Are you ready to be professionally challenged? Are you looking to be part of a dynamic team of engaged and committed professionals? Then the Health and Specialty Care System (HSCS) may be just the place for you! The HSCS is comprised of nine psychiatric hospitals located throughout the state, and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. Whether in a direct-care or support role, your contribution will make a difference in the life of a Texan.
The shift for this position will not rotate. The exact shift will depend on availability at time of job offer, i.e. 7-3, 3-11, or 11-7.
The Psychiatric Nursing Assistant I (PNA I) provides patient care services under the clinical supervision of a Registered Nurse (RN) in order to provide quality psychiatric nursing care in an inpatient setting. Work involves providing emergency, health, and personal care services to patients; observing and reporting to the licensed nurse/treatment team and documenting pertinent patient information in an electronic record; interacting with patients therapeutically; and participating in individualized and unit based or assigned programming. The PNA I has a primary responsibility to maintain direct and on-going therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a lesser restrictive environment. As an integral member of the treatment team, provides verbal and supportive documentation concerning individual patient behaviors, progress or lack thereof, towards individualized goals of the treatment plan. Is an active participant in shift reports and treatment team meetings. Performs any combination of nursing duties commensurate with competency. Works under close supervision with minimal latitude for the use of initiative and independent judgment. Performs other duties as assigned to ensure the efficient operation of the unit.
Completion of work requires use of simple and/or routine duties, while decision making is based on simple and well-defined guidelines. The PNA I has no financial responsibility but is accountable for assigned property.
Duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital. Duties may include potential exposure to blood or other potentially infectious materials.
HIPPA Access: Health Care: PHI 1-B. This employee has full access to a limited set of records in accordance with HIPPA regulations
Essential Job Functions:
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
1 (A). Uses therapeutic communication skills, including positive reinforcement and respecting patients' rights and confidentiality, in promptly and effectively engaging patients to assist them in meeting the objectives of their individual treatment plans. Maintains a quiet and restful environment to promote patient's rest and sleep when appropriate.
1 (B). Serves as a liaison to the Treatment Team, providing on-going, verbal and written communication concerning patient's progress or lack thereof, to individualized goals.
2 (A). Provides supportive, age specific care to patients as assigned by the Registered Nurse (RN) or designees(s) and assists patients with activities of daily living, hygiene, and eating in order to promote independence and self-care. Considers patients' cultural preferences while providing individualized care.
2 (B). Monitors patients as assigned and provides observation to ensure the health and safety of all persons. Escorts patient to appointments as required.
2 (C). Provides RN with timely, patient information (such as changes in mental or physical condition, injuries, behavioral escalation) gained by direct observation/interaction with patients to promote safety.
2 (D). Assists in facilitating programming offered on unit or at the facility. Co-facilitates groups as assigned or requested and encourages patients to attend and participate. Assists and ensures patients are present and accounted for.
3.Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner. Utilizes the computer, LAN system to check email to generate and receive communications.
4. Assists the licensed nurse in preparing patients for medication administration or treatment. Includes taking and monitoring vital signs and performing other assigned tasks within competency level.
5. Actively promotes safety through the continuous monitoring of the environment and active engagement of patients, to minimize unsafe situations and injuries.
6. Recognizes and responds to de-escalate agitation and aggression. Responds effectively in crisis or psychiatric emergency situations, verbal de-escalation and the application of Prevention and Management of Aggressive Behavior (PMAB), and other more restrictive interventions under the direct supervision of a RN in order to avert crisis situations and to ensure the health and safety of all persons. Communicates effectively with other team members to ensure a culture that promotes the least restrictive interventions necessary.
7. Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specifications of the American Heart Association.
8. Attends/completes training as scheduled in accordance with agency policies and procedures.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge Skills Abilities:
1. Knowledge of client care techniques, therapy, and developmental programs.
2. Ability to provide client care, to administer first aid, to maintain records, interpersonal skills for positive interaction with individuals.
3. Ability to observe and recall behaviors, emotions and physical characteristics of a geriatric-psychiatric population and ability to communicate effectively.
4. Knowledge of and skills and ability to perform PMAB techniques; and skills to perform CPR or Emergent Care in emergency situations.
5. Ability to understand, follow and carry out written and verbal instructions and requests.
Registration or Licensure Requirements:
Initial Selection Criteria:
1. High School Graduate or G.E.D.
Requisition # 448084
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
Salary Note: The salary offered will follow HHS starting salary guidelines which are typically made at or near the minimum of the salary range.
According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68X, 4C0X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.