APRN specialized in psychiatry and substance use disorders to maintain a key role on the healthcare team to coordinate and provide consultative services within the hospital for other physicians and to access community resources when appropriate. Performs diversified clinical, educational, research, and administrative responsibilities in support of acute care inpatient and Emergency Department patients boarding in the Annex. Participates in the development and achievement of the philosophies, goals and missions related to delivery of comprehensive consultative services throughout the hospital.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Under the general direction of the Practice and Medical Directors in accordance with established policies and procedures, standards of care and practice established by the Nursing Organization and the specific department, the rules, regulations and/or standards established by the State Board of Nursing, the New Hampshire Advanced Practice Registered Nurse Guidelines, Standards of Care and Practice established by the Joint Commission and other regulatory agencies and appropriate specialty organizations relevant to the care of the psychiatric and substance use adult patient population, the incumbent performs the following functions:
Demonstrates management of patient care by providing supervision and serving as a clinical resource to staff carrying out patient care activities on all medical units and the Emergency Department Annex through the process of assessment, planning, intervention and evaluation of assigned patients.
Round and provide psychiatric and substance use consultations to clinically assess and provide continuous patient management if needed for patients with complex health care needs on medical units and in the ED Annex.
Gathers pertinent information from all sources: history, diagnostic tests, comprehensive physical examinations, and behavioral and developmental assessments, healthcare team, family / significant others in order to collaboratively establish appropriate priorities of care.
Updates diagnoses/problem list and develops acute plans of care for direct patient management as needed for each problem/area of care.
Participates in rounds with members of the health care team to gather and exchange patient information: to formulate consensus, short term, long term and discharge plans of care.
Provides evidenced based psychiatric and substance use assessments and treatment interventions.
Documents physical findings, lab data, diagnoses, plans of care and progress notes in the electronic medical record.
Arranges referrals and consultations with non-medical health care providers and arranges for medical consultations after discussion with primary provider as indicated.
Educate unit staff on safety protocols, as well as recovery interventions to minimize patient risk for harm or leave AMA.
Work with Social Work to manage involuntary status.
Writes orders, including diagnostic tests and medication orders (non-narcotic and narcotic) to accomplish acute and long-term plan of care.
Performs treatments and orders/administers pharmacological therapies as indicated by interpretation of clinical data according to established protocols and current standards for psychiatric nurse practitioner practice.
Evaluates patient physiological and behavioral responses to interventions for revision of management plan and documents changes in the medical progress notes.
Collaborate with Social Work, Case Management and Peer Recovery staff to recovery base discharge plans.
Writes discharge / transfer summaries.
Assists the staff to incorporate expert practice to enhance patient outcomes through role modeling expert nursing practices.
Identifies and clarifies the Psychiatric NP role to patients/ families and members of the health care team.
Communicates with patient and their family members regarding the changing health care needs.
Identifies educational needs of patients/families and assists with teaching.
Addresses patient/family adaptation, coping skills, and the need for crisis and other interventions.
Formulates, in collaboration with the Attending Psychiatrist/patient/family physician and other members of the treatment team, a plan that includes discharge and follow up care.
Provides and promotes effective and compassionate care for patients and their families.
Ensures confidentiality of employee, legal, client/patient, budget and all company matters.
Performs procedures granted through the credentialing process.
Works collaboratively with and provides direction to the members of the multi-disciplinary team.
Serves as a professional resource for the care of the psychiatric and substance use patient and their families.
Provides educational program planning recommendations.
Participates in bedside educational programs.
Contributes to education of the nursing staff both formally and informally.
Reviews current research for research applicable to patient population.
Applies current research applicable to the psychiatric population.
Represents Psychiatric and Substance Use Services in appropriate research groups as defined collaboratively with the Medical Director, Staff Psychiatrist and Department Director.
Active in the organization as a member of the Clinical Nursing Research Committee when requested.
Interfaces with management personnel to resolve problems affecting unit operations and advises appropriate personnel of problems and recommends strategies for resolution.
Participates in self and peer evaluation to improve quality of care.
Develops, reviews, and evaluates psychiatric services policies, procedures and nurse practitioner practice protocols.
Develops, reviews, and evaluates CVSU nurse practitioner practice protocols.
Maintains professional affiliations.
Keeps knowledge base current by reading professional literature and attending educational programs.
Demonstrates effective customer-focused communication skills.
Participates in and/or conducts staff meetings.
Identifies needs for the development of Quality Management projects.
Identifies self-needs and independently increases skills and knowledge.
Accepts constructive feedback and initiates appropriate action to correct the situation.
Exhibits a professional approach/demeanor.
Facilitates problem solving and issue resolution with staff.
Demonstrates clinical skills that stimulate individual growth and team effort.
Facilitates staff attendance at educational offering, meetings, and in the development of projects.
May serve as a mentor in the area of clinical leadership.
Functions as a resource to staff relative to nursing practice issues.
Supports implementation of staff education plans.
Serves on a company Nursing Organization committee and/or organization committee(s).
Functions as a psychiatric progressive care clinical resource person within the institution.
Promotes effective communication and positive public relations within clinical areas of responsibility.
Assists in developing, revising and implementing unit policies, procedures and protocols for nursing care of the high-risk patient.
Serves on hospital/organizational committees.
Identifies legal components of advanced nursing practice.
Identifies current professional issues and impact on practice.
Participates in appropriate role in disasters, fire drills, fires and other emergency situations.
Exercises care in the operation and use of equipment and reference materials. Maintains work areas in a clean, safe and organized manner.
Performs similar or related duties as assigned or directed.
KNOWLEDGE, SKILLS AND ABILITIES
Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and possess the necessary physical requirements with or without the aid of mechanical devices, to safely perform the essential functions of the job.
Ability to deliver patient care in a manner that is appropriate to patient's age, physical ability and intellectual development. Must demonstrate proficiency in assessing treatment and responses and adapting care to meet the needs of the adult and on rare occasion adult sized adolescent patient population served.
Physical requirements include the ability to maintain body equilibrium to prevent falling when walking, standing or crouching on wavy, slippery or erratically moving surfaces; bend the body downward and forward by bending spine at the waist; bend legs at knee to come to rest on the knee or knees; bend the body downward and forward by bending leg and spine; extend hand(s) and arm(s) in any direction; stand for sustained periods of time; move about to accomplish tasks; use upper extremities to press against something with steady force in order to thrust forward, downward, outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise objects from a lower to a higher position or move objects horizontally from position to position; pick, pinch, type or otherwise work primarily with fingers rather than with the whole hand or arm as in handling; apply pressure to an object with the fingers and palm; sustain substantial movement of wrists, hands and/or fingers; perceive attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of the fingertips.
Ability to express or exchange ideas by means of the spoken word. Essential functions include activities in which incumbent must convey detailed or important spoken instructions to employees, volunteers, visitors and other staff.
Ability to receive detailed information through oral communication and to make fine discriminations in sound.
Ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or constantly to lift, carry, push, pull or otherwise move objects.
Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details as well as the whole patient and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/defects.
Requires the ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures. Requires considerable judgment to work independently toward general results, devising methods, modifying or adapting standard procedures to meet different conditions, also making decisions based on precedent and policy.
Ability to be subjected to variations in temperature from hot to cold.
Ability to concentrate and make decisions when subjected to noise sufficient to cause distraction.
Ability to work in a complex environment and be subjected to hazards, which potentially could create, conditions where there is danger to life, body and/or health.
Knowledge of departmental and hospital safety policies and infection control policies and procedures.
Knowledge of departmental and hospital confidentiality policies pertinent to patient information and hospital data.
Ability to operate a personal computer and related software.
Ability to understand and model the mission and core values of the organization through behavior and attitude.
Ability to transport self to and from off-site locations.
Ability to accept constructive feedback and initiate appropriate actions to correct situations.
Ability to establish and maintain effective communications and positive working relationships within the department, with other employees and the public.
Ability to wear safety equipment such as safety glasses, gloves, gown, lead apron, mask, etc.
Ability to endure periods of heavy workload or stress.
Knowledge of safe patient transport practices.
Knowledge of case management system and Quality Management initiatives.
Knowledge of adult anatomy, physiology, and pathophysiology
OSHA RATING: Category I (Exposure to blood borne pathogens)
PHI ACCESS: Complete
Generally, Sunday through Thursday or Monday through Saturday days, work schedule may include some extended shifts, or work on evening to cover patient needs.
Personnel are expected to cover for absences by rotating or working extra shifts.
Successful completion of a basic nursing program and an approved nurse practitioner program.
Must be certified by a National Certification Corporation.
Knowledge of expanded practice skills and in-depth knowledge of critically ill adults including psychiatric/geropsychiatic patients.
A minimum of 5 years psychiatric experience, which may include both RN and APRN practice.
Current registration in the State of NH as a Registered Nurse.
NH APRN licensure or temporary APRN licensure. Must have permanent licensure by the time temporary license expires, if not employment will be terminated.
DEA certified and X-waivered.
CCRN, National Certification Corporation or American Academy of Nurse Practitioners
BLS or ACLS certification required. If not BLS or ACLS certified, must obtain certification prior to completion of orientation, not to exceed 21 days from date of hire with Catholic Medical Center. Must maintain certification throughout employment.
Standard of Business Conduct
Individuals are required to refrain from participating in any activities that could be construed as fraud and abuse. Requires the ability to follow Catholic Medical Center's Standards of Business Conduct in any instance where you feel there is suspicion of fraud or abuse, or a violation of the law.
The Standards of Business Conduct requires that suspicion or knowledge of any person(s) in violation of the Code be reported to the Corporate Compliance Officer. The extent to which you comply with the requirements contained within the Code will be a factor in evaluating your overall job performance.
Catholic Medical Center