JOB TITLE: Registered Nurse
TO: Director of Nursing
SUPERVISES: Behavioral Health - Acute
EXEMPTION STATUS: Non-exempt
SUMMARY: The Registered Nurse is responsible for the overall
assessment, implementation of treatment, and evaluation of quality
clinical services for children, adolescent, adult and geriatric
patients. He/she has direct responsibility for the provision of
nursing care. Carries out “other duties” as assigned.
This will be PRN (Per Required Need) and
hours will vary depending upon hospital need
REQUIREMENTS: Must be 21 years of age and hold a
Wyoming Registered Nursing License. Minimum of Associate's Degree in
Nursing, Prefer Bachelor’s Degree in Nursing. One year of
experience in psychiatric acute care, residential care, partial care
or equivalent is preferred. Must have knowledge of developmental
tasks of children, adolescent, adult and geriatric patients and apply
knowledge in assessment and planning of care
• Demonstrates competency in
prioritization, delegation, and coordination when functioning as
Charge Nurse on a unit. Fills out assignment sheets effectively.
Assigns responsibility for the provision of various aspects of care
which is reflective of the complexity of nursing care required and
the competence of available staff, considers the following in
making/revising patient care assignments:
o The patient’s
o The environment in which nursing care is provided.
o The competence of the nursing staff members who are to provide
o The degree of supervision required.
complexity of the assessment required by the patient.
Relevant infection control and safety issues.
compliance of all staff on unit with levels of observation, patient
checks/flow sheets, meal monitors, enuresis logs, other tracking
forms, and patient checkins.
• Understands and assures
adherence by all staff to unit program structure (i.e. point system,
limit-setting system, rules, schedule, etc.) on all units. (If works
nights, understands and assures adherence to proper procedures for
billing, chart breakdown, precautions and census, chart building,
report, filing, vital signs, etc.).
• Actively manages the
milieu, ensures that seclusion and/or restraint are minimized and
only utilized as a last resort for patent safety. Directs the
effective and timely implementation of milieu tools
Demonstrates the knowledge and skill necessary to provide care and
services for the following age specific patient groups:
Children 4-12 years of age.
o Adolescents 13-17 years of age.
o Adults 18-64 years of age.
o Geriatrics 65 years and
• Completes Nursing Admission Assessment within 8
hours of admission and determines nursing needs to serve as the
baseline for development of the patient’s initial plan of care.
Includes consideration of biophysical, psychosocial, spiritual,
environmental, pain level, self-care, educational, and discharge
planning factors in the admission assessment. Writes initial
treatment plan based on data gathered from the admission assessment.
Assesses safety risk of every new admission, assures appropriate
level of observation and starts protocol as indicated.
Demonstrates knowledge of normal dosages, actions and interactions
with foods and other drugs, side effects and routes of
administration. Provides ongoing medication education during
• Questions unusual dosages or
routes of administration of medications, clarifies with
physician/pharmacist. Questions prescribing doctor when concerns or
problems with medications arise.
• Documents response to
PRN medication administration. Assesses the patient’s pain
level utilizing the numeric pain scale, demonstrating knowledge of
pain management principles. Documents pain level before and after the
administration of PRN pain medication.
• Completes any
appropriate follow-up documentation related to medication
• Monitors and interprets vital
functions and findings and correlates with patient condition.
• Bases patient care/treatment decisions on identified patient
needs and clinical treatment priorities.
regular in-services through in-person attendance or by video in a
timely fashion and 100% of mandatory in-services by in-person
attendance or video. Is up-to-date on competencies and staff
development requirements. Attends at least 50 % of departmental and
unit staff meetings. Is responsible for reading the minutes of
meeting not attended on base unit.
• Checks personal mail
folder daily and returns requested policies for review promptly.
Initials Communication Book daily. Takes initiative to write entries
in the Communication Book to facilitate improved functioning and
adherence to policies on the unit as needed.