Description

Help Others, Make a Difference, Save a Life.

Do you want to make a difference in people's lives every day?
Or help people navigate the tough spots in their life?
And do it all while working where your hard work is appreciated?

You have a lot of choices in where you work…make the decision to work where you are valued!

Join the McNabb Center Team as the Hamblen CSU Registered Nurse today!

The Hamblen CSU Registered Nurse

JOB SUMMARY

• Serves as a clinical member of the multi-disciplinary team, providing treatment, rehabilitation, and support for client population.
• The CSU RN must be adept at multi-tasking.
• Provides direct medical care to clients in a CSU setting including clients in varying levels of crisis, frequently working with SPMI and clients with co-occurring issues.
• Assists with crisis interventions and medical emergencies, obtains vital signs each shift or more frequently as indicated.
• Administers intramuscular injections, communicate with PCPs during recovery partnership and transition phases, and liaison with other agencies as indicated.
• RN is responsible for triaging referrals, completing RN intake/assessments on all clients admitted during their shift, obtaining urine drug screens, BAL and pregnancy tests on admissions, obtaining admission orders, dispensing routine and PRN medications, taking orders from prescriber and updating MAR, completing electronic and paper charting in a timely manner and participating in treatment team meetings.
• Additionally, RN may take calls from recently discharged clients requesting bridge prescriptions, follow-up calls on weekends, obtain prior authorizations and coordinate with pharmacies.
• RN collaborates with Mobile Crisis and Walk in Center assisting with clients being referred to higher level of care, completing S-BARs.
• Required to be certified in and adequately implement verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking.
• Schedule requires 12 hours shifts and rotating weekends.
• Regular attendance is an essential job function.
• This position requires certification in and adequate implementation of verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking.

TYPICAL WORKING CONDITIONS/ENVIRONMENT

• This position is housed at the Hamblen County Campus and requires both office-based clinical and administrative work and community-based clinical interactions.
• The CSU RN will be responsible for engaging clients, peers, and community members in a professional and therapeutic manner.
• Schedule requires 12 hours shifts and rotating weekends. Regular attendance is an essential job function.
• Telehealth and doxy may be used at times for services resulting in phone/computer sessions for specific cases.

1. Daily Staff Duties

• Performs the initial admission medical assessment and completes required admission paperwork including nursing assessment, nursing note and nursing admission orders.
• Update medication tabs.
• Update allergy lists.
• Complete paper MAR and EMARs.
• Obtain urine drug screen, BAL and pregnancy tests upon admission.
• Follows all established protocols and guidelines for admission prior to admitting the client to the unit.
• Makes the determination of the appropriate admission protocols needed for each client (ex.-agitation protocol, diabetic protocol, HTN protocol).
• Obtains admission orders from the on-call prescriber in a timely manner.
• Completes charting for each client during every shift prior to the end of shift.
• Completes transition paperwork and discusses medication and aftercare instructions with client and/or family. Provides copy of paperwork for clients.
• Counts narcotics and documents at every shift change. Notify supervisor immediately of any discrepancies.
• Obtains and charts vital signs on every shift.
• Monitor for significant changes in client's condition/behavior every shift and make referrals to obtain new orders as needed.
• Administer scheduled, routine, and PRN medication in a timely manner.
• Obtains blood sugars as ordered.
• Triages potential referrals with Mobile Crisis and Walk in Center.
• Coordinates arrival times for potential clients with Mobile Crisis, Walk in Center and Transporters
• Complete C-SSRS on each client
• Attend to guest and/or client needs during medical emergencies (ie: seizures, falls, etc)
• Coordinate with Emergency Departments and EMS
• Obtain Prior Authorizations
• Answer phone calls from recently transitioned guests regarding medication issues
• Weekly medication counts of routine medications
• Update Admission/Discharge log each time a client is admitted or transitioned from unit.
• Complete follow-up calls on weekends in accordance to program requirements.

2. Team Building

• Must be punctual and maintain a good attendance record.
• Participates in daily treatment team meetings.
• Participate in shift reports.
• Coordinate transitions with other staff.
• Maintains a positive and professional working relationship with all staff members and supervisors.
• Communicates and approaches conflict in a problem-solving manner with staff and supervisors.
• Accepts additional assignments and/or changes in assignments to meet the needs of Crisis Services.
• Assists Mobile Crisis and Walk in Center when necessary to obtain vital signs on clients being referred to a higher level of care.
• Promotes an environment in which cultural diversity and customs, values and beliefs of individuals are respected.
• Schedules and covers as needed for program. This includes after hours, weekends and holidays since programs in this division are 24/7.
• Will provide client transport as needed.

JOB DUTIES/RESPONSIBILITIES

This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment.

1. Primary General Responsibilities:
2. RN will perform the initial admission medical assessment and complete/update all required paperwork including, but not limited to, assessments, notes, logs, checks, protocols, and admission orders for each client by the end of shift.
3. RN will monitor the CSU client floor flow daily and monitor for significant changes in client's condition/behavior every shift and make referrals to obtain new orders as needed.
4. RN will count narcotics, perform vitals, complete screenings (drug, pregnancy, BAL, etc), and administer scheduled, routine, and PRN medication in a timely manner.

2. Secondary General Responsibilities:

• RN will maintain a positive and professional working relationship with all staff members and supervisors evidenced by addressing any concerns/issue in a professional, confidential manner.
• RN will accept additional assignments and/or changes in assignments to meet the needs of the CSU/WIC/MCU. RN will provide coverage as needed and be willing to transport clients.

COMPENSATION:

• Starting salary for this position is approximately $31.51/hr based on relevant experience and education.

Schedule:

• The Hamblen Crisis Stabilization Unit (CSU) will operate 24/7, 365 days a year.
• The holder of this position will be expected to work shifts that meet the needs of the program operation, which may include day, night, weekend, and holiday hours.
• Regular attendance is an essential job function.

Travel:

• This position requires utilizing a personal dependable vehicle to conduct Center business.
• Maintaining a dependable vehicle and certified driver status is a condition of employment.

Equipment/Technical Competency:

• Daily computer competency required.
• Must be able to use Word and Excel programming proficiently.
• Typing and basic computer knowledge is required.
• Must be able to use a scanner/printer and have professional phone etiquette.

QUALIFICATIONS - Hamblen CSU Registered Nurse

Experience:

• Experience in psychiatric nursing preferred.
• Experience in working with special populations including individuals with Severe and Persistent Mental Illness and Co-Occurring Disorders preferred.
• Computer experience is required.
• Experience working in a crisis setting preferred.

Education / Knowledge:

• RN with current Tennessee license and experience in psychiatric nursing preferred.
• BSN or ANA certification as Psychiatric/Mental Health Nurse preferred.
• Should have sound knowledge of psychiatric medications, diagnoses, treatment modalities and interventions.
• Ability to use computer.
• Be familiar with Microsoft Office and EMR.
• Schedule requires 12 hours shifts and rotating weekends.
• Regular attendance is an essential job function.

Physical:

• Exposure to biological hazards.
• Hearing of normal and soft tones.
• Close eye work.
• Frequent exposure to unpleasant odors.
• Schedule requires 12 hours shifts.
• Lifting up to 50 lbs.
• Pushing/pulling up to 250 lbs.
• Frequent sitting, standing, walking, bending, stooping, and reaching.
• Physical de-escalation techniques will only be implemented at McNabb Center facilities, and not in community settings.
• Current CPR/First Aid certification required. (training provided)
• Mandatory to remain awake and alert during shift.
• Must have mental ability to exercise sound judgment under pressure.

Location:

• Hamblen County, Tennessee

Apply today to work where we care about you as an employee and where your hard work makes a difference!

Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.

Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply.

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