Registered Nurse (51256)

Job DetailsJob Location: Marathon - 3000 41st Ocean 1 - Marathon, FL 33050Position Type: Part TimeEducation Level: 2 Year DegreeSalary Range: $37.45 - $37.45 HourlyTravel Percentage: NegligibleJob Category: Nursehttps://info.flclearinghouse.com

Position Summary:

Person in this position will be responsible for providing professional nursing care to clients who are voluntarily and involuntarily admitted to the crisis stabilization and detoxification units of the clinic.

Essential Job Functions:

Determines need for insurance precertification upon admission and implements process in accordance with precertification policies and procedures 100% of the time
Makes daily rounds at least twice every shift to assess patient needs, unit safety, and reports any unsafe conditions or compromised quality of care to Lead Registered Nurse
Continually assesses patients’ medication needs; focusing on detoxification, PRN psychotropic, side effects and documenting such findings in progress notes per policies and procedures 100% of the time
Assesses client in seclusion and restraints per policy and procedure at required intervals 100% of the time                            
Completes nursing assessment, initial treatment plan (including any nursing/medical problems) and the Individual Treatment Plan to establish treatment needs according to the standards of care 100% of the time                                 
Completes nursing assessment for every assigned client including Mental Status Exam on all new admissions                             
Demonstrates the ability to identify and evaluate an individual’s strengths, barriers, problems, and needs for the development of Preliminary/Initial Wellness and Recovery Plan                              
Initiates assessment of patient needs and provides appropriate treatment/medical care utilizing MD when appropriate 100% of the time                         
Initiates emergency screening protocol and decides when to consult on-call staff in accordance with on-call procedures                        

Participates in report between shifts highlighting client behavior, medical condition, medication status and client census 100% of the time                          
Meets at least once per shift with designated behavioral health technician to coordinate client activities and deploy appropriate staff 90% of the time                                  
Participates in Treatment Team and the development or revision of patient Individual Treatment Plan (day shift)                               
Participates in familiarizing self with treatment plans/case reviews and implementing all features (evening and night shifts)                              
Provides 1x1 counseling and other direct care for patients every shift per treatment plan and policies and procedures                                  
Responds promptly per treatment plan and policies and procedures to inappropriate, withdrawn, agitated, or vegetative client behavior 100% of the time                             
 Applies TACT techniques properly and effectively 100% of the time in response    to client aggression                                   
 Facilitates scheduled therapeutic and educational groups at least once per  week
Participates in staff meetings, client conferences, and treatment teams to coordinate management of medical and nursing client care at least weekly or as assigned by Unit Director                             
Communicates pertinent client information to medical staff, unit coordinator, and other disciplines when appropriate,100 % of the time                        
 Responds to client questions and requests in a timely fashion 90% of the time                
 Implements behavior modification plans as required 100% of the time                             
 Provides nursing interventions appropriate to patient medical and psychosocial needs, i.e.,  health education, STD, HIV, First Aid, DM, injury, other chronic or acute illness per individualized treatment plan and nursing assessment                         
 Reviews MD’s orders and documents as per policy and procedure 100% of the  time
 Assumes role of charge nurse as assigned, per P &P, 100% of the time                             
Documents the following on all patients; patient insurance status and precertification, patient admission assessment, insurance identifying problems, established priorities for treatment and care, initial treatment plan for each client, Transcription o medication orders, discharge summary, progress note per policy and procedure manual 100% of the time                            
 Inventories controlled drugs at the beginning and end of each shift and report any discrepancies 100% of the time                             
Assures that informed consents for medication for each client are signed and in chart prior to administering medication 100% of the time                         
 Administers medication without error to unit clients per policy and procedure 100% of the time                                   
Administers PRN and OTC medications per physician orders, documents and observes effects                            
Participates in discharge plan for all assigned clients as part of multidisciplinary team (including client’s family) and documents discharge summary as per policy and procedure   
Reviews and evaluates effectiveness of interventions and implementation of nursing care            
Applies knowledge of the inter-relationship among substance abuse disorders, mental health disorders, and chronic medical conditions                            
Demonstrates the ability to evaluate the impact of substance use, mental health problems, and chronic medical conditions on the client’s functioning in major life areas   
Documents and reports client outcomes and responses resulting from nursing interventions, treatment procedures, interpersonal interactions, and patient/family education 100% of the time                           
Evaluates and documents client progress towards goals and objectives every shift                                   
Updates and revises patient care problem list and individualized client care standards based on client and family responses, progress toward goals, and/or change in medical and mental status every shift                                   
Evaluates client length of stay and related transfer and discharge planning needs based on anticipated problems and needs, internal or community resources and support systems for all assigned clients                                   
Evaluates progress of other RNs, BHT’s, student’s or staff persons being oriented as assigned                             
Acts as a role model and resource person for colleagues
Participates in required staff development / training activities.
Maintains up-to-date knowledge of clinical area of practice. Participate in trainings on trauma informed care, assessing and treating victims of domestic violence, trauma-focused cognitive behavioral therapy, motivational interviewing and Seeking Safety
Completes all orientation and mandated training activities, including E-Learning Courses, within required timeframes, and in accordance with the criteria established for this position.
Demonstrates a high degree of dependability.
Maintains a good attendance record.
Observes working hours.
Exhibits characteristics of good workmanship, and integrity on the job.
Work time is always productive.
Establishes and maintains effective and positive working relationships with clients, co-workers, and other job-related representatives.
Readily develops and maintains therapeutic relationships with clients.
Effectively interacts with client’s family and significant others.
Shows flexibility and is responsive to requests from supervisor.
Works independently with minimal supervision.
Is courteous to clients, staff, and all others.
Cooperates with others both within and outside the Guidance/Care Center.
Demonstrates tact at the appropriate time.
Works well with supervisor; accepts direction and supervision.
Maintains a positive attitude toward work.
Ensures and maintains a safe working environment.
Work area is clean and orderly.
Verbalizes, understands and adheres to Center safety procedures.
Demonstrates appropriate use of Unusual Incident Reports, in accordance with the Center’s reporting procedures.
Presents a positive personal image.
Dresses and maintains a professional demeanor
Performs other duties as requested.
Miscellaneous duties are performed according to instruction.
 
QualificationsEssential Qualifications:

Certifications/Licensures:

Must hold valid Registered Nurse or ARNP License in the state of Florida in good standing.

Education:

Graduation from an accredited four-year college with a Bachelors of Science in Nursing field is preferred;
Associate of Science in Nursing from an accredited college is required.

Experience and Competencies:

Two (2) years of experience in providing nursing care to target population is preferred;
Proficient in performing nursing physical assessment and mental status exams
During your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and/or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform you.
CPR Certification, First Aid Certification and an annual Tuberculosis test.
Ability to provide an Affidavit of Good Moral Character
Ability to meet GCC insurance requirements for driving an agency vehicle
Clearance in Pre-Employment Drug Testing and Criminal Records Checks, as required.
Possesses sufficient means of independent mobility.
Excellent communication skills;
Demonstrates the ability to use DSM V diagnostic criteria to provide substance use, mental health, and behavioral diagnoses                         
Demonstrated knowledge of theoretical and practical concepts of individual, group and family behavior                                                                                  
Demonstrated ability to deal with crisis situations                           
Knowledge to deal with difficult people                                                                                     
Demonstrated ability to handle a client concern/grievance according to agency protocol.
Demonstrated ability to establish and maintain effective working  relationships with clients, co-workers, external partners, and regulatory agencies                       
Demonstrated ability to manage change and achieve results                                  
Demonstrated ability to expedite a voluminous flow of detailed work                               
Demonstrated ability to prepare clear and precise reports                          
Demonstrated ability to follow and interpret instructions                           
Demonstrated ability to appropriately and efficiently identify, prioritize and follow through on assignments
Maintains confidential files and records
Working knowledge of behavioral health terminology 
Knowledge of WestCare Mission, goals and values
Knowledge of Incident Reporting
Knowledge of HIPAA, Professional Ethics, Consumer Rights and Confidentiality
Familiarity with WestCare services and programs
Understands that different cultural and ethnic groups have different perceptions of health, wellness, behavioral health, and preventive health services
Ability to use trauma informed care principles including ensuring consumer safety, preventing/avoiding re-traumatization, maximizing trustworthiness, enhancing consumer choice, maximizing collaboration, and emphasizing empowerment
Ability to identify and describe key signs, symptoms, impact and manifestations of trauma
Aware of the differences between trauma informed and trauma-specific services
Understands the bidirectional relationships among substance use and mental disorders and trauma
Ability to read, analyze, and interpret agency and grant required documents
Ability to respond effectively to the most sensitive inquiries or complaints
Ability to collect data, establish facts, and draw valid conclusions. 
Understands, communicates (both verbally and in writing), and collaborates effectively and with precision, given the time constraints of each task.
Understands the differences among various kinds of abuse and trauma, including: physical, emotional, and sexual abuse; domestic violence; experiences of war for both combat veterans and survivors of war; natural disasters; and community violence

Working Conditions:

Work is primarily performed in a health care setting
Some outdoor activities may be required.
Personal Protective Equipment

Gloves are worn when cleaning.
Gloves are worn when using housekeeping and floor care products
Eye goggles are worn when pouring housekeeping and floor product
Gloves, mask, gown, eye goggles are used for Code Strong as required for the situation
Appropriate PPE will be worn as required by any chemical or exposure situation  

Level of access to PHI –

Full access to entire client record, assigned clients; Limited access to records in stored areas – access to outpatient record area, access to inpatient record area records, access to Growth Center record area or a combination of 2 areas. Limited access to computer options as defined by supervisor on the MIS Authorization Sheet

Essential Physical and Mental Demands of the Job

The employee must be able to perform the following essential duties and activities with or

without accommodation:

Physical Demands:

Requires mobility and physical activity: Having an adequate range of body motion and mobility to work in an office, residential, or outdoor environment including standing and walking (even and uneven surfaces), sitting for extended periods of time, bending, twisting, reaching, balancing, occasional lifting and carrying of up to 50 pounds.  Use of computer and telephone systems is required which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files).  Requires the ability to defend oneself and clients in physically abusive situations through the use of approved physical de-escalation techniques.
Requires talking: Expressing or exchanging ideas by means of the spoken word.  Talking is required to impart oral information to employees, clients, patients, and the public, and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly.
Requires hearing: Hearing is required to receive and communicate detailed information through oral communication.
Requires seeing: Clarity of vision at 20 inches or less and at distance. This factor is required to complete paperwork for many of the employee’s essential job functions and to observe client behavior and activities in and out of the facility.

The normal work routine involves exposure to human blood, body fluids or tissues.  Appropriate personal protective equipment will be readily available to every employee.

Mental Demands:

Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions. 
Requires the ability to work and cooperate with clients, co-workers, managers, the public and employees at all levels in order to exchange ideas, information, instructions and opinions. 
Requires the ability to work under stress and in emotionally charged settings.
The ability to defend oneself and clients in mentally/verbally abusive situations through the use of approved mental/verbal de-escalation techniques.