Professional Nurse - All shifts / All Units
North Carolina Office of State Personnel - Granville County, NC

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Central Regional Hospital is a State-of the-Art State Psychiatric Hospital located in Butner, NC and is convenient to Raleigh, Durham and Chapel Hill, NC. We have a variety of RN opportunities for permanent and Temporary Nurse Pool positions and the throughout the hospital on all shifts. Our units include Acute Adult, Community Transition, Geriatric Services, Medical Psychiatric, Child and Adolescents and Forensic Services. Our shifts are 8 hour shifts (1st: 7am-3:30pm, 2nd: 3pm-11:30pm, and 3rd: 11pm-7:30am). Alternating weekends and some holidays required. The Child and Adolescent Unit has 12 hour shifts 7am to 7:30pm or 7pm to 7:30am (three shifts per week including every other weekend and some holidays). Pay is competitive and we offer a 20% shift differential for 2nd and 3rd shifts with an additional 10% shift differential on the weekends. We offer full state benefits including health insurance and retirement.
Screening Admissions Unit (SAU)
Provides compassionate, efficient, and safe clinical evaluation of all patients presenting for admission. Serving the Central Region of North Carolina, CRH provides treatment for individuals diagnosed as having acute problems with a psychiatric and /or substance abuse disorder, patients that cannot be managed safely as outpatients in the community. The Forensic Evaluation Area (FEA) is a branch of SAU that serves individual on court orders requiring competency evaluations and other forensic issues . Since the SAU or FEA is the first area of contact for patients, the philosophy is to ensure the contact is positive, reassuring, comforting and supportive. Previous experience with psychiatric patients preferred.
Acute Adult Unit (AAU)
Focus on Wellness not on Illness
The Adult Admission Unit serves patient ages 18 – 64. They present with multiple diagnoses including medical problems and substance abuse. The admission rate varies from first admission up to repeated times. Many have history of abuse and involvement in the legal system. Two most common diagnoses on AAU are (1) Major depression & (2) Schizophrenia. The majority of these patients will be taking psychiatric medications. Not taking prescribed psychiatric medications while in the community is the most common reason adults go into psychiatric crisis and require admission intervention. The goal of AAU is stabilization of mental and physical health so they can return to living in the community and live as independently as possible.
Community Transition Unit (CTU)
The Community Transition Unit (CTU) patient population consists of adults ages 18-64, diagnosed with a severe mental illness. Patients are not normally admitted directly into CTU. Patients are transferred from Adult Admission Unit for long term treatment of their mental illness after repeated admissions. Many are homeless and have no source of income and housing; lacking a support system at home and in the community; and have inadequate coping and problem solving skills. Efforts are aimed at reducing and managing symptoms while strengthening life skills needed to successfully return to community living
Geriatrics Service Unit (GSU)
The Geriatrics Unit serves patients 65 and older. Most common reasons for patients to be admitted from the community is medication non-compliance, aggression, and unpredictable behavior. Common admitting diagnoses: Alzheimer's /Dementia, Depression, Schizophrenia, Bipolar Disorder and Personality Disorder and commonly seen behaviors range through agitation, aggression, confusion, wandering and Sun-Downing.
Medical Psychiatric Unit
The Medical Psych Unit (MPU) provides inpatient medical evaluation and treatment for patients of all ages (5yrs and above) from various psychiatric units of the hospital. Patients are not typically admitted directly to MPU.

The primary purpose of this area is to provide Medical Surgical care for acute illnesses, chronic conditions unable to be treated on the psych unit, and functions as the Emergency Response Team (CODE Blue). Patients admitted to this area often have multiple medical issues which require various levels of care from independence to total care. There is no specific criteria/diagnosis for admission to MPU. In addition, MPU acts as the Employee Clinic after hours and patient clinic for patients returning from OSH/ambulatory care procedures.

Skill set required in this area include principles and practices of Medical Surgical Nursing for the age groups served and basic knowledge of psychiatric illnesses and how they impact medical conditions. The ability to perform skills associated with administration of oxygen, IV fluid /IV medication administration, dressing changes, CVAD, EKG's and telemetry. ACLS certification preferred but not required. The goal of care is to ensure patients safety and continuity of care via collaboration with interdisciplinary team members.
Child & Adolescent Unit (CAU)
The Child & Adolescent Unit (CAU) serve two age groups: Age 5 -11, coed group and Ages 12 – 18 (adolescent female and adolescent male). Many of the patients have history of abuse, neglect and in need of home placement. Other presentations: ADHS, PTSD, depression, school failure, poor social skills, and delayed language. CAU behavior systems support positive alternative to aggression and provide rewards with lots of positive reinforcement and does not include punishment.

A typical day on CAU includes:
  • Monday – Friday is School in CAU Mall area
  • Evening and weekend packed with structured leisure time
  • Reward time: Point Store & Reward activity for children
  • Reward Store & 'lounge time' for adolescents
  • Homework time
  • Bedtime
Forensic Services Unit (FSU)
The Forensic Services Unit (FSU) is a foursectional unit serving the Pretrial, Maximum, Medium and Minimum security needs of the court-ordered patients. FSU provides services for all counties in the entire State of North Carolina.

Pretrial Evaluation (PTA) – admission
  • Consists of 8 beds and admits males 18 years of age and older
  • Criminal defendants undergo evaluations of their capacity to proceed, criminal responsibility, and other questions as ordered by the court
  • Serves a limited number of defendants who require more intensive observation services due to being at high risk, medically complicated, or requiring more intensive observation
  • Female inpatient evaluee's (PTA) may be house on the Forensic Medium Unit
Forensic Maximum Security Unit
  • Consists of 22 male adult beds (18 years of age and older)
  • All have court orders for admission to the unit
  • All will work through varying levels of restrictions
  • Security consists of internal and external measures to deter elopement
Forensic Medium Service Unit
  • Consists of 24-beds (18 years of age and older) including female Pretrial beds
  • All have court orders for admission (those requiring continued stay and treatment
  • All will work through varying levels of restrictions and privileges

Knowledge, Skills and Abilities / Competencies:

Prefer experience in a psychiatric setting but will train. Ability to communicate effectively in written and oral form is required. Must be able to write and speak English proficiently. Ability to work as a member of a multidisciplinary team with social work, psychiatrists, medical doctors, rehabilitation, psychologists, etc. Ability to interact with patients as well as their families in a respectful manner in coordination of patient care and education. Ability to de-escalate angry and sometimes aggressive patients by means of therapeutic communication in a professional manner. Ability to report suspected abuse by staff or other patients in a professional manner. Ability to maintain a safe milieu for patients. Ability to delegate and supervise patient care delivery by HCT/TSS, LPNs, and other RNs when performing in the charge nurse role. Ability to follow CRH policy, apply changes to policy and ensure TSS/HCTs, LPN’s and other RN’s are following those policies. Ability to follow direction from Unit Nurse Director, Unit Manager, and shift charge nurse. Ability to identify and implement psychiatric and nursing interventions. Ability to complete nursing care clinical competencies. ADA Physical Requirements will be discussed with the applicant during the interview process, but will include the ability to pass CPR, protective interventions (NVCI), and lifting up to 50 pounds.

Minimum Education and Experience Requirements:

Licensed to practice as a registered nurse in the state of North Carolina. Competency Level: Journey. Contributing level applicants will be considered if no journey level applicants apply. Salary will be determined based on competencies, equity, budget and market considerations. Degrees must be from appropriately accredited institutions.

Supplemental and Contact Information:

To search for jobs and apply for positions at Central Regional Hospital, please log into www.osp.state.nc.us/jobs . On line applications must be submitted by 5:00 p.m. on the closing date.

The Department of Health and Human Services (DHHS) selects applicants for employment based on job-related knowledge, skills, and abilities without regard to race, color, gender, national origin, religion, age, disability, political affiliation or political influence.

Pre-Employment Drug Testing and Criminal Record Checks are required. To be considered for employment, an applicant must be in good standing with the Health Care Personnel Registry.

Please list All work history on the application. Incomplete applications will not be considered. Those applicants seeking veteran's preference should submit a copy of Form DD-214. State employees who are seeking reduction in force priority should attach a copy of their letter of notification to receive this priority.

It is not necessary to contact the Human Resources Office to check the status of an application. Upon the closing date application are screened and the highly qualified applicants are forwarded to the hiring manager. If interested, the hiring manager will contact applicants for interviews. Applicants may check on line to determine status of position. For more information please call 919-764-7201 or contact Debbie Laney, Nurse Recruiter 919-764-7214.

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