Company: Choctaw Global Staffing
Location: Portsmouth Naval
Contract Number: NE Navy

Description

Registered Nurse

Psychological Health/Traumatic Brain Injury (PH/TBI)

NMC Portsmouth, VA

RNs will provide services in support of NMC Portsmouth, VA. The primary site of services shall be located in the Directorate for Mental Health, Mental Health Department, Continuity of Psychiatric Care (CPC).

Qualifications

  • Possess a Baccalaureate Degree in Nursing, a Graduate Diploma in Nursing, or an Associate Degree in Nursing, from an accredited agency such as the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
  • Possess and maintain a current unrestricted license to practice as a registered nurse in any one (1) of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.
  • Possess a minimum of one (1) year outpatient experience as a Psychiatric Registered Nurse within the last two (2) years.

Hours

  • Services shall normally be provided Monday through Friday, between the hours of 6:30 am and 9:00 pm, 8 hours to include 30 minute lunch break. The specific hours shall be schedule one (1) month in advance by the supervisor.
  • Services may be required on Federal Holidays.

Duties

  • Perform a full range of RN duties in accordance with this assignment including: triage; patient assessment and monitoring; use of patient monitoring and treatment equipment; appropriate nursing care, procedures, and treatments; execution of physicians' orders within the guidelines of standard nursing practice; documentation of patient care and observations; and patient education and emotional support.
  • Assess each patient and perform triage duties as assigned.
  • Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
  • Evaluate effectiveness of self-care given by all health team members, and contribution of systems, environment, and instrumentation in progressing patient toward outcomes.
  • Provide treatment and discharge instructions upon patient release.
  • Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, psychological, and cognitive status.
  • Provide a safe and clean environment for each patient.
  • Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
  • Assist in planning, provide clinical guidance and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.
  • Demonstrate sound knowledge base and action in the care and decision making for designated patient populations.
  • Perform documentation (manually and/or by use of computer) duties on unit and in-patient record that are timely, accurate, and concise.
  • Participate actively in staff development for unit and Directorate personnel and evaluation of personnel.
  • Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.
  • Implement care in a knowledgeable, skillful, consistent, and continuous manner,
  • Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.
  • Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.
  • Safely administer prescribed medications to include intravenous drips and intravenous push drugs.
  • Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
  • Perform documentation (manually and/or by use of computer) duties on unit and in-patient record which are timely, accurate, and concise.
  • Participate actively in multifaceted staff development activities at the unit, Director, and command level, such as teaching formal and informal classes, acting as a role model, educator and mentor to new paraprofessional personnel with the goal of helping them successfully complete competency based skills list and weekly goal setting, assisting in the Command's Basic Cardiac Life Support classes and promoting staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.
  • Demonstrate self-directed learning.
  • Participate in development and attainment of unit and Nursing Directorate goals.
  • Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately.
  • Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action.
  • Practice effective problem identification and resolution skills as a method of sound decision making.
  • Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.
  • Provide individual, group, and family/significant other counseling and health teaching in relation to the patient's condition and his/her ability for self-care. Provide for accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.
  • Participate in the orientation and training of newly assigned unit personnel. Participate in cross-training initiatives.
  • Provide input into competency assessments of newly assigned unit personnel.
  • Collaborate in the review of clinic standing operating procedures.
  • If directed, perform phone triage based on accepted protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.
  • Provide training and/or technical guidance as applicable to supporting Government employees (i.e. hospital corpsmen, technicians, students) assigned to the HCW during the performance of clinical procedures. Such guidance and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.
  • Provides technical oversight of psychiatric technician work to insure timeliness and compliance with regulations, standards, and procedure.
  • Apply in-depth knowledge of nursing theory and principles relative to the care of patients with complex mental health conditions, to include substance abuse, milieu therapy, group therapy and dynamics, use of psychotropic medications, and crisis intervention techniques for situations like, but not limited to, acute psychosis, active suicidal, or homicidal ideation.
  • Apply necessary skills and expertise required in motivating and redirecting the behavior of mental health patients to encourage their participation in normal, social, and recreational activities of daily living as well as in therapeutic, occupational, and recreational therapies.
  • Participate and analyze shared caseload and patient care coordination models for mental health services like Assertive Community Treatment (ACT) or the Veterans Administration's Mental Health Intensive Case Management (MHICM).
  • Participates in all aspects of mental health patient care across the entire spectrum form prevention to inpatient discharge planning and community reintegration.
  • Systematically monitor effectiveness of practice through client database and outcomes Synthesize and use the results of these evaluations to make or recommend changes including policy, procedure, or protocol documentation.
  • Liaison with patient's military command as needed, communicating outpatient needs, and discharge plans within current Command policy and Health Insurance Portability and Accountability Act (HIPAA) guidelines for disclosure of information.




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