Night Crisis Care Center Registered Nurse (RN)
Registered Nurse (RN)Normal Work Hours/Days: 7:00pm-7:30am (3-12 hour shifts weekly)Location: Crisis Care CenterSalary Range: $27.76 - $46.35The Crisis Care Center is designed to provide crisis stabilization to individuals experiencing a behavioral health and/or substance use crisis and reduce pressure on law enforcement and local emergency departments. Once the crisis has been resolved and the individual has been stabilized, they will be linked with a community mental health provider for on-going services. This position is a direct service provider for the Crisis Care Center. The individual hired for this position is responsible for the coordination of medical, nursing and program services for individuals with mental health, substance use, and co-occurring disorders. The individual hired will be responsible for the initial nursing assessment of clients when they present to the Crisis Care Center to assure stabilization. This individual will also interpret medical information and assist or administer medications.PRIMARY JOB FUNCTIONS:Complete all admission and discharge paperwork including nursing assessments, physical assessments on individuals with mental health/substance abuse symptoms exhibiting a state of crisis and needs with development of nursing care plansObtain medical histories and provide medical screeningMonitor, record and report symptoms and changes in individuals' conditions by observation using proper nursing care to the Provider and Nurse Manager and document individual progress or lack thereofResponsible for updating the initial treatment plan with any medical issues, in conjunction with other staffComplete required daily shift note for all individuals on Extended ObservationEnsure all chart checks, CIWA, COWS, vitals are completed on the shift and all required logs (refrigerator, temperature logs) are updated on the siftTranscribe orders if neededCoordinate and implement discharge plans to outside community agencies and providersFollow-up on medical concerns by providing direct nursing services to clientsMonitors with or without observation, withdrawal complications, possible medication side effects and emerging symptoms of mental illnessDemonstrate competency for Blood Glucose Monitoring, Alcohol Breathalyzer, Urine Drug Screen, Pregnancy Test, and PPD skin testsMonitor and document all ordered labs, screenings, and results such as PPD, Blood Glucose, UA, RPR, Blood Chem, and CBCPerform safe phlebotomy practices when drawing blood labsProvides health education to groups and/or individualsMaintains up to date, well documented medical records in compliance with state and program requirementsParticipates in case reviews as a member of the multidisciplinary teamAdministers medications and conducts audits on medication record documents to ensure accountability and compliance with medical directionIntervene, stabilize and manage acute crisis situations as neededAssist with seclusions and restraints when necessary and complete all required paperwork (i.e. seclusion/restraint packets and incident reports by the end of the shift)Other duties and tasks as assignedPerform all administrative duties as requiredOther duties as assignedMINIMUM QUALIFICATIONS:Registered nurse with a current Alabama Nursing licenseTwo years experience working with serious mental illness and/or substance use populations preferredFamiliarity with psychotropic and neuroleptic drugs, their uses as well as potential side effectsValid American Red Cross CPR/First Aid certificationValid Alabama drivers licenseKNOWLEDGE, SKILLS, & ABILITIES:Knowledge of the seriously mentally ill and substance use populationKnowledge of special needs and behavioral characteristics of the seriously mentally ill and/or substance use adult populationAssessment skills in the areas of physical and mental statusFamiliarity with psychotropic and neuroleptic drugs, their uses, and potential side effectsKnowledge and ability to properly administer psychotropic/neuroleptic drugs as ordered by the prescriberKnowledge of legal and ethical issues relative to confidentiality of client records and the ability to interpret and apply them within the scope of nursing responsibilitiesWorking knowledge of clinical interviewing techniques and principlesEffective communication skills, written and expressiveAbility and willingness to document activities and maintain records in the electronic health record