Registered Nurse , RN - Grand Mesa Youth Services Center

The primary duties of this position are located within 30 miles of the state border; therefore, this position is exempt from the residency requirements. Applications will be considered from residents and non-residents of Colorado.

Please note:

This recruitment may be used to fill multiple vacancies.

Delivers health care to detained and committed youth within the nurse’s scope of practice. Primary care is provided by independent practitioners with responsibility for a continuum of care from the initial assessment through development and maintenance of health care including physical, psychiatric and dental maintenance.

• Clinical Duties:
  Initial nursing assessments and triage of requests for health/medical care submitted by youth. Reviews the admission medical information obtained by security staff inisters nursing care and provides the youth education for routine, urgent and emergent medical situations within scope of practice. Obtains laboratory and other diagnostic procedures ordered by medical providers, reviews results and notifies provider of results when indicated.
  
  Initiate nursing/medical treatment plans for youth with special health care needs. Reviews and revises treatment plans as needed. Completes health appraisals, physical exams, vision/hearing screenings, in-house laboratory diagnostic testing (e.g. urine dipsticks, pregnancy tests, STI urine testing, PPD tests etc.), and immunizations per Division of Youth Services (DYS) policy. Documents all encounters with youth in electronic medical records system and/or appropriate medical logs in an accurate and timely manner.
  
  Maintains confidentiality of all patient information (oral and written) according to HIPAA regulations. Initiates consultations/referrals to mid-level provider and/or appropriate physician when indicated. Responds to requests for emergent situations (Code Blue, Code Red) on campus, administer CPR/First Aid and initiate a 911 call if indicated. Delivers medications, medical supplies and evaluates youth who may be confined to specific buildings or rooms throughout the campus setting.
  
  Other nursing duties as delegated/ordered by DYS physicians or mid-level providers.
• Medication and Treatment:
  Responsible for the ordering and preparation of youth’s medications for administration within the facility. Transcription and procurement of psychiatrist, physician, and/or mid-level provider medication orders. Maintains accuracy of individual Medication Administration Records through reviewing and updating on a continuous basis. Monitors those records for medication errors and reporting them to the Lead Medical or Mid-Level Provider in charge, including lack of documentation regarding administration of medications.
  
  Educates youth and staff about medications, side effects, desired effects and importance of compliance with prescribed medications. Investigates and documents interviews with youth refusing prescribed medications and initiates interventions. Maintains inventory logs of medications arriving at the facility for youth, preparing them for administration by medical and QMAP staff and delivering them to youth. Transcribes, orders, prepares and administers medications including intramuscular medications per prescribed providers’ orders.
  
  Updates Medication Administration Record (MAR). Monitors MARs for errors and reports errors to medical clinic supervisor and facility administration. Assists in ordering and maintaining stock supplies, medications and equipment within the campus clinics. Monitors inventory and restocks medications and supplies in campus clinics and living units. Checks campus First Aid Kits, AEDs, pharmaceutical refrigerators and other equipment on a continuing basis to maintain adequate functioning of the medical department and provision of health care for youth.
  
  Documents administration of youth medications and behavioral contacts in electronic medical record database. Assess vaccine status and administers needed vaccines per CDC ACIP and provider recommendation. Follows Vaccine for Children’s Program protocols for immunization administration and safe storage and handling.
• Mental Health:
  …