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Registered Nurse- Outpatient Mental Health - Houston, Texas - Mental Health

Company: Michael E. DeBakey VA Medical Center
Location: Houston
Posted on: January 27, 2023

Job Description:

Registered Nurse- Outpatient Mental Health - Houston, Texas
Duties

VA offers a comprehensive total rewards package:

The registered nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or
restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider .The nurse's primary commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses).

1. The nurse is responsible and accountable for individual nursing practice and determines the appropriate
delegation of tasks consistent with the nurse's obligation to provide optimal care (ANA Code of Ethics for Nurses).
2. Independently plans and delivers technically competent care to patients with complex needs.
2.1. Safely and effectively uses equipment required for patient care. Reports equipment in need of repair.
2.2 Recognizes subtle abnormal signs and symptoms and/or changes in patients condition and responds appropriately.
3. Makes assignments and directs activities of unit staff, (RNs, LPNs, students, PSAs, other team members).
4. Formulates and implements a plan of care based on the ANA Standards of Nursing Practice.
4.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as
needed.
4.2. Includes the patient and family/significant other in developing the initial plan of care, establishing goals, and
discharge planning
4.3. Updates plan of care as needed based on patient responses.
4.4. Assesses patient's learning needs, learning preference, and readiness to learn.
4.5. Develops and implements a plan to meet learning needs, instructing patients and families in educational
needs and discharge planning.
5. Documents the nursing process.
5.1. Documentation is technically informative, consistent, accurate, concise, and timely manner.
5.2. Evaluates and documents patient response to interventions and progress towards attainment of expected
outcomes.
5.3. Completes notes and/or uses addenda to avoid unsigned progress notes.
5.4. Revises plan of care according to evaluations of patient responses.
5.5. Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration
(BCMA) software per policy.
6. Manages nursing care of patients.
6.1. Provides direction to staff in meeting patient care needs.
6.2. Ensures that assigned delegated tasks are completed by team members.
6.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as
necessary.
6.4. Organizes and prioritizes in order to meet changing patient care needs and staff assignments.
6.5. Assigns patient care responsibilities based upon patient needs and competencies of staff.
7. Demonstrates grade-appropriate and consistent critical thinking skills.
7.1. The nurse can recognize the patient has a problem.
7.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
7.3. The nurse has a relative sense of urgency.
7.4. The nurse takes the right action for the right reason (del Bueno).
8. Position-specific Competency Checklist is completed annually and is rated competent in all measured areas.
9. Outpatient: Collaborates with the Teamlet (patient, Primary Care Provider, and Clinical Support Technician) and
larger Team (family/caregiver, internal and community-based services involved in providing care to the patient).

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Monday- Friday 8AM- 4:30PM
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Contact Demetrius.Roberts@va.gov, the EDRP Coordinator for questions/assistance.
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Keywords: Michael E. DeBakey VA Medical Center, Houston , Registered Nurse- Outpatient Mental Health - Houston, Texas - Mental Health, Healthcare , Houston, Texas

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