Job Location : Bronx,NY, USA
Unit Notes Department: Psychiatric (Adult) | PCT *Required Certifications: BLS, PCT Cert, De-escalation training - # Beds: 26 - Nurse: Patient Ratios: Days: 4 RNs (Ratios 1:6-7), Nights 3 RNs (Ratios 1:8). Techs: Days 5 PCTs, Evenings 5 PCTs, Nights 3 PCTs. - Required certifications: BLS, PCT Cert, De-escalation training - Common diagnoses: 18+ adults, schizophrenic, bipolar, schizoaffective, substance abuse, depression, bipolar, borderline personality, intellectually challenged population- some placement issues, admits from ER- medically stable. No detox or rehab patients, those go to specialized unit. - Experience: Must have 1 year in Psych experience. - Do you ever have IV's on this unit?: No, may be asked to do IM injections and phlebotomy. - Charge Nurse 24/7 & do they take patients: Charge Nurse/Assistant Nurse Care Coordinators (ANCC) (2 on Days, 1 on Nights)- run the unit 24 hours, travelers could be placed in charge role. Support from all hours- charge at max 5-6 patients. - Do you use physical restraints on this unit?: Avoid use by utilizing CPI de-escalation techniques; if needed, 4 points, leather restraints Prefer: RNs to have prior experience, but will review during orientation. - Are there nurse aids or mental health specialists on this unit? Ratios? Duties?: PCTs: Job Duties: safety checks, room checks, vitals, weights on Saturday, ADLs, directly observing patient care, rounding every 15 minutes, phlebotomy (must have prior experience- will do some re-education on unit), blood glucose checks, 1:1s, and assisting nursing staff as needed. - Is RT available if needed? If patients have oxygen or need treatments does RT do these?: No RT available; RNs to manager cpap and bipap, rarely used (willing to train on this- please call out if they have experience or not). If low pulse ox, RNs to make a consult and pt likely transferred to a higher level of care when they need continuous oxygen. - Is there tele on this unit? Monitor Techs? RNs read strips?: No - Shifts & Scheduling: RN Shifts: Days 7a-730p, Nights 7p-730a. PCT Shifts: Days 0700-1530, Evenings 1500-2330, Nights 2300-0730. Scheduling: Do not guarantee block scheduling. Excessive call-ins are taken seriously and could lead to termination. - Weekend Requirements: Every other weekend. - Holiday Requirements: May be asked to go in the Holiday Rotation; At least 2-3 in a year. - Is there call or a standby requirement?: None, in emergency traveler may be asked to pick up a shift. - Floating Requirements: Travelers are first to float. Float to any adolescents or adult psych unit; Not typically floated to psych emergency- crisis area or 5 beds/acute phase, detox, rehab. - Scrub Color: RNs: Royal Blue, LPNs: Kelly Green, PCTs: Eggplant/Burgundy. - Unit Specific Orientation: 2-4 days with a preceptor and will be oriented to multiple units for floating purposes.