What are the responsibilities and job description for the Registered Nurse, Outpatient Behavioral Health Per Diem position at Regions Hospital?
JOB DESCRIPTION
Job Description
Regions Hospital
Job Title:
Outpatient Nurse Behavioral Health
Job Code:
723480, 723489 (Per Diem)
Leader Title Level:
Manager Behavioral Health Operations
Location:
Regions
Department:
Outpatient Behavioral Health
Final Approval (Dir. or VP Level)
Manager Behavioral Health Operations
Date Approved:
May 2015
Date Revised:
August 2022; February 2023
POSITION SUMMARY STATEMENT:
Collaboration with MD/CNS to perform patient centered, safe, effective patient care based on age specific needs of patient population served. Assists the MD/CNS in providing services in telephone triage, providing crisis management, data gathering and supportive services to perform related duties as assigned .
MINIMUM QUALIFICATIONS:
Education, Experience or Equivalent Combination:
Graduate from an accredited program in nursing
Licensure/ Registration/ Certification:
State license (MN) and Wisconsin license (within six months of being hired)
Demonstrates at the time of employment and every two years thereafter
Competency in CPR.
The year when demonstration of competency is not required a general review of CPR is required
Knowledge, Skills, And Abilities:
Basic knowledge of psychiatric skills: must be able to collect data
Accurately and relay all information to MD/CNS for assessment
Excellent communication skills
Ability to effectively participate on an interdisciplinary treatment team
Ability to develop and maintain effective working relationships with
patients, family members and co-workers
Ability to work independently and make sound decisions
PREFERRED QUALIFICATIONS:
Education, Experience or Equivalent Combination:
Two years in field of psychiatry preferred
Out-Patient clinic experience desirable
Licensure/ Registration/ Certification:
NA
Knowledge, Skills, And Abilities:
NA
Essential Duties:
% Of Time (minimum 5% increments)
Telephone Triage
25%
20%
20%
15%
10%
5%
5%
Values
All Colleagues Are Expected To Live Our Values:
Excellence: We strive for the best results and always look for ways to improve.
Compassion: We care and show empathy and respect for each person.
Partnership: We are strongest when we work together and with those we serve.
Integrity: We are open and honest, and we keep our commitments.
Additional Expectations:
X Yes
No
Does this employee have direct patient contact?
Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section.
Examples Of Items That Can Be Included Are:
Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic, department, or functional area. If applicable, indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.
None
Critical Job Demands
Section 1: Place an “X’ next to ONE of the terms that best describes the frequency for each of the Critical Demands .
Critical Demands
N/A
0%
Rare
1-5%
(Up to
a 1/2 hour)
Occas.
6-33%
(1/2 hour
to
3 hours)
Freq.
34-66%
(3 to
5½ hours)
Cont.
67-100%
(5½ to
8 hours)
Standing - Remaining on one's feet in an upright position at a workstation without moving about.
Walking - Moving about on foot.
Sitting - Remaining in a seated position.
Squatting - Assuming or maintaining a crouching position with the knees bent.
Reaching - Stretching out or extending to touch or grasp.
Lifting - Raising or lowering an object from one level to another (includes upward pulling).
Carrying - Transporting an object, usually holding it in the hands or arms, or on the shoulder.
Pushing/Pulling – Exerting force upon an object so that the object moves away/towards from the force.
Handling/Fingering – (includes typing, computer work, gripping, grasping, and pinching)
Section 2: Place an “X” next to ONE of the terms that best describes the Strength Rating for this job classification which is expressed by one of five terms: Sedentary, Light, Medium, Heavy, and Very Heavy.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work.
Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
Note: During any patient handling task, if any caregiver is required to lift more than 35 lbs. of a patient’s weight, assistive transfer devices should be used for the transfer.
HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
Please contact the employer Employee Health & Safety (EHS) with any questions or assistance related to the completion of the Hazard Assessment for Personal Protective Equipment (HAPPE) Form.
RELATED TO: Hazardous Substances and Harmful Physical Agents
Yes No
Task Description
Potential Hazard
Hazard control
PPE Required
Working with box cutters, knives, or other sharp cutting devices.
Penetration
Cut resistant gloves
Other ___________________
Working with liquid chemicals, acids, or caustics (Examples: reprocessing, cleaners, disinfectants, laboratory chemicals).
See MSDS online database for chemical list
Chemicals
Flammables
Toxic Gases
Corrosives
Chemical face shield
Chemical resistant gloves
Chemical resistant aprons
Lab Coat
Closed toe shoes
Powered Air Purifying Respirator
Other ___________________
Exposed to extreme heat (Examples: Autoclaves, Blanket warmers, Ovens, Propane torches) or cold (Liquid Nitrogen, Winter temperatures).
Heat
Cold Stress, Burns, Frostbite
Cryogenic (cold resistant) gloves
Goggles
Face shield
Other ___________________
Driving or riding in motorized vehicle equipment as part of the job.
Vehicle crash, Impact
Other ___________________
Working in extremely wet or slippery conditions or working in 24/7 operations where floors are wet from mopping.
Slip, Trip, or Fall
Rubber boots
Other ___________________
Preparing or handling hazardous drugs (Examples: cytotoxic drugs, chemotherapy agents).
Chemical
Genetic damage
Tumors
Disposable barrier gown
Goggles
N95/PAPR (spill cleanup)
Ventilation Hood
Other ___________________
Medical/surgical procedures involving heat generating tools or equipment (Examples: cautery/ lasers).
Light radiation, burns to self or patient, smoke inhalation
Other ___________________
Working with or near ionizing Radiation Hazards (Examples: Radioactive sources, X-Rays).
Over exposure, Genetic damage
Other ___________________
Working near MRI.
Trauma resulting from missile effect
Strain, Sprain
Workplace violence, bodily injury, body fluid exposure
Barrier Gown or fluid resistant Lab Coat
HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
RELATED TO: Infectious Agents
Yes No
Description
Potential Hazard
Hazard control
PPE Required
PERFORMING OR ASSISTING WITH THESE TASKS:
Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning, wound irrigation, eye & ear irrigation, close contact (within 3 ft.) of patient with frequent, productive cough, sigmoidoscopy, cystoscopy, colonoscopy.
Exposure to Infectious Agents
Gloves (Clean)
Barrier Gown if anticipate splash
Activity that requires touching patient’s non-intact skin or mucous membranes.
Exposure to Infectious Agents
Activity that includes touching patient’s blood/body fluid or contaminated items or environment, examples, but not all inclusive: disposal of urine, blood canisters.
Exposure to Infectious Agents
Barrier Gown if anticipate splash
Facial protection (mask plus goggles OR face shield) if anticipate splash
Performing duties with sharp devices that could result in exposure to blood or body fluids.
Exposure to Infectious Agent/sharp injury
Facial protection (mask plus goggles OR face shield) if anticipate splash
Entering rooms where patients with airborne diseases are treated.
Exposure to Infectious Agent/inhalation
Work with specimens from patients with airborne diseases.
Exposure to Infectious Agent/inhalation
Exposure to infectious agents
Barrier Gown
Facial protection (mask plus eye protection or face shield plus mask required during these procedures)
in the skin structure, including but
not Limited To:
Gloves (Sterile)
Barrier Gown if anticipate splash
Barrier Gown if anticipate splash
Facial protection (mask and eye protection required during these procedures if anticipate splash)
Gloves (Clean)
Facial protection (mask plus eye protection or face shield plus mask required during these procedures)
Other tasks with identified safety, health or infectious hazards requiring PPE?
Yes No Task Description
Hazard
Hazard control
List PPE Required
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8
Job Description
Regions Hospital
Job Title:
Outpatient Nurse Behavioral Health
Job Code:
723480, 723489 (Per Diem)
Leader Title Level:
Manager Behavioral Health Operations
Location:
Regions
Department:
Outpatient Behavioral Health
Final Approval (Dir. or VP Level)
Manager Behavioral Health Operations
Date Approved:
May 2015
Date Revised:
August 2022; February 2023
POSITION SUMMARY STATEMENT:
Collaboration with MD/CNS to perform patient centered, safe, effective patient care based on age specific needs of patient population served. Assists the MD/CNS in providing services in telephone triage, providing crisis management, data gathering and supportive services to perform related duties as assigned .
MINIMUM QUALIFICATIONS:
Education, Experience or Equivalent Combination:
Graduate from an accredited program in nursing
Licensure/ Registration/ Certification:
State license (MN) and Wisconsin license (within six months of being hired)
Demonstrates at the time of employment and every two years thereafter
Competency in CPR.
The year when demonstration of competency is not required a general review of CPR is required
Knowledge, Skills, And Abilities:
Basic knowledge of psychiatric skills: must be able to collect data
Accurately and relay all information to MD/CNS for assessment
Excellent communication skills
Ability to effectively participate on an interdisciplinary treatment team
Ability to develop and maintain effective working relationships with
patients, family members and co-workers
Ability to work independently and make sound decisions
PREFERRED QUALIFICATIONS:
Education, Experience or Equivalent Combination:
Two years in field of psychiatry preferred
Out-Patient clinic experience desirable
Licensure/ Registration/ Certification:
NA
Knowledge, Skills, And Abilities:
NA
Essential Duties:
% Of Time (minimum 5% increments)
Telephone Triage
25%
- Returns phone calls in a timely manner
- Responds to routine phone calls for clarification from patients, families, case managers, etc.
- Discriminates between situation requiring independent management and collaborative management with MD/CNS.
20%
- Communicates through chart notes, in a manner that is helpful for other prescribes involved
- Accurately and comprehensively documents all patient services
- Completes all phone shingles with accuracy
- Keeps patient electronic medical record updated and current
20%
- Prioritize patient needs to address emergent and urgent issues
- Demonstrates ability to handle crisis situations by using sound judgment and critical thinking skills
- Collaborates with MD/CNS when unusual incidents or changes occur in patients’ condition
- Sets priorities using critical thinking skills
15%
- Promotes patient participation in his/her own care to the greatest possible extent
- Emphasizes patient health and wellness based on wellness needs, nutrition, diet, exercise, labs
- Provide education to patients and family regarding disease process and plan
- Promote patient participation in the Severe and Persistent Mental Illness program
- Encourage patient use of patient education center
10%
- Intakes-initial data collection
- Pre visit preparation, & initial data collection for MD/CNS for medication management clinics
- Screening for abnorm laboratory results and notifying MD/CNS when labs are abnormal
- Schedules tests, lab, x-ray, EKG, etc.
- Initiates services for patients receiving ECT, and monitors patient records during ECT so records are current according to policy. Assists with ECT procedure
5%
- Delegates appropriately and remains accountable for safe delivery of that delegated care
5%
- Completes forms and letters in a timely manner
- Fills out forms regarding patient with detail and accuracy
- Supply information when needed to group homes, case management, social security, etc.
- Composes letters based on individual need
- Job description rankings/percentages are intended to reflect normal averages over an extended period and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.
Values
All Colleagues Are Expected To Live Our Values:
Excellence: We strive for the best results and always look for ways to improve.
Compassion: We care and show empathy and respect for each person.
Partnership: We are strongest when we work together and with those we serve.
Integrity: We are open and honest, and we keep our commitments.
Additional Expectations:
- Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment.
- Maintains regular and timely attendance
- Protects confidentiality
- Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures.
- Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.)
X Yes
No
Does this employee have direct patient contact?
Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section.
Examples Of Items That Can Be Included Are:
- Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served.
- Communicates effectively with patients, families, and team members.
- Integrates practices that supports patient safety, acknowledges variations in populations served.
- Anticipates the needs of the population served as well as the unique characteristics of the communities served.
- Anticipates the needs of the population in providing culturally responsive care and develops an individualized plan for patients and families.
Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic, department, or functional area. If applicable, indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.
None
Critical Job Demands
Section 1: Place an “X’ next to ONE of the terms that best describes the frequency for each of the Critical Demands .
Critical Demands
N/A
0%
Rare
1-5%
(Up to
a 1/2 hour)
Occas.
6-33%
(1/2 hour
to
3 hours)
Freq.
34-66%
(3 to
5½ hours)
Cont.
67-100%
(5½ to
8 hours)
Standing - Remaining on one's feet in an upright position at a workstation without moving about.
Walking - Moving about on foot.
Sitting - Remaining in a seated position.
Squatting - Assuming or maintaining a crouching position with the knees bent.
Reaching - Stretching out or extending to touch or grasp.
Lifting - Raising or lowering an object from one level to another (includes upward pulling).
Carrying - Transporting an object, usually holding it in the hands or arms, or on the shoulder.
Pushing/Pulling – Exerting force upon an object so that the object moves away/towards from the force.
Handling/Fingering – (includes typing, computer work, gripping, grasping, and pinching)
Section 2: Place an “X” next to ONE of the terms that best describes the Strength Rating for this job classification which is expressed by one of five terms: Sedentary, Light, Medium, Heavy, and Very Heavy.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work.
Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
Note: During any patient handling task, if any caregiver is required to lift more than 35 lbs. of a patient’s weight, assistive transfer devices should be used for the transfer.
HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
Please contact the employer Employee Health & Safety (EHS) with any questions or assistance related to the completion of the Hazard Assessment for Personal Protective Equipment (HAPPE) Form.
RELATED TO: Hazardous Substances and Harmful Physical Agents
Yes No
Task Description
Potential Hazard
Hazard control
PPE Required
Working with box cutters, knives, or other sharp cutting devices.
Penetration
- Cut away from body.
- Use proper tool for the job.
Cut resistant gloves
Other ___________________
Working with liquid chemicals, acids, or caustics (Examples: reprocessing, cleaners, disinfectants, laboratory chemicals).
See MSDS online database for chemical list
Chemicals
Flammables
Toxic Gases
Corrosives
- Use only employer approved products.
- Use appropriate soaking containers with labels.
- Understand hazards of chemicals you use (read MSDS).
Chemical face shield
Chemical resistant gloves
Chemical resistant aprons
Lab Coat
Closed toe shoes
Powered Air Purifying Respirator
Other ___________________
Exposed to extreme heat (Examples: Autoclaves, Blanket warmers, Ovens, Propane torches) or cold (Liquid Nitrogen, Winter temperatures).
Heat
Cold Stress, Burns, Frostbite
- Approach hot surfaces carefully.
- Use only approved liquid nitrogen Dewars. Dispense only if trained.
Cryogenic (cold resistant) gloves
Goggles
Face shield
Other ___________________
Driving or riding in motorized vehicle equipment as part of the job.
Vehicle crash, Impact
- Absolutely no text messaging while driving.
- Refrain from cell phone use while driving.
Other ___________________
Working in extremely wet or slippery conditions or working in 24/7 operations where floors are wet from mopping.
Slip, Trip, or Fall
- For wet areas, mop excess water regularly.
- Place warning signs.
- Select footwear carefully
Rubber boots
Other ___________________
Preparing or handling hazardous drugs (Examples: cytotoxic drugs, chemotherapy agents).
Chemical
Genetic damage
Tumors
- Receive training
- PPE
- Use of biological cabinet
- Spill procedures
- Waste disposal SOP
Disposable barrier gown
Goggles
N95/PAPR (spill cleanup)
Ventilation Hood
Other ___________________
Medical/surgical procedures involving heat generating tools or equipment (Examples: cautery/ lasers).
Light radiation, burns to self or patient, smoke inhalation
- Receive laser training.
- Awareness and knowledge to minimize surgical or procedural fires.
- Code Red training
- PPE
- Restricted access
Other ___________________
Working with or near ionizing Radiation Hazards (Examples: Radioactive sources, X-Rays).
Over exposure, Genetic damage
- Warning signage
- PPE
- Waste and spill procedures
- Personal monitoring
- Shielding, distance
Other ___________________
Working near MRI.
Trauma resulting from missile effect
- Restrict access
- Screening
- Signage
Strain, Sprain
- Proper body mechanics
- Get additional help
- Get Ergonomic help from EOHS.
Workplace violence, bodily injury, body fluid exposure
- Training in verbal de-escalation techniques.
- Code Green procedure
Barrier Gown or fluid resistant Lab Coat
HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
RELATED TO: Infectious Agents
Yes No
Description
Potential Hazard
Hazard control
PPE Required
PERFORMING OR ASSISTING WITH THESE TASKS:
Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning, wound irrigation, eye & ear irrigation, close contact (within 3 ft.) of patient with frequent, productive cough, sigmoidoscopy, cystoscopy, colonoscopy.
Exposure to Infectious Agents
- Hand hygiene before and after task
- PPE
Gloves (Clean)
Barrier Gown if anticipate splash
Activity that requires touching patient’s non-intact skin or mucous membranes.
Exposure to Infectious Agents
- Hand hygiene before and after task
- PPE
Activity that includes touching patient’s blood/body fluid or contaminated items or environment, examples, but not all inclusive: disposal of urine, blood canisters.
Exposure to Infectious Agents
- Hand hygiene before and after task
- PPE
- Use of Spill kits (as needed)
Barrier Gown if anticipate splash
Facial protection (mask plus goggles OR face shield) if anticipate splash
Performing duties with sharp devices that could result in exposure to blood or body fluids.
Exposure to Infectious Agent/sharp injury
- Use of sharps safety devices
- Avoid re-capping needles
- Proper disposal of sharps at point of care
- For reusable sharp, use safe transporting practices
- Use neutral zone for passing sharps
- PPE
Facial protection (mask plus goggles OR face shield) if anticipate splash
Entering rooms where patients with airborne diseases are treated.
Exposure to Infectious Agent/inhalation
- Mask patient
- Place patient in airborne infection isolation room if available
- Limit entry into room
- Keep door closed
- PPE
Work with specimens from patients with airborne diseases.
Exposure to Infectious Agent/inhalation
- PPE
- Biological Safety hoods/cabinet instrumentation with automated/closed sampling mechanisms
- P rocedures that enter deep tissue or body fluid, including but not limited to :
Exposure to infectious agents
- Hand hygiene before and after procedures
- PPE
Barrier Gown
Facial protection (mask plus eye protection or face shield plus mask required during these procedures)
- a. Procedures that enter
in the skin structure, including but
not Limited To:
- Excision of mole, lump, or bump
- Excision of lipoma or sebaceous cyst, vasectomy
- Hand hygiene before and after procedure
- PPE
Gloves (Sterile)
Barrier Gown if anticipate splash
- b. Additional Procedures
- Shave biopsy, punch biopsy
- Joint injection, nerve injection, joint aspiration
- Peripheral IV insertion, ENT procedures
- Anal-rectal Biopsy
- Hand hygiene before and after procedure
- PPE
Barrier Gown if anticipate splash
Facial protection (mask and eye protection required during these procedures if anticipate splash)
- Handling Lab specimens in a laboratory
- Hand hygiene after removing gloves
- PPE
- Biological Safety hoods/cabinet
- Splash guard
- Instrumentation with automated/closed sampling mechanisms
Gloves (Clean)
Facial protection (mask plus eye protection or face shield plus mask required during these procedures)
Other tasks with identified safety, health or infectious hazards requiring PPE?
Yes No Task Description
Hazard
Hazard control
List PPE Required
Click here to enter text.
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8