RN Behavioral Health-Emergency- Behavioral Health Intake Unit - PRN

• Promotes the use of evidence-based practice through the nursing process, protocols and procedures.
• Assesses patient's status and identifies risk factors through interview, observation and physical assessment of actual problems and outcomes.
• Includes significant others in gathering assessment information in order to assist the ED physician, on-call or treating psychiatrists to make the best disposition decision. Obtains release of information when including others in treatment of patient.
• Provides for a safe environment while the patient is in the ED as well as when the patient is being transferred to another level of care. Serves as CPI resource for the ED and security staff.
• If a patient becomes agitated, aggressive or violent, CPI utilizes CPI methods.
• Uses appropriate interventions identified in the plan of care to achieve expected patient outcomes
• Completes required documentation as appropriate, including patient chart and event reports, voluntary and involuntary admission papers, patient rights, releases, computerized assessment form, discharge safety plan.
• Demonstrates professional accountability for own practice as evidenced through seeking resources and continuing self-development
• Demonstrates technical knowledge of equipment and troubleshoots when problems arise
• Acquires and maintains current knowledge and skills in evidence based behavioral health nursing practice.
• Promotes the professional development of self and team members.
• Assures that advanced directives are utilized appropriately: both power of attorney for health care and mental health advanced directives.
• Incorporates National Patient Safety Goals into the treatment of each patient seen in the ED and serves as a resource for other staff on these goals.
• Completes all pertinent clinical rating scales (ie, suicide rating scale, etc).
• Assures that all medical screening assessments, including laboratory diagnostics are ordered.
• Refers patients appropriately to the most clinically appropriate service(s). Whenever possible, these referrals include communication with the receiving agency while the patient is in the ED.
• Documents all disposition referrals in patient record.
• Performs patient bedside lab testing and associated quality control in compliance with medical provider's orders and hospital lab procedures/policies.
• Coordinates the interdisciplinary care of the patient through collaboration with team members and utilizes additional resources when necessary.
• Analyzes clinical situations in a systematic way and acts to obtain resources or correct problems to meet or exceed expected outcomes or patient needs
• Recognizes need for assistance and utilizes resources, including physician, ED BH clinician and nurse to nurse consultation in a timely manner
• Demonstrates ownership and persistence to ensure problem is resolved in best way possible.
• Able to assume assignment of non-complex and some complex patient management with turnover in assignment
• Consistently prioritizes work based on changes in patient condition, changes in assignment and unanticipated interruptions
• Works with the interdisciplinary team in prioritizing and providing for patient care and safety
• Identifies and utilizes team resources to solve identified problems or needs , including application of , monitoring of and documentation of restraint/seclusions per MMCI policies, including de-briefing.
• Provides goal-focused shift and transfer of care report.
• Advocates with physicians on patient's behalf when necessary
• Assures that protocols for risk factors are initiated and continued by appropriate staff during patient's stay in ED.
• Assures that patients with risk factors or other medical concerns are transferred in a safe manner whenever transportation to another facility is needed.
• Assures that all EMTALA documentation and tasks are completed by the ED team whenever a behavioral health patient is transferred to another facility.
• Contacts treating behavioral health physician (or case manager/counselor) for assessment information (with appropriate ROI from patient)
• Contacts on-call psychiatrist (if different from above) immediately following assessment for disposition decision.
• Coordinates contact between on-call psychiatrist and ED physician whenever necessary.
• Shares all pertinent assessment data verbally with treating ED physician, psychiatrist and assigned ED RN.
• Assertively works the various components of the system of care (MMCI and community agencies and services) in order to quickly, efficiently, and appropriately move the patient from triage to disposition, assisting in admissions to inpatient services or making appropriate referrals.
• Assesses and chooses teaching strategies appropriate to the patient's/family's age specific needs.
• Adapts teaching strategies based on patient's response, readiness to learn and level of comprehension.
• Ensures patient safety in the ED environment by identifying risk factors and educating patient, significant others and all team members.
• Consults appropriate resources within the hospital to provide specialized education
• Utilizes SVI patient education system as a resource for patients and family members
• Demonstrates a working knowledge of agencies in city and surrounding counties that serve behaviorally ill, homeless, or other persons who have needs which often present in the ED and educates patients/families/staff.
• Demonstrates expert knowledge of MMCI behavioral health providers and services and makes referrals when appropriate.
• Educates behavioral health patients and significant others as appropriate regarding treatment in inpatient units, partial hospitalization programs, or other outpatient services to which they are being referred.
• Educates ED staff on appropriate interventions in order to promote patient and staff safety when working with behavioral health patients.
• Actively participates in data collection, analysis, problem solving and gives input on process improvements and patient satisfaction.

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.