Nurse RN

2 weeks ago


Cedartown, Georgia, United States Highland Rivers Behavioral Health Full time
Job Summary:

The Registered Nurse (RN) or Licensed Practical Nurse (LPN) is responsible for delivering high-quality individual care through the nursing process of risk assessment, admissions, discharges, administering medication, unit management, and crisis management on the Crisis Stabilization Unit (CSU).

Key Responsibilities:
  • Complete all admission and discharge paperwork, including nursing assessments, for individuals with mental health/substance abuse symptoms exhibiting a state of crisis.
  • Monitor all aspects of individual care, including diet and physical activity, and report any concerns to the APRN and CSU Nurse Manager.
  • Monitor, record, and report symptoms and changes in individuals' conditions by observation, using proper nursing care to the APRN and CSU Program Manager, and document individual progress or lack thereof.
  • Complete required daily shift notes for all individuals on CSU.
  • Ensure all chart checks, CIWA, COWS, vitals are completed on the shift, and all required logs (refrigerator, temperature logs) are updated on the shift.
  • Transcribe orders if needed.
  • Complete daily assignment sheet.
  • Review/update BHL board to ensure accurate and complete census.
  • Maintain stock of supplies in department.
  • Provide education to individual and/or family in line with appropriate Release of Information.
  • Provide education to individuals regarding treatment and aftercare individually.
  • Facilitate groups and activities on the unit with the individuals.
  • Assist with service-related compliance.
  • Intervene, stabilize, and manage acute crisis situations as needed.
  • Consult with other outpatient site staff regarding individual's.
  • Assist in training co-staff in areas relating to service specialties as needed.
  • Maintain confidentiality for all indirect/direct service in accordance with agency policies and HIPAA policies.
  • Demonstrate competency for Blood Glucose Monitoring, Alcohol Breathalyzer, Urine Drug Screen, Pregnancy Test, and PPD skin tests.
  • Monitor and document all ordered labs, screenings, and results such as PPD, Blood Glucose, UA, RPR, Blood Chem, and CBC.
  • Perform safe phlebotomy practices when drawing blood labs.
  • Assist 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).
  • Attend case staffing/treatment team meetings.
  • Maintain clinical records in accordance with agency policies.
  • Ensure timely completion of agency required trainings/workshops.
  • Participate in meetings as needed.
  • Other responsibilities and tasks as may be assigned.

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