Psychiatric Nursing Assistant II

Texas.gov - State of Texas Official Website; Terrell (TX); On-site; USD 10,000 - 60,000; Full time

Job summary

Join a dedicated team at the Texas Health and Human Services Commission as a Psychiatric Nursing Assistant II, where your role is crucial in providing rehabilitative care to patients. This position involves working closely with a Registered Nurse to deliver quality psychiatric nursing in an inpatient setting. You'll engage with patients, assist them with daily living activities, and document their progress, all while promoting a supportive environment. With a full benefits package, including paid health insurance and opportunities for career advancement, this role is perfect for those passionate about making a positive impact in the lives of fellow Texans. If you're ready to take on this rewarding challenge, we want to hear from you!

Benefits

100% Paid Employee Health Insurance

Defined Benefit Pension Plan

Generous Time Off Benefits

Career Advancement Opportunities

Qualifications

• Graduation from high school or equivalent required.
• Experience in direct patient care preferred.

Responsibilities

• Provide quality psychiatric nursing care under RN supervision.
• Assist patients with daily living activities and promote independence.
• Document patient conditions and participate in recovery team meetings.

Skills

Patient Care Techniques

Therapeutic Communication

Basic Computer Skills

Vital Signs Monitoring

Crisis Intervention

Education

High School Diploma or Equivalent

Direct Care Experience

Tools

Electronic Health Records

Job description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Psychiatric Nursing Assistant II

Job Title: Psychiatric Nursing Asst II

Agency: Health & Human Services Comm

Department: Adm AcuteCarePsych Direct Car

Posting Number: 3284

Closing Date: 05/14/2025

Posting Audience: Internal and External

Occupational Category: Healthcare Support

Salary Group: TEXAS-A-11

Salary Range: $3,047.58-$3,946.25

Shift: Evening

Additional Shift: Days (First); Evenings (Second); Nights (Third)

Telework: Not Applicable

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location: Terrell State Hospital

Job Location City: TERRELL

Job Location Address: 1200 E BRIN

MOS Codes: 4C0X1,68X,HM

Brief Job Description:

The Psychiatric Nursing Assistant II (PNA II) performs moderately complex (journey-level) rehabilitative patient care services work. Provides patient care services under the clinical supervision of a Registered Nurse (RN) to provide quality psychiatric nursing care in an inpatient setting. Work involves providing emergency, health, and personal care services to patients; interacting with patients therapeutically; observing, reporting, and documenting, in an electronic record, patient conditions and behaviors; and participating in individualized and unit-based programming. The PNA II has a primary responsibility to maintain direct and on-going therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a lesser restrictive environment than the hospital. As an integral member of the recovery team, provides verbal and supportive documentation concerning individual patient behaviors, progress towards individualized goals of the recovery plan. Participates in shift reports and recovery team meetings. Performs delegated nursing duties commensurate with competency. May provide guidance to the PNA Is. Works under general supervision, with limited latitude for the use of initiative and independent judgment. Completion of work requires the performance of moderately complex duties, while decision making is based on well-defined guidelines. The PNA II has no financial responsibility but is accountable for assigned property. Must understand that duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. This employee has full access to a limited set of records in accordance with HIPPA regulations.

Essential Job Functions (EJFs):

1. 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.
2. Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients with reaching their goals. Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients. Assists with activities of daily living, hygiene, and eating to promote independence and self-care. Accompanies patient to appointments as required.
3. Communicates effectively with other team members to promote a positive workplace.
4. Serves as a participant in the recovery team or admissions team. Provides on-going collaborative verbal and written communication concerning patients.
5. Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner.
6. Assists the licensed nurse in monitoring patients for medication administration or treatment. Includes taking and monitoring vital signs and performing other assigned tasks within competency level.
7. Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries.
8. Promotes classes and programs offered and encourages patient participation. Co-facilitates groups as assigned or requested.
9. Responds in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all persons.
10. Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specifications of the American Heart Association.
11. Provides RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, behavioral escalation) gained by direct observation/interaction with patients to promote safety.
12. In the absence of the PNA III and IV, provides guidance and preceptorship, as requested, to the PNAs in the performance of duties assigned by an RN to maintain smooth, efficient provision of patient care.
13. Serves in both unit-based and hospital-wide committees as appointed, contributing to interdisciplinary efforts focused on quality improvement, patient safety, and strategic planning. Responsibilities include attending regular meetings, collaborating with team members, and offering insights to enhance patient care and support departmental goals.

Knowledge, Skills and Abilities (KSAs):

1. Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs.
2. Knowledge of basic computer skills.
3. Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills.
4. Skills in taking vital signs.
5. Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions.
6. Ability to provide patient care, administer first aid or cardiopulmonary resuscitation, and to conduct TIPS.
7. Ability to work with others and accept supervision.
8. Ability to train and provide guidance to others.

Registrations, Licensure Requirements or Certifications:

If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.

Initial Screening Criteria:

Graduation from a standard senior high school or equivalent OR twelve (12) months' work experience. Direct care experience is preferred.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be at least 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.