Location: Willoughby,OH, USA
Responsibilities
IMMEDIATELY HIRING
Shifts available: 3pm-11:30pm OR 11pm-7:30am
Primary Responsibilities and Job Specifications
Assessment - Applies appropriate theory/standards for decisions/actions regarding nursing procedures.
* Assessments reflect use of nursing psychiatric/mental health theory and standards of practice.
* Completes assessment within eight hours of admission.
* Re-assessment occurs when changes in behavior/condition warrant same.
* Data collection is accurate and comprehensive.
Treatment Planning - The plan of care is based on assessment of patient needs and goals.
* The plan is realistic and appropriate to identified mental health needs/problems.
* Plan reflects consideration of: cultural background, religion, age, disabilities, etc.
* Goals are related to identified problems - nursing interventions are appropriate to patient goals.
Intervention/Evaluation - Uses psychotherapeutic interventions to assist patients and families in attaining goals.
* Interventions are age appropriate and based on patient plan.
* Interventions consider cultural background, religion, age, disabilities, etc.
* Communicate to interdisciplinary team, patients' response to interventions: verbal, written changes in treatment plan, daily report.
* Physician orders are transcribed and administered accurately.
* Medications are administered safely and accurately.
* Documentation adequately reflects acuity (physical and emotional status). Response to interventions and progress towards goals.
* Teaching: Provide education to patients and families based on identified needs; evaluate all teaching; document effectiveness of teaching; provide medication education and discharge instructions.
* Treatment Plan feedback access to interdisciplinary treatment team and interventions are evaluated.
Age Specific - Adolescents
* Assess adolescent patients for behaviors consistent with developmental stages and makes note of deviation.
* Recognize acting out behavior and set age appropriate limits; set limits in clear, concise behavioral and non-judgmental terms.
* Demonstrate an awareness of learning disabilities and translate program expectations in a manner which is understandable to the learning disabled adolescent.
* Knowledge of the adolescent stages of development. Seek guidance from the nurse in charge when questions about the norms of behavior related to adolescent development arise.
* Knowledge of the Adolescent Program rules, protocols and handbook. Act as a resource to other staff in regard to the program.
Age Specific - Adult
* Gather information from the patient and use judgment based on knowledge of adult behaviors and medical history in treatment planning and interventions.
* Possess skills/knowledge to perform treatments (e.g., medications, equipment, etc.).
* Utilize restraint procedures applicable to adult body size and past history of violent or emotional behaviors.
* Maintain current knowledge of the program and protocol (policies and procedures) guidelines.
* Utilize theoretical concepts to guide the effective practice of adult care within specific standards of care for this age group.
* Ability to involve family in decision making related to the plan of care.
* Possess communication skills necessary to interpret age specific response to treatment.
Age Specific - Geriatric
* Maintain knowledge of the developmental tasks and sociological theories of aging.
* Utilize theoretical concepts to guide the effective practice of gerontological health care and behavioral care.
* Gather appropriate information from the patient and use judgments based on knowledge of gerontological health/behavioral care practices to develop a comprehensive plan of care.
* Utilize interventions based on gerontological theory to restore patients' functional capabilities and to prevent complications and excess disability.
* Maintain a complete knowledge of treatments, medications and side effects of such in the geriatric age group.
* Possess communication skills necessary to interpret age specific response to treatment.
* Ability to involve family or significant other in decision making related to plan of care.
* Utilize restraint procedures applicable to body size and past history of violent or emotional behaviors.
Specific Standards for the Care of Chemically Dependent Patients
* Assess patient needs as related to chemical dependency and document the plan of care from the admission through discharge.
* Collaborate with other chemical dependency staff professionals in planning for discharge and follow up care.
* Maintain an awareness of how personal issues relating to co-dependency can impact work performance and relationships.
* Recognize and establish limits on medication seeking behaviors.
* Knowledge of the Chemical Dependency detox protocols, 12-step program, Post-Acute Detox symptom management.
Qualifications
Leadership Performance Improvement
* Effectively participate with team in planning and providing care.
* Demonstrate customer service when dealing with: Patients, families, calls to other units, other team members, other departments, physicians, etc.
* Create a positive environment.
* Assure structure of program is maintained. Ensure 15 minute patient rounds are completed.
* Supervise Mental Health Technicians (MHTs) and create work assignments (if necessary).
* Resource and assist staff.
* Ability to manage and coordinate in unpredictable and changing situations.
* Discuss problems/issues with Unit Coordinator or Shift Supervisor.
* Participate in orientation of new staff, students and others.
* Participate in providing feedback for evaluation of staff.
* Identify specific areas for improvement.
* Participate in performance improvement activities/committees.
* Participate in improving and changing the program.
General Knowledge, Skills and Expectations
* Knowledge of psychiatric and medical nursing procedures.
* General knowledge of psychiatric diagnosis and treatments.
* Knowledge of all code procedures.
* Knowledge of mental health laws and child abuse/neglect/mistreatment laws.
* Ability to react calmly and effectively in emergency situations.
* Knowledge of case management techniques.
* Knowledge of patient assessment, family motivating and treatment planning techniques.
* Knowledge of patients' rights, advance directives, adult and child abuse laws and emergency detention regulations.
* Adhere to facility, department, corporate, personnel and standard policies and procedures.
* Attend all mandatory facility in services and staff development activities as scheduled.
* Adhere to facility standards concerning conduct, dress, attendance and punctuality.
* Support facility wide qualify/performance improvement goals and objectives.
* Maintain confidentiality of facility employees and patient information.
* Knowledge of TJC, CMS and state regulatory agencies.
* Skill in telephone etiquette and paging procedures.
* Effective oral and written communication skills. Ability to communicate effectively with patients and co-workers.
* Skill in organizing and prioritizing workloads to meet deadlines.
* Ability to demonstrate tact, resourcefulness, patience and dedication. Ability to work as a team player.
* Ability to accept direction and adheres to policies and procedures and meet directions.