Registered Nurse
WestCare
Provides professional nursing care to clients who are voluntarily and involuntarily admitted to the crisis stabilization and detoxification units of the clinic.
Example Job Duties:
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 individuals 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plan and policies and procedures Responds promptly per treatment plan and policies and procedures to inappropriate, withdrawn, agitated, or vegetative client behavior 100% of the time
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