Registered Nurse

The Registered Nurse is responsible for providing nursing care to clients.

Supervising care treatment and services of client care provided by LPNs, CNAs and other staff on assigned unit and shift.

Developing, implementing, and evaluating an individual plan of care for each client.

Assessment and re-assessment of clients.

Communicating appropriate information with the interdisciplinary team.

Reporting client concerns and changes in condition to supervisor and/or provider in a timely manner.

Provides and coordinates care by assessing physical and behavioral health needs of client, develops and implements nursing care plans, maintains medical records and educates clients and their families about various physical and behavioral health conditions while ensuring client safety at all times.

Assesses clients’ status on an ongoing basis and communicates finding to the providers timely.

Ensures nursing treatment plans are specific to assessed needs and initial treatment plan is completed upon admission.

Obtains provider’s orders (verbal or via telephone) accurately and documents appropriately; transcribes and reviews provider’s orders ensuring all required elements are present and appropriate per policy and procedures.

Accurately administers medications, per ordered ,utilizing at least two client identifiers.

Notifies providers of significant changes in status such as difficulties with detox, medical emergencies, pertinent lab results, or change in medical status regarding response to medications, etc.

Assesses and documents effects of PRN medications.

Maintains accountability of administration, recording, control and security of medications, including narcotics.

Completes admission and discharge processes efficiently and accurately as directed.

Confers regularly with treatment team (e.g., nurses, therapists, program managers, provider) regarding client care. Attends and participates in the unit activities such as therapy groups, family meetings as appropriate, staffing, unit meetings, etc.

Provides education/explanation to clients, families, and co-workers regarding medication usage/maintenance, common side effects, client's rights, as well as other topics necessary for optimal client care.

Monitors client acuity, census, staffing needs, and escalates coverage needs to supervisor/Charge RN.

Ensures thorough, accurate documentation is completed for all clients on each shift and client assignment sheets are completed daily and tasks are carried out as assigned.

Communicates thorough hand-off reports to oncoming staff and supervisors.

Valid current RN license from the state or from a compact state, where applicable.

Certified in Psychiatric Nursing preferred.

CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).

First aid may be required based on state or facility requirements.