Central Receiving Facility RN

Central Receiving Facility RN (Multiple Positions Available) Reports To: Non-Exempt Regular/Full-Time Director of Nursing Supervises: MHAS, Drivers, other team members in absence of Director of Nursing JOB SUMMARY: The RN is responsible for triaging each individual as they arrive and completing the pre-admission nursing screening for all clients and nursing assessment and physician admitting orders for LMC admissions. Information gathered from the individual, family/significant other, nursing home, assisted living facility, etc. about the individual's current medical conditions, and medications currently prescribed will be documented. The individual's primary care physician and/or identified Pharmacy will be contacted if appropriate. The RN will review the findings of the nursing assessment with the psychiatrist and the inpatient unit nurse, or the nursing staff at local hospitals if the individual is being transferred. Medications ordered by physicians will be provided immediately, if needed, to alleviate any urgent medical or behavioral health symptoms. Crisis management is also provided, including initiating seclusion or Emergency Treatment Orders/Holds, if necessary. The RN provides support to the team and co-supervision of the CRF MHAs, drivers, and other team members in the absence of the CRF Team Leader. QUALIFICATIONS: Education/Experience: Official transcripts from approved college or university. Minimum of three (3) years of RN experience in a psychiatric setting preferred. Licensure or Certification: Licensure as a registered nurse in accordance with Florida Statute 464. Must obtain and maintain current CPR, First Aid, and CPI certifications. Competency/Skills Ability to perform nursing procedures and interventions in a safe and effective manner. Ability to elicit cooperation and maintain good working relationships among personnel and with medical staff. Ability to display good judgment in determining needs of unit/nursing services. Ability to determine work priorities, assign work and ensure proper completion of work assignments. Ability to maintain complete and up-to-date client record documentation. Ability to systematically obtain, analyzes, and interprets relevant data and information to determine treatment recommendations and priorities. Ability to screen for aggression or danger to others, and potential for self-inflicted harm or suicide Ability to screen for psychoactive substance toxicity, intoxication, withdrawal symptoms, and co-exiting mental health problems; and determine the client's readiness for treatment and change. Ability to effectively establish rapport, maintain appropriate therapeutic relationships, empathize and communicate with clients. Demonstration of respect and ability to ensure protection of client rights and confidentiality/privacy. Knowledge Comprehensive knowledge of nursing principles, practices and techniques; knowledge of psychiatric nursing. Knowledge of accepted ethical and professional standards of conduct. Knowledge of PI tools and techniques and ability to apply them. Knowledge of client safety principles and practices. Understanding of the range of treatment needed and knowledge of available treatment resources and their appropriate use in formulating with the client mutually agreed-upon, treatment goals and measurable objectives. ESSENTIAL/CORE JOB-SPECIFIC DUTIES AND RESPONSIBILITIES 1. Completes pre-admission nursing assessments expeditiously to help team meet the 2-hour target for disposition to a receiving facility referral for admission. Completes admission Nursing Assessments and Medication Reconciliation for ACI admissions in accordance with Client Record Handbook and unit procedure specifications. MAR'S will be initiated and administration of medication documented if medication is given in CRF. 2. Conducts "read back" process for each verbal order in accordance with Agency policy/unit proce ures. Provides and documents direct nursing care as needed in accordance with unit procedures and physician's orders. Documents according to JC standards. 3. Performs ongoing nursing supervision, assessment and monitoring of clients while they are in the Access unit. Follows-up on client medical complaints. Notifies physician of changes in client's condition. Documents ad hoc nursing care progress notes in accordance with unit procedures. 4. If medications are administered, verifies proper identification of client using two identifiers (photograph and name wrist band) for each medication administration and clinical test procedure in accordance with Agency policy/Unit procedure. Maintains unit compliance with applicable medication 1 5. management, storage and narcotic control policies and procedures. Ensures monthly medication cabinet inspections and inpatient monthly drug inspection forms