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RN 7A-7P CAP (Child and Adolescent Program)

Company Health & Human Services Comm
Location Wichita Falls, TX
Update 8 Day ago
This is a 7am- 7pm RN position on the Child and Adolescence Program. Registered Nurse. The Staff Nurse I performs routine nursing work at the competent level in a state mental health hospital. Works under moderate supervision from Charge Nurses or Nurse Managers (Nurse II/III) with limited use of initiative and independent judgment. Conducts comprehensive assessments of patients nursing care needs using specialized skills in (depending on the setting) psychiatric or medical-surgical nursing. Identifies nursing diagnoses or problem lists and formulates and initial plan of care based on assessment data. Serves as a team leader and provides clinical supervision to other nursing staff members including Licensed Vocational Nurses, and Mental Health Workers as necessary. Establishes unit routines and develops and maintains the therapeutic milieu. Makes observations of patient behavior and status and reports to the physician, other team members and supervisor as appropriate. Carries out nursing interventions as identified in the multidisciplinary treatment plan. Administers medications as ordered and maintains medication administration and controlled drug records according to facility policy. Serves as group leader for therapeutic patient groups or patient teaching activities as necessary or as requested. Trains other staff members as necessary or as requested. Must understand that duties, location of work, and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials

Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Performs comprehensive assessment of patients' nursing care needs including physical, behavioral, psychiatric, and social needs (25%). Observes and analyzes patient behavior and status and documents in the medical record or reports as needed to other team members, including the attending physician (20%). Develops or contributes to the development of the individualized treatment plan in collaboration with other treatment team members and based on data obtained from the assessment. (10%). Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs (10%). Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies (10%). Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population (5%). Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy (5%). Establishes and monitor the therapeutic milieu through clinical supervision of RN I, LVNs, and Mental Health Workers (5%). Provides training to subordinate staff in psychiatric nursing principles, unit routines, and milieu management (5%) Monitors Prevention and Management of Aggressive Behavior (PMAB) 1 - 6, and in the absence of other staff members implements PMAB 1 - 3.2 (2.5%) Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members (2.5%).

Knowledge Skills Abilities:
Knowledge of nursing techniques and procedures Emergency Preparedness Procedures Infection Control Procedures Mental Health & Mental Illness MSDS Sheet Rights of Patients DSHS Departmental Rules COPSD (Co-occurring Psychiatric and substance Disorders) Texas Administrative Code Within six (6) months’ of employment, will be expected to have knowledge of and adhere to: Mental Health Code Nursing Policy and Procedure Manual Program Nursing Manual Safety Manual NTSH Administrative Policy and Procedure Manual Positive Performance Management Peer Review / Standards of Care Effective Leadership Behavior Associated with Stages of Development Psychiatric Rehabilitation – Therapeutic Communication Skills, Psychiatric Disorders, Milieu Management, Psychiatric Symptoms, Aggression Management Skills Must demonstrate competency within six (6) months of employment in the following: Demonstrate skill and capability of observing and identifying significant patient behaviors and possesses the capability of accurately describing such events in the patient’s record Psychiatric Rehabilitation Social Learning Approach to Treatment Recovery Model and Trauma Informed Care Nursing Assessment Advanced Directives AIMS Enhanced Observations Voluntary and Involuntary Behavioral Psychopharmacology Medication Administration Medication Errors Transcription of Medication Orders Consent for Psychoactive Medication Medimar (Computerized Medication Administration Record) Use of Glucometer Administration of Oxygen Mantoux Screening Venipuncture Urine Hcg Ear Lavage EKG Anticoagulants Wound Care Pat Down/Metal Detector CRS(Computerized Record System) CWS (Clinician Work Station) Abilities Ability to intervene therapeutically with patients experiencing Psychiatric Disorders (Delusions, Hallucinations, Suicidal/Homicidal Ideation). Ability to provide patient care; to prepare and maintain records; and to train and supervise others Ability to perform CPR, use AED, perform Heimlich Maneuver, provide First Aid, and PMAB (sections 1-3 required) Ability to establish and maintain successful working relationships with others Ability to competently provide patient/family education regarding: medications, disease processes, and health maintenance/promotion

Registration or Licensure Requirements:
Licensed to practice professional nursing in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact

Initial Selection Criteria:
1) Preferred- One (1) year of work experience as an RN in a recognized health agency, hospital, or health care facility, OR two (2) years of work experience as an LVN in a recognized health agency, hospital, or health care facility, OR a bachelor’s degree in Nursing from an accredited program. OR as Referenced in the Department of Nursing’s Appointment and Promotion Standards for RN’s 2. Prefer one to three (1-3) years of recent experience in an inpatient facility such as acute setting, state hospital, state school, community program, psychiatric home health, private psychiatric hospital. Preferred 3. Experience with the Child & Adolescent population - preferred 4. Experience working on CAP Preferred. 5. Experience as direct care staff supervisor preferred 6. Stable work history preferred 7. Valid License preferred 8. Strong Computer Skills preferred

Additional Information:
Req ID 361126 Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68X, 4C0X1. For more information see the Texas State Auditor’s Military Crosswalk at

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