
Carry out leadership and charge nurse duties as assigned, including coordinating unit activities, facilitating admissions, managing the therapeutic milieu, responding to crises, communicating unit needs, and maintaining orderly operations.
Plan patient care assignments based on patient needs, unit activity, continuity of care, and staff qualifications; supervise and delegate tasks to LPNs and psychiatric technicians as appropriate.
Maintain a primary caseload according to unit standards, provide direction for patient care, and provide complete acuity monitors to Patient Accounts for billing.
Develop professional growth goals, seek continuing education and projects, and discuss progress with the Clinical Services Manager.
Promote hospital and department goals, maintain policies and procedures, support regulatory compliance, and educate staff as directed.
Participate in hospital committees, performance improvement teams, and projects as directed.
Demonstrate punctuality, preparedness, effective communication and organization, professional conduct, accountability, and courteous and respectful interactions.
Support staffing and scheduling changes when patient-care needs require, accept reassignment, adjust schedules when able, and seek or offer assistance as needed.