Nurse I

    Texas Health & Human Services Commission
    Similar jobs pay $13.75 - $22.31

    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 Nurse I works on Oak, which serves as an Adult Inpatient unit. Varied shift openings.

    The Nurse I performs routine (journey-level) nursing work. Work involves providing for the assessment, care, and treatment of patients. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. A Nurse I performs complex nursing work at the proficient or expert level in a state mental health hospital. Works with limited supervision from the Charge Nurse or Nurse Manager and has considerable latitude for the use of initiative and independent judgment. Acts as Charge Nurse, Nurse Supervisor, or Nurse Manager in his/her absence when necessary. Provides clinical supervision to Licensed Vocational Nurses and Psychiatric Nursing Assistants. Organizes, establishes, and maintains unit routines and the therapeutic milieu. Coaches and teaches subordinate staff in the provision of population-specific nursing care and treatment. Supervises the administration of or administers medications in compliance with facility policies and procedures. Conducts extensive assessments of the patients' nursing care needs including initial and ongoing assessments. Develops, implements, or supervises the implementation of population-specific nursing interventions based on acceptable nursing standard of care and relevant evidence. Acts as a nursing team leader in collecting patient data and contributing appropriate information to the formulation of the patient's interdisciplinary treatment plan. Must understand that duties, location of work, shift/pattern 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

    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. Performs extensive initial and ongoing assessment of the patient's nursing care needs to include medical, psychological, and social needs.
    2. Develops nursing diagnoses or problem lists based on the assessment of the data and formulates the initial plan of care.
    3. Develops and implements population specific nursing interventions based on accepted nursing standards of care and through review of current evidence.
    4. Collaborates with other health care professionals by contributing nursing assessment date, diagnoses/problem lists, and interventions to the development of the multidisciplinary treatment plan.
    5. Evaluates the outcomes of nursing interventions and documents the same in the medical record.
    6. Provides comprehensive patient/family education regarding illness process, medications, coping skills, etc. to patients and families.
    7. Establishes, monitors, and maintains the therapeutic milieu through clinical supervision and training of other Registered Nurses, Licensed Vocational Nurses, and Psychiatric Nursing Assistants.
    8. Administers or supervises administration of medications and other nursing interventions in accordance with facility policy and procedures.
    9. Develops and implements training for subordinate staff regarding principles of population-specific nursing care, unit routines, facility policy and procedures, management directives, and milieu management, etc.
    10. Acts as team leader in emergency situations (i.e. medical or psychiatric emergencies) including initiating and monitoring the appropriate use of resuscitative equipment or restraint/seclusion.
    11. As assigned, acts as charge nurse, nurse supervisor, nurse manager in his/her absence.
    12. Monitors Treatment Intervention Protection Strategies (TIPS) in the absence of other staff, implements TIPS.

    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. Extensive knowledge of nursing procedures and practices.
    2. Extensive knowledge of the Texas Nursing Practice Act, Rules and Regulation of the Board of Nurse Examiners for the State of Texas.
    3. Ability to provide population-specific, evidence-based nursing care at the proficient or expert level to an assigned patient population.
    4. Ability to perform an extensive assessment of the patients nursing care needs to include medical, psychological, and social needs.
    5. Ability to formulate population-specific nursing diagnoses for the assigned patient population.
    6. Knowledge of leadership or management principles as they apply to the unit or hospital setting.
    7. Knowledge of teaching principles in order to provide both patient and staff education.
    8. Ability to communicate effectively with others in one-to-one or group interactions.
    9. Comprehensive knowledge of safe and appropriate use of restraint or seclusion as an intervention in the psychiatric setting.
    10. Ability to develop and implement evidence-based nursing interventions appropriate to the assigned population.
    11. Ability to provide leadership in the management of both medical and psychiatric emergencies.
    12. Ability to obtain certification for basic Cardio-Pulmonary Resuscitation (CPR) and ability to perform and/or supervise the implementation of CPR in the clinical setting.
    13. Ability to complete Treatment Intervention Protection Strategies (TIPS) prior to work on patient care unit.

    Registration or Licensure Requirements:
    Must be registered as a Registered Nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact OR be a Graduate Nurse from an accredited RN program with a valid permit to practice in the State of Texas while awaiting licensure.

    Initial Selection Criteria:
    Must be registered as a Registered Nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact OR be a Graduate Nurse from an accredited RN program with a valid permit to practice in the State of Texas while awaiting licensure.

    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.

    Salary Note: The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted 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.

    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: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. 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: 556640784Posted: 2020-05-21