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About the Role

The Psychiatric Nursing Assistant II (PNA II) performs moderately complex rehabilitative patient care services work under the clinical supervision of a Registered Nurse (RN) in an inpatient setting. The role involves providing emergency, health, and personal care services, interacting therapeutically with patients, observing and documenting patient conditions, and participating in individualized and unit-based programming. The PNA II has a primary responsibility to maintain direct and on-going therapeutic interactions with patients to promote living and social skills, encouraging progress towards a less restrictive environment. This role is an integral member of the recovery team, providing verbal and supportive documentation concerning individual patient behaviors and progress towards recovery plan goals.

Responsibilities

Performs moderately complex (journey-level) rehabilitative patient care services work.
Provides patient care services under the clinical supervision of a Registered Nurse (RN).
Provides quality psychiatric nursing care in an inpatient setting.
Provides emergency, health, and personal care services to patients.
Interacts with patients therapeutically.
Observes, reports, and documents patient conditions and behaviors in an electronic record.
Participates in individualized and unit-based programming.
Maintains direct and on-going therapeutic interactions with patients to promote living and social skills.
Encourages progress towards a less restrictive environment.
Provides verbal and supportive documentation concerning individual patient behaviors and progress towards individualized goals of the recovery plan.
Participates in shift reports and recovery team meetings.
Performs delegated nursing duties commensurate with competency.
May provide guidance to the PNA Is.
Works under general supervision, with limited latitude for the use of initiative and independent judgment.
Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit.
Actively participates and/or serves in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime.
Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients with reaching their goals.
Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients.
Assists with activities of daily living, hygiene, and eating to promote independence and self-care.
Accompanies patient to appointments as required.
Communicates effectively with other team members to promote a positive workplace.
Serves as a participant in the recovery team or admissions team.
Provides on-going collaborative verbal and written communication concerning patients.
Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner.
Assists the licensed nurse in monitoring patients for medication administration or treatment.
Includes taking and monitoring vital signs and performing other assigned tasks within competency level.
Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries.
Promotes classes and programs offered and encourages patient participation.
Co-facilitates groups as assigned or requested.
Responds in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all people.
Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely.
Provides RN with timely, clinically relevant patient information gained by direct observation/interaction with patients to promote safety.
In the absence of the PNA III and IV, provides guidance and preceptorship, as requested, to the PNAs in the performance of duties assigned by an RN.
Serves in both unit-based and hospital-wide committees as appointed, contributing to interdisciplinary efforts focused on quality improvement, patient safety, and strategic planning.
Attends regular meetings, collaborates with team members, and offers insights to enhance patient care and support departmental goals.

Requirements

Must understand that duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital.
Must understand that duties may include exposure to blood or other potentially infectious materials.
This employee has full access to a limited set of records in accordance with HIPPA regulations.
If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle.
Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure.
Eligible driving record required based on HHSC Fleet Management policy.
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE).
Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
Flexibility in work hours may be required for this position.
The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required.
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

Skills

Rehabilitative patient care
Psychiatric nursing care
Therapeutic interaction with patients
Observation and documentation
Electronic record keeping
Individualized and unit-based programming
Living and social skills promotion
Recovery plan goal support
Shift reporting
Recovery team meetings
Delegated nursing duties
Basic computer skills
Documentation skills
Reporting procedures
Taking vital signs
Medication administration monitoring
Treatment monitoring
Safety promotion
Environmental awareness
Patient engagement
Group facilitation
Crisis response
Psychiatric emergency response
Least restrictive intervention
Treatment Intervention Protection Strategies (TIPS)
Verbal de-escalation
CPR/Heimlich techniques
Automatic External Defibrillator (AED) use
Communication skills
Interpersonal skills
Leadership skills
First aid
Cardiopulmonary resuscitation
Ability to work with others
Ability to accept supervision
Ability to train and provide guidance to others

Location

Austin State Hospital
AUSTIN

Work Type

Full time
Regular

Experience Level

Journey-level
Twelve (12) months’ work experience
Twelve (12) months of direct care experience is preferred

Salary/Compensations

$3,047.58 - $4,149.83 Monthly

Benefits

100% paid employee health insurance for full-time eligible employees
Defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement
May be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

About the Company

Texas Health and Human Services Commission (HHSC) is committed to creating a positive impact in the lives of fellow Texans.
HHSC is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers.
Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission.
They provide state-of-the-art treatment that is recovery-oriented and science-based.

Equal Opportunity

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.