5905 - Registered Nurse (Secure Residential)

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Sign on Bonus may Apply! Certain restrictions apply: Bonus is pro-rated based on set of hours work per week (FTE), Bonus is provided in two installments that must meet certain conditions, Bonus does not apply to Per Diem (on-call) positions, must have been employed with Cascadia for at least 12 consecutive months or be a current employee.

This is a full time position at 40 hours per week, Sunday through Thursday, overnight shifts from 11:00 pm to 7:30 am. The position is located at one of Cascadia’s Secure Residential Treatment homes in SE Portland off of Powell Blvd. A shift differential may also be included, depending on the shift you work. Both Swing and overnight shifts are provided with a shift pay differential in addition to the hourly wage when clocking in.

Secure Residential Treatment Programs serve adults living with severe and persistent mental illness (SPMI) who have a history of institutionalizing in the state hospital system. They are transitional facilities with a goal to help residents become more independent. Due to the high level of support for the residents, these programs have a higher level of staffing.

Registered Nurse (RN) for Secure Residential coordinates the provisions of treatment for the shift and implements medical interventions. The RN assumes responsibility for treatment decisions in keeping with RN licensure provisions and renders care prescribed by physicians and nurse practitioners, while supporting a Trauma Informed Care environment. With the high prevalence of trauma among individuals receiving mental health services, it is required the RN understand the effects of trauma on health, coping, and other aspects of the lives of those we serve.

All incumbents must understand, appreciate and respect the diversity and cultural differences within our Cascadia community. It is expected that there is an awareness and sensitivity to the perspectives and perceptions to those we serve, as well as our colleagues. As Cascadia is Trauma informed, the incumbent must support a Trauma Informed Care Environment. With the high prevalence of trauma among individuals receiving behavioral health services, it is required that the incumbent understand the effects of trauma on health, coping, and other aspects of the lives of those we serve.

On the first of the month, following 60 days of employment, benefit eligible employees (20/hrs. or more per week) are able to enjoy affordable, low cost, medical, dental, and vision benefits. Additionally, Cascadia provides a generous paid time off package, volunteer time off, and more. Upon hire, you will complete paid training and then continue to train onsite in your new job. During the first week of training, you will learn about the agency, understanding those we serve, Trauma informed care, and other skills to prepare you for significant and meaningful work in the behavioral health field, whether you are providing clinical services or non-direct services. Click here to learn about the benefits we offer and more

Essential Duties:

This position description is not intended to be an all-inclusive list of responsibilities or an all inclusive job description.

• Provide quality nursing care, including all medical interventions and appropriate documentation.
• Formulate Nursing Care Plans for all medical/physical conditions.
• Administer PRN medications based on presenting systems and proper assessment to determine the need for the PRN.
• Participate in planning, implementing, evaluating and documenting direct resident care activities based on sound psychiatric and Arbor/Faulkner place philosophy.
• Act as liaison with medical staff, pharmacy and laboratory services when appropriate to assure continuity of quality resident care.
• Place strong emphasis on community reintegration, utilizing a comprehensive rehabilitation program that includes therapy and skills-building groups, dual-diagnosis treatment, nutrition and exercise, a vocational training program and staff-escorted community outings.
• Administer psychotropic medications, interpret resident response to medication and take appropriate action based on current psycho-pharmacy standards.
• Collaborate and participate as a team member to establish medical treatment plans and resident care.
• Interact appropriately with residents, visitors and other community members to support the treatment process, and advise on resident rights to treatment, refusal of treatment and involuntary treatment procedures as provided by applicable regulations.
• Document and maintain electronic health record (EHR) and ancillary records in a manner that is compliant and accurate.
• Attend and actively participate in Nursing meetings and resident case conferences.
• Assist in crisis situations as appropriate, following emergency protocols/procedures and coordinating with the treatment team with interventions which support a trauma informed environment for residents and staff.
• Demonstrate responsibility for safety of residents, staff and property; is familiar with fire regulations and evacuation procedures.
• Adhere to mandatory abuse reporting laws and HIPAA requirements, follow compliance and respect and clients rights
• Call the Licensed Medical Practitioner (LMP) with laboratory results.
• Lead resident nursing groups.
• Coordinate with oncoming shift regarding resident concerns, building/program needs, and any issues relevant to ensure the smooth operation of the program.
• Responsible for administration of seclusion and restraint techniques as defined in non-violent physical intervention training, agency Policies and Procedures, as well as applicable Oregon Administrative Rules.
• Be a part of a rotation to remain working on-site for up to eight (8) additional hours in the event that the following shift has inadequate staffing.
• Complete annual employee training requirements on a timely basis as indicated in the licensing requirements for the facility as well as agency requirements. Attend seminars, training and other educational opportunities in order to develop professional skills and abilities.
• Perform other duties as assigned

Qualifications

• An active, unencumbered Oregon Registered Nurse License and CPR/First Aid Certification
• A minimum of two years of clinical experience providing inpatient or outpatient services is preferred.
• Knowledge of the kinds of medical conditions most commonly encountered by people with a severe and persistent mental illness and an understanding of the physiological basis for the nursing care delivered.
• Motivational interviewing and ability to maintain a Trauma Informed Care environment
• Sufficient computer skills to complete documentation in an electronic medical records system in a timely manner
• CPR/First Aid certifications are required and must remain current.

Working Conditions

• Ability to perform CPR, First Aid, and properly use AED equipment.
• A typical work day may consist of sitting, utilizing computers and other office equipment.
• The Registered Nurse must have the ability to assist the team in providing safety to all clients and staff in potentially volatile situations.
• Occasionally stooping, lifting (20 to 50 lbs.), climbing (stairs), crouching, reaching, and running
• Regular sitting, Standing, walking, and Keyboarding
• Constant visual and auditory

Cascadia is an Equal Opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you need assistance or an accommodation due to a disability, you may contact us at (503) 963-7654 or peopleandculture@cascadiabhc.org

This position is represented by a labor union