Registered Nurse (RN) - Med Surg
San Antonio State Hospital
San Antonio, TX

Nurse I

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 Nurse I position has two available shifts. (7a to 7p and 7p to 7a) The Nurse I (Staff Nurse) performs entry-level to routine (journey-level) nursing work at a competent level in the state hospital under the supervision of the Charge Nurse or Nurse Manager (Nurse II/III). Conducts comprehensive assessments of patients nursing care needs using specialized skills in an inpatient psychiatric setting. Identifies nursing diagnoses or problem lists and formulates an initial plan of care based on assessment data. Establishes unit routines and develops and maintains the therapeutic milieu. Makes observations of patient behavior and status and reports to the psychiatrist, other recovery team members, and supervising nurse, as appropriate. Carries out nursing interventions as identified in the multidisciplinary recovery plan. Administers medications as ordered and maintains medication administration and controlled drug records according to facility policy. Trains other staff members as necessary, or as requested. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. 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: 1. Attends work on a regular basis and may be required 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. 2. Performs comprehensive assessment of patients' nursing care needs including physical, behavioral, psychiatric, and social needs. 3. Observes and analyzes patient behavior and status, and documents in the medical record or reports, as needed, to other team members, including the attending psychiatrist. 4. Develops or contributes to the development of the individualized recovery plan in collaboration with other recovery team members, based on data obtained from the assessment. 5. Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs. 6. Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies. 7. Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population. 8. Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy. 9. Establishes and monitors the therapeutic milieu assuring a safe and therapeutic environment for the patients. 10. Provides training to other staff in psychiatric nursing principles, unit routines, and milieu management. 11. Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members. 12. 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: 1. Knowledge of nursing techniques and procedures. 2. Knowledge of medical diagnoses and procedures. 3. Knowledge of accepted medical treatment programs. 4. Knowledge community health and nursing care principles, practices, and procedures. 5. Skills in the care and treatment of patients. 6. Skills in the use of a computer and applicable software. 7. Ability to provide patient care. 8. Ability to prepare and maintain records. 9. Ability to communicate effectively both orally and in writing. Registration or Licensure Requirements: Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. OR Issued a temporary permit to perform duties under supervision awaiting license issue. If transporting patients, must possess 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. Initial Selection Criteria: Graduation from an accredited four-year college or university with major coursework in nursing or from an accredited nursing program. 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: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. 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