Primary LocationCollege Hill A
DepartmentPA4.400 Adolescent Inpatient
ShiftRotating (United States of America)
ScheduleFull time
Weekly Hours32
FTE0.8
Employee StatusRegular
Department/Unit: Adolescent Inpatient Psychiatry
Hours/Shift: Full-Time (32 hours/week) - Day/Evening rotating shift (every other weekend required)Benefit Eligibility: Full-Time Benefits Eligible
Expected Starting Salary Range: $37.00 - $43.02
Job Responsibilities Milieu Management & Patient Safety- Create a safe, stable, and nurturing environment and utilize trauma-informed and developmentally appropriate strategies to support patients experiencing a range of psychiatric challenges, including mood disorders, anxiety, psychosis, aggression, self-harm, eating disorders, and neurodevelopmental disorders.
- Implement a token economy to reinforce positive behaviors.
- Proactively prevent and respond to crises using Therapeutic Crisis Intervention (TCI) strategies, including verbal de-escalation and physical interventions when necessary due to imminent risk.
- Lead and intervene in behavioral crises, apply appropriate strategies based on the Stress Model of Crisis and individualized care plans.
- Perform safety checks, room, and patient searches, and maintain awareness of environmental risk factors.
- Ensure continuous compliance with departmental policies, hospital protocols, and regulatory standards (CMS, Joint Commission).
Nursing Care & Clinical Judgment- Apply critical thinking and clinical judgment to assess patient care needs and develop care plans.
- Administer medications and monitor for effectiveness.
- Develop, coordinate, and implement nursing care interventions across physical and mental health needs.
- Deliver support for activities of daily living (e.g., bathing, feeding, toileting) and provide developmentally appropriate care in both group and individualized settings.
- Maintain designated observation levels (e.g., continuous observation, 15-minute checks, remaining within arm's-length of patient) with accuracy and compassion.
- Recognize changes in patient condition, respond to deteriorations, and escalate concerns as needed.
Group Programming & Therapeutic Engagement - Lead or support structured group programming modifying delivery to meet developmental needs.
- Engage patients meaningfully and observe behaviors to inform treatment progress and problem-solving.
- Build therapeutic rapport while maintaining professional boundaries and advocating for patient needs.
Compliance & Safety Leadership- Maintain current knowledge of relevant accreditation standards and regulatory requirements.
- Complete all certifications, licensure renewals, and Safety College trainings on schedule.
- Partner with nurse councils, Magnet representatives, and leadership to promote safety best practices and continuous performance improvement.
- Identify and report safety and compliance concerns promptly to support a culture of accountability.
Documentation & Communication- Accurately document assessments, care interventions, incident reports, safety checks, and patient progress.
- Review and ensure timely, accurate documentation from Behavioral Health Specialists, especially around incidents, safety checks, and behavioral observations.
- Serve as the communication bridge between Behavioral Health Specialists and the interdisciplinary team. Clarify clinical priorities and ensure team members are informed and coordinated.
- Actively participate in family-centered rounds; provide updates and education to families and caregivers, promoting transparency and support.
- Utilize teach-back and other strategies to support understanding of care goals.
- Contribute meaningfully to shift reports, handoffs, and interdisciplinary care planning.
Professional Development & Team Collaboration- Work closely with physicians, advanced practice RNs, social workers, allied health providers, and families to support continuity of care.
- Assign tasks such as safety checks, group facilitation, or patient support, while monitoring for completion, quality, and safety.
- Engage in shared decision-making through unit-based councils or ongoing communication with peers and leaders.
- Participate in performance reviews, peer feedback, and clinical education to maintain competency and promote growth.
- Support student and new nurse onboarding through role modeling, mentoring, and shared learning experiences.
- Collaborate effectively across disciplines using the Interprofessional Practice Model (IPM), ensuring cohesive and coordinated care.
Cultural Competence & Advocacy- Assess cultural factors and individual preferences that may impact care, integrating needs into nursing practice.
- Advocate ethically for patients and families, particularly when they are unable to advocate for themselves.
QualificationsRequired:• Associate/Diploma prepared RNs from ACEN, CCNE or NLN CNEA accredited institution
• If hired as an external candidate without BSN or MSN, must enroll in a BSN or MSN program within 1 year of hire date and complete program within 5 years of hire date
• Active Ohio RN License. May be required to obtain other state licensure
• Foreign graduates must have license validated through TruMerit per Ohio Board of Nursing code for Foreign Graduates
- Pass Therapeutic Crisis Intervention Certification Course during orientation
Preferred:• BSN from ACEN or CCNE accredited institution or MSN
Comprehensive job description provided upon request.Comprehensive job description provided upon request.
