Psychiatric Nursing Asst Iv

2 weeks ago


Austin, United States Health & Human Services Comm Full time

The Psychiatric Nursing Assistant IV (PNA Team Lead) performs advanced (senior level) rehabilitative patient care services work under the clinical supervision of a registered Nurse (RN) to provide quality psychiatric nursing care in an inpatient setting. Work involves coordinating emergency, health, and personal care services to patients, and instructing staff on hospital and program procedures and policies. As an integral member of the recovery team or the admissions team provides verbal and supportive communication and documentation concerning individual patient behaviors, progress or lack thereof towards individualized goals of the recovery plan. Actively participates in shift reporting and recovery team meetings, or meetings with admissions staff. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement.
- Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

**Essential Job Functions**:
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
- The PNA IV, as the Team Lead providing direction to other PNAs in maintaining direct and ongoing therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a lesser restrictive environment. Uses therapeutic communication skills in promptly and effectively engaging patients to assist them in meeting the objectives of their recovery plan. If working nights oversees a quiet and restful environment to promote the patient’s rest and sleep. If working in admissions, acts as Team Lead assigning the other PNAs to tasks that must be performed during the admission process such as performing vital signs, securing the patients personal property, presenting and explaining the patient rights booklet, all while supporting the patient as they are being evaluated for admission.
- Coordinates the observation and evaluation of patients for signs and symptoms of disease, injury, and reactions to medications that require intervention. Coordinates direct care for age specific patients as assigned by the Registered Nurse. As the team lead, coordinates assignments and specific duties for other PNAs which include assisting the patient with activities of daily living, hygiene, and eating to promote independence and self-care. Instructs other PNAs on the process of escorting patients to their therapeutic activities and off-campus appointments, escorts patients as required. Instructs other staff on specific hospital and unit/program procedures and policies.
- Documents patient’s goals, behavior, and progress and serves as a member of the patient’s recovery team. Shares information with other PNAs so they understand their role in supporting the patient’s treatment. Instructs other PNAs on how to provide verbal and written communication concerning patient’s progress or lack thereof to their individualized goals. Develops plans for treatment and instructs other PNAs on how to take an active role with the patient as they work to achieve the goals of their recovery plans and offers consistent, ongoing support to the patients in reaching their goals.
- The PNA IV Team Lead assists the licensed nurse and provides guidance to other PNAs in preparing patients for medication administration or treatment, including taking and monitoring vital signs and performing other assigned tasks within competency level. Performs duties of PNA Is, IIs, and IIIs if needed due to staff shortage.
- Uses basic computer skills and responds to questions from other PNAs on reporting procedures to communicate patient care information clearly and concisely in a timely manner.
- Actively promotes safety through the continuous monitoring of the environment and active engagement of patients to minimize unsafe situations and injuries.
- Provides objective and relevant information to the supervising RN on an ongoing basis concerning the work performance of assigned PNAs to support a more comprehensive performance evaluation and to assist in the identification of training and/or other performance improvement opportunities.
- Facilitates programming offered on the treatment unit. Co-facilitates groups as assigned or requested and encourages patients to participate.- Performs the CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specification of the American Heart Association.
- Instructs other PNAs on how to provide the RN with timely, clinically relevant patient information (such as



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