Registered Nurse Tier 1 ER​/Behavioral Health

Registered Nurse Tier 1 ER / Behavioral Health

Location: Prestonsburg, KY

Job Type: Full‑time

Seniority Level: Entry level

Job Function: Health Care Provider

Industry: Hospitals and Health Care

The Registered Nurse requires substantial specialized knowledge, judgment and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, families, and friends; supervise assigned team members and students.

The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services, some involuntary and some voluntary. The behavioral health nurse is responsible for assessment, seating, medication administration, and all other duties as assigned in our locked behavioral health unit.

The nurse will talk with providers and deal directly with our inpatient behavioral health unit. When there are no behavioral health patients, this nurse will step out and help ER staff, performing duties such as patient assessments, admission assessments, discharges, medication administration, transporting patients to other units, and other duties as assigned. The same certification requirements as emergency room staff nurses apply;

behavioral health experience is preferred and, if absent, the nurse will orient on the inpatient behavioral health unit for 30 days before working in the ER.

• Completes patient assessments, formulates plan of care, oversees implementation, evaluates and adjusts plan of care utilizing critical thinking skills.
• Performs nursing acts authorized or limited by the board, consistent with American Nurses Association Standards of Practice or nationally accepted organizations of registered nurses.
• Provides health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension.
• Administers medication, intravenous therapy, and treatment prescribed by a Licensed In‑Patient (LIP).
• Supervises, delegates and follows through to other personnel in the performance of activities relating to nursing care.
• Mentors and precepts students and orients new staff as assigned.
• Reports up chain of command (Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator) pertinent information.
• Participates on various teams, committees or performance improvement initiatives.
• Ensures a safe and secure environment for patients, coworkers and self.
• Participates in Discharge Planning and Transition of Care (able to define patient needs).
• Serves as a patient advocate and escalates patient related concerns timely.
• Timely documents pertinent findings in medical record.
• Assists patients in performing activities of daily living and functions as an active team member.
• Assumes responsibility for personnel professional development.
• Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude.
• Practices Hands Off communication utilizing SBAR; performs Bedside Shift reporting utilizing SBAR unless contradicted.
• Functions as a positive influence, role model and adheres to professional code of conduct.
• Respects dignity and confidentiality of all matters relating to patients.
• Performs other job duties as assigned.
• Training for all personnel assigned to the Emergency Room shall consist of the following:
• 1. State and federal regulations related to emergency services.
• 2. Nursing management of trauma.
• 3. Nursing management of cardiac related disorders.
• 4. Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention.
• 5. Pharmacological intervention (IV therapy).
• 6. Patient assessment (triage).
• 7. Nursing management of pediatric emergencies.
• 8. Medicolegal aspects, particularly related to proper documentation.
• 9. Nursing management of obstetrical emergencies.
• 10. Patient/family emotional response.
• 11. Cardiopulmonary resuscitation and airway management.

• Associate's Degree from an…