Registered Nurse Crisis Services

Registered Nurse Crisis Services

Pay Grade: 8

Under the general supervision of the Charge Nurse, the Registered Nurse – Crisis Services monitors clients, administers medications, keeps records, consults with healthcare providers, and educates clients utilizing the nursing processes of assessment, planning, implementation, and evaluation.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provides nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, in addition to facility specific policies and procedures.
• Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and teaching of clients and their caregivers.
• Serves as a client advocate while utilizing the nursing process to plan, deliver, and evaluate goal-focused, individualized, safe, age specific care for all clients, including those with complex needs.
• Utilizes client/patient centered approach to gather information about the person and their circumstances.
• Observes and records patient behavior.
• Assesses patients’ conditions.
• Performs physical examinations and diagnostic tests.
• Records patients’ medical histories and symptoms.
• Prepares patients for exams and treatment.
• Administers medications and treatments; monitors patients for side effects and reactions.
• Perform routine procedures (blood pressure measurements, administering injections etc.) and documents in patients’ charts.
• Operates and monitors medical equipment.
• Counsels and educates patients and their families on treatment plans.
• Documents patient care services by charting in-patient and department records.
• Consults with supervisors and doctors to decide the best treatment plan for patients.
• Conducts research to find ways to improve the healthcare processes and improve patient outcomes.
• Creates, implements, and evaluates patient care plans with medical teams.
• Supervises licensed practical and vocational nurses, nursing assistants, and nursing students.
• Provides physical and psychological support to patients, friends, and families.
• Identifies patient care requirements by establishing personal rapport with patients and their families.
• Maintains nursing supplies inventory by checking stock to determine inventory level.
• Maintains professional and technical knowledge by attending educational workshops and participating in professional societies.
• Participates in finding solutions for variances from client goals and ensures implementation of solutions.
• Communicates and coordinates care within a multidisciplinary team.
• Obtains details of Advance Directives such as Mental Healthcare Power of Attorney.
• Participates in the development of educational curriculum supporting health and wellness. 
• Partners with other provider agencies in the coordination of care to help participants achieve wellness, including the completion of a recovery-oriented discharge/accomplishment plan. 
• Coordinates services with various public and private community health, mental health, and social service agencies to ensure appropriate services for participants.
• Follows company policy regarding “No Force First.”
• Performs additional related duties as assigned.
   
   

KNOWLEDGE, SKILLS AND ABILITIES (KSA’S)

• Knowledge of DWIHN policies, procedures and practices.
• Knowledge of the DWIHN provider network and community resources.
• Knowledge of the Michigan Mental Health Code.
• Knowledge of MDHHS policies, rules, regulations and procedures.
• Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
• Knowledge of the State Nurse Practice Act regulations, policies, procedures.

• Knowledge of psychiatric nursing.  
• Knowledge of psychiatric medications and their indications, common side effects, reactions and interactions of medications prescribed. 
• Knowledge and ability to work with agitated patients in crisis and their families to implement behavioral management interventions.

• Knowledge of the clinical care process (screening, assessment, treatment planning, case management and continuing care).
• Knowledge of and ability to use screening and assessment tools for behavioral health services.
• Knowledge of behavioral health case management practices and principles.
• Knowledge of medical and behavioral health practices and terminology.
• Knowledge of clinical assessment principles and practices.

• Knowledge of clinical licensure in the State of Michigan.
• Clinical documentation skills.
• Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).

• Attention to detail skills.
• Problem solving skills.

• Effective listening skills.
• Documentation skills.
• Administration skills.
• Assessment skills.
• Evaluation skills.
• Decision Making skills.
• Training skills.
• Teamwork skills.
• Relationship-building skills.
• Ability to communicate orally.
• Ability to communicate in writing.
• Ability to work effectively with others.
• Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
• Judgement/Reasoning ability.

REQUIRED EDUCATION:

• Graduation from an accredited School of Nursing as a Registered Nurse. (BSN preferred).

REQUIRED EXPERIENCE:

• One (1) year of full-time paid experience working in a behavioral health setting.

Trauma Informed Care experience is preferred.

REQUIRED LICENSE(S):

• A Valid State of Michigan clinical licensure:  RN 
• A valid State of Michigan Driver’s License with a safe and acceptable driving record.

SPECIAL CONDITIONS:

• A Nursing Competency Checklist must be completed as part of the new hire onboarding process.

WORKING CONDITIONS:

This position will work in the DWIHN Crisis Care Center.  This position will be required to work with persons who may suffer from mental health or substance abuse crises.

Crisis Care Operations is a 24/7 unit.   Candidates will be required to work a 12-hour schedule.  Candidates must be able to work a flexible schedule.   

This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed.  Management retains the discretion to add or change the position at any time. 

Please Note:  DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process. 

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer