Crisis Stabilization Unit RN

Helen Ross McNabb Center; Knoxville (TN); On-site; USD 37,000 - 53,000; Full time

Job summary

Helen Ross McNabb Center in Knoxville, TN is seeking a Crisis Stabilization Unit RN to provide direct medical care on a 12-hour rotating schedule in a 24/7 CSU. You will work with a multi-disciplinary team to assess and treat clients in crisis and coordinate with Mobile Crisis and the Walk-In Center.

The ideal candidate holds an RN license (Associate or Bachelor) in Tennessee, with psychiatric nursing and acute care experience preferred, and strong clinical judgment.

Qualifications

• Associate or bachelor RN degree from an accredited college.
• TN RN license with ability to practice.
• Experience in psychiatric nursing and acute care preferred.
• Ability to work in a team and exercise clinical judgment under pressure.
• Good time management and organizational skills.
• Experience with electronic medical records (EMR).
• Interdisciplinary collaboration and care coordination preferred.

Responsibilities

• Perform initial admission nursing assessment and paperwork.
• Administer medications and provide staff coverage as needed.
• Monitor client vital signs and respond to changes during shifts.
• Coordinate with Mobile Crisis and Walk-In Center for admissions.
• Complete C-SSRS and chart documentation per policy.
• Attend mandatory staff meetings and maintain shift coverage.

Skills

Team collaboration

Time management

Verbal de-escalation

Clinical judgment

Education

RN degree (Associate/Bachelor)

Tennessee RN license

Tools

EMR

Microsoft Office

Job description

Help Others, Make a Difference, Save a Life.

Do you want to make a difference in people's lives every day?
Or help people navigate the tough spots in their life?
And do it all while working where your hard work is appreciated?

You have a lot of choices in where you work…make the decision to work where you are valued!

Join the McNabb Center Team as the Crisis Stabilization Unit RN today!

The Crisis Stabilization Unit RN

JOB PURPOSE/SUMMARY

Summary of role of team:

• Serves as a clinical member of the multi-disciplinary team, providing treatment, rehabilitation, and support for client population.
• The CSU RN must be adept at multi-tasking.
• Provides direct medical care to clients in a CSU setting including clients in varying levels of crisis, frequently working with SPMI and clients with co-occurring issues.
• RN collaborates with Mobile Crisis and Walk in Center assisting with clients being referred to higher level of care, completing S-BARs.

Summary of position:

• This position requires the RN to provide direct medical care to clients, during 12-hour shifts, on a residential Crisis Stabilization Unit.
• This position is required to provide nursing covering on a 12-hour shift despite any weather conditions or holidays that arise.
• Required to be certified in and adequately implement verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, and going down on knees, running, and walking.

TYPICAL WORKING CONDITIONS/ENVIRONMENT

• Position is based within Crisis Services that provides services 24/7.
• The role of the CSU RN is to ensure that coverage is provided 24/7 despite any weather conditions that may arise.
• This position requires working different shifts as needed.
• Must remain awake and alert during shift to monitor client safety.

JOB DUTIES/RESPONSIBILITIES

This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment.

Daily Staff Duties:

General

• Attends treatment team as available.
• Responds to all flags, emails, and voicemails within 1-2 business days.
• Returns calls within 15 minutes.
• Assists with administering medications and providing staff coverage as needed.
• Clearly communicates to team members throughout shift regarding client behaviors, needs, and any other relevant information.
• Works in a multi-disciplinary team to meet the needs of the clients served.
• Demonstrates a consideration and concern for fellow workers and their jobs and promotes harmonious relationships and attitudes.
• Willingness to accept additional assignments and / or changes in assignment and/or work duties.
• Promotes an environment in which the customs and spiritual beliefs of the individual are respected.
• Communicates directly and approaches conflict with a problem-solving approach.

Crisis Unit

• Performs the initial admission nursing assessment and completes required admission paperwork including nursing assessment, nursing note and nursing admission orders.
• Complete paper MAR.
• Obtain urine drug screen, BAL and pregnancy tests upon admission.
• Follows all established protocols and guidelines for admission prior to admitting the client to the unit.
• Makes the determination of the appropriate admission protocols needed for each client (ex.-agitation protocol, diabetic protocol, HTN protocol).
• Obtains admission orders from the on-call prescriber in a timely manner.
• Completes charting for each client during every shift prior to the end of shift.
• Completes transition paperwork and discusses medication and aftercare instructions with client and/or family. Provides copy of paperwork for clients.
• Counts controlled substances and documents at every shift change. Notify supervisor immediately of any discrepancies.
• Obtains and charts vital signs on every shift.
• Monitor for significant changes in client's condition/behavior every shift and make referrals to obtain new orders as needed.
• Administer scheduled, routine, and PRN medication in a timely manner.
• Obtains blood sugars as ordered.
• Triages potential referrals with Mobile Crisis and Walk in Center.
• Coordinates arrival times for potential clients with Mobile Crisis, Walk in Center and Transporters
• Complete C-SSRS on each client
• Attend to guest and/or client needs during medical emergencies (ie: seizures, falls, etc)
• Coordinate with Emergency Departments and EMS
• Obtain Prior Authorizations
• Answer phone calls from recently transitioned guests regarding medication issues
• Weekly medication counts of routine medications
• Update Admission/Discharge log each time a client is admitted or transitioned from unit.
• Complete follow-up calls on weekends in accordance to program requirements.
• Perform the initial medical assessment of individual within 30 minutes of arrival
• Makes a determination of the appropriate protocols upon admission.
• Completes all chart documentation within required periods and adheres to licensure agency, state and CARF Standards.
• Monitors client's vital signs and record them in EMR.
• Will administer medications accurately and safely following the 5 Patient Rights.
• Work with multi-disciplinary team to meet client needs and maintain clinical standards of the program.
• Ensure that the correct Standing Orders/Protocols are noted for clients being admitted
• Complete all work assignment within shift worked
• Attend all mandatory staff meetings.
• Must be punctual and maintain a good attendance record.
• Perform other duties as assigned by the Nursing Manager and Team Leader.

Professional Development

• Complete and maintain Relias Training Modules when required.
• Maintain CPR and HWC certifications up to date.
• Maintain and possess a current nursing licensure.

COMPENSATION:

• Starting salary for this position is approximately $32.45 /hr based on relevant experience and education.

Schedule:

• Schedule requires 12 hours shifts, rotating weekends, and scheduled holidays. The hours are 7am-7pm, with 44 hours one week and 36 hours the next week.
• Regular attendance is an essential job function.
• Mandatory to remain awake and alert during shift.

Travel

• N/A

Equipment/Technical Competency

• Must be efficient in computer skills.
• Use of Microsoft Office is required.
• Must be able to use a fax machine and phone system.

Equipment/Technology

• This position does require basic computer skills for timekeeping and use of electronic medical records entry.
• Must be familiar with basic Microsoft Office Skills.

QUALIFICATIONS - Crisis Stabilization Unit RN

Experience / Knowledge:

• Associate/Bachelor RN degree from an accredited College/University.
• Experience in psychiatric nursing and acute care preferred.
• Must have the ability to present professionally, work within a team format, and have the mental ability to exercise sound, clinical judgment under pressure.
• Must have the ability to communicate effectively (both oral and written) and possess good time management and organizational skills.
• Basic computers skills required; experience with electronic medical record (EMR) preferred.
• Experience with interdisciplinary collaboration and care coordination preferred.

Education / License

• RN with a current/valid Tennessee license with course work or experience in the areas of cultural diversity, human development, primary care, etiology, and treatment of mental illness, alcohol and drug use, physical and sexual abuse, suicide, and intellectual developmental delays.
• Must demonstrate a working knowledge of supervisory, administrative, and clinical skills.

Physical/Emotional/Social - Skills/Abilities:

• Exposure to biological hazards.
• Hearing of normal and soft tones.
• Close eye work.
• Valid driver's license.
• Lifting up to 50 lbs.
• Pushing/pulling up to 150 lbs.
• This position requires certification in and adequate implementation of verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking.
• Frequent sitting, standing, walking, bending, stooping, and reaching.
• CPR and First Aid certification required.
• Mandatory to remain awake and alert during shift to monitor client safety.

Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.

Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply.