Psychiatric Nursing Asst II
Vernon, TX 
Posted 1 month ago
Job Description
Posting Type:Open to All Applicants
Category:Healthcare SupportFLSA Exempt/
Agency:Health & Human Services CommDepartment:VS Adolescent Forensic Pgm
Job Title:Psychiatric Nursing Asst IIPosting Number:439950
Full Time/Part Time :Full Time Regular/Temporary:Regular
Job Location:4730 COLLEGE DRCity:VERNON
Contact:AccessHR Service CenterTelephone: 888-894-4747
Salary Range:$2,302.56 - $3,047.58Salary Group:A10
Shift:Evenings (Second)Travel:15%
Closing Date:
Job Description:
Are you ready to be professionally challenged? Are you looking to be part of a dynamic team of engaged and committed professionals? Then the Health and Specialty Care System (HSCS) may be just the place for you! The HSCS is comprised of nine psychiatric hospitals located throughout the state, and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. Whether in a direct-care or support role, your contribution will make a difference in the life of a Texan.

The Psychiatric Nursing Assistant II (PNA II) works 3:00 PM to 11:00 PM on the Adolescent Forensic Program.

The Psychiatric Nursing Assistant II (PNA II) provides patient care services under the clinical supervision of a Registered Nurse (RN) in order to provide quality psychiatric nursing care in an inpatient setting. Work involves providing emergency, health, and personal care services to patients; observing, reporting and documenting, in an electronic record, patient conditions and behaviors; interacting with patients therapeutically; 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, thus encouraging progress towards a less restrictive environment. As an integral member of the treatment team, provides verbal and supportive documentation concerning individual patient behaviors, progress or lack thereof, towards individual goals in the recovery plan. Serves an active participant in shift reports and treatment team meetings. Performs any combination of nursing duties commensurate with competency. Serves as a preceptor (with a focus on orientation and on-going training) for new employees, and personnel temporarily assigned from another unit. Serves on-program and hospital appointed workgroups/committees. Performs other duties as assigned to ensure the efficient operation of the unit.

Works under general supervision, with limited latitude for the use of initiative and independent judgment. The PNA II has no financial responsibility but is accountable for assigned property.

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.

HIPAA Access: Health Care: PHI 1-B. This employee has full access to a limited set of records in accordance with HIPAA regulations.
Essential Job Functions:
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

1. Participates in psychiatric rehabilitation as assigned by the RN to create a social learning/recovery oriented environment for individuals served. Uses therapeutic communication skills to promptly and effectively engage patients in order to assist them with meeting the objectives of their individual recovery plan
2. Provides supportive, age appropriate care to patients as assigned by the Registered Nurse (RN) and assists patients with activities of daily living, hygiene, and eating in order to promote independence and self-care. Treats each individual with respect by first recognizing their humanity and the validity of their basic physical and emotional needs. Will be cognizant of, and sensitive to each person's cultural needs; religion, sexual orientation, ethnicity, socioeconomic class, etc.
3. Monitors patients as assigned and provides observation to ensure the health and safety of all persons. Actively promotes safety through the continuous monitoring of the environment and active engagement of patients, to minimize unsafe situations and injuries.
4. Serves as a liaison to the Treatment team, providing on-going, verbal and written communication concerning patient progress or lack thereof towards their individual goals. Observes, reports and documents patient behaviors and participation in on/off unit activities.
5. Assists the licensed nurse by observing patients for signs and symptoms of disease, injury, adverse reactions to medication or other conditions that may warrant medical intervention. Also provides support by preparing patients for medication administration, sick call, etc. Obtains and records vital signs, meal consumption, hours of sleep etc.
6. Actively promotes safety through the continuous monitoring of the environment and active engagement with patients, to minimize unsafe situations and injuries.
7. Assists in facilitating programming offered on and off unit. Co-facilitates groups as assigned or requested, and encourages patient attendance and participation.
8. Responds effectively in crisis or psychiatric emergency situations, uses verbal de-escalation and when absolutely necessary uses more restrictive interventions. Under the direct supervision of a RN, in order to avert crisis situations and to ensure the health and safety of all persons.
9. Participates in emergency response as needed, e.g. initiation of CPR, performance of the Heimlich maneuver, and use of an Automatic External Defibrillator (AED), according to facility specific training and consistent with recommendations from the American Heart Association.
10. Serves as a preceptor (with a focus on orientation and on-going training) for new employees, and personnel temporarily assigned from another unit.
11. Serves on program and hospital appointed workgroups/committees.

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge Skills Abilities:
Psychiatric Rehabilitation
a. Therapeutic Communication Skills
b. Psychiatric Disorders
c. Milieu Management
d. Psychiatric Symptoms (Delusions, Hallucinations, Aggression, Suicidal ideation)
e. Aggression Management

Skills Development
a. CPR
c. Group Process/Teaching
d. Vital Signs
e. Accurate Patient Measurements
f. Response to Changes in Patient Condition
g. Anticoagulants
h. Falls
i. Patient Diets
j. Pat Downs/Metal Detector
k. Nursing Rounds
l. Escorting/Two way Radios

Restraint and Seclusion

Enhanced Observations

Age Specific
a. Growth & Development
b. Child/ Adolescents
c. Geriatrics (Aging, Aging and bone fractures, Nutritional considerations, Dementia management of the cognitively impaired)

Computer Skills LAN/AVATAR

Social Learning
Registration or Licensure Requirements:
Must possess valid Texas driver's license or obtain it no later than 90 days after hire date. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
Initial Selection Criteria:
Graduation from a standard senior high school or equivalent (GED).
Additional Information:
Requisition # 439950

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, and HHS OIG list of Excluded Individuals/Entities. 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.

Salary Note: The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.

According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
MOS Code:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68X, 4C0X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.


Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Salary and Benefits
$2,302.56 - $3,047.58
Required Education
High School or Equivalent
Required Experience
Email this Job to Yourself or a Friend
Indicates required fields