VA Portland Health Care System (VAPORHCS) is a Level 1A interdisciplinary teaching and quaternary facility with service-lines serving primary care, emergency medicine, medicine, surgery, specialty, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics and multiple community-based outpatient clinics. VAPORHCS operates a Community Resource and Referral Center which serves homeless Veterans in downtown Portland and also provides Home-Based Primary Care. The Acute Psychiatric Registered Nurse (RN) practices on the Acute Psychiatry Inpatient Unit under the Mental Health and Neurosciences Division within VA Portland Health Care System (VAPORHCS). The Acute Psychiatry Inpatient Unit is an acute, locked, inpatient unit which specializes in psychiatric care of Veterans, including substance abuse, major mental illnesses, and personality disorders. There may also be instances when patients are admitted with a changes in mental status and impaired neurocognitive functioning associated with diagnoses such as TBI, Dementia, or Alzheimer's. In addition, the incumbent will be cross trained to cover the Residential Rehabilitation Treatment Program (RRTP) on the Vancouver campus in case of critical staffing needs. The RRTP provides residential rehabilitation services for homelessness and substance abuse. The Acute Psychiatric RN provides patient driven care which compels the nurse to view individualized care needs through the eyes of the patient. The incumbent delivers nursing care within an interdisciplinary environment to achieve negotiated treatment goals designed to return patients to baseline or an improved mental health and clinical status. The incumbent possess the necessary competencies to provide acute psychiatric care, as well as basic medical care when indicated. The Acute Psychiatric RN performs milieu management and rounding; engages with patients; participates/leads groups and activities; participates in daily team meetings; participates in complex discharge/ethical consultation discussions; initiates and concludes restraint and seclusion based on continuous assessment; when indicated, provides continuous Nurse 1 :1 monitoring, direct observation, close observation; performs assessment using Pittsburgh Agitation Scale - a specialized RN competency - once per shift on each patient to assess level of agitation and effectiveness of nursing; performs CPRS documentation/charting; performs Pressure Ulcer risk assessment; performs medical management of IVs, feeding tubes, catheters, CPAP; provides assistance with ADLs; and performs medication management. Based on education and experience, the incumbent may be assigned responsibilities as preceptor or charge nurse. Work Schedule: Full Time Nights- 6 12-hour shifts plus 1-8 hour shift. Includes weekends and holidays. Financial Disclosure Report: Not required
Internal Number: 600139800
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.