Registered Nurse (RN) - Psychiatric
Austin State Hospital
Austin, TX

Psychiatric Nursing Asst IV

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below. The Psychiatric Nursing Assistant IV (PNA Team Lead) performs advanced (senior level) rehabilitative patient care services work under the clinical supervision of a registered Nurse (RN) to provide quality psychiatric nursing care in an inpatient setting. Work involves coordinating emergency, health, and personal care services to patients, and instructing staff on hospital and program procedures and policies. As an integral member of the recovery team or the admissions team provides verbal and supportive communication and documentation concerning individual patient behaviors, progress or lack thereof towards individualized goals of the recovery plan. Actively participates in shift reporting and recovery team meetings, or meetings with admissions staff. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Essential Job Functions: Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. The PNA IV, as the Team Lead providing direction to other PNAs in maintaining direct and ongoing therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a lesser restrictive environment. Uses therapeutic communication skills in promptly and effectively engaging patients to assist them in meeting the objectives of their recovery plan. If working nights oversees a quiet and restful environment to promote the patient's rest and sleep. If working in admissions, acts as Team Lead assigning the other PNAs to tasks that must be performed during the admission process such as performing vital signs, securing the patients personal property, presenting and explaining the patient rights booklet, all while supporting the patient as they are being evaluated for admission. Coordinates the observation and evaluation of patients for signs and symptoms of disease, injury, and reactions to medications that require intervention. Coordinates direct care for age specific patients as assigned by the Registered Nurse. As the team lead, coordinates assignments and specific duties for other PNAs which include assisting the patient with activities of daily living, hygiene, and eating to promote independence and self-care. Instructs other PNAs on the process of escorting patients to their therapeutic activities and off-campus appointments, escorts patients as required. Instructs other staff on specific hospital and unit/program procedures and policies. Documents patient's goals, behavior, and progress and serves as a member of the patient's recovery team. Shares information with other PNAs so they understand their role in supporting the patient's treatment. Instructs other PNAs on how to provide verbal and written communication concerning patient's progress or lack thereof to their individualized goals. Develops plans for treatment and instructs other PNAs on how to take an active role with the patient as they work to achieve the goals of their recovery plans and offers consistent, ongoing support to the patients in reaching their goals. The PNA IV Team Lead assists the licensed nurse and provides guidance to other PNAs in preparing patients for medication administration or treatment, including taking and monitoring vital signs and performing other assigned tasks within competency level. Performs duties of PNA Is, IIs, and IIIs if needed due to staff shortage. Uses basic computer skills and responds to questions from other PNAs on reporting procedures to communicate patient care information clearly and concisely in a timely manner. Actively promotes safety through the continuous monitoring of the environment and active engagement of patients to minimize unsafe situations and injuries. Provides objective and relevant information to the supervising RN on an ongoing basis concerning the work performance of assigned PNAs to support a more comprehensive performance evaluation and to assist in the identification of training and/or other performance improvement opportunities. Facilitates programming offered on the treatment unit. Co-facilitates groups as assigned or requested and encourages patients to participate. Responds effectively in crisis or psychiatric emergency situations and provides guidance to other PNAs on verbal de-escalation and the application of Treatment Intervention Protection Strategies (TIPS). When more restrictive interventions are required, responds to the direction of the RN to avert crisis situations and to ensure the health and safety of all persons. Communicates effectively with other team members to ensure a culture that promotes the least restrictive interventions necessary. Performs the CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specification of the American Heart Association. Instructs other PNAs on how to provide the RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, or behavioral escalation gained by direct observation/interaction with patients to promote safety. Serves as a preceptor (orientation and on-going training) for new employees including PNA Is, IIs, and other temporarily assigned personnel to the unit. Actively participates in shift reporting and serves on unit and hospital committees and performance improvement workgroups as appointed. Serves as a role model and encourages subordinate staff to demonstrate a commitment to a culture that reduces risk to both patients and staff through support of the hospital's safety and risk management plans, infection control programs and restraint and seclusion reduction strategies. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge Skills Abilities: Knowledge and experience in CAPPS, CARE, Microsoft Word, and Excel. Knowledge of patient aggression reduction interventions. Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs. Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills. Skills in the use of computer and office equipment. Ability to prepare and maintain records, files, and reports. Ability to serve as a lead worker providing direction to others. Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions. Ability to provide patient care, to administer first aid and cardiopulmonary resuscitation, to conduct TIPS, and to communicate effectively. Ability to work with others and accept supervision. Ability to train others. Registration or Licensure Requirements: If transporting patients, will be required to have a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. CPR certification or the ability to obtain certification for CPR within the first 60 days of employment. Initial Selection Criteria: Graduation from a standard senior high school or equivalent OR At least three (3) years direct care experience. Psychiatric patient experience preferred. Supervisory experience preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code: 68X, 4C0X1 Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68X, 4C0X1.? All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS