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Psych ED Registered Nurse
Mission Health, based in Asheville, NC, is a comprehensive healthcare provider committed to improving the health and wellness of the community it serves through advanced medical services and compassionate care. We are seeking a dedicated Psych ED Registered Nurse to join our Healthcare & Medical Services department and provide high-quality, patient-centered care to individuals experiencing psychiatric and behavioral health emergencies. In this role, you will work in a fast-paced emergency department environment, performing focused and comprehensive nursing assessments for patients presenting with acute psychiatric conditions, co-occurring medical issues, and crises such as suicidal ideation, psychosis, substance use, and severe mood disturbances.
You will triage patients based on acuity, collaborate closely with emergency medicine and behavioral health providers, and develop and implement individualized plans of care using evidence-based psychiatric nursing practices. The Psych ED Registered Nurse will administer medications safely, including psychotropic and emergency medications, monitor therapeutic and side effects, and provide ongoing evaluation of patient responses. You will implement non-pharmacologic and trauma-informed interventions to promote safety, stabilization, and emotional regulation, employing verbal de-escalation, milieu management, and crisis-prevention techniques.
You will coordinate and support the safe management of patients on involuntary holds or under observation, ensuring adherence to legal, ethical, and regulatory requirements. This position requires strong therapeutic communication skills to engage patients and their families, obtain histories, provide education regarding diagnoses, treatment plans, and medication regimens, and support shared decision-making whenever possible. You will collaborate with psychiatrists, emergency physicians, social workers, case managers, security, and other interdisciplinary team members to facilitate comprehensive evaluation, timely disposition planning, and appropriate transition of care to inpatient, outpatient, or community resources.
Documentation of assessments, interventions, and patient responses in the electronic medical record must be thorough, timely, and compliant with organizational and regulatory standards. The Psych ED Registered Nurse will participate in safety huddles, handoff reports, and interdisciplinary rounds to ensure continuity of care, and will contribute to quality improvement initiatives related to behavioral health care in the emergency setting.
Mission Health fosters a collaborative environment emphasizing teamwork, respect, and professional growth. As a Psych ED Registered Nurse, you will support and mentor newer staff, participate in ongoing clinical education, and maintain current knowledge of best practices in psychiatric emergency nursing, suicide prevention, and de-escalation strategies. You will uphold hospital policies, including infection prevention, restraint and seclusion standards, and patient privacy and confidentiality.
This opportunity is ideal for a nurse who is calm under pressure, confident in crisis situations, and passionate about behavioral health. You will have the opportunity to advance your skills, pursue specialty certifications, and grow your career within Mission Health while making a meaningful impact on some of the most vulnerable patients in our community.
