Nurse I 3-11 Competency
Texas Department of Family and Protective Services - Vernon, TX

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The Staff 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 and 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 membersas 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:
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

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 monitorse the therapeutice milieu through clinical supervision of RN I, LVNs, 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 Examaners 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 others 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:
Graduation from an accredited RN program with a valid permit to practice in the State of Texas while awaiting licensure. RN License with no experience. RN License with less than six (6) months’ experience. RN License with more than six (6) months’ experience One (1) year of work experience as an RN in a recognized health agency, hospital, or health care facility; OR two (2) years of work experience as an LVN in a recognized health agency, hospital, or health care facility; OR a bachelor’s degree in Nursing from an accredited program. OR as Referenced in the Department of Nursing’s Appointment and Promotion Standards for RNs. Preferred: Three (3) years of psychiatric nursing experience Board Certification as a Psychiatric Mental Health Nurse Bachelors of Science in Nursing Masters of Science in Nursing Good Work history "3" rating on most recent evaluation if employee of NTSH Good Attendance.

Additional Information:
This position is for the 3-11 shift on the Competency Program. For more information, contact Sharon Turvaville, RN, Competency Program Nurse Manager at 940-552-4547.

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 AccessHR 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
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