Responsibilities River Vista Behavioral Health sits along the bluffs overlooking the San Joaquin River, this brand new, 128-bed facility, will provide high-quality and advanced behavioral health services to residents and visitors in the Central Valley. The new hospital will employ more than 250 people, including clinicians, nurses, mental health technicians, support staff and administration.
The Intake/Admissions RN is a registered professional nurse who is responsible for assessing the medical bond behavioral needs of the patient and assisting in the process of responding to referrals and other requests for services and information.
QUALIFICATIONS
Education: Graduate from an accredited program of professional nursing required; bachelor’s degree preferred.
Experience: A minimum of three (3) years’ experience in a psychiatric health-care facility preferred.
Licensure: Currently licensed to practice by the California State Board of Nursing.
Additional Requirements: A working knowledge of the DSM-IVR and the Mental Status Exam. A working knowledge of the Addiction and Recovery field. CPR certification and successful completion of CPI (Crisis Prevention Intervention) training. Training may be obtained during new hire orientation.
STANDARDS OF PERFORMANCE
THE ESSENTIAL JOB FUNCTIONS ARE CATEGORIZED UNDER THE JOINT COMMISSION STANDARDS OF PERFORMANCE.
Admission Duties
- Conduct and document the complete Nursing Assessment, including an admission summary and nutrition assessment (not to exceed 48hrs)
- Identify, document and prioritize mental/medical problems, including the need for detoxification as appropriate.
- Obtains admission orders from physician and completes nursing admission notes.
- Transcribes and notes Doctor’s Orders.
- Initiate the Initial Multidisciplinary Treatment Plan, noting Initial Diagnosis, Psychiatric/Psychosocial problem (minimum of 1) and obtain patient’s signature if applicable.
- Inventory Patient’s Home Medication with patient’s signature and notify House Supervisor to retrieve for patient lock-up until discharged.
- Initiate Close Observation (CO) forms.
Assessment
- Document patient information and nursing care in the provision of nursing services.
- Report any signs or symptoms of infection in patients to the Infection Control Nurse.
- Verify the accuracy of patient records.
Intervention
- Employ principles of communication, interviewing techniques, problem solving and crisis
intervention when performing psychotherapeutic interventions. - Intervention is based on knowledge of psychiatric and medical nursing procedures, as well as
the plan of care. - Utilize appropriate interventions in psychiatric and medical emergencies.
Treatment Planning
- Prioritize and formulate an initial plan of care based on patient assessment and according to policy.
Milieu
- Consistently utilize universal precautions and environmental safety guidelines.
- Utilize self as a role model to promote health communication.
Performance
- Participate in quality assurance programs.
- Collaborate with other team members.
- Act as the patient's advocate and assure that patient rights are upheld.
- Comply with established measures for infection control, OSHA regulations and risk management.
- Utilize time constructively and in an organized manner to accomplish assigned responsibilities.
- Demonstrate guest relations in communication, cooperation and in giving assistance to patients, physicians/licensed practitioners, co-workers and visitors in a prompt and courteous manner.
- Follow facility, departmental and personnel policies and procedures
- Comply with the employee Code of Ethics.
- Works overtime in a case of emergency or as deemed necessary by supervisor.
- Attends mandatory educational programs and annual in-services.
- Performs other duties and responsibilities as assigned by supervisor.
Additional Responsibilities
- Receive referral calls, obtain minimal demographic information, and refer the call to the appropriate source or schedule an assessment.
- Process all requests for information and external referrals.
- Completes pre-certifications as needed.
- Assist in arranging for admission of patients, including alerting the business office staff to begin the verification of benefits, initiating calls to physicians and other related tasks as directed by the Case Manager.
- Determine what Releases of Information are needed, and process them accordingly, per policy. Assist in obtaining needed records and information.
- Arrange disposition and community resources. Communicate with the designated Treatment Coordinator as indicated.
- Maintain all statistics; provide support to the Outcome Study, and other data, as assigned.
- Maintains good communication with the Utilization Review, Business Office, and other staff as
- Maintains log of received calls and disposition of the calls, and other informational tools as
- Establishes and maintains effective relationships with customers, practicing good standards of customer service.
- Responsible for assessing, diagnosing and treatment a variety of patient populations.
- Responsible for working with children, adolescents, adults, and senior populations. Must be familiar with common diagnoses with these population groups and familiar with specific assessment interviewing skills for each population group.
- 85% of work time is spent providing direct patient care including assessment, diagnosing and direct treatment intervention. The remaining work time is spent completing non-direct duties, i.e. clinical supervision and clinical documentation.
- Maintain all statistics; provide support to the Outcome Study, and other data, as assigned.
- Maintains good communication with the Utilization Review, Business Office, and other staff as
- Maintains log of received calls and disposition of the calls, and other informational tools as
- Establishes and maintains effective relationships with customers, practicing good standards of customer service.
- Responsible for assessing, diagnosing and treatment a variety of patient populations.
- Responsible for working with children, adolescents, adults, and senior populations. Must be familiar with common diagnoses with these population groups and familiar with specific assessment interviewing skills for each population group.
- 85% of work time is spent providing direct patient care including assessment, diagnosing and direct treatment intervention. The remaining work time is spent completing non-direct duties, i.e. clinical supervision and clinical documentation.
Qualifications Specific Standards for the Care of Child Patients Ages 5 through 11
- Maintain knowledge of the Child Program rules, protocols and handbooks guidelines.
- Maintain knowledge of children's stages of development and seek guidance from the nurse in charge when questions about the norms for the behavior related to child development arise.
- Assess patients for behaviors consistent with the developmental stages and make note of any deviations in behavior.
- Recognize acting out behavior of child specific age group and set appropriate limits in clear, concise, behavioral and non-judgmental terms based on the age of the patient.
- Demonstrate an awareness of learning disabilities and translates treatment/program expectations to the learning-disabled child.
- Relate to child patients in an age-appropriate manner.
- Utilize seclusion and restraint procedures with an understanding of the need for modification in regard to smaller body sizes of children, abandonment issues and the history of physical and/or sexual abuse
Specific Standards for the Care of Adolescent Patients Ages 12 through 18
- Maintain knowledge of the Adolescent Program rules, protocols and handbooks guidelines.
- Assess patients for behaviors consistent with the developmental stages and makes of any deviations in behavior.
- Recognize acting out behavior of adolescent specific age group and set appropriate limits in clear, concise, behavioral and non-judgmental terms based on the age of the patient.
- Demonstrate an awareness of learning disabilities and translates treatment/program expectations to the learning-disabled adolescent.
- Relate to adolescent patients in an age-appropriate manner.
- Utilize seclusion and restraint procedures with an understanding of the need for modification in regard to smaller body sizes of adolescents, abandonment issues and the history of physical and/orsexual abuse issues.
Specific Standards for the Care of Adult Patients Ages 19 through 64
- Gather information from the patient, family and interdisciplinary team and use judgments based on knowledge of adult behaviors in treatment planning and interventions.
- Recognize behaviors and set appropriate limits in clear, concise, behaviors and non-judgmental terms.
- Utilize seclusion/restraint procedures applicable to adult body size and past history of violent or emotional behaviors and/or history of physical and/or sexual abuse issues.
- Maintain current knowledge of the Adult Program rules, protocols and handbook guidelines.
- Utilize theoretical concepts to guide the effective practice of adult care within Specific Standards of Care for this age group.
Specific Standards for the Care of Geriatric Patients Ages 65 and older
- Maintain a knowledge of the developmental tasks and sociological theories of aging.
- Utilize theoretical concepts to guide the effective practice of gerontological health care and behavioral care.
- Gather the appropriate information from the patient, family and interdisciplinary team and use
therapeutic judgments based on knowledge of gerontological health/behavioral care practices to develop a comprehensive plan of care. - Utilize interventions based on gerontological theory to restore patient functional capabilities and to prevent complications and excess disability.
- Maintain a complete knowledge of treatments, medications and side effects of such in the geriatric age group.
- Specific Standards for the Care of Chemically Dependent Patients
- Assesses patient needs as related to chemical dependency and document the plan of care from the admission through discharge.
- Maintain an awareness of how personal issues relating to co-dependency can impact work performance/relationships.
Additional Standards
- Adhere to facility, department, corporate, personnel and standard policies and procedures.
- Attend all mandatory facility in-services and staff development activities as scheduled.
- Adhere to facility standards concerning conduct, dress, attendance and punctuality.
- Support facility-wide quality/performance improvement goals and objectives.
- Maintain confidentiality of facility employees and patient information.
Note: The essential job functions of this position are not limited to the duties listed above. KNOWLEDGE. SKILLS. AND ABILITIES
- Knowledge of all code procedures.
- Skill in organizing and prioritizing workloads to meet deadlines.
- Knowledge of Mental Health Laws and Child Abuse/Neglect maltreatment laws, and the DHS provider agreement as applicable.
- Skill in telephone etiquette and paging procedures.
- Effective oral and written communication skills.
- Ability to communicate effectively with patients and co-workers.
- Ability to adhere to safety policies and procedures.
- Ability to use good judgment and to maintain confidentiality of information.
- Ability to work as a team player.
- Ability to demonstrate tact, resourcefulness, patience and dedication.
- Ability to accept direction and adhere to policies and procedures.
- Ability to work in a fast-paced environment.
- Ability to meet corporate deadlines.
- Ability to react calmly and effectively in emergency situations.
PHYSICAL, MENTAL, AND SPECIAL DEMANDS
MODIFICATIONS TO THE MANNER IN WHICH THIS JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE BYCASE BASIS.
- Ability to sit and stand (one-third of the shift) and walk (two-thirds of the shift).
- Ability to reach above, at or below waist height, kneel, bend, stoop, turn, twist, and throw
(occasionally to frequently). - Ability to see well enough to read charts, treatment plans and typewritten materials.
- Ability to hear well enough to detect noises on the unit and have the ability to discern odors.
- Ability to frequently lift and carry 10 lbs.; occasionally 20-50 lbs.
- Ability to frequently push/pull wheeled carts from 100-200 lbs.
- Ability to manipulate small and large tools (electric thermometer, telephone, wheelchair, blood
pressure cuffs, walkers, paper punch, addressograph, restraints, staplers, EKG machine, copy machine, etc.)
Ability to spend 95% of the work day inside in temperatures varying from 60°-90° F., where noise levels range from low to high and the ability to spend 5% of the work day outside in temperatures varying from 30°-110° F.- Ability to frequently handle hazardous/infectious waste.
- Ability to work in an environment where chemicals are frequently used for cleaning, where mechanical and electrical hazards may occasionally be present and where dust, mist and steam are frequently generated in housekeeping tasks.
- Ability to work at a rapid pace and perform a variety of repetitive duties.
- Ability to respond to exposure to blood and body fluids.
Additional Requirements:
A strong knowledge of The Joint Commission, HCFA, OSHA regulations, and patient rights standards and all other applicable federal and state laws and regulations governing mental health care facilities.
One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500 and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.
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