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Director of Nursing - Behavioral Health

Job Details Description SILVER LAKE MEDICAL CENTER:  Serves as facility administrator in the absence of the Administrative Director of Behavioral Health. Supervises and coordinates activities of nursing personnel on day, evening, night and weekend shifts to maintain continuity for 24-hour hour delivery of nursing care. Ensures compliance with the nursing process and complete and accurate documentation. Ensures staffing needs are adequate based on acuity, State Mandated Staffing Ratios, and maintained within budgetary guidelines. Serves as liaison between employees, physicians and Administration. Ensures the nursing service operates within regulatory guidelines and that employees fulfill their job responsibilities/assignments. Participates with Administration in the development and implementation of the philosophy and objectives for Nursing Services as related to Behavioral Health. Demonstrates clinical competence in the provision of nursing care specific to adult patients and understands and utilizes the growth/development stages of adults. PRINCIPAL DUTIES AND RESPONSIBILITIES: Responsible for the orientation, evaluation, and supervision of the Behavioral Health Nursing Service. Under the direction and in conjunction with the CNE, serves as the Nursing Administrator. Performs assigned administrative duties in the absence of the CNE. Fulfills role of the House Supervisor if needed. Demonstrates competence and knowledge in clinical areas of practice. Keeps informed of Human Resources Policies, Labor Laws, The Joint Commission, and State/Federal Regulations. Assures staffing needs are adequate, based on acuity, State Mandated Ratios, and are maintained in budgetary guidelines. Maintains hospital and regulatory compliance of all admissions and discharges between units and outside facilities, and medical assessments on all transfers outside the mental health. Performs 5150:assessments on patients as clinically indicated. Consults with the CNE on unresolved unit problems and/or interpretation of hospital policies. Responds, supervises and/or participates in emergency situations and communicates with the CNE and Administrative Director of Behavioral Health as needed. Maintains a safe environment for patients and staff. Conducts unit rounds on a daily basis to ensure quality-nursing care. Advises and assists House Supervisor and nursing staff in administering new or unusual treatments. Assures the nursing assessment is accurate and complete. Monitors nursing unit philosophy and implementation of the nursing process for the delivery of patient care. Performs employee counseling when indicated and communicates incidents to CNE. Provides information on job performances of employees and participates in the employee evaluation process. Demonstrates knowledge and professionalism in dealing with the public. Identifies, utilizes, and directs consumers to the best resources, both outside and within the community. Assures quality patient care by participating in the hospital and nursing Performance Improvement (PI) Program CNE. Evaluates services provided to Behavioral Health patients on all nursing units of the hospital. Assists, as indicated, in formulating Standards and Practice of Nursing Care in accordance with treatment modalities and hospital goals. Determines needs for personnel, supplies and physical plant/facility. Attends the joint campus, nursing leadership meeting, and other meetings as requested; conducts regular nursing service meetings. Participates in orientation and supervision for all new nursing employees and assists in the staff development for nursing personnel. Participates in education for self to promote professional growth and development and maintains up-to-date knowledge of current trends in the field of nursing and mental health. Assures adequate numbers of qualified personnel are assigned in each area of the Behavioral Health Units to meet the care needs of patients. Supervises the completion of the master nursing schedule and staffing requirements on a daily basis. Assumes responsibility for all paperwork (masterschedules, acuities, supervisor reports, etc.) In conjunction with the Director of Pharmacy is accountable for the safety and accuracy of the medication delivery system; keeps informed of state regulations and revises all medication policies as needed. Assures that medication policies coordinate with Pharmacy policies and state and federal regulations. Provides orientation instruction to each licensed staff regarding the medication delivery system, and provides further instruction as needed, either individually or in licensed staff meetings, whichever is deemed more appropriate. Communicates problems or changes in the medication delivery system or policy to licensed staff and physicians as appropriate Assures that all Registered Nurses are competent to oversee/lead Seclusion and Restraint procedures. Monitors. Seclusion and Restraint process and reviews documents of each occurrence. Compiles and tabulates data for formal reporting to Patient's Rights office on a monthly basis. Submits mandated reports to Patient's Rights each month. On a monthly basis, internally monitors the Seclusion and Restraint process/documentation via the PI mechanism. Coordinates with the Medical Staff for the training of licensed professionals for 5150 involuntary hold designation. Assists the Medical Staff Department with paperwork required for privileging of Registered Nurses on the Allied Health Professional Staff. Contributes verbally and in writing at the following meetings: Executive Management, Nursing Department; PI Council; Nursing Executive Council; Nursing Leadership council; Medical Executive Committee; Utilization Review; Licensed Staff; Environment of Care Committee; Infection Control. Develops, implements and evaluates programs to promote the recruitment, retention, development, and continuing education of all behavioral health staff to assure the provision of competent patient care. Assists in the selection process of personnel for SLMC, IC. Completes appropriate paperwork for all personnel actions (i.e. merit increases, department transfers, disciplinary actions, terminations, etc.) Conducts performance evaluations for all staff after ninety (90) days and at least annually thereafter, and provides appropriate direction to those employees with substandard performance in an effort to improve the employee's skills/behaviors. Takes appropriate actions when performance is not improved. Maintains attendance logs for all mandatory inservices and communicates with staff members on individual compliance. Forwards copies of all attendance records to Human Resources for placement in personnel files. Participates in campus PI teams meeting as assigned. Recognizes and demonstrates the ability of restrains following unsuccessful attempts of least restrictive alternative measures. Utilization Review Collaborates the delivery of patient care within Utilization Review Services' purview and ensures compliance with established departmental and hospital standards as well as standards defined by the various regulatory agencies. Maintains responsibility for nursing documentation feedback to physicians, managers, staff and administration. Assures that nursing problems are identified, communicated, and addressed in treatment planning as indicated by nursing staff documentation. Assures that Specialized Treatment protocols and/or additional goals and interventions are carried out by nursing staff. EXPERIENCE/SKILLS REQUIRED: A minimum of three (3) years experience as a Registered Nurse, two (2) years in an acute psychiatric setting. Two (2) years in a supervisory capacity. Knowledge of current JOINT COMMISSION & Title XXII standards. Must have a current CPR card, current MAB certification, and LPS designation. Must demonstrate the skills necessary to provide quality care specific to the ages of the patients served. Must possess speed, consistency and accuracy in tasks, meeting precise tolerances and standards. Ability to demonstrate flexibility in work environment, performing a variety of changing tasks. Strong interpersonal skills sufficient to work closely with others on a team. Be able to sustain concentration and prolonged commitment to tasks. Display a high level of cognitive, interpretive or judgement skills. Ability to influence others, plan, negotiate, direct, control or monitor others' activities. Strong written and verbal communication skills; must be able to express creativity through writing. Must be able to work alone effectively under stress in certain situations. EDUCATIONAL REQUIREMENTS: Registered Nurse with current California license. Possess BS in Nursing from an accredited school of Nursing, or a diploma, or Associate Degree in Nursing with evidence of currently attending BSN. PHYSICAL REQUIREMENTS: The position requires pushing, pulling, and lifting materials not exceeding 50 pounds. Any workload exceeding 50 pounds will require assistance. Requires grasping, writing, standing, reaching, sitting, lifting, squatting, walking, repetitive motions, bending, climbing, listening and hearing ability and visual acuity. Talking and hearing occur continuously in the process of communicating with employees, physicians, visitors and patients. Must have the ability to hear warning horns or sirens. Vision occurs continuously with the most common visual functions being those of near and far visions. Requires manual and finger dexterity to use and operate all necessary equipment. WORKING CONDITIONS: Most work tasks are performed indoors. This position requires one to work varying schedules and in varying units to meet the shifting needs of the hospital. Temperature is moderate and controlled by the hospital's environmental systems. There may be exposure to communicable diseases. There may be exposure to some potentially toxic substances, such as medication and cleaning agents. Frequent contact with employees, physicians, visitors and patients.
Salary Range: NA
Minimum Qualification
Less than 5 years

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