Registered Nurse

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Job Summary:

The Registered Nurse (RN) works under the direction of the Director of Nursing or designee providing professional nursing care to acutely and chronically ill patients. The RN is responsible for assessing patient health problems and needs developing and implementing nursing care plans maintaining medical records and educating patients about their conditions. The RN also assists in the supervision and training of other nursing staff at the Douglas County Health Center (DCHC).

Responsibilities:

Implement the nursing process and protocols including carrying out physicians orders and prescribed medical treatments.

Prioritize data collection based on patients immediate condition or needs.

Establish and maintain effective working relationships with patients supervisors County employees elected officials attorneys law enforcement judges other agencies and the public.

Comply with Civil Service policies and regulations collective bargaining agreements County policies and laws to create a cooperative safe respectful and quality work environment.

Perform duties in accordance with DCHC policies and state and federal statutes and regulations.

Observe and assess patients daily to identify interpret and document physical and emotional status and/or patterns such as assaultive or suicidal behavior and response to treatment or medication.

Develop and implement individualized patient treatment plans based on observations. Communicate insights and observations to team members including physicians.

Delegate direct or assign nursing interventions that may be performed by others.

Assist with planning orienting training evaluating and supervising the work of subordinates and other team members.

Manage medication therapy and treatment regimens; administer oral medications and injections; monitor patient response to medication assess side effects and document assessments; educate patients on the purpose dosage and side effects of medication.

Assist patients in complying with their treatment regimen.

Provide holistic care based on the whole person including health nutrition clothing and spiritual needs recognizing each patients individuality and need for specialized treatment.

Maintain accurate patient records of observations assessments and treatments.

Provide care in a nonjudgmental nondiscriminatory manner that is sensitive to the patients and familys diversity preserving their autonomy dignity and rights.

Accompany physicians on rounds and assist physicians with examinations and ordered treatments.

Educate patients staff and family members regarding overall treatment nursing plans and related patient care issues to promote awareness and understanding of health/mental health issues.

Ensure cleanliness of equipment and environment.

Assist in the daily operations and functions of the secure treatment facility. Serve as a team coordinator for an assigned shift.

Manage patients at risk for escalation.

Maintain the therapeutic environment using acceptable nursing standards and provide clinical supervision to licensed practical nurses and psychiatric nursing technicians.

Participate in or lead individual or group counseling sessions family conferences and recreational and social therapy sessions to assist patients in understanding the nature of emotional and physical problems and the need for treatment.

Admit patients obtaining medical and psychiatric history.

Obtain and record vital signs schedule tests and perform basic procedures (e.g. catheterization respiratory therapy blood draws etc.) as directed.

Provide information and education to patients and their families to decrease fear and barriers in the acceptance of psychiatric care and continuation of treatment.

Conduct and communicate shiftchange reports ensuring continuity of patient care.

Recognize and intervene when a patient is experiencing an acute episode. Provide crisis intervention ensuring patient and staff safety and security while complying with DCHC procedures and protocols.

Coordinate and direct onsite interventions as necessary.

Assist patients in obtaining proper followup care during acute hospitalization and at the time of discharge by identifying community agencies and resources to assist patients and their families with the stabilization of living in the community and referring to same.

Participate in departmental and/or team meetings to discuss patient care and progress as well as policies and procedures.

Maintain current competency in psychiatric/mental health nursing care and specific nursing procedures.

Recognize that individuals with cooccurring disorders are expected not the exception and are welcome into treatment.

Recognize DCHC provides services to individuals who may have experienced trauma.

Adhere to DCHC departmental procedures on handling use and disposal of hazardous chemicals and infectious materials.

Maintain professional behavior and demeanor.

Recommend changes to nursing services and clinic activities; assist in the development and implementation of policies procedures and protocols; and maintain updates to the department policy and procedures manual.

Assist in the orientation of new employees.

Participate in quality improvement activities.

Provide and promote a positive image of DCHC services.

Interact with staff from various community medical facilities courts and County and State agencies.

Testify in court as to the patients mental and physical condition when directed.

Perform duties of Access Nurse as assigned.

Serve as a member of various committees as assigned.

Report to work at the assigned location with regular predictable and consistent attendance.

Perform other duties as directed and assigned.

Requirements:

Associates degree Diploma or BSN from an accredited college or university in nursing required.

Must be a Registered Nurse with a current nursing license from Nebraska or a compact state recognized by the Nebraska Board of Nursing at the time of hire and maintain the license in good standing throughout the course of employment.

Nursing experience in an acute care facility preferred.

Current CPR

Covid Vaccination or Declination/Waiver

Syra Health Corp is an Equal Opportunity Employer and does not discriminate on the basis of race or ethnicity religion sex national origin age veteran disability or genetic information or any other reason prohibited by law in employment.