Registered Nurse , RN - Grand Mesa Youth Services Center

Summary of Position

Delivers health care to detained and committed youth within the nurse’s scope of practice. Primary care is provided by independent practitioners with responsibility for a continuum of care from the initial assessment through development and maintenance of health care including physical, psychiatric and dental maintenance.

Initial nursing assessments and triage of requests for health/medical care submitted by youth. Reviews the admission medical information obtained by security staff inisters nursing care and provides the youth education for routine, urgent and emergent medical situations within scope of practice. Obtains laboratory and other diagnostic procedures ordered by medical providers, review results and notify provider of results when indicated. Initiate nursing/medical treatment plans for youth with special health care needs.

Reviews and revises treatment plans as needed. Completes health appraisals, physical exams, vision/hearing screenings, in-house laboratory diagnostic testing (e.g. urine dipsticks, pregnancy tests, STI urine testing, PPD tests etc.), and immunizations per Division of Youth Services (DYS) policy. Documents all encounters with youth in electronic medical records system and/or appropriate medical logs in an accurate and timely manner. Maintains confidentiality of all patient information (oral and written) according to federal Health Insurance Portability and Accountability Act (HIPAA) regulations.

Initiates consultations/referrals to mid-level provider and/or appropriate physician when indicated. Responds to requests for emergent situations (Code Blue, Code Red) occurring on campus, administer CPR/First Aid and initiate a 911 call if indicated. Delivers medications, medical supplies and evaluates youth who may be confined to specific buildings or rooms throughout the campus setting. Other nursing duties as delegated/ordered by DYS physicians or mid-level providers.

Responsible for ordering, preparation, and administration of youth’s medications within the facility. Transcription and procurement of medication orders. Maintains accuracy of individual Medication Administration Records and monitors for errors. Educates youth and staff about medications, side effects, desired effects and importance of compliance. Investigates and documents interviews with youth refusing prescribed medications and initiates interventions. Maintains inventory logs of medications arriving at the facility and assists in ordering and maintaining stock supplies, medications and equipment within the campus clinics.

Checks First Aid Kits, AEDs, pharmaceutical refrigerators and other equipment on a continuing basis. Documents administration of youth medications and behavioral contacts in electronic medical record database. Assesses vaccine status and administers needed vaccines per CDC advisory protocols. Follows Vaccine for Children Program protocols for safe storage and handling.

Evaluates resident’s mental status and behavioral health conditions through interview, health appraisal, and observation. Provides basic mental health intervention and refers to psychiatrist or mental health resource for further evaluation or transfer. Makes appropriate referrals and/or consultations with mental health providers or psychiatrist. Conducts mental health referrals as necessary. Actively involves parents and legal guardians in the care and treatment.

Provides individual and group education regarding health promotion, disease, and injury prevention. Topics include healthy lifestyle, sleep hygiene, stress management, proper hygiene practices, dental care, STI prevention, safe sexual practices, contraceptive options, injury prevention, gender-specific needs, and infection prevention. Educates staff on medication administration and related topics.

Other duties as assigned. Work at assigned location during scheduled times.

Wednesday–Friday 7:00 a.m.–7:00 p.m.;
Saturday 11:00 a.m.–3:00 p.m. (subject to change)

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