The Nurse I performs routine nursing work at the competent level in a state mental health hospital. Works under moderate supervision from Charge Nurses or Nurse Managers (Nurse II/III) with limited use of initiative and independent judgement. Conducts comprehensive assessments of patients nursing care needs using specialized skills in (depending on the setting) psychiatric or medical-surgical nursing. Identifies nursing diagnoses or problem lists and formulates an initial plan of care based on assessment data. Serves as a team leader and provides clinical supervision to other nursing staff members including Licensed Vocational Nurses, and Mental Health Workers as necessary. Establishes unit routines and develops and maintains the therapeutic milieu. Makes observations of patient behavior and status and reports to the physician, other team members and supervisor as appropriate. Carries out nursing interventions as identified in the multidisciplinary treatment plan. Administers medications as ordered and maintains medication administration and controlled drug records according to facility policy. Serves as group leader for therapeutic patient groups or patient teaching activities as necessary or as requested. Trains other staff members as necessary or as requested. Must understand that duties, location of work, and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials.
Essential Job Functions:
1. Performs comprehensive assessment of patients’ nursing care needs including physical, behavioral, psychiatric, and social needs. (25%)
2. Observes and analyzes patient behavior and status and documents in the medical record or reports as needed to other team members, including the attending physician. (20%)
3. Develops or contributes to the development of the individualized treatment plan in collaboration with other treatment team members and based on data obtained from the assessment. (10%)
4. Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs. (10%)
5. Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies. (10%)
6. Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population. (5%)
7. Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy. (5%)
8. Establishes and monitors the therapeutic milieu through clinical supervision of LVN’s and Mental Health Workers. (5%)
9. Provides training to subordinate staff in psychiatric nursing principles, unit routines, and milieu management. (5%)
10. Monitors Prevention and Management of Aggressive Behavior (PMAB) 1-6, and in the absence of other staff members implements PMAB 1-3.2. (2.5%)
11. Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members. (2.5%)
Knowledge Skills Abilities:
1. Comprehensive knowledge of nursing procedures and practices.
2. Comprehensive knowledge of the Texas Nursing Practice Act, Rules and Regulations of the Board of Nurse Examiners for the State of Texas.
3. Ability to provide a competent level of specialized, population-specific nursing care to the assigned patient population (i.e. Psychiatric/Mental-Health, Medical-Surgical, Geriatric, Child-Adolescent, etc)
4. Ability to perform a comprehensive nursing assessment inclusive of the patients mental health, medical, social, and psychological needs.
5. Ability to identify nursing interventions appropriate to the population served.
6. Ability to formulate population specific nursing diagnoses or problem list from the assessment of the patients nursing care needs.
7. Ability to manage and take a leadership role in managing emergencies.
8. Skill in communicating effectively with other staff members in order to provide effective clinical supervision or to relay concerns about the patient to other team members.
9. Ability to obtain certification for basic Cardio-Pulmonary resuscitation (CPR) and ability to perform CPR in the clinical setting.
10. Ability to complete the Prevention and Management of Aggressive Behavior (PMAB) 1-3.2 prior to work on patient care unit.
11. Ability to teach other the principles of Psychiatric nursing and maintenance of the therapeutic milieu.
Registration or Licensure Requirements:
Licensed to practice professional nursing in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Initial Selection Criteria:
Minimum qualifications: Licensed as a Registered Nurse (RN) in the state of Texas, or in a party state that recognizes reciprocity through the Nurse Licensure Compact as described in Art. 4528b of the Nurse Practice Act.
Preferred qualifications: Flexibility, team player. Experience working with adult psychiatric patients. Knowledge of treatment planning process. Knowledgeable in concepts of Social Learning. Supervisory experience. Stable work history. No work performance problems.
This position will be hired on the 11-7 Shift on EEP. The position offers every other weekend with one day through the week, with potential for days off to be flexed to meet the needs of the program. For questions or more information please contact Tracy Smith, RN Nurse Manager at (940)689-5679 or by page through hospital operator.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Texas Department of Family and Protective Services - 19 months ago