Registered Nurse: 100000971
Company: Rogers Behavioral Health
Location: Seattle
Posted on: May 6, 2024
Job Description:
Summary:
The registered nurse (RN, RN II, RN III) performs professional
nursing activities in the care of patients so they may achieve or
regain, and then maintain, maximum physical, emotional or social
functions. Role functions are governed by the Nurse Practice Act,
the Administrative Code (in the state of employment), as well as
the professional standards for nursing practice, and the
corresponding policies and procedures of Rogers Memorial Hospital
(Rogers). The registered nurse seeks consultation with other
members of the health team as the patient's condition and treatment
goals warrant. He/She, in conjunction with the Patient Accounts
department, provides patient information to ensure compliance with
federal and state statutes.Job Duties & Responsibilities:---
- Complete initial assessments and documents as required.Collect,
record, and analyze, within prescribed timeframe, pertinent data
for admissionassessment according to Hospital policy, including:
- Patient strengths and limitations that can be addressed in
reaching health goals.
- Cultural, spiritual, and ethnic factors that may impact on
patient's course of treatment.
- Patient needs that are to be addressed at discharge.
- Medical/physical status.
- History of medication compliance, reactions, and current
schedule; and
- Age-specific data regarding the patient's individual
needs.Involve patient's support systems (family, friends) in
assessment and documentation
- Observe and document the patient's interaction with family and
friends as it is pertinent to the patient's treatment.
- Obtain assessment data from support systems, when appropriate,
regarding the patient's history and individual needs.Act as an
advocate for patients
- Explain patient's rights so they can understand and obtain
appropriate signatures.
- Provide the patient with information and obtain their signature
on necessary consents.
- Act as a patient advocate, use knowledge of patient rights and
responsibilities, and protect patient's privacy and
confidentiality.
- Assist in patient orientation process.
- Know and employ Hospital policies and procedures regarding unit
safety, the necessity of gown/contraband search on admission, and
carry out the process in a respectful manner.
- Remain sensitive to individual patient/family stressors upon
admission while providing pertinent unit information.Initiate and
update treatment plan and documentation as required
- Participate in planning and modifying the patient's plan of
care.
- Evaluate data obtained by others by reviewing patient's
treatment plan and multi-disciplinary assessment for assigned
patients.
- Participate in care conferences (staffings) and represent the
nursing care component of the treatment plan to others at the
staffing.
- Develop and interpret plan of care with the patient/family,
updating it as indicated.
- Write clear, concise, and obtainable treatment goals on the
treatment plan for each problem.
- Review the treatment plan as goals are achieved, changed, or
updated.On an ongoing basis, identify, interpret, and document
information collected in nursinginterview, observation, physical
assessment and diagnostic data, and confer with otherhealth care
professionals, as appropriate
- Review current lab data and follow-up with doctor.
- Evaluate potential for falls and initiate fall precautions, as
indicated.
- Identify potential for self-abuse, suicidality and/or
assaultive behavior.
- Develop age-appropriate interventions for the patient's plan of
care.
- Assess changes in patient status and document interventions
accordingly.Implement patient care
- Demonstrate safe and correct medication administration by:
- Accuracy in medication administration: right patient, right
medication, right dose, right time, and right route.
- Maintaining current knowledge of the medication's purpose and
effects for each patient, as demonstrated by correct documentation
of medication, as well as observations about responses to
medication.
- Accurately transcribing and implementing physician medication
orders.
- Maintaining a continual awareness of monitoring the expected
and unexpected medication efforts including adverse drug reactions,
drug/drug or drug/food interactions, or other unexpected
consequences of the medication.
- Regularly conducting and documenting patient education about
medications.
- Maintaining current knowledge about new pharmacologic products,
including new medications or medications with new uses/therapeutic
action.Identify potential patient care problems, abrupt changes, or
impending instability in thepatient's condition, and exercise
leadership to intervene appropriately and preventadverse patient
outcomes
- Use appropriate de-escalation techniques: quiet room; locked
seclusion; restraints.
- Re-evaluate safety level.
- Identify alcohol withdrawal syndrome.
- Identify extra pyramidal side-effects/neuroleptic malignant
syndrome signs.
- Identify significant cardiac and/or respiratory symptoms
requiring immediate medical intervention.Identify health education
needs of the patient/family that will be addressed beforedischarge
- Implement age-appropriate teaching interventions to meet these
educational needs.
- Document in the patient record and treatment plan.
- Organize patient care activities and interventions according to
patient priorities and preferences, needs of the unit, and time
constraints.
- Implement patient care based on established care plans,
Hospital policies and procedures, and unit standards of care,
incorporating the patient's age-specific and cultural needs, as
appropriate.
- As requested, and contingent on qualified medical professional
(QMP) designation, assure that all admissions, transfers, and other
related patient care activities are delivered in accordance with
Emergency Medical Treatment and Labor Act (EMTALA) and associated
regulatory requirements.
- Adhere to the Nursing department and Hospital's standards of
nursing practice and standards of patient care.
- Protect patients, visitors, and staff from environmental
hazards by adhering to safety and infection control standards.
- Participate in continuing education and in-service programs to
increase clinical competence and to meet professional needs and
goals.
- Report information obtained from continuing education programs
to unit staff.
- Attend 100% of required in-services, as scheduled.
- Participate in the Performance Improvement program on an
ongoing basis.Assist in the development and implementation of unit
standards of care, such as:
- Safety level of patient
- Unit safety/hazardous items
- KardexStandard care plans
- Identify problems with unit systems, communication patterns,
and unit resources that impact on patient care and suggest possible
solutions to Clinical Services manager.
- Identify unit educational equipment and supply needs.
- Serve on one unit-based committee or participate in unit-based
projects on an ongoing basis.
- Participate as a project leader.Carry out leadership function
in patient care, staff operations, and departmentorganization
- Contribute to Nursing and Hospital functions through active
participation on committees and attendance at designated
meetings.
- Take initiative in evaluating and upgrading unit standards of
care.Assume charge nurse role:
- Coordinate unit activities
- Take a leadership role in crisis situations.
- Facilitate the admission process.
- Communicate pertinent information regarding unit status and
projected needs.
- Manage the therapeutic milieu and use sound clinical judgment
and decision-making skills.
- Plan patient care assignments that facilitate continuity of
care within the unit guidelines and are based on patient needs,
unit activity, and nursing staff qualifications.
- Ensure the unit is kept in an orderly fashion.
- Serve as a role model for peers and others in effective use of
communication, teaching, and leadership skills.
- Supervise and delegate tasks to LPN/psychiatric technician,
taking into account their educational preparation and demonstrated
abilities.
- Provide complete acuity monitors to the Patient Accounts
department, to assist in accurate billing.
- Maintain a primary caseload, according to unit standards, and
provide direction for patient care.Participate in projects, tasks
and continuing education opportunities to improveprofessional
skills and unit/department systems
- Develop goals and objectives for professional growth and
discuss ways to achieve them with Clinical Services manager.
- Take initiative to develop professional skills through
continuing education.
- Discuss, on a regular basis, progress toward work improvement
goals with Clinical Services manager.
- Seek out projects and/or extra tasks to complete, based upon
the needs of the unit or the immediate shift.Promote department
goals and the mission of the hospital
- Communicate goals to fellow staff members.
- Demonstrate measurable goal achievement.
- Maintain department policies and procedures.
- Include requirements and guidelines from external agencies
(i.e., Joint Commission, state).
- Maintain and/or communicate to appropriate party function
backlog at a set time.
- Educate new staff regarding regulations or requirements of
those functions that relate to their areas or departments, as
directed.
- Demonstrate acceptance and training of student interns in the
department, as directed.Demonstrate understanding of Joint
Commission and other regulatory agencyCompliance regulations
- Involve self in the learning and application of standards
relevant to the Nursing department.
- Participate in in-services/seminars and other meetings to
increase involvement and awareness of regulations.
- Involve self in the education of other disciplines regarding
Nursing department regulations.Participate in Hospital committees,
performance improvement team meetings and teamprojects, as directed
- Demonstrate punctuality and preparedness.
- Demonstrate effective communication and organizational
skills.
- Contribute in a positive, solution-focused manner.Participate
in the Performance Improvement program
- Gain understanding of the performance improvement process.
- Apply the PI model to your department's activities.
- Participate and/or create PI teams that lead to improvement in
other Hospital areas.
- Educate and involve self in the Hospital and Nursing
department's performance improvement plans.Conduct self in a
professional manner
- Demonstrate organizational skills that promote timely response
to all inquiries and to task completion.
- Communicate with all individuals in a positive and professional
manner.
- Attempt to resolve individual issues with peers in a positive,
calm manner, with a focus on solution.
- Communicate concerns and provide solutions for same.
- Attend internal and external seminars to promote professional
growth.
- Demonstrate a positive and professional attitude toward parties
outside the Hospital (patient families, visitors, vendors,
etc.).
- Comply with the Hospital's policies and procedures, including
Human Resources, Infection Control, and Employee Health policies
and programs.
- Use courteous, cooperative, and respectful behavior when
working with patients, families, physicians, visitors, and Hospital
employees.
- Demonstrate a working knowledge of Hospital/department policies
and procedures.
- Demonstrate consistent acceptance of professional
accountability for own practice shown by follow-through on patient
and organizational concerns.
- Support changes in staffing/scheduling when unit and Hospital
patient care needs require.
- Accept reassignment in a positive manner.
- Demonstrate willingness to adjust work schedule, when able, to
meet patient's needs.
- Recognize need for support, seek appropriate assistance when
needed, and offer assistance to peers.
- Project a professional image by wearing appropriate,
professional attire.Additional Job Description:Physical/Mental
Demands:
- Majority of time is spent inside the building; walking,
pulling, pushing, bending, twisting, sitting, and grasping are
routine activities. Will be required to lift work equipment,
patient care equipment, supplies and patients, within reason.
Personal judgment dictates weight-lifting limits but must be able
to lift a minimum of fifty (50) pounds.
- Verbal and hearing ability required to interact with patients
and employees. Numerical ability required to maintain records and
operate a computer.
- Able to plan, control and direct all aspects of employee
relations. Tact required to deal effectively with employees and
professional staff. Logical thinking and discretion required to
make decisions in initiating and implementing policies, procedures,
and standards.
- Must be able to read and communicate through written, verbal,
and auditory skills and abilities.
- Physically/Mentally able to perform job duties as verified by a
physical exam by a licensed physician, per post-employment
physical.Education/Training Requirements:
- Bachelor's degree in nursing (BSN) preferred. Registered nurse
licensed by State Board of Nursing in the state of employment.
License must be in good standing with the State Board of Nursing in
the state of employment.
- American Health Association Healthcare Provider CPR
certification or is required within thirty (30) days of
date-of-hire. Bi-annual re-certification is required.
- Formal training in management of the aggressive patient is
required within sixty (60) days of date-of-hire. Annual
re-certification is required.
- Previous psychiatric experience with children, adolescents and
adults is preferred.
- At the Hospital's discretion, may be required to hold a
qualified medical professional (QMP) designation. Must be deemed
competent to serve as a QMP, as outlined in the Medical Staff
bylaws of Rogers Memorial Hospital. This designation is evaluated
and potentially renewed at least annually, based on results of the
QMP job competency.
- Employees at the Child/Adolescent Day Treatment programs
licensed under HFS -40 are required to have either training in
psychiatric nursing, including training in work with children with
mental health disorders, or one (1) year of experience working in a
clinical setting with these children.
Keywords: Rogers Behavioral Health, Bellingham , Registered Nurse: 100000971, Healthcare , Seattle, Washington
Didn't find what you're looking for? Search again!
Loading more jobs...