RN - Residential Rehabilitation Treatment Program (RRTP)
Veterans Affairs, Veterans Health Administration
Location: Lebanon, Pennsylvania
Internal Number: 620606500
The Residential Rehabilitation Treatment Program (RRTP) Staff Nurse, reports to Nurse Manager (NM) or Supervisor of Patient Care Area assigned. The Approving Official is the Associate Chief Nursing Service (ACNS), Behavioral Health. The RRTP RN is a registered nurse who will utilize the nursing process and evidence based practice in order to demonstrate leadership, experience, and creative approaches to the management of complex behavioral health patients in RRTP. The RN is a key member of the Core Team (patient, behavioral health provider, RN ,and patient support) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient), promoting effective communication and ethical practice. The RN functions within their Scope of Practice to provide expert care and management of the delivery of care that assures continuity of care and peer accountability for practice, including problem resolution, deescalation and psycho-education. This RN is expected to function as an expert in clinical practice including the areas of medical and psychiatric emergencies, medication compliance, assessment, social skills, and patient safety to patients receiving residential rehabilitation treatment. This RN provides guidance to assist in the development and support of staff using proficiencies and standards of nursing practice. This RN is also responsible and accountable for maintaining training required and may be assigned additional duties that reflect the educational, experiential, and competency requirements outlined in the four dimensions noted in the Clinical Nurse Path. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team (IDT). Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs. This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. The incumbent must be poised and articulate in communicating with people of varied educational levels and varied ethnic backgrounds. Willing to work cooperatively as a member of a team in all assignments. Makes caring for the veteran his/her priority while in the work setting and demonstrates customer service principles in all aspects of work. Self-motivated in the pursuit of meeting professional work standards. Basic Cardiac Life Support (BCLS) required for RNs in direct patient care positions. Advanced Cardiac Life Support (ACLS) required in specific specialty areas. Delivers safe, basic care to assigned patients with simple needs while developing technical competencies. Adheres to policies and procedures, i.e., Bar Code Medication Administration (BCMA), documentation, and Accucheck. Completes admission assessment, seeking assistance to identify priority needs. Updates assessments by recognizing changes in patient's needs and re-establishes priorities for care with assistance. Develops initial nursing care plan, including the patient/family/significant others and other health care providers in establishing realistic goals related to health education and the treatment plan. Implements nursing orders in a timely and accurate manner. Implements appropriate physician's orders in a timely and accurate manner; reporting when unable to do so. Identifies basic health teaching based on identified needs, including preparation for procedures, tests, and discharge. Assesses the patient's response to the treatment plan, revising the care plan as necessary. Assesses and treats pain utilizing the pain management protocol. Documents assessments, actions, and responses to treatment and other significant information in a timely and accurate manner utilizing Computerized Patient Record System (CPRS) and BCMA Provides care appropriate to adult, older adult, and geriatric patients with respect to age-related changes in skin, bones, hearing, vision, thermoregulation, cognition, communication, balance and ambulation, and related considerations. Demonstrates the ability to assess data reflective of the patient's status and care requirements for population-specific needs, such as, culture, Veteran era, etc., and plans and delivers care appropriately. Initiates basic emergency interventions as necessary. Initiates appropriate interventions for patients exhibiting disturbed behavior. Work Schedule: Night, midnight to 8:00 a.m. with holiday and weekend rotation Financial Disclosure Report: Not required
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.