RN 20% PRN 3-11 and 11-7, weekends and weekdays
Must work a minimum of 32 hours per month.
Observes, assesses, plans, intervenes and evaluates outcomes, and documents all aspects of patient care. Demonstrates leadership skills in the supervision, education and direction of subordinate staff. Possesses a unique knowledge regarding the population to be served. Is responsible for maintaining the nursing standards in accordance with the Nurse Practice Act, DSHS Departmental Rules and other facilities policies, procedures and standards. Communicates and collaborates with other shift RN’s to ensure 24-hour continuity of care. Is under the direct supervision of the Nurse Manager.
Must understand that duties, location of work and shift patterns are subject to change as determined by the administration to meet the needs of the hospital.
If there are two or fewer vacant RN positions the nurse will be separated from TXMHMR employment and be contacted when other positions become vacant. This nurse will not be expected to perform AIMS examinations while holding this position. The nurse may be contacted to determine his/her availability to come to work any time the need for additional staffing resources if indicated. By the 15th of the current month he/she will inform Nursing Administration of his/her availability for the upcoming month (to the extent known). The nurse is expected to work the time agreed upon each month. Any exceptions to this policy must be approved by Nursing Administration. The Associate Director of Nursing will review each exception for possible opportunities for improvement.
HIPPA Access: Health Care: PHI 1-B. This employee has full access to a limited set of records in accordance with HIPPA regulations.
The PRN Nurse has no financial responsibility but is accountable for assigned property and appropriate allocation of resources e.g. staffing.
Essential Job Functions:
EFJ 1. Assesses health/mental status and determines priorities utilizing the nursing process to ensure goal directed care. Institutes appropriate nursing intervention to stabilize a patient’s condition and/or prevent complications. Accurately reports and documents the assessment, nursing diagnoses, plan, intervention(s), and evaluation to provide a clear reflection of care provided and the patient’s response to that care.
EJF 2. Evaluates staffing on a shift per shift basis to ensure an appropriate number and mix of nursing personnel is available to provide a safe, secure environment, which allows for maximum program participation, as well as the fluctuation in patient acuity.
EJF 3. Completes Physician’s orders according to acceptable nursing care standards and hospital policies and procedures. Knows the rationale for and the anticipated effects of medications and treatments and will correctly administer or supervise the same. Clarifies any order or treatment regimen that he/she believes to be inaccurate, non-efficacious or contra-indicated.
EJF 4. Collaborates with patients, other members of the multidisciplinary team, and when appropriate, significant other(s)/LARs, in the interest of the patient’s health and to promote a holistic plan of care.
EJF 5. Delegates/assigns nursing care functions to program staff according to the staff’s educational preparation, experience, knowledge and ability to perform those tasks in a safe and effective manner.
EJF 6. Models and supports a proactive approach to unit management using the principles of Social Learning, and demonstrates a commitment to a culture that minimizes the use of restrictive interventions.
EJF 7. Supervises care provided by others for whom he/she is administratively, or professionally responsible. Additional supervisory responsibilities include; Screening and interviewing prospective employees; overseeing new employee program orientation, preparing performance evaluation plans and providing ongoing coaching and support to staff throughout each review period; providing educational in-services.
EJF 8. Promotes and participates in patient/family education/counseling based on individual patient need in individual and/or group settings to promote the patient’s compliance with plan of care.
EJF 9. Consistently communicates significant events in patient care, and management of the unit to the Nurse Manager. In the absence of the Nurse Manager assumes the responsibility of this position both administrative and clinically to ensure the provision of nursing operations and program integrity.
EJF 10. Serves as a preceptor for newly hired RN’s, using the program specific orientation guidelines to promote consistency within the program, and encourage retention.
Knowledge Skills Abilities:
- Knowledge of nursing techniques and procedures
- CPI Continuous Performance Improvement
- Corporate Compliance
- Emergency Preparedness Procedures
- Infection Control Procedures
- Mental Health & Mental Illness
- MHRS System
- MSDS Sheet
- Rights of Patients
- DSHS Departmental Rules
- COPSD (Co-occurring Psychiatric and substance Disorders)
Within six (6) months’ of employment, will be expected to have knowledge of and adhere to:
- Mental Health Code
- Nursing Policy and Procedure Manual
- Program Nursing Manual
- Safety Manual
- NTSH Administrative Policy and Procedure Manual
- Positive Performance
- Peer Review
- Behavior Associated with Stages of Development
- Milieu Management
Must demonstrate competency within six (6) months of employment in the following:
- Demonstrate skill and capability of observing and identifying significant patient behaviors and possesses the capability of accurately describing such events in the patient’s record
- Psychiatric Rehabilitation Social Learning Approach to Treatment
- Nursing Assessment
- Advanced Directives
- Special Observations
- Voluntary and Involuntary Behavioral Interventions
- Medication Administration
- Medication Variances
- Transcription of Medication Orders
- Consent for Psychoactive Medication
- Use of Glucometer
- Administration of Oxygen
- Mantoux Screening
- CRS (Computerized Record System)
- CWS (Clinician Work Station)
- Disease processes
- Health Promotion
- Voluntary and Involuntary Interventions
- Verbal Therapeutic Communication, Primary, Secondary, and Tertiary Prevention
- Psychiatric Symptoms and Aggression Management
- Ability to intervene therapeutically with patients experiencing Psychiatric Disorders (Delusions, Hallucinations, Suicidal/Homicidal Ideation).
- Ability to provide patient care; to prepare and maintain records; and to train and supervise others
- Ability to perform CPR, use AED, perform Heimlich Maneuver, provide First Aid, and PMAB (sections 1-3 required)
- Ability to establish and maintain successful working relationships with others
Registration or Licensure Requirements:
Licensed as a Registered Nurse 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.
PLUS 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.
Initial Selection Criteria:
1. Minimum of 1 years experience working as RN at NTSH in Vernon
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 req#226571