Behavioral Health RN - $10,000 Hiring Bonus

Job Description: Incumbent will be responsible for assisting in all outpatient behavioral health nursing clinics ie, MAT, OTP, Detention Center dosing, psychiatric clinic, and assist with screening and labs as needed. May be asked to change work schedule as incoming in earlier or later to assist in covering daily dosing and/or MAT clinic. Care provided will meet facility, national, and regulatory quality indicators. Utilizes best practice models to identify, share, and establish best practices for health promotion and disease prevention strategies for behavioral health including psychiatry medication management, buprenorphine and Methadone clinics Reviews the patient's health records and health summary, interviewing patients and family members, documenting the chief complaints, medical history, physical and clinical findings, identifying learning needs of the patient and family, and determining priority of care required. Assessment for health prevention, health promotion, restorative, and health maintenance needs is emphasized. Collects data from observations such as appearance, physical and psychological function, behavior, lab values, vital signs, and speaks with relevant sources (patient, family, or caregiver) regarding the biological, psychological, social, and cultural factors that might influence and impact the health status of the individual. Assesses patient needs using established clinical guidelines, SAMHSA guidelines, protocols, and pathways. Use correct screening tools to determine care needs, such as PHQ-9, Columbia Scale, COWS, etc. Develops, implements, and evaluates individualized patient care plans with input from the patient, patient's family, therapists, case managers, and anyone else the patient requests to be included for all patients with specific attention paid to those patients considered "high risk.".Develops expected patient outcomes that are observable and within an adequate time frame, and are congruent with the patient's present and potential physical capabilities and behavioral patterns. Provides patient education, advice, and information on health assessment, disease processes, medications, treatment plans, and available community resources. Documents all patient education activities within the patient's/family's level of understanding. Factors that might influence the patient's health status will be discussed with the MAT team, including providers and therapy. Contact patients for random drug screens, pill and bottle counts as indicated. Respond to phone calls regarding medication questions and refill requests. Send order request to the physician when appropriate and contact the physician when any questions or concerns. Work to ensure effective utilization of resources through efficient scheduling and patient management practices. Performs nursing interventions including, but not limited to: Detects changes in the patient's condition and takes appropriate action. Recognizes, identifies, and interprets serious situations and immediately decides proper action. Initiates appropriate resuscitative measures in an emergency situation, such as administering Narcan. Initiates appropriate action when safety measures are required to protect patients. Documents observations, nursing interventions, patient progress, needs, treatments, diagnoses, possible side effects of treatment, teaching, patient response, effectiveness, complications, and communicates information to the physician, co-workers, and other health personnel. Administers and documents medications per manufacturer guidelines, hospital policy, SAMHSA guidelines, and established protocols, and according to the state board of nursing regulations. Documents all known drug allergies in the medical record and according to protocol. Assures that all medications, treatments, and tests are done appropriately and in a timely manner, detects, and reports medication errors. Assures that proper Methadone inventory is kept per policy and SAMHSA guidelines Provides guidance, leadership, and training to other nursing personnel and behavioral health MAT support staff. Maintains a safe environment through the practice of universal precautions and body substance isolation, medical waste/chemical management, and containment. Isolates infected patients. Cleans patient contact areas and equipment according to policies and OSHA regulations. Specimen collection Participates in the development and implementation of performance improvement activities. Identifies and reports risk management issues. Assumes responsibility for the adequacy and appropriateness of supplies and ensures proper functioning of all medical equipment. Maintains cleanliness and orderliness of work areas. Promotes patient advocacy and confidentiality. Serves on committees as appointed. Maintains and promotes positive and constructive communications and activities within nursing services, other departments, tribal, and community agencies, such as syringe services for the purposes of coordinating and understanding goals and objectives relevant to the population served. Functions appropriately during disasters. Updates and maintains currency/competency in nursing practices and standards by attending training and in-services. Documents nursing care and patient progress according to hospital policy. Participates in ongoing nursing quality assurance program. It may be necessary to work when administrative leave is granted if patient care would be compromised. Other duties as assigned. Education/experience Associate's degree in nursing from an accredited program required. Bachelor's degree in nursing from an accredited program preferred. Two years of nursing experience preferred. Valid registered nurse license within the state of North Carolina. Current basic life support (BLS) required. Must have a valid North Carolina driver's license. Proficiency is rated at 2 years for a new graduate to reach the journeyman's level. Job knowledge Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs of all patient age groups from pediatric to geriatric. Knowledge of the nursing process and its application to clinical practice. Knowledge of the biological aspects of the disease process and illness in order to recognize complications and therapeutic interventions required. Knowledge of medications and dosages in order to recognize desired effects, side effects, and complications of their use. Knowledge and ability to analyze the results of various medical procedures and translate them into appropriate nursing interventions. Knowledge and ability to independently plan, manage, and organize work in order to meet priorities, accomplish work within established time frames, and work in stressful situations. Knowledge of the occupational functions of a multi-disciplinary health care team. Knowledge of the culture and medical health profile of the patient population. Knowledge and ability to teach and counsel patients/family on health maintenance and disease prevention. Knowledge of available health care programs and community resources. Knowledge of processes and procedures for establishing, revising, continually monitoring, and evaluating standards for the practice of nursing. Knowledge and skills in operating specialized medical equipment, such as monitoring devices, suction pumps, oxygen equipment, etc. Knowledge of problem-oriented medical record methods. Knowledge of legal and ethical aspects of nursing. Complexity of duties The RN role requires flexibility and the ability to lead team members who possess a variety of personalities. The RN role necessitates the incumbent to always maintain a high level of integrity, poise, and control. The nurse provides a full range of comprehensive nursing care that includes assessing patient needs, development of a plan of care, administration of medications and therapeutic measures, operation of specialized medical equipment, evaluation of the plan of care to ensure that the physical and psychosocial needs of the patient are met and counseling and teaching of patient and families. The nurse must recognize and respond appropriately to patient conditions that deviate from normal and identify, analyze, and report on causative factors and reactions. Guidelines consist