Registered Nurse or Licensed Practical Nurse

Schedule

• Wednesday to Friday 8am to 8pm
• Monday to Friday 8am to 5pm
• Friday to Sunday 7am to 7:30 pm
• Tuesday to Thursday 7pm to 7:30 am
• Thursday to Saturday 8pm to 8am
• Tuesday to Thursday 7am to 7:30 pm

Pay Range

• RN Pay Scale: $41.79 to $62.69 per hour
• LPN Pay Scale: $29.90 to $44.85 per hour

Responsibilities

Behavioral Health Groups

• Conducts behavioral health groups following agency guidelines and policies
• Leads groups using effective group facilitation skills that promote participation and interaction among group members
• Utilizes group process to develop insight, practice skills, and motivate client for change
• Follows lesson plan or curriculum and connects presented material to individual treatment plan goals

Children, Youth and Young Adult Services

• Demonstrates and utilizes knowledge of development in children, youth and young adults
• Demonstrates and utilizes knowledge and understanding of behavioral health problems in children, youth and young adults
• Demonstrates and utilizes knowledge of and ability to work with issues of confidentiality, consent and capacity
• Demonstrates the ability to collaborate and coordinate with family, parents, caregivers and community and natural supports
• Communicates effectively with children and youth of differing ages and developmental levels

Inpatient Core Nursing Functions

• Utilizes the nursing process, providing a systematic approach to client health needs through assessment, nursing diagnosis, planning, implementation, and evaluation
• Carries out orders as prescribed by staff providers in a concise and timely manner
• Establishes and maintains professional relationships with clients and families, providing information, education, care coordination, and support
• Implements prevention strategies for various health conditions as appropriate
• Actively engages in treatment teams and team-oriented strategies to achieving care objectives
• Utilizes a variety of resources to increase clinical and professional competence
• Delegates nursing tasks to appropriate staff members, training and supervising them to ensure accuracy and consistency in care and reporting
• Represents and promotes professional nursing in all settings
• Provides support to clients with activities of daily living (ADLs) including but not limited to eating, drinking, dressing, bathing, and toileting

Crisis Evaluation/Intervention

• Utilizes appropriate crisis intervention techniques for client stabilization
• Accurately screens for risk to self, others, property and the presence of grave disability and makes appropriate referrals
• Documents and reports and/or notifies as required by law
• Applies QPRT (Question, Persuade, Refer or Treat) principles in assessing risk and in safety and treatment planning
• Develops and documents appropriate safety plans

Geriatric Services

• Demonstrates and utilizes knowledge of normal aging process and age related changes
• Demonstrates an understanding of neurocognitive disorders and their impacts on functioning
• Demonstrates awareness of how medical issues can affect mental status

Injections

• Uses Standard Precautions and performs hand hygiene before and after administering an injection
• Verifies the medication orders are correct and match the provider's last note
• Verifies the medication is available at the pharmacy or the client will be bringing the medication with them
• Practices the Five Rights of Medication Administration; Right Patient, Right Medication, Right Dose, Right Route and Right Time
• Demonstrates clean, safe and proper technique with administering and injection; hand hygiene, use of appropriate personal protection equipment (PPE)
• Discards the needle and syringe in the appropriate receptacle
• Evaluates the client for adverse side effects or reactions following the injection
• Assesses client's mood, behaviors, appearance, sleep, appetite and suicidal/homicidal risks factors
• Reschedules the client for their next injection
• Documents the injection into the client's electronic health record

Medication Administration and Monitoring

• Safely administers and documents medication according to provider orders and agency policies
• Conducts and documents ongoing evaluation of intended effects, side effects, adverse reactions and medication non-compliance
• Communicates this information to the appropriate parties
• Implements appropriate interventions regarding medications and side effects
• Provides medication education to client and family, including purpose of medication, side effects, dosage, frequency and duration
• Encourages and supports clients in taking medications as prescribed
• Promotes illness self-management skills

Inpatient Medication Assisted Treatment Nursing Functions

• Demonstrates an understanding of substance use disorders and their treatments and risks; promotes recovery through medication assisted treatment
• Notifies the Addiction Treatment Team via email that an active OTP client has been admitted
• Reviews any take-out-doses the client has on hand and either stores or destroys per policy SD-031
• Completes chain of custody form with OTP Nurse when doses are delivered
• Properly stores medication consistent with Controlled Substance Distribution Administration policy MM-008
• Practices safe medication administration outlined in policy MM-016
• Appropriately documents in MAR and on OTP tracking form, SD-002
• Notifies Addiction Treatment Team of declined doses via email
• Coordinates with Addiction Treatment Team on discharge planning
• Follows program policies for medication spills or waste

Nursing Assessment and Planning

• Completes all required intakes and assessments following agency guidelines and polices for content, format and timeliness
• Obtains and documents essential clinical data as well as person-specific data
• Applies assessment, evaluation and reassessment data to the formulation of treatment planning
• Formulates measurable, achievable goals and treatment recommendations within the scope of treatment that the setting provides and in collaboration with the client
• Communicates observations, planning and recommendations clearly and effectively to fellow nurses and other members of the treatment team

Program Screening

• Conducts in program screening processes according to program guidelines
• Collects all pertinent clinical information
• Facilitates effective and professional communication during screening and intake processes
• Documents screenings and admission decisions as appropriate

Service Notes

• Completes all required service notes according to Comprehensive Healthcare's guidelines, policies and procedures regarding format, content and timeliness
• Language used in service notes is respectful, clear, descriptive, concise and client-centered
• Service notes accurately depict treatment modalities and interventions provided within the clinician's scope of practice and according to treatment plan
• Service notes accurately reflect and depict client status and progress consistent with assessment and reassessment data, problem statements and treatment plan goals and objectives

Seclusion & Restraints

• Adheres to policies and procedures regarding use and application of seclusion and restraints to ensure safety for clients and staff
• Adheres to techniques and approach to managing violent and aggressive behavior as per the facility's crisis intervention training modality
• Documents specific client behaviors and staff interventions leading to safe use of seclusion and/or restraint, according to policies and facility protocols
• Demonstrates proficiency in the use of skills in accordance with agency approved crisis intervention and de-escalation techniques such as those taught in PROACT and Psychiatric Emergency Response Team (PERT) training

Symptom & Medication Response Monitoring

• Conducts and documents ongoing assessment of client symptoms and their response to prescribed medications
• Provides support and education to encourage clients to take medications as prescribed
• Promotes illness self-management skills to assist clients with medication adherence, identifying warning signs and symptoms, and symptom management skills
• Monitors medication side effects and facilitates access to, and communication with, medical staff as needed

Venipuncture

• Verifies active physician order
• Demonstrates understanding of the equipment and the ability to gather the needed equipment to obtain samples
• Demonstrates clean, safe and proper technique with hand hygiene and personal protective equipment
• Can safely obtain a sample following agency policies and procedures
• Discards of needle, syringe and all other equipment in appropriate receptacle
• Appropriately labels tubes immediately after obtaining sample
• Demonstrates an understanding of how to use a centrifuge and what samples require spinning
• Demonstrates an understanding of storage and shelf-life samples
• Understands available resources, including maintaining access to LabCorp Link
• Demonstrates the ability to schedule a courier for sample pick up

Treatment Planning

• Completes all required treatment plans following Comprehensive Healthcare's guidelines and polices for content, format and timeliness
• Applies assessment, evaluation and reassessment data to the formulation of treatment plans
• Supports recovery principles by incorporating the individual's and their family's (when applicable) strengths, barriers and needs into the plan components
• Documents problem statements and treatment goals/objectives/discharge plan that are written in clear and understandable language and includes client's own voice
• Formulates measurable, achievable goals and objectives within the scope of treatment provided in collaboration with the client
• Describes clinical modalities/interventions that are reasonable and provided according to applicable Comprehensive Healthcare's protocols
• Reassesses treatment effectiveness and adapts treatment plan as needed in collaboration with the individual client

Qualifications

• Associate's or bachelor's degree in nursing
• Active RN or LPN license in Washington or Compact State
• Must have valid driver's license and vehicle liability insurance

Benefits

• Training and development opportunities with support, supervision, and consultation in implementing evidence-based services and programs
• A variety of career opportunities in a wide range of settings with room for mobility and promotion
• A strong reputation for providing quality, evidence-based services within a collaborative multi-disciplinary team environment
• Innovative, forward-looking leadership that seeks to thrive in an ever-changing healthcare environment
• Joint Commission-accredited organization committed to continuous quality improvement
• Established partnerships with major research universities and other community and healthcare providers