Nursing Supervisor - Behavior

The Behavior Nurse Supervisor is responsible for the coordination of mood and behavioral health services provided to residents living at Rock Haven. Each resident must receive and the facility must provide the necessary behavioral health care to attain or maintain the highest practicable physical, mental and psychosocial well‑being, in accordance with the comprehensive assessment and plan of care. Behavioral health encompasses a resident's whole emotional and mental well‑being, therefore an individualized approach to care is essential.

The Behavioral Nurse Supervisor will work closely with facility staff and medical and mental health providers to achieve the goal of person‑centered care in each resident's individual behavior management plan.

Coordinates and monitors the Behavior Management Program during scheduled weekdays.

• Participate in a complete comprehensive assessment of resident needs, strengths, goals, life history and preference using the resident assessment instrument (RAI). This will result in a review of the behavior problem Care Area Assessment (CAA) triggered for each resident and assessments of all disciplines, lab reports, medications and treatment records.
• Assess each individual's resident's needs through an examination of mental statues and obtain a complete history of the resident's behavior symptoms from appropriate individuals, including staff, family members or the person most familiar with the resident, to develop a behavior management program.
• Develop a recommendation form with recommended interventions into a behavior care plan, if applicable. After development, select an observation period to monitor the identified behavior and interventions to establish a baseline.
• Use careful analysis and care planning to plan and implement the most effective interventions that will meet unmet needs, change targeted behavior, increase desired behaviors, promote resident safety and security and enhance the resident's quality of life. A focus must be on the creation of non‑pharmacologic specific interventions to address approaches specific to the risk factors of behavior symptoms, causal and contributing factors, and resident preferences.
  
  Document successful interventions in the resident's care plan with an attainable goal.
• Track, monitor and manage the GDR program as described below.
• Review documentation with the interdisciplinary team to determine if the resident is experiencing trends or patterns in mood and behavior, and which interventions are most effective in lessening the targeted behavior.
• Evaluate the effectiveness of the pharmacological and/or non‑pharmacological interventions by attending interdisciplinary care plan meetings, gradual dose reduction reviews, behavioral health committees, and weekly behavior rounds.
• Communicate proactively with providers to assess the need for psychotropic drugs and to determine the need for a psychiatric consultant beyond the PCP. Communicate resulting treatment recommendations from a psychiatric consult to the patient's PCP.
• Provide education including specific mood and behavior interventions and approaches as applicable to facility staff.
• If behavior management strategies are not effective assess the resident's current status and, in conjunction with the discharge policy, make appropriate intervention or placement decisions if the resident is a potential danger to the safety, health or welfare of themselves or others.

• Communicates shift concerns by unit to appropriate staff (e‑mails, voice mail, etc.).
• Serves as administrative authority for the smooth function of assigned unit.
• Notifies Administrator, DON or ADON of urgent concerns during the shift. (When the concern is non‑urgent, notifies manager by phone message or e‑mail.)
• Performs rounds at least twice each shift to monitor the conditions and care of acutely ill residents/clients.
• Receives reports throughout the shift.
• Assists RNs to assess residents who are experiencing acute changes.
• Provides clinical expertise in the management of medical and psychiatric emergencies.
• Re…