Job Description
Now Hiring a Full-Time Registered Nurse (RN), Night Shift! | $7K Sign on Bonus + Shift Differential! POSITION SUMMARY: The purpose of this position is to provide clinical oversight for the day-to-day operations of the hospital, work with patients in a therapeutic setting, follow and carry out physician orders, complete assessments, initiate and update treatment plans, direct patient care, group and individual therapy/education, referral for intake and continuum of care, application of treatment and restraints or seclusion interventions. Meeting patient goals, clinical documentation, IV administration, medication administration, educating family members, teaching and supervising other mental healthcare workers. ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. Ensures that patient needs are met by ongoing assessments of patient needs, health status conditions, as well as patient response to interventions and provides nursing staff to meet those needs Actively involved in treatment modalities/interventions and documenting progress Evaluates the care for each patient on admission and on an ongoing basis in accordance with accepted nursing practice Ensures that the nursing staff develops and keeps current nursing care plans for each patient Makes all patient care assignments Supervise and evaluates the clinical activities of each non-employee nursing staff person Reviews staffing schedules and meets patient care need to make adjustment for nursing staff absenteeism Administer medications, IV administration and venipuncture techniques as authorized by state laws Carry out physician orders Patient/Family education regarding medication administration, patient disorder needs, benefits, side effects, disease prevention and basic living skills Complete comprehensive nursing assessments, treatment, and tests Complete psychiatric metric measures Complete documentation in medical charts that is organized, clear, complete, current and legible; compliance with completion, filing, retrieval of medical records. Ensure a safe therapeutic and sanitized environment Complete assigned tasks with minimal supervision and supervises personnel performance and nursing care for department Adhere to and respect all policies regarding patient rights, anonymity, and confidentiality of all patient records past and present. This covers any written or verbal communications regarding a patient’s identity, address and situation. Observes and evaluates patients' signs, symptoms, and therapy progress Identifies and interprets patient findings or changes requiring attention or notification of other professional staff Maintains a clean safe work environment Accepts orders from licensed physician, MD’s and maintains accurate inventory of medication and stores them in a secure area Investigates and documents complaints and incidents regarding patients, staff, visitors, and family members in compliance with federal and state laws, accreditation, policies and procedures Adheres, demonstrates, and monitors compliance regarding patient rights, abuse and neglect, seclusion and restraint, infection control, professional ethics, cultural competency, and advance directives as mandated by federal and state laws, accreditation, policies and procedures Functions in a friendly, supportive, courteous, respectful, cooperative, and professional manner with patients, families, physicians, referral sources, visitors, coworkers, and management Implements and complies with Advance Directives formulated by patients Bring questions or concerns regarding prescribing orders to the practitioner/physician Ensures that patient information is completed timely, filed timely, and accessible for retrieval from the medical record Ensures all entries are dated, timed and authenticated (this includes verbal orders which should be utilized at a minimum) Ensure results of consultative evaluations, complications, hospital acquired infections, and unfavorable reactions of the drugs are included in the medical chart Ensures informed consents are properly executed Ensures and demonstrates that medical records contain physician orders, nursing notes, care plans, reports of treatment, medication records, radiology reports, lab reports, vital signs, and any other information necessary to monitor the patient’s condition Provide pharmaceutical services within scope of license and education Prevents transmission of infections among patients, personnel and visitors, identifies persons who may be exposed or infected, provide treatment or preventative measures, and