Psychiatric Registered Nurse - IOP
Ft Belvoir, VA US
The schedule will be coordinated by the Department Chief, or the government designated representative. Scheduling is always based on the needs of the government and must be coordinated through the designated government POC. The contract employees will be required to work a 40 hours per week. This position is considered Mission Essential Personnel. This position requires the contractor to report to work in the event of adverse weather conditions or Mass Casualty Scenarios.
DUTIES OF THE SUBSTANCE ABUSE/PSYCHIATRIC REGISTERED NURSE (RN-PSYCH):
- 1) Provide nursing intake assessments, participation in the detoxification an management of addiction medicine ambulatory patients.
(2) Maintain positive professional interpersonal relationships and maintain composure and react appropriately while relating to patients, families, and other staff members; to manage distraught, irritable, unreasonable or angry individuals; and maintain possible rapport with all individuals involved in
(3) React with alertness and skill in any emergency situation, i.E. Cardiac or respiratory arrest, seizures, hemorrhage, shock, severe physical trauma, and psychiatric reaction. Be able to initiate lifesaving measures in the absence of a physician.
(4) Possess knowledge of the pharmacology of most commonly used emergency drugs, anticipated results, usual dosages, and their location in the crash cart.
(5) Operate AES and EKG machine when appropriate.
(6) Assess patient' s condition for potential or life -threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). Plan and implement appropriate nursing care.
(7) Obtain patient medical and psychosocial history and pertinent family history and documents on the appropriate form.
(8) Implement prescribed physician orders and nursing care and documents in patient medical record.
(9) Assess patient/family knowledge level and learning needs (prescribed medications/therapies, pre and post detoxification and recovery care,
surgical/diagnosis procedures, disease process, preventions), develop and implement a plan of instruction for the patient and family, then document
the demonstrated level of understanding. Assessment plans will be individualized to target age-specific learning needs, barriers to learning and
(10) Participate in group and milieu therapy as well as individual therapies. Conduct psychoeducation groups and individual psychoeducation sessions.
(11) Administer medications with the knowledge of actions and usual dosages of commonly used drugs in addictions medicine, to include
long-acting injectable medications.
(12) Provide vitals and ongoing patient assessment of the cardiovascular, pulmonary, gastrointestinal and neurologic systems.
(13) Manage and ensure procedures are followed with detoxification protocols for alcohol, benzodiazepines and opioids.
(14) Interpret pertinent lab values, notify physician of abnormalities.
(15) Transcribe or verify transcription of physician orders.
(16) Communicate pertinent patient data to charge nurse and/or physician as appropriate.
(17) Identify impending or existing emotional or psychiatric crisis and provide appropriate intervention.
(18) Safely use electronic thermometers, and other medical equipment. Immediately pull from service any equipment with frayed electrical
cords or malfunctions and report to first line supervisor.
(19) Participate in discharge planning as appropriate and convenes multidisciplinary patient care conferences to address complex medical
(20) Respond to telephone inquiries regarding clinic and hospital services and/or follow-up ancillary reports. Triage patients over the phone.
(21) Perform, assist and set up the patient for procedures i.E. IV dressing changes, suctioning, blood draw, EKG, wound care, and obtain vital signs within scope of practice.
(22) Successfully complete cognitive and didactic testing through written examinations and skills checklists. Testing requirements may vary and may
include but not limited to the following tasks: application and use of restraints, performing mental status exams, completing an addictions
medicine nursing assessment on admission, conducting community meetings, facilitating task and education groups, co-facilitating group therapy, and performing special watch procedures. Prefer a certificate from the ANCC Psychiatric Medication Test with verification placed in the Joint Training
Record (JTR) folder.
(23) Recognize and respond appropriately to signs/symptoms of extra-pyramidal side effects (EPS) and Neuroleptic Malignant Syndrome (NMS).
(24) Conduct interdisciplinary team rounds, complete admission and discharge process per unit protocol; establish, maintain and report on therapeutic relationships with patients (i.E. 1: 1 therapy, line of sight monitoring, reality orientation, involving patient in planning his/her care).
(25) Take appropriate emergency action, to include administering medications and take down procedures, as warranted by situation and
(26) Contribute/develop nursing and/or multidisciplinary treatment plans.
(27) Maintain required unit-specific clinical competency and increase knowledge by attending unit-level in services as appropriate and update JTR folder as information becomes available.
(28) Prepare all records and reports as may be required in support of services rendered and as required by MTF Standard Operating Procedures (SOP), Federal Law, or Service regulation. All written reports and documentation shall be legible and/or entered correctly in Essentris, AHLTA, and CHCS and shall be considered property of the government. Assist in data collection and data analysis, as appropriate.
(29) Must be able to work all shifts as the Unit is a 24/7/365 operation. May be required to work in other Behavioral Health areas to include the Inpatient Psychiatry, Co-Occurring and the Adult Behavioral Health clinics.
(30) Take part in unit Quality Assurance and Performance Improvement programs as required for meeting the Joint Commission standards.
(31) Supports the Culture of Excellence initiative and adheres to the Fort Belvoir Community Hospital professional standards.
(32) May be assigned to other clinics in the SBH FBCH footprint on a temporary basis as needed.
- Degree/Education (5.2.4): Possess an associate, diploma, baccalaureate and master s degree in nursing from a school of nursing accredited in at least one state or territory of the United States. Possess a current active unrestricted nursing license (RN) from at least one state or territory of the United States.
Certifications in addition to Basic Life Support (5.2.3): Contractor personnel must have and maintain a current nursing license in any one of the 50 states, the District of Columbia, Puerto Rico, Guam or the U.S. Virgin Islands that allows for the independent practice of clinical services. This license must be current (not revoked, suspended, or lapsed in
registration), valid (the issuing authority accepts and considers QA information (i.E. Practitioner professional performance and conduct in determining continued licenses), and unrestricted (not subject to restriction pertaining to the scope, location or type of practice ordinarily granted to other applicants for similar licenses in granting jurisdiction).
Experience: A minimum of 2 years of experience in a psychiatric or substance abuse treatment setting is preferred. Must have a minimum of two years of experience working as a Registered Nurse in a hospital setting and will have practiced as a Registered Nurse within the last two years. Shall have transcript verifying RN education provided with resume. Must be able to read, write, understand, and speak English clearly in order to effectively communicate with all patients and health care providers.
Board Certification (126.96.36.199.4): None
Licensure/Registration: Shall possess a valid, unrestricted license (with no limitations, stipulations or pending adverse actions) in at least one state or territory (Commonwealth of Puerto Rico, Guam or the Virgin Islands) in the United States. All licenses must remain current, valid and unrestricted during contract employment.
- Competitive pay
- 10 days paid time off per year plus 7 sick days per year
- 10 paid Federal holidays
- Health & Welfare allowance covers the cost of health insurance, long and short-term disability, and life insurance
- Dental and vision plans offered, 401(k)
The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for almost 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces. Our mission is to provide world-class care and give our healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty service members, their families, and veterans.