The Acute Recovery Center (ARC) inpatient psychiatric unit is a 40 bed unit divided into ARC I and ARC II. The ARC treats veterans with a wide assortment of acute psychiatric illnesses. These may include dementia, schizophrenia, bipolar disorder, depression, suicide ideation and/or attempt, alcohol and substance abuse/detoxification among others. The RN is also responsible for overseeing both LPNs and CNAs in the care of our veterans. The duties of the Mental Health Nurse consist of but is not limited to the following: - Responsible for the delivery of quality nursing care including: documenting observations, patient assessments, nursing care for the veterans with acute and chronic mental illnesses. - Must fully participate in all 3 Parts of Preventive Management of Disruptive Behavior requirements (Part 1, Part 2, and Part 3) and respond to other areas of the hospital that require PMDB-related intervention, including therapeutic - Possess the knowledge, skills, and experience necessary to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary mental health team setting. - Identify,assess need for care; plan appropriate interventions; provide supportive therapy for identified case load; educate and counsel patients and families about diagnoses, treatment plans, and preventive measures. - Utilized the substance abuse detox protocol as needed. - Responsibility to oversee psychiatric nursing assistants (PNA). - Maintain responsibility for quality patient care; demonstrate willingness to support change for improvement of patient care and unit operation. - Perform clinical assessment and treatment procedures identified in the Computerized Patient Record System (CPRS), and other assessment and treatment procedures (e.g. immunizations, injections, PPDs). - Assess client's health status by gathering information and identify client's actual and potential problems; maintain ongoing assessment of client's status based on information gathered by interviewing and observation. - Develop a therapeutic relationship with assigned clients to coordinate psychosocial treatment with standardized physical nursing care and guidance. - Develop care plans using assessment data that integrates medical and nursing therapies including input from client's family and other health care team members. - Collaborate with other health care team members in delivery of health care services according to established standards and patient care principles. - Involve client's family and other health care team members in discharge planning. - Evaluate response of client to plan of care and nursing interventions and revise patient care to meet changing needs. - Monitor client behavior to intervene when appropriate; monitor clients for critical changes and initiates appropriate emergency procedures. - Demonstrate competency in performance of technical skills. - Maintain a safe environment for clients and strive to meet their maximum security and comfort needs. - Provide effective management of crisis in disturbed clients in emergency situations. - Monitor client behavior to intervene when appropriate. - Promote, participate and evaluate patient/family health education. - Contribute to the learning experiences of students. - Participate in education and direction of nursing personnel. - Educate clients in a variety of prevention, health promotion and maintenance interventions. - Assist medical providers and pharmacist with evaluating medication compliance and knowledge of the clients' prescribed medications. - Conduct other group therapy and/or education sessions as assigned. - Maintain safety on the unit through the implementation of special observation monitoring for patients on one-to-one observation or continuous visual observation (CVO). Maintain visual rounding on patients every 15 minutes for all patients. - Effectively functions independently as the Charge Nurse in an assignment managing the care of a group of patients and caregivers. - Display strong interpersonal skills when interacting with all members of the Mental Health interdisciplinary team, including fellow nurses, Psychiatric Nursing Assistants,clerical staff, nurse managers and chief nurse, and providers. - The RN may be provided training in other areas of Nursing Mental Health service and support staffing needs in those areas. - This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing,stooping, sitting, bending, pulling, and pushing. - The RN must be able to lift up to 35 pounds. Transferring objects may be required. Mechanical inpatient lifts are provided. - The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. - The RN must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. - Must complete annual Employee Health requirements, such as annual influenza vaccination documentation, annual tuberculosis screening or testing, as a condition of employment. Work Schedule: Variable -tours of duty includes weekend rotations, day, evening and/or night tour depending on organizational needs (position requires flexibility in schedule) Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.