Wilbarger General Hospital Vernon, Texas Job Description Job Title: Registered Nurse Department: Western Trail Behavioral Health Unit Job Summary: Executes comprehensive nursing care activities and provides nursing staff leadership. Assesses patient needs, plans and implements patient care activities and evaluates the patient’s response to treatment. Manages activities within the therapeutic milieu and directs the delivery of nursing care by other members of the nursing treatment team. Maintains and performs basic nursing skills competently to include, but not limited to, collection of specimens, insertion of peripheral IV, set-up and use of IV pump, calculation and administration of medications, airway and suctioning, and urinary catheterization. OSHA Bloodborne Pathogens Class I. Job Qualifications: A. Education: Graduate of accredited School of Professional Nursing. B. Personal Job-Related Skills: Effective oral and written communication skills. C. Licensure, Registry or Certification: Registered Nurse currently licensed by the State of Texas Board of Nursing. ACLS preferred (must obtain certification within 12 months of hire date). D. Experience: 1. Prior work experience: One year experience as a professional Registered Nurse preferred. 2. Technical Training: Revised 09/22/2011 Current CPR Certification. E. Physical and Mental Requirements: Duties of the position require extended periods of standing and walking. Bending, stooping, twisting, reaching and lifting up to 50 pounds. Occasional heavy lifting when moving or supporting patients who may become weak or helpless. Essential Duties and Responsibilities: A. Patient Care 1. Assess the patient on admission and formulates a plan of care derived from a comprehensive physical-psychosocial assessment. 2. Serves as the primary nursing care coordinator for assigned patients. 3. Develops comprehensive nursing care plans which take the patient’s total needs into account. Utilizes assessment data and integrates the medical care plan. 4. Plans, implements, and coordinates nursing care activities for assigned patients. 5. Participates in multidisciplinary treatment staffing. Participates in the development of treatment plans. 6. Performs treatment interventions requiring a physician’s order and registered nurses licensure for administration, i.e. medication administration, medical treatments. 7. Maintains medical skills for assessment and performance of basic nursing skills such as performing venipunctures for IV fluids, set-up IV pump, wound and skin assessments. 8. Interprets the nursing and treatment needs of the patient to non-professional staff members assigned to the patient. 9. Accept and transcribes verbal and written physician orders and incorporates them into the treatment plan. 10. Participates in individual, group, and family psychotherapy, and educational seminars, as appropriate. 11. Evaluates the appropriateness and quality of nursing care in a continuous fashion. Revised 09/22/2011 B. C. 12. Provides comprehensive patient and family health education. 13. Monitors and enforces utilization of proper nursing techniques and procedures. 14. Provides for patient safety, privacy, and confidentiality. 15. Enacts the counseling role of the nurse. 16. Documents continuous assessment, interventions, and evaluations relative to patient process. 17. Attends patient staffing and assumes responsibility for communication of treatment goals to pertinent staff members. 18. Participates in the conversion of telephone assessments into assessment appointments or admissions. Management Function 1. Provides continuous education to Unit paraprofessional staff. 2. Coordinates the function of the therapeutic milieu. 3. Acts as liaison between patients, families, and other health care providers. 4. Assesses the clinical performance of nursing staff under his/her direction in collaboration with the Program Director. 5. Orients new employees. 6. Implements hospital policies and procedures. 7. Supervise LVNs, Mental Health Technicians, and other RNs when performing the tasks of Charge Nurse. Professional Function 1. Models for other staff effective communication with families, agencies, and hospital personnel. 2. Models for other staff appropriate telephone etiquette and intervention techniques. 3. Actively functions as a contributing member of the treatment team. Revised 09/22/2011 4. Provides consultative services to nursing staff on other units relative to mental health issues. Other Significant Requirements: A. Maintains confidentiality while working with confidential matters on a daily basis. B. Provides service direct to patients while maintaining a positive patient relationship and a supportive atmosphere. C. Interacts with patients, family members, Medical Staff members, and other department personnel with a respectful attitude and promotes a cooperative manner. D. Performs duties that are consistent with patient advocacy as mandated by the State of Texas Board of Nursing. E. Follows aseptic technique and established procedures for using precautions when involved in direct patient contact or handling potentially infectious materials. F. Provides care to patients based on standards recognized and approved by the administration, the physician, and the licensing authority. G. Responds to emergency situations as needed. H. Assists with securing medications as directed by the Pharmacy Policy. I. Directs the delivery and administration of medications in a safe manner that is acceptable to the State licensing authority and is aware of consequence of failure to adhere to medication administration standards. Consequences of failure to perform medication administration in a safe manner may result in (but may not be limited to) Peer Review, reporting to the State Board of Nursing, performance restrictions or employment termination. J. Adheres to and enforces Administrative policies regarding attendance and performance. Revised 09/22/2011 STATEMENT OF UNDERSTANDING: I have read and understand the above JOB DESCRIPTION and understand the essential duties outlined and required in this position. I understand that I should contact my Department Manager if I have any questions or concerns regarding the job duties and requirements as outlined above. I acknowledge that I have received a copy of this job description. Employee Signature Date Department Manager Signature Date Revised 09/22/2011