RN; Triage -Shift Coordinator

RN (Triage) - Shift Coordinator

This position is located at our Crisis Center located in Dothan, Alabama.

Week 1:
Tuesday, Wednesday, Saturday, Sunday (07:00 am-7:30pm)

Week 2:
Monday, Thursday, Friday (07:00 am-07:30 pm)

The primary responsibility of this position is to provide routine and emergency mental health and/or substance use stabilization, education, and treatment planning of individuals at the Crisis Stabilization Unit (CSU) within the scope of nursing practice. The purpose of this position is to help promote the overall physical health, mental health, and substance use recovery of individuals utilizing the Trauma Informed Care approach in all areas of the job.

This position will also serve as the Shift Coordinator, overseeing routine task assignments of Mental Health Technicians, LPNs, Peer Specialists, RNs, Security, and Cleaner.

• Perform skilled nursing interventions to manage the care of individuals on the Crisis Stabilization Unit.
• Perform physical/health assessments of individuals on CSU as directed, providing appropriate information to physicians, and carrying out orders.
• Assess for least restrictive environment and make recommendations to psychiatrist / therapist if more intense level of care is needed.
• Assist and teach individuals about self-care of medical conditions.
• Provide general medical and health education to individuals in group and one-to-one.
• Administer medications (I.M. & P.O.) to individuals as prescribed by the physicians.
• Assess, assist, and monitor CSU individuals with self-administration of medication.
• Takes verbal orders from doctors and makes appropriate documentation.
• Provide medical intervention to individuals, monitor behavior and mental status of individuals on the unit.
• Oversee the medication (ensure all medication orders are transcribed correctly and all individual medications are kept according to procedures and guidelines).
• Provide face to face intervention to individuals and significant others to promote stabilization of a crisis-situation or related medical need.
• Intervention may relate to but not limited to individual’s decompensation, adverse effects for medications, and drug interactions.
• Assist individuals in accessing appropriate medical treatment, obtaining personal and medical care supplies and collaborate with community providers.
• Develop treatment plans within 24 hours of admission. Coordinate the stabilization unit treatment plan and treatment plan reviews with the CSU treatment team.
• Assess the mental status of persons to determine the safety of individuals and others according to the emergency severity index and CSU established exclusionary criteria guidelines.
• Provide group wellness care to the Stabilization Unit patients.
• Assist psychiatrist and/or medical physician as needed by performing medication monitoring and triaging.
• Review of physiological effects of medications, compliance, side effects, etc.
• Maintain a current list of medications per other physicians including over the counter medications.
• Reports Axis II diagnosis to psychiatrist.
• Coordinate appropriate lab work.
• Assist with maintaining individual’s records in a professional manner and in accordance with all specified guidelines of Spectra Care Personnel Policy, Spectra Care Clinical Policy, including but not limited to the Alabama Administrative Code, CMS, and all other applicable regulating and contractual entities.
• Document appropriate nursing interventions and patient progress in chart.
• Progress notes are completed on the day the service is provided.
• Progress notes are written in a professional manner utilizing appropriate medical terminology and meeting all imposed standards.
• Service logs are completed on the day the service is provided and turned in to designated secretary.
• Service logs are accurate and reflect appropriate service being provided.
• Other varied duties including but not limited to the following.
• Be available by cell phone during working hours and/or after hours.
• Administer IM psychotropic injections.
• Follow job duties assigned by supervisor and meet with supervisor on a regular basis.
• Actively and compassionately interacts with individuals to encourage engagement in treatment.
• Promotes and supports Trauma Informed Care initiatives within the organization.
• Uses the Trauma Informed Care approach to work collaboratively with individuals and other team members to help support patients in their treatment and recovery.
• Assists with training of new staff working in the unit as assigned.
• Keep an accurate check on ordered lab work notifying psychiatrist/physician of abnormal norms.
• Provide mental health consults with other health care agencies as needed.
• Coordinate efforts to maintain recent medical treatment from other medical agencies.
• Follow guidelines of Spectra Care Personnel Policy, Spectra Care Clinical Policy, including but not limited to the Alabama Board of Nursing, Alabama Administrative Code, CMS, and all other…