Website NC Brookhaven Behavioral Health

Purpose Statement
The purpose of the Registered Nurse is to assess physical health needs; make appropriate referrals to community physicians; provide management and administration of medication in conjunction with the psychiatrist; providing of a range of treatment, rehabilitation, and support services; and sharing shirt- management responsibility with other staff.
Principal Duties and Responsibilities
 Provide service coordination (case management) for an assigned group of clients including coordinating and monitoring the activities of the individual treatment team (ITT); assume primary responsibility for developing, writing, implementing, evaluating, and revising overall treatment goals and plans in collaboration with the client and the ITT, providing individual supportive therapy and symptom management, ensuring immediate changes are made in the treatment plans as clients’ needs change, educating and supporting clients’ families, and advocating for clients’ rights and preferences.
 Participate and conduct parts of the client-centered comprehensive assessment of psychiatric history (e.g., onset, course and effect of illness, past treatment and responses, and risk behaviors), mental status, and diagnosis; physical health and dental health; use of drugs or alcohol; education and employment; social developments and functioning; activities of daily living (e.g., self-care, living situation, nutrition, money management); family structure and relationships.
 Consult with community agencies and families to maintain coordination in the treatment process.
 Perform shift management in coordination with other ACT shift managers according to established policies and procedures.
 Provide on-call crisis intervention covering nighttime hours and service as a backup to evening
and weekend staff.
Job Description: Registered Nurse

 Documents client progress to maintain a permanent record of client activity according to established methods and procedures.
 Participate in daily staff organizational meetings and treatment planning review meetings.
 Take the lead role or participate in providing medication administration and medical services
 Under the direction of the team psychiatrist and in collaboration with other registered nurses
on the team, develop, revise, maintain, and supervise team psychopharmacologic and medical treatment and medication policies and procedures including transcribing, administering, evaluating, and recording psychotropic medications prescribed by the team psychiatrist; evaluate and chart psychotropic medication effectiveness, complications, and side effects; and arrange for required lab work according to protocol.
 Under the direction of the team psychiatrist and in collaboration with other registered nurses on the team, organize and manage the system of getting medication to clients and integrating medication administration tightly into clients’ individual treatment plans.
 Under the direction of team psychiatrist and in collaboration with other registered nurses on the team, manage pharmaceuticals and medical supplies.
 In collaboration with the team psychiatrist, coordinate, schedule, and administer medical assessments of client physical health, making appropriate referrals to community physicians for further assessment and treatment, and coordinate psychiatric treatment with medical treatment.
 Participate in treatment, rehabilitation, and support services.
 Staff to client ratio must not exceed 1:8 (this does not include the psychiatrist and program administrative assistant)
 Any other applicable duties requested by supervisor and Agency
Psychiatric Treatment and Dual Diagnosis Substance Abuse Services
 Provide ongoing assessment of clients’ mental illness symptoms and clients’ response to treatment. Make appropriate changes in treatment plans to ensure immediate and appropriate interventions are provided in response to changes in mental status or behavior which put clients at risk (e.g. suicidality)
 Provide symptom education to enable clients to identify their mental illness symptoms. Job Description: Registered Nurse

 Provide direct clinical services to clients on an individual, group, and family basis in the office and in community settings to teach behavioral symptom-management techniques to alleviate and manage symptoms not reduced by medication and to promote personal growth and development by assisting clients to adapt to and cope with internal and external stress.
 Coordinate with outside inpatient services to detoxify clients and establish linkage to self-help programs (e.g., Alcoholics Anonymous, Narcotics Anonymous), outpatient services, and residential facilities.
 Participate in providing rehabilitation services. Activities of Daily Living Services
 Provide ongoing assessment, problem solving, side-by-side services, skill teaching, support (prompts, assignments, encouragement) cleaning, furnishing and decorating, and procuring necessities (telephone, furniture, utility hook-up).
 Assist clients to find and maintain a sage and affordable place to live, apartment hunting, finding a roommate, landlord negotiations, cleaning, furnishing and decorating, and procuring necessities (telephone, furniture, utility hook-up).
 Assist and support clients to organize and perform household activities, including house cleaning and laundry.
 Assist and support clients with personal hygiene and grooming task.
 Provide nutrition education and assistance with meal planning, grocery shopping, and food
 Ensure that clients have adequate financial support (help to gain employment and apply for
 Teach money-management skills (budgeting and paying bills) and assist clients in accessing
financial services (e.g., professional financial counseling, emergency loan services).
 Help clients to access reliable transportation (obtain a driver’s license and car and car
insurance, arrange for cabs, use public transportation, find rides).
 Assist and support clients to have and effectively use a personal primary care physician, dentist,
and other medical specialists as required.
Social and Interpersonal Relationships and Leisure Time
 Provide individual supportive therapy (e.g. problem solving, role-playing, modeling and support), social-skill development, and assertiveness training to increase client social and interpersonal activities in community settings.
 Plan, structure and prompt social and leisure-time activities on evenings, weekends and holidays.
 Provide side-by-side support, and coaching to help clients socialize (e.g., going with a client to a basketball game, coaching and supporting a client before he or she goes to a family reunion).
Job Description: Registered Nurse

 Organize and lead individual and group social and recreational activities to help clients structure their time, increase social experiences, and provide opportunities to practice social skills and receive feedback and support
 Provide practical help and supports, advocacy, coordination, side-by-side individualized support, problem solving, direct assistance, training, and supervision to help clients obtain the necessities of daily living including medical and dental health care; legal and advocacy services; financial support such as entitlements (e.g.; SSI, Social Security Disability Insurance [SSDI] and veterans’ benefits) or housing
 May have a master’s, bachelor’s or associate degree in nursing, must be a licensed registered nurse. Must have a strong commitment to the right and ability of each person with a severe and persistent mental illness to live in normal community residences; work in market jobs; and have access to helpful, adequate, competent, and continuous supports and services. Skills and competence to establish supportive trusting relationships with persons with severe and persistent mental illness and respect for client right and personal preferences in treatment are essential. Must have a valid driver’s license for North Carolina.
_____________________________________________________________________ _______________________________ Signature of Registered Nurse Date
_____________________________________________________________________ _______________________________ Signature of NCBBH Representative Date
Job Description: Registered Nurse

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