The Inpatient Mental Health RN manages the nursing care of psychiatric patients in accordance with established protocols, procedures and policies of the Columbia VA health care system. The incumbent will work on Recovery East (Inpatient Psychiatric Unit), a locked 20-22 bed unit. The RN is responsible for monitoring the care of the Veteran and is responsible and accountable in maintaining Nursing Practice. Makes assignments and directs activities of other unit staff (RN, LPN, NA). Recognizes subtle changes in patient's condition and responds timely, choosing the correct interventions. Performs ongoing assessment of patient condition and response to treatment. Initiates referrals to other disciplines and/or services as appropriate. Assesses the patient's learning needs, learning preference, and readiness to learn. Accurately documents in the medical record patient findings, assessments, and care provided Documentation is technically informative, complete, accurate, consistent, concise, and timely. Revises Multidisciplinary treatment plan based upon on-going patient assessment and evaluation. Uses the Computerized Patient Record System (CPRS) and the Bar-Coded Medication Administration (BCMA) software per policy. Demonstrates a knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff. Establishes constructive and professional relationships with individual patient and their families to elicit feelings and attitudes, and to promote positive relationships, communication, and socialization skills. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Organizes and prioritizes duties in order to meet changing patient care needs and staff assignments. Assigns patient care responsibilities based upon patient needs and competencies of staff. Participates in goal oriented patient education groups. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. Ensures that patients that are of high risk such as suicide/homicide or aggressive behaviors, active withdrawal from substances are provided the appropriate care to ensure their safety. In some instances, patients may be placed on one to one monitoring or close observations. On some occasions if clinically warranted, RN (and those she/he supervises) may have to use restraints/seclusion if all other alternative interventions have been tried which includes de-escalation techniques. All patients receive a q 15-minute round check by a member of the nursing staff. A nursing care generated plan of care is formulated, a safety plan based on nursing assessments, using the nursing process, and high risk criteria based on the ANA Standards of Nursing Practice and Suicide Prevention policy. Must use equipment correctly and accurately interprets data. Work Schedule: 7:00 am to 3:30 pm, 3:00 pm to 11:30 pm, 11:00 pm to 7:30 am. Subject to change based on the needs of the agency. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.