$39.77 - $65.19 Hourly

DSHS ESH Registered Nurse 2

Dept. of Social and Health Services
Medical Lake, WA
고용형태: Various Job Types

시애틀KR 직업 분석

DSHS ESH 등록 간호사 2

Key Skills and Qualifications

Technical Skills

Registered Nurse certification
Patient care planning, delivery, and evaluation
Medication administration
Behavior monitoring and de-escalation of high-risk situations
Management of psychiatric and medical emergencies

Soft Skills

Compassion in working with psychiatric patients
Teamwork as part of an interdisciplinary team
Patient education on social skills, functional skill development, and medications
Assessment and evaluation of behavioral health issues
Commitment to equity, anti-racism, and social justice

Qualifications

Valid Washington State license or compact RN license
Experience in psychiatric nursing (implied by the focus on units like Geropsychiatric Unit, Adult Psychiatric Unit)
Ability to assess and document changes in patient condition
Capability to produce care plans and risk assessments
Background check may be conducted

Physical Requirements

May require driving a vehicle for state business with valid driver's license and liability insurance

Sample Interview Questions and Answers

Question 1: Describe how you would use your clinical judgment and experience in managing a psychiatric emergency situation involving a patient experiencing severe agitation on the Geropsychiatric Unit. What steps would you take to ensure both patient safety and staff security?

In managing a psychiatric emergency involving severe agitation, my first step is to assess the environment for safety hazards that could pose risks to either the patient or healthcare staff. I would approach the patient in a calm manner, using open body language and maintaining an appropriate distance to avoid triggering further agitation. Employing verbal de-escalation techniques is crucial; this includes speaking calmly and clearly, actively listening to the patient's concerns, and validating their feelings without reinforcing any delusional or irrational thoughts. If necessary, I would use distraction tactics by redirecting the conversation to a neutral topic.

Simultaneously, I'd collaborate with other team members to ensure they are informed about the situation and ready to assist if needed. It’s important to have a pre-established plan for escalating interventions, such as involving a rapid response team or using therapeutic seclusion or restraints as a last resort, in line with hospital policies. Medication administration might be considered, such as providing oral medications when feasible or administering intramuscular antipsychotics if the patient poses an immediate threat to themselves or others.

Throughout this process, I would continually monitor and reassess both the patient's behavior and response to interventions while maintaining detailed documentation in accordance with unit protocols. After stabilizing the situation, conducting a debrief with the healthcare team helps refine strategies for future emergencies.

Question 2: Explain how you would educate a psychiatric patient about their medication regimen, considering potential cognitive impairments or resistance due to stigma associated with mental health treatment.

Educating a psychiatric patient about their medication requires a tailored approach that considers the individual's cognitive abilities and any resistance stemming from stigma. Initially, I would build rapport by discussing the patient’s goals for recovery and how medications can support these objectives, thus framing treatment in a positive light.

I would use simple language to explain the purpose of each medication, its benefits, and potential side effects. Visual aids or written materials may be helpful for reinforcing understanding, especially if cognitive impairments are present. Engaging the patient in setting reminders for medication times can enhance adherence, utilizing tools like pill organizers or mobile apps.

Addressing stigma involves normalizing mental health treatment by sharing that many people benefit from medications as part of their recovery process. I would encourage open dialogue about any fears or misconceptions the patient might have and actively listen to their concerns, providing evidence-based information to counteract myths associated with psychiatric medication.

Involving family members or caregivers in these discussions can also be beneficial, ensuring they understand how to support the patient’s medication adherence while respecting their autonomy. Continuous follow-up is key, allowing for adjustments based on the patient's feedback and observed outcomes.

Question 3: As a Registered Nurse working within an interdisciplinary team at Eastern State Hospital, describe your role in developing a comprehensive care plan for a patient with complex psychiatric and medical needs.

Developing a comprehensive care plan for a patient with complex psychiatric and medical needs requires collaborative efforts from the entire interdisciplinary team. As a Registered Nurse, my role begins with conducting thorough assessments of both the patient's physical and mental health status. I gather detailed information about their medical history, current symptoms, medication regimen, social circumstances, and any previous treatments.

Collaborating with other healthcare professionals is essential; this includes consulting with psychiatrists for psychiatric evaluations, pharmacists for medication management, dietitians for nutritional needs, social workers for addressing psychosocial issues, and physical therapists if mobility or functional skills are affected. My input focuses on the nursing perspective, ensuring that all aspects of patient care — such as monitoring vital signs, administering medications, and observing behavioral changes — are integrated into the plan.

I play a pivotal role in setting realistic and measurable goals with the team and the patient, focusing on both immediate stabilization and long-term recovery. This involves crafting individualized interventions tailored to the patient’s needs, such as specific therapeutic activities or educational sessions about managing their conditions.

As part of care coordination, I ensure that all documentation is up-to-date and shared effectively among team members, facilitating seamless communication. Regular interdisciplinary meetings are crucial for reviewing the care plan’s progress, making necessary adjustments based on the patient’s response to treatment, and involving the patient in decisions about their care whenever possible.

Finally, my responsibilities include providing continuous education and support to the patient and their family, ensuring they understand each aspect of the care plan, and empowering them with strategies to manage the patient's conditions effectively outside the hospital setting.

원본 채용 공고

묘사

DSHS ESH 등록 간호사 2

 

동부 주립 병원이 확장 중입니다! 저희 팀에 합류해 주세요.


풀타임 및 파트타임, 모든 교대 근무, 당직 근무를 제공합니다. 야간 근무와 야간 근무 RN은 추가 급여를 받을 수 있습니다.

 

동부 주립 병원은 간호 인력을 소중히 여기며 환자, 가족, 시설에 얼마나 중요한지 잘 알고 있습니다. 정신과 환자들과 함께 자비롭게 일하고 회복의 길을 지원하는 간호사를 찾고 있습니다. 저희는 우수한 혜택과 연금 플랜으로 보람찬 경력을 제공합니다. 재배치 환급 지원을 받을 수 있습니다. 이 작업장에서 주 3일 이상 현장에서 수행되는 기회는 광고된 급여 외에 추가로 5%의 프리미엄 급여를 받을 수 있습니다.    


우리는 누구인가요: 저희는 현재 노인정신과(GPU), 성인 정신과, 법의학 서비스 부서에 등록된 간호사를 모집하고 있습니다. 클릭 여기서 이 단원들에 대해 더 자세히 알아보세요.


이스턴 주립 병원에 대해 더 알고 싶으신가요? 아래 동영상을 클릭하여 직원들을 만나고, 가상 투어를 하며, 커리어를 탐험하세요.

 

당신이 할 일 중 일부: 

  • 환자 치료의 계획, 전달 및 평가에 학제 간 팀의 일원으로 참여합니다
  • 환자에게 사회적 기술, 기능적 기술 개발 및 약물에 대해 교육합니다
  • 환자의 행동을 모니터링하고 필요한 경우 고위험 상황을 완화합니다
  • 정신 및 의료 응급 상황 관리에 참여하기
  • 행동 건강 문제가 있는 환자를 평가하고 평가하며 환자의 상태에 중요한 변화를 차트화합니다
  • 약물 및 치료 투여
  • 환자를 위한 치료 계획 및 위험 평가를 작성하세요

 

다음 자격 요건을 충족하는 지원자에게 가장 관심이 있습니다: 

  • 워싱턴 주에서 등록 간호사로 일할 수 있는 유효한 워싱턴 주 면허증 또는 컴팩트 RN 면허증

질문이 있나요? 이메일 모건 다기 또는 주요 인재 확보 라인(360-725-5810) 및 참조 00350으로 전화하세요.

사람들이 자신의 삶을 형성하기 위해 인간 서비스를 찾는다는 사회보건서비스부(DSHS)의 비전은 우리가 소속감, 공동의 목적, 공유된 가치, 의미 있는 일을 함께 해야 한다는 것을 요구합니다. DSHS와의 업무에 형평성, 반인종주의, 사회 정의를 부여하는 것이 우리 기관의 비전에 매우 중요합니다. 우리는 흑인, 원주민, 유색인종 등 우리가 봉사하는 지역사회, 신체적, 행동적 건강 및 지적 장애를 가진 사람들, 노인, 성소수자+ 개인, 이민자 및 난민, 재정적 안정을 구축하는 가족 등 더 많은 접근성과 긍정적인 대표성을 창출하기 위해 노력하고 있습니다.      

보충 정보

신규 채용 전에 범죄 기록을 포함한 신원 조회를 실시할 수 있습니다. 신원 조회 정보가 반드시 취업을 배제하는 것은 아니지만 지원자의 직무 수행 적합성과 역량을 판단하는 데 고려됩니다. 이 공고는 여러 공석을 채우는 데 사용될 수 있습니다. 주 업무를 수행하는 직원은 유효한 운전면허증을 소지하고 있어야 합니다. 주 업무를 수행하는 개인 차량을 운전하는 직원은 개인 차량에 대한 책임 보험에 가입해야 합니다.

 

워싱턴 주 사회보건서비스부는 동등한 기회를 제공하는 고용주로서 연령, 성별, 성적 지향, 성별, 성 정체성/표현, 결혼 상태, 인종, 신조, 피부색, 국적, 종교 또는 신념, 정치적 소속, 군대 상태, 명예 제대 참전용사, 베트남 시대, 최근 분리되거나 기타 보호받는 참전용사 지위, 감각적, 정신적, 신체적 장애의 존재 또는 장애, 동등한 급여 또는 유전 정보를 가진 사람이 훈련된 개 안내나 서비스 동물을 사용하는 경우 등 고용, 프로그램 또는 서비스 분야에서 차별을 두지 않습니다. 지원 과정이나 대체 형식으로 채용 공고가 필요한 사람은 (360) 725-5810으로 채용 담당자에게 문의할 수 있습니다. 청각 장애인이나 난청인 지원자는 워싱턴 중계 서비스를 통해 7-1-1 또는 1-800-833-6384로 전화하여 전화할 수 있습니다. 

 
 
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SeattleKR Job Analysis

DSHS ESH Registered Nurse 2

Key Skills and Qualifications

Technical Skills

Registered Nurse certification
Patient care planning, delivery, and evaluation
Medication administration
Behavior monitoring and de-escalation of high-risk situations
Management of psychiatric and medical emergencies

Soft Skills

Compassion in working with psychiatric patients
Teamwork as part of an interdisciplinary team
Patient education on social skills, functional skill development, and medications
Assessment and evaluation of behavioral health issues
Commitment to equity, anti-racism, and social justice

Qualifications

Valid Washington State license or compact RN license
Experience in psychiatric nursing (implied by the focus on units like Geropsychiatric Unit, Adult Psychiatric Unit)
Ability to assess and document changes in patient condition
Capability to produce care plans and risk assessments
Background check may be conducted

Physical Requirements

May require driving a vehicle for state business with valid driver's license and liability insurance

Sample Interview Questions and Answers

Question 1: Describe how you would use your clinical judgment and experience in managing a psychiatric emergency situation involving a patient experiencing severe agitation on the Geropsychiatric Unit. What steps would you take to ensure both patient safety and staff security?

In managing a psychiatric emergency involving severe agitation, my first step is to assess the environment for safety hazards that could pose risks to either the patient or healthcare staff. I would approach the patient in a calm manner, using open body language and maintaining an appropriate distance to avoid triggering further agitation. Employing verbal de-escalation techniques is crucial; this includes speaking calmly and clearly, actively listening to the patient's concerns, and validating their feelings without reinforcing any delusional or irrational thoughts. If necessary, I would use distraction tactics by redirecting the conversation to a neutral topic.

Simultaneously, I'd collaborate with other team members to ensure they are informed about the situation and ready to assist if needed. It’s important to have a pre-established plan for escalating interventions, such as involving a rapid response team or using therapeutic seclusion or restraints as a last resort, in line with hospital policies. Medication administration might be considered, such as providing oral medications when feasible or administering intramuscular antipsychotics if the patient poses an immediate threat to themselves or others.

Throughout this process, I would continually monitor and reassess both the patient's behavior and response to interventions while maintaining detailed documentation in accordance with unit protocols. After stabilizing the situation, conducting a debrief with the healthcare team helps refine strategies for future emergencies.

Question 2: Explain how you would educate a psychiatric patient about their medication regimen, considering potential cognitive impairments or resistance due to stigma associated with mental health treatment.

Educating a psychiatric patient about their medication requires a tailored approach that considers the individual's cognitive abilities and any resistance stemming from stigma. Initially, I would build rapport by discussing the patient’s goals for recovery and how medications can support these objectives, thus framing treatment in a positive light.

I would use simple language to explain the purpose of each medication, its benefits, and potential side effects. Visual aids or written materials may be helpful for reinforcing understanding, especially if cognitive impairments are present. Engaging the patient in setting reminders for medication times can enhance adherence, utilizing tools like pill organizers or mobile apps.

Addressing stigma involves normalizing mental health treatment by sharing that many people benefit from medications as part of their recovery process. I would encourage open dialogue about any fears or misconceptions the patient might have and actively listen to their concerns, providing evidence-based information to counteract myths associated with psychiatric medication.

Involving family members or caregivers in these discussions can also be beneficial, ensuring they understand how to support the patient’s medication adherence while respecting their autonomy. Continuous follow-up is key, allowing for adjustments based on the patient's feedback and observed outcomes.

Question 3: As a Registered Nurse working within an interdisciplinary team at Eastern State Hospital, describe your role in developing a comprehensive care plan for a patient with complex psychiatric and medical needs.

Developing a comprehensive care plan for a patient with complex psychiatric and medical needs requires collaborative efforts from the entire interdisciplinary team. As a Registered Nurse, my role begins with conducting thorough assessments of both the patient's physical and mental health status. I gather detailed information about their medical history, current symptoms, medication regimen, social circumstances, and any previous treatments.

Collaborating with other healthcare professionals is essential; this includes consulting with psychiatrists for psychiatric evaluations, pharmacists for medication management, dietitians for nutritional needs, social workers for addressing psychosocial issues, and physical therapists if mobility or functional skills are affected. My input focuses on the nursing perspective, ensuring that all aspects of patient care — such as monitoring vital signs, administering medications, and observing behavioral changes — are integrated into the plan.

I play a pivotal role in setting realistic and measurable goals with the team and the patient, focusing on both immediate stabilization and long-term recovery. This involves crafting individualized interventions tailored to the patient’s needs, such as specific therapeutic activities or educational sessions about managing their conditions.

As part of care coordination, I ensure that all documentation is up-to-date and shared effectively among team members, facilitating seamless communication. Regular interdisciplinary meetings are crucial for reviewing the care plan’s progress, making necessary adjustments based on the patient’s response to treatment, and involving the patient in decisions about their care whenever possible.

Finally, my responsibilities include providing continuous education and support to the patient and their family, ensuring they understand each aspect of the care plan, and empowering them with strategies to manage the patient's conditions effectively outside the hospital setting.

Original Job Description

Description

DSHS ESH Registered Nurse 2

 

Eastern State Hospital is expanding! Come join our team.


We are offering full-time and part-time, all shifts, and on-call. Evening shift and night shift RNs will receive supplemental pay.

 

Eastern State Hospital values our nursing staff and understands how important they are to our patients, their families, and our facility. We are seeking nurses who are compassionate working with psychiatric patients and support them on their road to recovery. We offer a rewarding career with excellent benefits and a pension plan. You may qualify for reallocation reimbursement assistance. Opportunities performed on-site at this work location at least three days a week may be eligible for an additional 5% premium pay in addition to the advertised salary.    


Who we are: We are currently seeking Registered Nurses for our Geropsychiatric Unit (GPU), Adult Psychiatric Unit, and Forensic Services Unit.  Click here to learn more about these units.


Want to know more about Eastern State Hospital? Click on the videos below to meet staff, take a virtual tour, and explore your career.

 

Some of what you'll do: 

  • Participate as a member of an interdisciplinary team in the planning, delivery, and evaluation of patient care
  • Educate patients on social skills, functional skill development, and medications
  • Monitor patients' behavior and if needed, de-escalate high-risk situations
  • Participate in the management of psychiatric and medical emergencies
  • Assess and evaluate patients who have behavioral health issues and chart significant changes in the patient's condition
  • Administer medications and treatments
  • Produce care plans and risk assessments for your patients

 

We are most interested in applicants who meet the following qualifications: 

  • Valid Washington State license or compact RN license to practice as a Registered Nurse in the State of Washington

Questions? Email Morgan Daggi or call the main Talent Acquisition line at 360-725-5810 and reference 00350.

The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring an equity, anti-racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.      

Supplemental Information

Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

 

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs, or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protect­ed veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384. 

 
 
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709:30:37
시작일 3/13/2025 (목)
마감일 3/31/2025 (월)
02:24 PM 마감
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