Under the clinical supervision of the Director of Nursing or Nursing Supervisor, the incumbent is responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Also directs and guides patient teaching activities and ancillary personnel, while maintaining standards of professional nursing. Utilizes electronic medical record system as applicable throughout the scope of duties and responsibilities.

This position includes an additional 8%-night differential and an additional 5%-weekend differential.

JOB RELATIONSHIPS

REPORTS TO: Clinical supervision provided by the Director of Nursing or Nursing Supervisor

SUPERVISES: None exercised in this position

DUTIES/RESPONSIBILITIES

1. Assesses physical, psychological and psychosocial dimensions of patients within the healthcare unit and, as necessary, in the housing units.

2. Applies knowledge of illnesses, injuries and diseases using available resources in obtaining a health history, and in the assessment process.

3. Provides leadership to RNs, LVNs, MAs, CNAs and other nursing paraprofessionals in patient care as related to medical aspects of patient care.

4. Reviews and monitors all offenders receiving medications, as assigned and maintains charts and records.

5. Utilize therapeutic communication skills and effective interviewing techniques to elicit pertinent historical information and make appropriate referral as required.

6. Implement professional nursing services in a thorough and competent manner in accordance with standards, rules, protocols, policies and procedures.

7. Make referrals to the appropriate health care provider in a timely manner based on diagnostic tests, labs, and nursing diagnosis.

8. Contact physician for medication orders as necessary to ensure medication continuity of care.

9. Demonstrate knowledge of Pharmacology to include drug reaction, drug interaction, side effects, cautions, and contraindications.

10. Administer medication in a safe and efficient manner consistent with prescribed orders, mouth checks, and established standards and keeps proper charts and records.

11. Participates in the training of facility personnel on mental health required training per NCCHC and Title 15 standards.

12. Complies with correctional facility policies and procedures

13. Perform within the normal limits of the State Nurse Practice Act, Code of Ethics for Nurses, policies and procedures and facility policy/procedures and standards.

14. Communicates information to other nursing staff, physicians, physician assistants, Health Care Unit supervisory personnel, and department correctional officers and departments.

15. Respects dignity and confidentiality of patients.

16. Makes suggestions for improving work conditions to the Director of Nursing and Nursing Supervisor.

Upon receiving the necessary training and/or instruction, performs other related duties as required or assigned.

PREFERRED EDUCATION/EXPERIENCE/LICENSURE REQUIREMENTS

EDUCATION: Graduate from an accredited school of nursing. Associate’s Degree required; Bachelors’ Degree preferred

EXPERIENCE: Minimum one (1) year of clinical experience; correctional nursing experience a plus

CERTIFICATION/LICENSURE: Current CPR certification; Current, valid California Registered Nursing License