Nurses in the hospital setting are responsible for completing the admission process for all consumers entering the facility, assigning/supervising routine task assignments of unit staff, administering medication as needed, communicating daily with the physician regarding the consumer’s physical and mental status, attend multidisciplinary meetings as held, and deescalating or resolving crisis situations on the unit.
Essential Functions
- Completion of the admission process for consumers including: Nursing Assessments, Medical Checklist/Physical Health/Nutritional screening, Medication List, Medication Administration Record, vital signs, height/weight, transcribing physician orders, AIMS, and admission notes.
- Observes consumers behavior in groups and activities, documents observations in consumer records, interacts with consumers and evaluates needs to ensure that proper information is reported from shift to shift and during staffing with the Treatment Team.
- Supervises nursing care overseeing routine task assignments of RNs, LPNs, CNAs, and Behavioral Aides/Specialists
- Administers medications, observing the Six Rights of medication administration
- Provides medication education for the consumer and family, including uses and potential side effects. Monitors consumers for potential side effects of medications and reports findings to the physician
- Communicates effectively with the physician regarding the consumer’s physical and mental condition
- Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan
- Performs venipuncture for laboratory requests, monitor results, and reports all abnormal findings to the physician
- Provides emergency care as needed (CPR, MindSet, PRN medications), according to AltaPointe Policy & Procedures
- Assists consumers with personal care issues (bathing, toileting and other personal hygiene items)
- Demonstrates willingness to work on any unit at EastPointe or BayPointe based on facility needs and as directed by the supervisor
- Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
- Assists with Seclusion and Restraints per AltaPointe Policy & Procedures
- Effectively demonstrates the application of child/adolescent/adult competencies
- Adheres to professional code of ethics
- Seeks clinical supervision and consultation needs.
- Accepts and employs suggestions for improvement
- Actively works to enhance clinical skills
- Documents in a timely fashion per AltaPointe policy.
- Documents in a clear, concise manner types of consumer problems, treatment goals and services provided
- Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate
- Documents legibly
- Courteous and respectful attitudes towards consumers, visitors and co-workers
- Treats consumers with care, dignity and compassion
- Respects consumers’ privacy and confidentiality
- Is pleasant and cooperative with others
- Assists consumers and visitors as needed
- Personal values don’t inhibit ability to relate and care for others
- Is sensitive to the consumers’ needs, expectations and individual differences
- Is gentle and calm with consumers and families
- Administrative and other related duties as assigned
- Actively participates in Performance and Improvement activities
- Actively participates in AltaPointe committees as required
- Completes assigned tasks in a timely manner
- Accesses appropriate community resources according to consumer needs.
- Follows AltaPointe Policy & Procedures
- Maintains current state license and requirements for renewals
- Attends required in-services and workshops