Psychiatric Advanced Practice Registered Nurse who provides direct adult health services across the health care continuum including health screening, health maintenance, and health promotion.
Provides appropriate evaluation and management of health problems by approved protocols established per adjunct medical staff appointment, which includes collaboration and referral to physicians and other health care providers.
Essential Job Functions and Responsibilities:
Provides appropriate quality clinical services to patient and families.
- Under collaborative relationship with a psychiatrist, responsible for psychiatric assessment, diagnosis, treatment, and follow-up of acute and chronic health care issues.
- Interprets clinical indicators and integrates assessment materials to make advanced clinical judgments and diagnosis.
- Develops plans of care and initiates/implements treatment. Evaluates that care by using a systematic approach: through history and physical appraisal, interpretation of laboratory tests, or through evaluation of other available data.
- Initiates and provides on going pharmacological management (as outlined in the medical staff appointment/privileging).
- Medication management includes evaluation, monitoring, education of patients with focus on risk/benefits of medication, drug interactions, complications due to co-existing medical conditions, and potential drug/medication abuse by patients.
- Orders laboratory and other diagnostic procedures that are commonly performed in the assessment and treatment of psychiatric and substance disordered patient populations.
- Explains laboratory results to patients and makes referrals as necessary.
- Responds appropriately to emergency situations. Is available to other staff for intervention/consultation in the case of medical emergencies.
Assesses educational needs of patients and families and provides appropriate teaching to meet those needs.
- Assesses patient and family knowledge and understanding and implements teaching based on needs.
- Educates patients and/or families about medical issues, prescribed treatments, and/or medications in a manner that is clear and understandable.
Works collaboratively with other providers.
- Works in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, and referral.
- Works closely and effectively with other staff members on the multi-disciplinary treatment team to ensure coordinated clinical care.
- Coordinates treatment and flow of clinical information with outside medical care providers to effectively implement the plan of care.
Maintains required documentation.
- Maintains legible, accurate and confidential medical records. Documents all evaluations, procedures, outcomes, education, and referrals consistent with departmental, TJC and state regulatory standards.
- Documents on-going evaluation of efficacy, side effects and medical sequelae of prescribed medications.
- Seeks and documents consultation with collaborative physician as needed and outlined in the collaborative agreement, but once a quarter at a minimum.
Maintains responsibility for own professional development.
- Regularly and systematically (but minimally once per quarter) selects appropriate cases for review with the collaborating physician; will review plan of care and patient outcomes.
- Regularly evaluates own strengths/weaknesses, developing annual professional goals.
- Maintains/expands professional skills through yearly CEU participation.
- Analyzes new knowledge gained from conferences, workshops, professional literature and assimilates this into clinical practice.
Minimum of two years psychiatric and geriatric care experience.
State/Federal Mandated Licensure or Certification Requirements: Current CT APRN/RN license; ANCC National Certification; DEA license Bristol Hospital Mandated Educational Requirements:
General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.
Nurse Practitioner will meet the standards and requirements for Adjunct Medical Staff membership as defined in the Hospital’s Medical Staff Bylaws.
Knowledge of principles of psychiatric and geriatric medicine. Excellent interpersonal skills to work productively with patients. families, other staff and departments.
This position requires frequent walking, standing and sitting. Occasional physical requirements involve bending, stooping, stair climbing, kneeling and light lifting. Activities such as crouching, balancing, reaching, twisting and looking at computer monitors are limited. Vision and hearing should be corrected to the normal range.
Normal office environment. Involves high interaction with patients and staff in a stressful, psychiatric milieu.
Exceptional problem-solving skills, critical thinking, and prioritization skills. Excellent comprehension. effective written and verbal communication skills, able to organize and utilize data.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.