Classification General Statement:
The Psychiatric Nurse provides both general and special outpatient nursing services for individuals with serious mental illness including medication dispensing and monitoring, medication skills training, giving injections, working with pharmacies. This position provides medical case management services and works with the client, other professional medical providers, and clinicians to establish culturally competent service plans and treatment services. The Psychiatric Nurse may also provide coverage for medical assistants and care coordinators, as requested.
Job Specifications Any combination of education and experience that demonstrates the ability to perform the position’s essential responsibilities is qualifying. This might typically include:
- Bachelor’s degree in Nursing (BSN) and two (2) years’ experience; OR
- Associate’s degree in nursing with four (4) years’ experience.
- Professional licensure as a Registered Nurse in the State of Oregon.
- Current certification in First Aid and Basic Life Support.
- Experience in a psychiatric or community behavioral health setting is desired.
- Bilingual Spanish/English is desired, and may be required for some positions.
- Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 407-007-0200 to 407-007-0370.
- Must possess a valid Oregon or Washington Driver’s license, maintain an acceptable driving record, and be insurable for client service purposes and for travel between business offices, meetings and/or trainings. A reliable alternate mode of transportation may be acceptable for some positions.
Benefits(Note: subject to change annually)
- Affordable monthly medical premium (PEBB)
- Life and AD&D
- Flexible Spending Account
- Employee Assistance Program
- Retirement: Oregon Public Employees Retirement System (PERS), and Employees contribute to Social Security.
- 11 Paid holidays a year (including one floating holiday)
- 7.5 hours of sick leave accrued each month for full-time staff
- Generous vacation accruals (up to 15 days per year during years 1-3, based on start date and hours worked.
- Mileage reimbursement per current IRS regs (2021: $.56 per mile) for miles driven outside of normal commute when using personal vehicles. Fleet/pool cars must be used to transport clients.
Essential Responsibilities of the Classification:
- Perform routine nursing care. Dispense medications; set up pillboxes; perform routine blood draws for laboratory evaluation; administer injections as prescribed; track client medications.
- Assist with case management services for clients who require additional supervision and medication monitoring with the goal of helping each client attain the objectives of the treatment plan through the nursing process.
- Observe, assess and monitor identified client progress. Observe physical, emotional, and mental status; perform blood pressure, weight, and blood glucose testing; perform other measurements for clients who have been identified for more intensive monitoring by the psychiatrist.
- Order prescription refills from pharmacies. Maintain good rapport with pharmacists and keep them informed of changes in medications as directed by prescribing psychiatrist.
- Maintains crisis phone on a rotational basis
- Participate in health and wellness planning for individual clients, families, and/or community partners; provide one-to-one instruction to clients as needed; provide education to agency employees as appropriate.
- Develop and maintain inventory and audit practices for medications stored at the agency. Perform appropriate documentation for tracking and dispensing medications.
- Responsible for maintenance and timeliness of all records, progress notes, and other required documentation. Also responsible for filing, updating records, tracking laboratory values, and delivering paperwork to agency personnel as needed.
- Coordinate and exchange information with other health care providers to maximize health and wellness, and provide resources for clients.
- Attend local, regional, and/or state meetings as requested by supervisor.
- Participate in all team and agency meetings as scheduled. Regularly attend to email and voice mail messages in a timely manner to maintain effective communications.
- Maintain an active, unrestricted Professional Registered Nurse License in the State of Oregon.
- Remain updated on all rules and OAR’s pertaining to nursing/mental health.
Other Required Knowledge, Skills and Abilities:
Knowledge: Comprehensive knowledge of medication administration procedures, potential drug reactions, and commonly used psychopharmacological agents; knowledge of Oregon Administrative Rules pertaining to nursing/mental health (309-032-0525 and 309-016-0000); knowledge of the principles and practices of psychiatric nursing in a public health setting; knowledge of symptoms and challenges faced by people with mental illness; knowledge of community health resources available to consumers.
Skill: Strong skill in nursing assessment and medical case management; skill in the use of clinical software systems; skill in the use of standard office software including word processing and spreadsheet applications; skill in keyboarding.
Ability: Ability to understand and effectively apply the concepts and practices of a trauma-informed philosophy in performing the work. Ability to work within strong professional ethics and rules of confidentiality to provide effective psychiatric nursing services to consumers. Ability to effectively observe, assess and monitor patients who are receiving nursing services; ability to accurately dispense, track and account for medications within Agency protocols and standards; ability to write and maintain timely and cogent progress notes, plans, reports and other professional documents; ability to maintain a strong service orientation; ability to organize and execute work effectively under the pressure of time-sensitive deadlines; ability to work effectively and harmoniously in a team environment; ability to work with grace and good humor under pressure; ability to work cooperatively with other departments; ability to communicate effectively, both orally and in writing, and within Sanctuary Model guidelines; ability to establish and maintain harmonious work relationships with co-workers at all levels of the organization, consultants, contractors, community partners, and consumers.
- Work is performed in an office environment (outpatient clinic) and the noise level is usually moderate, but occasionally may be exposed to loud noise such as raised voice levels and alarms. The employee may regularly need to be away from the office site as required for client care. Client care may take place in the home or other community facility. Occasional out of area travel and overnight stays will be required for attendance at meetings and/or trainings.
- Community settings, such as residence, schools, police precincts, respite facilities, hospitals and other public spaces may pose additional risks or discomforts which require safety precautions. Universal Precautions and remaining alert to environment are critical to address the potential for violent behavior, safety concerns, biohazards, noise and contaminants.
- This position is exposed to the everyday risks or discomforts which require normal safety precautions typical of such places as an office (i.e., moving mechanical parts, airborne particles, and electrical shock). Special attention is required for precautions for infection control.