NATURE OF WORK
This is supervisory and professional registered nursing work for a County substance abuse treatment, behavioral health, or other County mental health program.
Duties include examination, care and treatment of patients or clients with mental health, substance abuse, co-occurring disorders, and/or other health conditions. Also provides supervision for subordinate nursing personnel and ancillary staff as assigned.
Work is performed in accordance with standard professional general nursing and/or psychiatric nursing standards and practices as required, state and federal rules and regulations, and established County and division policies and procedures. Considerable judgment and initiative are required in supervising subordinates, attending to patients, administering prescribed medications and treatments, responding to crisis situations, and maximizing staff productivity and effectiveness. Work is reviewed by a professional superior through observation, conferences, and the analysis of medical and staff records.
This class is distinguished from Psychiatric Nurse I by the greater experience required and by greater supervisory responsibilities.
Administers comprehensive general and specialized nursing care to patients, clients or service recipients; may utilize the assistance of other nursing staff or ancillary staff as needed and assigned.
Administers comprehensive nursing assessments; may complete admission and discharge and/or transfer procedures; may also delegate completion of nursing assessments to subordinate clinical staff.
Administers medications as prescribed by a physician and follows orders of physicians or other health care providers, documenting activities in the medical record; may also delegate administration of medications or ordered treatments to subordinate clerical staff.
Observes, evaluates, monitors and reports client or patient health status.
Serves as liaison to health care provider network/s for coordination and integration of health care.
Monitors medication compliance and response and patient behavior; documents observations and treatments appropriately on patients’ charts.
Confers with clients or patients, their caregivers, and family members regarding issues of care and treatment.
Ensures optimum physical and emotional environment for clients, patients or service recipients.
Assigns, monitors, and evaluates work performance of subordinate nursing, ancillary, and/or clerical staff, as assigned.
Attends management meetings as assigned; conducts staff meetings and training.
May accompany physician on rounds to answer questions; receives instructions and observes patient activities.
Depending on area of assignment, accounts for narcotics on the unit; maintains established inventory procedures for medications, supplies, and equipment.
Assesses patient or client needs for medical or psychiatric intervention; assesses and appropriately responds to client or patient psychiatric or medical emergencies.
Responds to reports of problems concerning patient behavior within area of responsibility, reporting unusual events to a clinical superior or other administrative staff as appropriate; completes incident reports or other documentation as appropriate. Initiates emergency measures when necessary; makes appropriate emergency referrals to hospitals.
Reviews medical records to evaluate quality of work and to ensure compliance with procedures and requirements.
Conducts home and community visits as needed.
Assists clinical and administrative superior/s in development of policies, procedures, and operational documents.
Prepares program reports as assigned.
Performs related work as required.
KNOWLEDGE, ABILITIES AND SKILLS
Considerable knowledge of general nursing principles, practices and techniques as required by the area of assignment.
Considerable knowledge of public health laws, JCAHO standards, federal confidentiatlity laws (42CFR, 45CFR) and state regulations (65D-30) and others as required for the area of assignment.
Considerable knowledge of infection control practices and procedures.
Knowledge of general medications detoxification protocols, and/or psychiatric medications used in substance abuse treatment and/or with co-occurring disorders, as required by the area of assignment.
Ability to establish and maintain client or patient medical records and to review medical records prepared by subordinate clinical staff.
Ability to exercise sound judgment and react quickly in emergency situations.
Ability to recognize and identify signs and symptoms of medical or physical illness, and/or withdrawal, and/or psychiatric illness as needed or as needed for the area of assignment.
Ability to triage individuals with substance abuse or co-occurring disorders as needed or as required by the area of assignment.
Ability to effectively work in an inter-disciplinary team.
Ability to establish therapeutic relationships with clients or patients.
Ability to plan, organize and supervise the work of subordinates.
Ability to serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of BrowardCounty's Ethics and Conflict of Interest policies.
Ability to establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds regardless of race, color, ethnicity, religion, age, gender, disability, political affiliation, marital status or sexual orientation.
Skill in the use and application of clinical instruments and equipment.
Skill in basic word processing and computer data entry.
REQUIRED EXPERIENCE AND TRAINING
Graduation from an accredited school of nursing; two (2) years of experience in psychiatric, mental health or behavioral health nursing and two (2) years of experience in substance abuse nursing which includes two (2) years of experience as a charge nurse or nurse manager; or any equivalent combination of relevant training and experience. Master’s degree in Nursing is preferred.
NECESSARY SPECIAL REQUIREMENT
Licensed as a registered nurse or ARNP in the State of Florida and current CPR certification at the time of hire. Depending upon the area of assignment, may be required to have and maintain a valid Florida driver’s license and to obtain and maintain authorization to drive on County business.
Bargaining Unit: Government Supervisors Association - (Professional Unit)
FLSA Status: Non-exempt
Code of Ethics
Work Locations: Substance Abuse & Health Care Services, Human Services Department
Class Spec. Estab ./Revised: E4/81 R10/04