Nurse I

Job Description:
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below.

The Nurse I (Staff Nurse) performs entry-level to routine (journey-level) nursing work at a competent level in the state hospital under the supervision of the Charge Nurse or Nurse Manager (Nurse II/III). Conducts comprehensive assessments of patients nursing care needs using specialized skills in an inpatient psychiatric setting. Identifies nursing diagnoses or problem lists and formulates an initial plan of care based on assessment data. Establishes unit routines and develops and maintains the therapeutic milieu. Makes observations of patient behavior and status and reports to the psychiatrist, other recovery team members, and supervising nurse, as appropriate. Carries out nursing interventions as identified in the multidisciplinary recovery plan. Administers medications as ordered and maintains medication administration and controlled drug records according to facility policy. Trains other staff members as necessary, or as requested. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment.

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.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations. 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.

Performs comprehensive assessment of patients' nursing care needs including physical, behavioral, psychiatric, and social needs.

Observes and analyzes patient behavior and status, and documents in the medical record or reports, as needed, to other team members, including the attending psychiatrist.

Develops or contributes to the development of the individualized recovery plan in collaboration with other recovery team members, based on data obtained from the assessment.

Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs.

Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies.

Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population.

Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy.

Establishes and monitors the therapeutic milieu assuring a safe and therapeutic environment for the patients.

Provides training to other staff in psychiatric nursing principles, unit routines, and milieu management.

Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members.

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.
Knowledge Skills Abilities:
Knowledge of nursing techniques and procedures

Knowledge of medical diagnoses and procedures

Knowledge of accepted medical treatment programs

Knowledge community health and nursing care principles, practices, and procedures

Skills in the care and treatment of patients

Skills in the use of a computer and applicable software

Ability to provide patient care

Ability to prepare and maintain records

Ability to communicate effectively both orally and in writing

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