Crisis Services Floater Nurse

3 weeks ago

Knoxville TN United States Helen Ross McNabb Center Full time
Crisis Services Floater Nurse

Help Others, Make a Difference, Save a Life.

Do you want to make a difference in people's lives every day?
Or help people navigate the tough spots in their life?
And do it all while working where your hard work is appreciated?

You have a lot of choices in where you work…make the decision to work where you are valued

Join the McNabb Center Team as the Crisis Services Floater Nurse program today

The Crisis Services Floater Nurse

JOB PURPOSE/SUMMARY

Summary of role of team:

  • This position works within the following Crisis Programming: Behavioral Health Urgent Care Center (BHUCC) and Knox Crisis Stabilization Unit (CSU).
  • Serves as a clinical member of the multi-disciplinary team, providing treatment, rehabilitation, and support for the client population in which they have been assigned.
  • The float nurse is responsible for the direct oversight of psychiatric care to the assigned clinics or programs based off need.
  • The float nurse may be given pre-assigned coverage based off annual leave or given same day coverage if a nurse is out unexpectedly.
  • The float nurse must be adept at multi-tasking. Will be required to provide direct medical care to clients in a crisis setting, a residential setting, or in a case management role, frequently working with SPMI and clients with co-occurring issues.

Summary of position:

  • Assists training and covering for nursing staff for BHUCC and Knox CSU.
  • Works with Crisis Services RN Coordinator to ensure all shifts are covered at all times which may require working overnight, weekend, and holiday shifts.
  • Provides direct care to clients as needed and assists with crisis interventions and medical emergencies.
  • Coordinates with all team members regarding client discharge planning and serves as a liaison with other agencies as indicated.
  • This position requires certification in and adequate implementation of verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking.
  • This position requires utilizing a personal dependable vehicle to conduct Center business.
  • Maintaining a dependable vehicle and certified driver status is a condition of employment.
  • Regular attendance is an essential job function.
  • Mandatory to remain awake and alert during shift.

TYPICAL WORKING CONDITIONS/ENVIORMENT

  • Position is based within Crisis Services which provides services 24/7.
  • The role of the Crisis Services Floater Nurse is to ensure that coverage is provided 24/7 despite any weather conditions that may arise.
  • This position requires working different shifts as needed.

Daily Staff Duties:

  • Attends treatment team as available.
  • Responds to all flags, emails, and voicemails within 1-2 business days.
  • Returns calls within 15 minutes.
  • Assists with administering medications and providing staff coverage as needed.
  • Clearly communicates to team members throughout shift regarding client behaviors, needs, and any other relevant information.
  • Works in a multi-disciplinary team to meet the needs of the clients served.
  • Demonstrates a consideration and concern for fellow workers and their jobs and promotes harmonious relationships and attitudes.
  • Willingness to accept additional assignments and / or changes in assignment and/or work duties.
  • Promotes an environment in which the customs and spiritual beliefs of the individual are respected.
  • Communicates directly and approaches conflict with a problem-solving approach.

Crisis Unit:

  • Performs the initial admission nursing assessment and completes required admission paperwork including nursing assessment, nursing note and nursing admission orders.
  • Update medication tabs.
  • Update allergy lists.
  • Complete paper MAR.
  • Obtain urine drug screen, BAL and pregnancy tests upon admission.
  • Follows all established protocols and guidelines for admission prior to admitting the client to the unit.
  • Makes the determination of the appropriate admission protocols needed for each client (ex.-agitation protocol, diabetic protocol, HTN protocol).
  • Obtains admission orders from the on-call prescriber in a timely manner.
  • Completes charting for each client during every shift prior to the end of shift.
  • Completes transition paperwork and discusses medication and aftercare instructions with client and/or family. Provides copy of paperwork for clients.
  • Counts controlled substances and documents at every shift change. Notify supervisor immediately of any discrepancies.
  • Obtains and charts vital signs on every shift.
  • Monitor for significant changes in client's condition/behavior every shift and make referrals to obtain new orders as needed.
  • Administer scheduled, routine, and PRN medication in a timely manner.
  • Obtains blood sugars as ordered.
  • Triages potential referrals with Mobile Crisis and Walk in Center.
  • Coordinates arrival times for potential clients with Mobile Crisis, Walk in Center and Transporters
  • Complete C-SSRS on each client
  • Attend to guest and/or client needs during medical emergencies (ie: seizures, falls, etc)
  • Coordinate with Emergency Departments and EMS
  • Obtain Prior Authorizations
  • Answer phone calls from recently transitioned guests regarding medication issues.
  • Weekly medication counts of routine medications.
  • Update Admission/Discharge log each time a client is admitted or transitioned from unit.
  • Complete follow-up calls on weekends in accordance with program requirements.

Residential/Inpatient:

  • Perform the initial medical assessment of individual within 30 minutes of arrival.
  • Makes a determination of the appropriate detox protocol upon admission.
  • Completes all chart documentation within required time frames and adheres to licensure agency, state and CARF Standards.
  • Monitors client's vital signs and record them in EMR.
  • Will administer medications accurately and safely following the "5 Patient Rights".
  • Complete a nursing note 3 x per 8-hour shift, 4 x per 12-hour shift and PRN.
  • Review with Client ASAM Placement criteria and obtain Clients signature.
  • Will be able to complete nursing assessment within 2 hours.
  • Work with multi-disciplinary team to meet client needs and maintain clinical standards of the program.
  • Ensure that the correct Standing Orders/Protocols are noted for clients being admitted.
  • Complete all work assignment within shift worked.
  • Assist clients to obtain prescribed medications, follow up with pharmacy to ensure that the prescription is available.
  • Attend all mandatory staff meetings.
  • Must be punctual and maintain a good attendance record.
  • Perform other duties as assigned by the Nursing Manager and Team Leader.

PROFESSIONAL DEVELOPMENT:

  • Complete and maintain Relias Training Modules when required.

  • Maintain CPR and HWC certifications up to date.

  • Maintain and possess a current nursing licen

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