The Psychiatric RNs will perform nursing services at the Inpatient Treatment Facility, Behavior Health Clinic, or other locations on or around Evans Army Community Hospital, Fort Carson, CO. The quality of registered nursing services shall meet or exceed reasonable standards of professional practice for health care. The Psychiatric RNs shall:
o Independently review and revise patient's nursing care plans.
o Provide care appropriate to the age of the patient served on the behavioral health ward. Review principles of growth and development over the life span. Assess and interpret data about the patient's status to identify each patients' age specific needs and provide the care needed by the pediatric, adolescent, adult, and/or geriatric patient group.
o Describe the patient's appearance, emotional status, interaction with staff and/or family, and communicate knowledge level of disease process, both verbally and written. Interpret patient's verbal and non-verbal actions/responses.
o Evaluates psychiatric patients and plans, implements and documents nursing care. Assist physicians during psychiatric assessments and mental status examinations. Performs a comprehensive behavioral health nursing assessment and history to plan, provide and direct nursing care across the continuum of care based on physician's medical care plan and the physical, mental and emotional needs of the patient. May conduct individual and group psychotherapy sessions.
o Implement fall precautions, behavioral restraints and other protective measures. Identify protective measures for staff, patient, and oneself when dealing with combative patients. Restrain patients in compliance with MTF regulation.
o Maintain composure and react appropriately while relating to patients and families to manage distraught, irritable, unreasonable or angry individuals; and to maintain positive rapport with all individuals involved in patient care. Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
o React with alertness and skill in any emergency situation, e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction. Utilize appropriate nursing personnel to assist in delivery of care when indicated. Be able to initiate life saving measures in the absence of a physician.
o Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). Plans appropriate nursing care.
o Obtain patient history and pertinent family history, and document plan of care and care given in patient’s clinical record.
o Transcribe or verify transcription of physician orders. Carry out prescribed physician orders and document in patient medical record. Communicate pertinent patient data to charge nurse and/or physician as appropriate, reassess patient's condition and revise plan of care based on identified nursing problems.
o Possess knowledge of the pharmacology of most commonly used emergency drugs, anticipated results, usual dosages, and their location on crash cart, administer medications, and assess and document patient response to medications administered. Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished. Administer inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.
o Obtains laboratory specimens as needed. Interprets pertinent lab values.
o Participates in Discharge Planning as appropriate.
o Provides nursing care to a group of patients with other individuals assisting him/her, which may include making patient care assignments.
Work Schedule: The Inpatient Treatment Facility, Behavioral Health Clinic is operational 24 hrs/day, 7 days a week, including Federal and Training Holidays. The Psychiatric RNs will be scheduled on a rotating basis to include day, evening, night and weekend shifts which may be eight, ten, or twelve hour shifts, but will not exceed more than an average of 40 hours per week. Overtime is authorized for direct patient care and will average approximately 1 hour per week. There is no On Call requirement.
Qualified Psychiatric Registered Nurses will have:
o A Bachelor of Science Degree in Nursing (BSN) from an accredited college or university and/or a graduate of an accredited National League of Nursing School.
o A current and valid state license (with no limitations, stipulations, or pending adverse actions) to practice as a Registered Nurse from one of the 50 states, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.
o A Current Basic Cardiac Life Support (BCLS) certificate by the American Heart Association.
o A minimum of one-year experience within the last three years caring for adult psychiatric patients.
o Specialized knowledge of psychiatric nursing principles and procedures to ensure quality psychiatric nursing care.
o U.S. citizenship and ability to pass a Department of Defense security and background check.
The Psychiatric Registered Nurses will have:
o Knowledge of substantial previous professional clinical nurse training and experience in nursing care principles, practices and procedures required to assess needs of patients.
o Knowledge and skills of basic nursing practices including emergency cardiac arrest (CPR) procedures. Operation of defibrillator, crash cart equipment, cardiac monitoring, cardioverter, and suction apparatus, intravenous injections.
o Knowledge of principles of pharmacology and the preparation and administration of medications. Must have knowledge of psychotropic medications and special drugs, including normal dosage, administration, action, and adverse reactions.
o Skills to evaluate the effectiveness of the plan of care provided.
o Ability to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other health care providers.
o Sufficient initiative, interpersonal relationship skills and social sensitivity such that they can relate to a variety of patients from diverse backgrounds.
o Ability to operate a personal computer utilizing Microsoft applications, such as Word, Excel, and efficiently utilize an Electronic Medical Record.
o Competitive Salaries
o Medical, Dental, and Vision
o Life and Disability
o 401(K) with Company Match
o Cafeteria Plan
o Performance Awards/Recognition
o 10 Paid Federal Holidays
o 15 Days of Paid Time Off