JOB
This classification is scheduled to receive a 5% COLA effective July 2027.
A Bachelor's of Science in Nursing (BSN) is preferred.
FLSA: Exempt
DEFINITION
Under general direction, plans, organizes and directs the day to day professional nursing activities and related functions on an assigned shift at the in-patient psychiatric treatment facility, and other County outpatient clinic locations; collaborates with other medical staff and interdisciplinary health treatment teams to evaluate and prepare treatment plans; and performs related duties as assigned.
SUPERVISION RECEIVED AND EXERCISED
Receives general direction from assigned supervisory or management personnel. Exercises direct supervision over professional and technical staff.
CLASS CHARACTERISTICS
This is the full supervisory-level class in the Psychiatric Nurse series that exercises independent judgment on diverse and specialized nursing services in support of the County’s in-patient psychiatric health facility or out-patient programs with accountability and ongoing decision-making responsibilities associated with the work. Incumbents are responsible for planning, organizing, supervising, reviewing, and evaluating the work of assigned staff and for organizing and overseeing day-to-day nursing, psychiatric, and support services program implementation for hospitalized patients. Employees are responsible for providing professional level support to management in a variety of areas. Performance of the work requires the use of independence, initiative, and discretion within established guidelines.
EXAMPLE OF DUTIES
EXAMPLES OF TYPICAL JOB FUNCTIONS
Typical functions may include any of the following tasks, knowledge, abilities, and other characteristics. The list that follows is not intended as a comprehensive list; it is intended to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed, and may be required to perform additional, position-specific tasks.
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Oversees the day to day treatment administered and operations of the County's psychiatric health facility or outpatient clinic on assigned shift.
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Oversees and assesses patients upon admission to unit and makes presentation of physical and behavioral condition findings to attending physicians.
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Accepts report of previous shift and updates new admissions and medications; makes appropriate nursing notes on patients charts and writes medication orders; assures that patient charts contain accurate and complete documentation.
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Organizes, assigns, directs, reviews and evaluates the work of assigned staff and/or an interdisciplinary treatment team in the delivery of patient care; maintains a safe and secure environment; serves as case coordinator for assigned patients or clients, as needed.
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Performs end-of-shift narcotics count and maintains records of medications in compliance with regulations. Oversees and provides professional nursing care to patients; observes and charts vital signs, including temperature, blood pressure, pulse, and respiration.
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Oversees and provides equipment and supplies required for patient examination or treatment.
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Oversees and administers oral and hypodermic medications and observes and records their effects; obtains and records all orders from physician to facilitate patient treatment.
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Oversees and participates in the preparation of the nursing component of patient treatment plans, including physical assessments on new patients; as a member of an interdisciplinary team, oversees and participates in diagnostic and therapeutic activities.
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Audits nursing assessments, reports, and restraint procedures.
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Performs crisis intervention, in person and on the phone; manages assaultive behavior and provides general counseling; coordinates or arranges for the provision of needed services including emergency detention when patient is in danger to self or others.
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Oversees and provides supportive services including individual, group or family counseling, and various group activities such as exercise and art.
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Confers with medical, behavioral health and inter-agency staff regarding client needs and ways of improving staff's ability to impact on clients.
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Conducts or arranges to have staff conduct case conferences; facilitates decisions on difficult behavioral health cases and problems; and performs chart audits and utilization review.
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Maintains prescribed standards of behavioral health treatment and ensures services are rendered in conformance with policy and procedural guidelines.
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Adheres to the confidentiality standards of the Privacy Act of 1974 (U.S.C. § 552a), as amended.
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Performs related duties as assigned.
SUPPLEMENTAL INFORMATION
PHYSICAL DEMANDS
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Mobility to work in a standard office setting, or clinical setting, and use standard office equipment, including a computer, and medical equipment; standing in work areas and walking between work areas may be required, travel to visit outpatient and rural clinics may be required; occasionally bend, stoop, kneel, reach, push, and pull drawers open and closed to retrieve and file information; ability to lift, carry, push, and pull materials and objects up to 25 pounds, in all cases with the use of proper equipment and/or assistance from other staff.
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Vision to assess emergency situations, including medical incidents and to read printed materials and a computer screen.
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Hearing and speech to communicate in person, before groups, and over the telephone.
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Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard, typewriter keyboard, or calculator and to operate standard office and medical equipment.
WORKING CONDITIONS
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Employees work in an office, out-patient, clinic, jail, juvenile facility or locked psychiatric facility environment with moderate noise levels, controlled temperature conditions, and no direct exposure to hazardous physical substances.
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Employees may work outdoors and are occasionally exposed to loud noise levels and cold and/or hot temperatures.
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Employees interact with clients with behavioral disorders/erratic and assaultive behavior, including those which require emergency crisis intervention.
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Incumbents may be exposed to blood and body fluids in performing their assigned duties.
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Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.
EQUIPMENT AND TOOLS UTILIZED
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Equipment utilized includes medical equipment utilized in the course of work (ex. stethoscope, blood pressure monitoring equipment, injection supplies), centrifuge, EKG, personal protective clothing, personal computer, fax machine, and standard office equipment.
Disaster Service Worker
All Butte County employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker related training as assigned, and to return to work as ordered in the event of an emergency.
