Registered Nurse Crisis Services
Detroit Wayne Mental Health Authority
Summary
Under the general supervision of the Charge Nurse, the Registered Nurse – Crisis Services monitors clients, administers medications, keeps records, consults with healthcare providers, and educates clients utilizing the nursing processes of assessment, planning, implementation, and evaluation.
Job description
Principal Duties and Responsibilities
- Provides nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, in addition to facility specific policies and procedures.
- Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and teaching of clients and their caregivers.
- Serves as a client advocate while utilizing the nursing process to plan, deliver, and evaluate goal-focused, individualized, safe, age specific care for all clients, including those with complex needs.
- Utilizes client/patient centered approach to gather information about the person and their circumstances.
- Observes and records patient behavior.
- Assesses patients’ conditions.
- Performs physical examinations and diagnostic tests.
- Records patients’ medical histories and symptoms.
- Prepares patients for exams and treatment.
- Administers medications and treatments; monitors patients for side effects and reactions.
- Perform routine procedures (blood pressure measurements, administering injections etc.) and documents in patients’ charts.
- Operates and monitors medical equipment.
- Counsels and educates patients and their families on treatment plans.
- Documents patient care services by charting in-patient and department records.
- Consults with supervisors and doctors to decide the best treatment plan for patients.
- Conducts research to find ways to improve the healthcare processes and improve patient outcomes.
- Creates, implements, and evaluates patient care plans with medical teams.
- Supervises licensed practical and vocational nurses, nursing assistants, and nursing students.
- Provides physical and psychological support to patients, friends, and families.
- Identifies patient care requirements by establishing personal rapport with patients and their families.
- Maintains nursing supplies inventory by checking stock to determine inventory level.
- Maintains professional and technical knowledge by attending educational workshops and participating in professional societies.
- Participates in finding solutions for variances from client goals and ensures implementation of solutions.
- Communicates and coordinates care within a multidisciplinary team.
- Obtains details of Advance Directives such as Mental Healthcare Power of Attorney.
- Participates in the development of educational curriculum supporting health and wellness.
- Partners with other provider agencies in the coordination of care to help participants achieve wellness, including the completion of a recovery-oriented discharge/accomplishment plan.
- Coordinates services with various public and private community health, mental health, and social service agencies to ensure appropriate services for participants.
- Follows company policy regarding “No Force First.”
- Performs additional related duties as assigned.
Knowledge, Skills and Abilities
- Knowledge of DWIHN policies, procedures and practices.
- Knowledge of the DWIHN provider network and community resources.
- Knowledge of the Michigan Mental Health Code.
- Knowledge of MDHHS policies, rules, regulations and procedures.
- Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
- Knowledge of the State Nurse Practice Act regulations, policies, procedures.
- Knowledge of psychiatric nursing.
- Knowledge of psychiatric medications and their indications, common side effects, reactions and interactions of medications prescribed.
- Knowledge and ability to work with agitated patients in crisis and their families to implement behavioral management interventions.
- Knowledge of the clinical care process (screening, assessment, treatment planning, case management and continuing care).
- Knowledge of and ability to use screening and assessment tools for behavioral health services.
- Knowledge of behavioral health case management practices and principles.
- Knowledge of medical and behavioral health practices and terminology.
- Knowledge of clinical assessment principles and practices.
- Knowledge of clinical licensure in the State of Michigan.
- Clinical documentation skills.
- Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).
- Attention to detail skills.
- Problem solving skills.
- Effective listening skills.
- Documentation skills.
- Administration skills.
- Assessment skills.
- Evaluation skills.
- Decision Making skills.
- Training skills.
- Teamwork skills.
- Relationship-building skills.
- Ability to communicate orally.
- Ability to communicate in writing.
- Ability to work effectively with others.
- Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
- Judgement/Reasoning ability.
Required Education
Graduation from an accredited School of Nursing as a Registered Nurse. (BSN preferred).
Required Experience
One (1) year of full-time paid experience working in a behavioral health setting. Trauma Informed Care experience is preferred.
Required Licenses
A Valid State of Michigan clinical licensure: RN. A valid State of Michigan Driver’s License with a safe and acceptable driving record.
Special Conditions
A Nursing Competency Checklist must be completed as part of the new hire onboarding process.
Working Conditions
This position will work in the DWIHN Crisis Care Center. This position will be required to work with persons who may suffer from mental health or substance abuse crises. Crisis Care Operations is a 24/7 unit. Candidates will be required to work a 12-hour schedule. Candidates must be able to work a flexible schedule.
Requirements
- Graduation from an accredited School of Nursing as a Registered Nurse
- Valid State of Michigan clinical licensure: RN
- Valid State of Michigan Driver’s License with a safe and acceptable driving record
- One (1) year of full-time paid experience working in a behavioral health setting
- Knowledge of psychiatric nursing
- Knowledge of psychiatric medications and their indications, side effects, reactions and interactions
- Knowledge of the Michigan Mental Health Code
- Knowledge of the State Nurse Practice Act regulations, policies, procedures
- Knowledge of the clinical care process (screening, assessment, treatment planning, case management and continuing care)
- Knowledge of and ability to use screening and assessment tools for behavioral health services
- Clinical documentation skills
- Computer skills (Word, Excel, Access, Power Point, Outlook, Teams)
- Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population
- BSN preferred
- Trauma Informed Care experience preferred
Benefits
- COVID-19 vaccination required
Company overview
The Detroit Wayne Mental Health Authority (DWMHA) is a public mental health authority serving residents of Wayne County, Michigan, including the city of Detroit. As a leading community mental health organization, DWMHA oversees and coordinates a comprehensive network of mental health services for individuals with mental illnesses, developmental disabilities, and substance use disorders. The authority contracts with numerous provider agencies to deliver essential services including crisis intervention, outpatient treatment, residential programs, case management, and prevention services. DWMHA plays a critical role in ensuring access to quality mental health care for vulnerable populations, particularly those with Medicaid or no insurance coverage. The organization focuses on recovery-oriented approaches, community integration, and evidence-based practices to support individuals in achieving their highest level of functioning and independence. Through its extensive provider network, DWMHA serves thousands of residents annually, addressing both acute mental health needs and long-term recovery support.