The RN has responsibility for creating, maintaining and managing a therapeutic milieu within the treatment program to ensure the safety of patients and staff. This includes being in charge of the MHA's, by making assignments & monitoring the care which the MHA's give. Performs ongoing assessments of the behavioral and medical needs of the patients each shift. Charts those observations of the patient in the nurse's note each shift, in a legible and concise manner. Plans, implements and evaluates age specific and developmentally appropriate individualized nursing care on the interdisciplinary treatment plans. Updates treatment plans as necessary. Demonstrates knowledge and competency in age-specific criteria of the unit to which assignment is made: Adult Acute Care Unit (short term stays for general adult population above age 18) Assists with activities of daily living as indicated for the specific unit including safety issues related to immobility, safety, restraints, and decreased sensorium. Is able to assess the patient's level of orientation and identify cues for assessment based on functioning level. Understands the specific unit programming and functioning level interventions to meet the needs of the more chronic patient. Acute Care Unit (short term stays for ages 5 through 17) Understands the difference between age appropriate behaviors versus pathological behaviors in the patient population. Understands the uniqueness of the program tract and the focus on development status. Attends mandatory hospital and department inservices and monthly department meetings. Participates in the Performance Improvement process and other research projects. Performs basic first aid, manages emergency situations as necessary. Administers PRNs to assigned patients and completes appropriate documentation on the MAR.