Nurse I
Posted 8 days ago
Job Description

Posting Type:Open to All Applicants
Category:Healthcare Practitioners and Technical
FLSA Exempt/
Agency:Health & Human Services Comm
Department:Chld /orAdolPsych Nursing
Job Title:Nurse I
Posting Number:405380
Full Time/Part Time :Full Time
Job Location:3501 N 19TH ST
Other Locations:WACO
Contact:AccessHR Service Center
Telephone: 888-894-4747
Salary Range:$3,441.79 - $4,866.58
Salary Group:B17
Shift:Evenings (Second)
Closing Date:
Job Description:
Are you ready to be professionally challenged? Are you looking to be part of a dynamic team of engaged and committed professionals? Then the Health and Specialty Care System (HSCS) may be just the place for you! The HSCS is comprised of nine psychiatric hospitals located throughout the state, and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. Whether in a direct-care or support role, your contribution will make a difference in the life of a Texan.

The Nurse I works under the direct supervision of the Nurse Manager to provide routine care and treatment through the application of the nursing process. Is responsible for maintaining nursing standards in accordance with the Nurse Practice Act, HHSC Texas Administrative Codes and other facility policies, procedures and standards. Communicates and collaborates with other shift RN's to ensure 24-hour continuity of care. Ensures adequate staffing according to characteristics of the patient population; determines staff assignments based of appropriate knowledge and skills to meet individual patient needs. Models and supports a proactive approach to unit management using the principles of Social Learning, and demonstrates a commitment to a culture that minimizes the use of restrictive interventions. Serves as an effective member of the treatment team to facilitate a multidisciplinary/holistic approach to care. Serves as a preceptor for students and newly hired RN's with a focus on recruitment and retention. Provides direct supervision to all Services Assistant Staff and Licensed Vocational Nurses. Participate in the screening/interviewing process for prospective unit staff, oversees unit orientation for all new employees, and ensures on-going training and staff competence. Ensures position descriptions and performance evaluations are presented within established time frames. May receive collateral, consultative coaching and/or training from Social Learning implementation leaders or consultants.

Must understand that duties, location of work and shift patterns are subject to change, as determined by the administration, to meet the needs of the hospital.

The Clinical RN has no financial responsibility but is accountable for assigned property and appropriate allocation of human resources.

Essential Job Functions:
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

1. Performs comprehensive assessment of patients' nursing care needs including physical, behavioral, psychiatric, and social needs.
2. Observes and analyzes patient behavior and status and documents in the medical record and reports as needed to other team members, including the attending physician.
3. Develops or contributes to the development of the individualized treatment plan in collaboration with other treatment team members and based on data obtained from the assessment.
4. Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs.
5. Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies.
6. Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population.
7. Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy.
8. Establishes and monitors the therapeutic milieu through clinical supervision of LVNs, and Psychiatric Nursing Assistants (PNAs).
9. Provides training to subordinate staff in psychiatric nursing principles, unit routines, and milieu management.
10. Monitors Treatment Intervention and Protection Strategies (TIPS) and in the absence of other staff members implements TIPS.
11. Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members.

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge Skills Abilities:
1. Comprehensive knowledge of nursing procedures and practices.
2. Comprehensive knowledge of the Texas Nursing Practice Act, Rules and Regulations of the Board of Nurse Examiner's for the State of Texas.
3. Ability to provide a competent level of specialized, population-specific nursing care to the assigned patient population (i.e. Psychiatric/Mental-Health, Medical-Surgical, Child-Adolescent, etc.)
4. Ability to perform a comprehensive nursing assessment inclusive of the patient's mental health, medical, social, and psychological needs.
5. Ability to identify nursing interventions appropriate to the population served.
6. Ability to formulate population specific nursing diagnoses or problem list from the assessment of the patients nursing care needs.
7. Ability to manage and take a leadership role in managing emergencies.
8. Skill in communicating effectively with other staff members in order to provide effective clinical supervision or to relay concerns about the patient to other team members.
9. Ability to obtain certification for basic Cardio-Pulmonary resuscitation CPR) and ability to perform CPR in the clinical setting.
10. Ability to complete Treatment Intervention and Protection Strategies (TIPS) prior to work on patient care unit.
11. Ability to teach others the principles of psychiatric nursing and maintenance of the therapeutic milieu.
Physical Requirements: Lifting, 15 lbs.; carrying, 15 lbs.; pulling, 25; pushing, 25; repeated bending; reaching above the shoulder; simple grasping; dual simultaneous grasping; finger/manual dexterity; walking; standing; sitting; twisting upper body; kneeling; stooping; climbing stairs; ability to see; identify colors; depth perception needed; hearing (with aid); hearing (without aid); ability to write; ability to count; ability to read; and ability to tell time.

Registration or Licensure Requirements:
1. Licensed as a Registered Nurse to practice professional nursing in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
2. Must possess valid Texas driver's license or obtain it no later than 90 days after hire date. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
Initial Selection Criteria:
1. Experience in direct client care work.
2. Licensed as a Registered Nurse to practice professional nursing in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact
Additional Information:
Requisition: 405380

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.

According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Waco Center for Youth is a psychiatric residential treatment facility that serves teen-agers, ages 13 through 17, with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long-term success in treatment. The mission of Waco Center for Youth is "to give each youth a chance for change" by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas.
MOS Code:
Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. For more information see the Texas State Auditor's Military Crosswalk at

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.


Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Salary and Benefits
$3,441.79 - $4,866.58
Required Experience
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