Thomas Health System 4605 MacCorkle Avenue SW South Charleston West Virginia 25309 United States
Jul 11, 2018Full-time
Job Summary Works as part of an interdisciplinary team responsible for providing direct and indirect nursing care for patients enrolled in the Behavioral Health Intensive Outpatient Programs. This position works closely with an interdisciplinary team consisting of physicians, psychiatric nurse practitioners, and therapists to develop and implement individualized treatment/care plans. The Outpatient Behavioral Health nurse must be supportive and caring when working with difficult or struggling patients and maintain clear personal boundaries. Education Graduate from an accredited Registered Nursing program; BSN preferred Licensure Licensed and currently registered as a professional nurse in West Virginia. Experience One year of current experience in behavioral health, preferably an outpatient setting preferred. Certification Credentialing in psychiatric-mental health nursing and/or addictions preferred. Computer/Typing/Math Skills Experience with computers required. Meditech experience preferred. Job Specific Requirements BCLS validation within 60 days of hire, and CPI validation within 90 days of hire. Must possess good verbal communication skills, must be able to communicate with all hospital contacts, both on the telephone and directly. Must demonstrate good reasoning ability and demonstrate cognitive thought processes for problem solving as related to the scope of duties and responsibilities. Must be able to see to assess patient and staff’s interactions, both physical characteristics and nonverbal communications. Must be able to monitor equipment within job responsibilities. Must be able to see to access the environment at all times. Must be able to hear to assess patient and staff’s interactions. Must be able to distinguish variations in sounds. Hours of Work Must be able to work scheduled hours as dictated by business needs including flexing up and/or down to volume demand. POPULATION SERVED N/A Neonate (0-1 Month) N/A Pediatric Infant (1 month to 12 months) N/A Pediatric Child (1 year to 12 years) N/A Adolescent (13 years to 17 years) X Adult (18 years to 64 years) X Geriatric (65 years and older) N/A WORK ENVIRONMENT ( R -Rare, F -Frequent, C- Continual, N/A -Not Applicable) F Toxic/Caustic Chemicals or Detergents R Extreme Conditions, Hot or Cold R Dust/Fumes/Gasses F Moving Mechanical Parts F Potential Electric Shock R X-Ray or Other Electromagnetic Energy R High Pitched Noises C Needles or Other Sharp Objects C Blood or Body Fluids Bloodborne Pathogens (BBP) F Communicable Disease (Tuberculosis, Meningitis, etc) R Unprotected Heights C CRT (Computer) Monitor C Frequent Repetitive Motions PERSONAL PROTECTIVE EQUIPMENT ( R -Rare, F -Frequent, C- Continual, N/A -Not Applicable) R Respiratory; Breathing Equipment F Eye Protection R Head Covering R Hearing Protection F Hand Protection F Body Protection PHYSICAL REQUIREMENTS (Mark one) S - Sedentary Work: Exerting up to 10 pounds of force occasionally. (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. L - Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. X M - Medium Work: Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. H - Heavy Work: Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. V - Very Heavy Work: Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Essential Duties and Responsibilities Organizational Standards Projects professional image to patients/public through polite and respectful communication Maintains professional appearance as specified by hospital dress/grooming standards Maintains highest level of knowledge and skills related to job function through required and continuing education as evidenced by Education Record Supports/exemplifies hospital mission/values related to patients, community, employees and physicians. Attends/participates in appropriate committee/department meetings as evidenced by minutes and direct observation Participates in orientation, precepting, or education of other personnel. Performs job functions in efficient and cost effective manner as evidenced by productivity and variance reports. Adheres to established hospital policies and procedures. Demonstrates computer skills appropriate to job classification as evidenced by direct observation. Participates in continuous quality improvement activities (identifies areas of concern, reports to supervisor, collects or analyzes data as indicated). Achieves individual identified goals and objectives Reports/documents potentially unsafe or hazardous conditions, incidents, or equipment Responds appropriately during hospital emergency drills: codes, fires, and disasters. Follows established safety, hazardous material, and infection control standards. Reports/responds appropriately to patient/customer concerns or complaints. Maintains confidentiality with all contacts as described by policy. Supports and complies with “Patient’s Bill of Rights.” Reports to work as scheduled following time and attendance policies. Demonstrates flexibility in meeting hospital/departmental needs related to changing work volume and healthcare environment. Completes assignments, meets deadlines, and achieves goals. Provides safe and appropriate care to identified age groups: Adults (>17 years-65 years) Geriatrics (≥65 years) Job Requirements/Productivity Completes position responsibilities following established guidelines and protocols within appropriate time frames. Demonstrates ability to set priorities. Demonstrates the ability to perform effectively in stressful and emergency situations. Demonstrates knowledge and competency of Environment of Care, fire, disaster, safety, and emergency security procedures. Demonstrates competency and knowledge of contamination and transfer of infection prevention. Adheres to hospital policy for reporting patient safety issues, including errors. Demonstrates understanding of own role in patient safety and medical error reduction including, but not limited to NPSG and PDSA. Consistently puts patient safety first when performing job duties. Reports potential and actual deviations from standard to appropriate personnel. Adheres to hospital policy for completing occurrence reports. Demonstrates an understanding of the hospitals Performance Improvement (PI) process. Incorporates process improvement activities into hospital operations. Demonstrates flexibility in accepting work scheduled, including overtime, unusual hours, workload restructuring, or floating to an inpatient behavioral health unit if needed to accommodate departmental workload needs. Communications/Interpersonal Skills/Customer Service Accepts change within the work with a positive attitude. Accepts suggestions for improved performance. Implements both in a positive manner. Maintains confidentiality of patient and employee information in verbal, written and electronic form. Assures that rights to privacy and confidentiality are maintained for patients, employees, physicians, and all other customers. Demonstrates teamwork, cooperation and collaboration with co-workers, patients and other customers throughout department and hospital. Deals with problems and conflicts discreetly and professionally. Effectively utilizes the chain of command. Effectively communicates problems/opportunities for improvement. Provides constructive input through the use of effective verbal/written communication skills. Consistently treats staff, patients, physicians, and other customers with dignity, and respect. Behavior is courteous and professional, reflecting the hospital’s values, ethics, and philosophy. Exhibits empathy when caring for and communicating with clients and family members. Demonstrates good listening and assessment skills. Demonstrates good communication skills for one to one interventions. Demonstrates ability to educate both on a one to one level and in a group setting. Communicates using business-related electronic systems such as email appropriately and effectively. This is achieved by reading and responding timely, clearly, and professionally. Communicates with the populations served: Recognize that the population is becoming more diverse. Demonstrates ability and willingness to provide culturally competent care and customer service. Education/Development/Work Initiative Seeks and maintains education and development appropriate for position. Demonstrates commitment to departments work and mission. Demonstrates initiative to remain knowledgeable of current trends and practices. Seeks opportunities to increase knowledge and skills. Demonstrates initiative in performing own job duties. Self-directed. Demonstrates strong multitasking skills and maintains organization. Serves as a resource person and assists in orientation of new personnel. Attends required in-service presentations. Completes mandatory educational requirements. Examples include, but are not limited to infection control, patient safety, quality improvement, PPE, Blood Borne Pathogens and other OSHA standards, Hazard Communications, identifying symptoms of abuse and violence in families, emergency procedures, etc. Medication Administration Medication reconciliation completed during the admission process. Reviews Medication Reconciliation completed by the physician during the discharge process. Medication Administration – Medications delivered within allotted time frames. eMAR Compliance for scanning Medications and patient bands. Patient and Family education regarding medications, including side effects. Recognizes developmental/age specific medication administration needs of patients and adapts practice accordingly. Documentation Source of Information Admission assessment. Offers emotional support and alternate coping strategies. Effective in creating a therapeutic relationship with clients that includes setting professional boundaries. Assumes responsibility for teaching clients about the risks of substance abuse, when appropriate, and the options for overcoming addictions. Provides a healing environment, not one of moral judgement, when dealing with clients. Reassessment prior to each doctor’s visit. Revises patient treatment/plan of care based on patient needs, physician plan of care within defined parameters. Acknowledge CPOE orders within one hour of entry Reviews pending orders and activates orders within one hour of admission. Monitors Service Provider Workspace for incomplete orders and tasks. Standards Based Documentation/Downtime procedures. Handoff Communication Handoff of patients from one patient care unit to another patient care unit. Handoff of patients from one clinician to another clinician within department/unit (including but not limited to break periods, lunch periods, shift report). Source of Information CPI Maintains current knowledge of non-violent therapeutic crisis intervention and employs it as needed to maintain therapeutic milieu. AEB current certifications/updates. Demonstrates leadership abilities during a Code Gray situation and provides debriefing session with documentation upon completion of code. CARNS certification if applicable – maintains current knowledge of addiction treatments. Psychiatric/Mental Health Nursing Credential if applicable, maintains current knowledge of psychiatric mental health treatment. Group facilitation. Assists and participates in group facilitation as assigned by program schedule and according to identified needs of patients’ Plan of Care. Follows Safety policy of Behavioral Health Services departments by demonstrating skill and knowledge in safety procedures including but not limited to the following: observation and precautions, room and common area searches, body searches, patient belonging searches, outpatient safety. Withdrawal Assessments. Proficient with completion of withdrawal assessments on CD patients as evidenced by record review and observation. EPS/NMS assessments Proficient with assessing patients for adverse effects of psychotropic drugs. Can provide crisis intervention for patients in a crisis as they call for phone screenings and/or the Emergency Department or Behavioral Health Connections. Participates in treatment team meetings by providing patient information and nursing goals/interventions. Demonstrate skills in identifying objective, measurable and time limited goals and interventions for the patient as per treatment team meetings. Works closely with the therapist/social worker of the program to ensure appropriate discharge plans for each patient.