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Nurse, Children's Crisis

Jefferson Center for Mental HealthLakewood, CO
$74,030 - $94,270Onsite

About The Position

Jefferson Center is committed to inclusivity and equitable care for all. The Children's Crisis Stabilization Nurse will provide psychiatric nursing services and medication monitoring to children/youth in the Crisis Stabilization Unit. This role involves working three 12-hour shifts (Thursday, Friday, Saturday, 7:00 am to 7:00 pm). Responsibilities include overseeing medication processes, administering medications, collaborating with the Medical Director and Prescriber on medication management, identifying potential physical health issues, and providing education on diagnoses and treatment to patients and families. The Children's Crisis Stabilization Unit (CSU) provides brief, 3-5 day crisis stabilization treatment for children and youth ages 5 to 18.5 with behavioral health issues, aiming to help them safely return home and to the community.

Requirements

  • RN (BSN preferred) or LPN with two or more years of experience and/or training in a behavioral health setting.
  • Two or more years’ experience working with children/youth and families preferred.
  • Good understanding of various medical conditions including emergent and nonemergent conditions, especially those pertaining to behavioral health patients.
  • Basic understanding of using a trauma-informed approach with patients including positive bedside manner.
  • Basic computer skills such as e-mail, electronic health record documentation, electronic prescribing, and electronic laboratory interface.
  • Current and maintained BLS and First Aid Certification.
  • Acquires and maintains certification in Nonviolent Crisis Prevention and Intervention Training (CPI).
  • Maintain a working knowledge of commonly prescribed psychiatric medications including but not limited to interactions, side effects, contraindications, and therapeutic range of lab values.

Nice To Haves

  • BSN preferred
  • Two or more years’ experience working with children/youth and families
  • Bilingual (Spanish/English) competency

Responsibilities

  • Provide psychiatric nursing services and medication monitoring to children/youth in the Crisis Stabilization Unit.
  • Provide oversight of all medication processes and administer medications to patients.
  • Collaborate with the Medical Director and Prescriber in all phases of medication management, including assessing for side effects and follow-up.
  • Identify potential physical problems and possible solutions impacting the health of children/youth.
  • Provide group and individual education to children/youth and their families regarding physical and psychiatric diagnoses and treatment.
  • Determine appropriateness of admission for patients based on assessment and reported medical conditions.
  • Complete needs assessment with all patients on the day of admission, throughout treatment, and at discharge.
  • Perform physical exams for every patient upon admission.
  • Coordinate psychiatric exams, if applicable, within 24 hours of admission.
  • Implement prescriber orders, either written or verbal.
  • Ensure Medication Administration Records (MAR) are updated to reflect medication changes.
  • Coordinate prescription refills.
  • Assist treatment team in discharge planning.
  • Order and review labs as requested by the Prescriber.
  • Assess clients for medication efficacy and/or side effects.
  • Provide medication education/medication groups for patients.
  • Coordinate medication concerns with Prescriber.
  • Assist with milieu management, as needed.
  • Develop therapeutic alliance with clients and work effectively and with cultural competence with clients from diverse backgrounds.
  • Order, stock, and reconcile medication cabinets and order OTC medications and medical supplies.
  • Ensure compliance with Health Department, OBH, Signal, and OSHA regulations.
  • Complete and submit Medication Occurrence Reports on all medication errors.
  • Perform routine medical procedures (blood pressure, pulse oximetry, temperature, urine drug testing, urine pregnancy testing, finger stick glucose testing, etc.).
  • Collaborate with the Jefferson Center nursing team and other center teams, as needed.
  • Identify risk factors for suicide, homicide, and/or grave disability and communicate to licensed staff if an involuntary mental health hold is warranted.
  • Interact with clients to provide guidance, safety, stability, and direction, including de-escalating potentially dangerous situations.
  • Work collaboratively with others to innovate and problem solve.
  • Document history, physical and mental assessments, including a plan of care for patients.
  • Provide individual patient and group education regarding basic medical information.
  • Assist milieu staff to evaluate a patient’s medical needs.
  • Perform Emergency Procedures: CPR, First Aid, Narcan, Epi Pen, AED Use.
  • Perform evaluations to determine emergent or urgent acute patient needs.
  • Coordinate Primary Care appointments and follow-ups.
  • Coordinate prescription refills, including verbal orders from the Medical Director.
  • Coordinate communication of medication side effects or problems with prescribing provider.
  • Coordinate all aspects of patient care with the treatment team.
  • Perform daily medication management audits.
  • Implement and adhere to all Medication Protocols.
  • Monitor medication quantities and refills, including disposal of discontinued medications.
  • Perform OTC administration, reconciliation, and accounting.
  • Maintain and update MAR.
  • Document allergies.
  • Submit and review medication occurrence reports.
  • Train QMAP staff.
  • Communicate directly with patients to explain and support emotional and physical aspects of care and treatment.
  • Communicate effectively with patients using respectful bedside manner.
  • Communicate directly with patients to determine acute need for medical support.
  • Use de-escalation techniques.
  • Communicate directly with the Program Coordinator and Program Manager in collaboration for co-supervision with the Nursing Manager and the Medical Director regarding patient care.
  • Attend mandatory in-services and comply with individualized training plan.
  • Participate in supervision by coming prepared with an agenda.
  • Report high risk/problem cases and utilize a problem-solving approach.
  • Meet with supervisor at specified intervals and times.
  • Attend nursing meetings as scheduled.
  • Work with patients to coordinate internal and external medical and psychiatric care.
  • Exhibit enthusiasm, courtesy, adaptability, and flexibility in the work environment.
  • Maintain cooperative and respectful relationships with patients, staff, and community partners.
  • Provide effective and timely responses to patient requests, needs, and issues.
  • Provide timely responses (within 24 working hours unless indicated as urgent) to phone calls, e-mails, and other requests.
  • Volunteer to work on Center-wide committees and/or task forces as requested by leadership.
  • Adapt to staffing needs, potentially being deployed to other units/teams within Jefferson Center for which qualified and credentialed.
  • Utilize skills to support different teams or departments to address client needs while remaining within the scope of professional licensure and credentialing.

Benefits

  • HIRING BONUS: $2,500 one-month anniversary, $2,500 6-month anniversary, $2,500 1-year anniversary ($7,500 total)

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