Psychiatric Nursing Asst III

    Texas Health & Human Services Commission
    6711 S New Braunfels, San Antonio, TX 78201
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    Job Description

    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 Psychiatric Nursing Assistant III (PNA III) 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, reporting and documenting, in an electronic record, patient conditions and behaviors; interacting with patients therapeutically; and participating in individualized and unit based programming. The PNA III 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, PNA III 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, and performs delegated nursing duties commensurate with competency. Works under the supervision of the RN with some latitude for the use of initiative and independent judgment. In the absence of the PNA Supervisor, assumes the supervisory responsibilities for non-clinical duties and the day to day operations of the unit. May oversee the assigned tasks of the PNA I and II. Completion of work requires use of complex duties, while decision making is based on well-defined guidelines. The PNA III has no financial responsibility but is accountable for assigned property. Must understand that duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include 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. Uses therapeutic communication skills in promptly and effectively engaging patients to assist them in meeting the objectives of their individual treatment plans. If working nights, maintains a quiet and restful environment to promote patient's rest and sleep.
    2. 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.
    3. Monitors patients as assigned and provides observation to ensure the health and safety of all persons. Escorts patient to appointments as required.
    4. 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 and takes an active role in the implementation of the patients' individualized treatment plans and offers consistent, ongoing support in assisting patients to reach their goals.
    5. Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner.
    6. 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.
    7. Actively promotes safety through the continuous monitoring of the environment and active engagement of patients, to minimize unsafe situations and injuries.
    8. Provides objective and relevant information to the supervising RN on an ongoing basis concerning the work performance of Psychiatric Nursing Assistant staff in order to support a more comprehensive performance evaluation and to assist in the identification of training and/or performance opportunities.
    9. Assists in facilitating programming offered on unit or at the facility. Co-facilitates groups as assigned or requested and encourages patients to attend.
    10. Exhibits proficiency in crisis intervention, verbal de-escalation, and Treatment, Intervention, Protection Strategies (TIPS) 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.
    11. Communicates effectively with other team members to ensure a culture that promotes the least restrictive interventions necessary.
    12. Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specifications of the American Heart Association.
    13. Assumes responsibility for the assignment of non-clinical duties and the daily operations of the unit in the absence of the PNA III including monitoring the work of the PNA I and II in the performance of duties assigned by an RN in order to maintain smooth, efficient provision of patient.
    14. Provides RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, behavioral escalation) gained by direct observation/interaction with patients to promote safety.
    15. Serves as a preceptor (orientation and on-going training) for new employees (PNA I and II) and temporarily assigned personnel to the unit (SA series).
    16. Serves on unit and hospital committees and performance improvement workgroups as appointed.
    16. Behaves as a role model and encourages subordinate staff to demonstrate a commitment to a culture that reduces risk to both patients and staff through support of the hospital's safety and risk management plans, infection control programs, and restraint and seclusion reduction strategies.

    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 patient care techniques and of treatment, therapy, and developmental programs.
    2. Knowledge of basic computer skills.
    3. Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills.
    4. Ability to read, write and understand English so as to effectively communicate and carry out verbal and written instructions.
    5. Ability to physically and mentally be able to perform Treatment, Intervention, Protection Strategies (TIPS), Cardiopulmonary Resuscitation (CPR) and other tasks assigned.
    6. Ability to work with others and accept supervision.
    7. Ability to train and supervise the work of others.

    Registration or Licensure Requirements:

    Initial Selection Criteria:
    1. Have one year experience in direct patient care work.
    2. Graduation from a standard senior high school or GED equivalent.
    3. Have six months experience as a PNA II, Team Lead or Supervisor.

    Additional Information:
    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.

    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.

    MOS Code:
    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

    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.

    Posting ID: 554944629Posted: 2020-05-21