Purpose of Position/Summary:
This position works as a member of the professional medical staff of Evansville
campuses and will abide by medical by-laws and all hospital rules and
regulations. Incumbent will work within the scope of their educational
preparation and experience and within the guidelines of the state of Indiana
Nurse Licensing Board to provide quality professional care to assigned patients
and will be eligible for prescription authority. When necessary, the incumbent
will assist other health care personnel in responding to and managing
emergencies.
Essential Duties/Responsibilities:
Perform work under the direction of the Medical Director, work is reviewed
through consultations with the collaborative physician or Medical Director;
Focus full effort and attention to supporting the organization's mission,
proper functioning of the units and delivering quality patient care by utilizing
provided resources.
Perform, independent of physician direction, advanced practice nursing
psychiatric mental health or primary health care determining diagnoses,
medication management, ordering and interpreting diagnostic studies such as
X-Rays, EKG’s , EEG’s, UA, and blood chemistries; prescribing therapies and
wellness activities; referring patients to appropriate health care providers
when indicated.
Prescribe medication and treatment within practice guidelines and possess the
necessary DEA and Controlled Substance Registration (CSR) specific to the State
of Indiana;
Provide initial emergency care such as CPR and alert appropriate emergency
providers;
Provide consultation through collaboration with a variety of health care
professionals and interdisciplinary team members in the areas of nursing
practice, patient care, health education, patient care delivery system,
program/project development and professional development; provide clinical
direction to nursing and direct care staff in coordination to Advance Practice
Nursing guidelines.
Lead and direct nursing staff in the design, coordination and evaluation of
research to improve clinical practice and delivery of health care for patients;
direct or participate in the oversight and application of research and quality
assurance projects;
May develop educational programs for individual patients and patient groups
appropriate to health problems, level of functioning, emotional needs and
patient characteristics;
Maintain accurate records to reflect and assume accountability for clinical
decisions and actions. i.e. psychiatric evaluations weekly/monthly progress
notes, medication reconciliation, restraint face to face documentation,
computerized order entry, discharge planning, etc.
Participate in the admission and discharge planning process.
Provide coverage for restraint assessments as assigned.
Participate in treatment team meetings, and other assigned meetings.
Attends and participates in routine supervisory meeting with physician
collaborator accepting performance feedback and implementing into practice.
Assist in training and orienting incoming medical staff members.
Adheres to all Hospital, DMHA, and SPD policies.
Working hours will be determined based on the direction and approval of the
Medical Director and Superintendent based on need of the facility. Coverage must
be maintained to ensure facility needs are meet.
Uses technology to chart electronic information.
Performs other duties as assigned.
Job Requirements:
• Master’s degree in Nursing from an accredited college as a Psychiatric Nurse
Practitioner or Family Nurse Practitioner.
• Possession of a valid Registered Nurse license issued by the Indiana
Professional Licensing Agency.
• Possession of a valid Controlled Substance Permit and Drug Enforcement
Administration Permit.
•Must obtain CPR and Bridge Building certification, demonstrate ability to
perform techniques, and maintain certification throughout employment.
•Application of conceptual theory-based knowledge to manage clients’ health care
status, including pathophysiology, nursing theory, life span development, and
family development and interaction theory, and assure optimal care for clients;
•Specialized knowledge of and ability to utilize the full range of accepted
professional nursing principles and practices within in-patient care;
•Working knowledge of psychology relative to handling and caring for psychiatric
treatment as provided in nursing education;
•Possess a high degree of skill in providing patient care and in reacting
effectively in emergency situations;
•Ability to communicate with patients regarding medical and nursing procedures
and patient conditions;
•Working knowledge of State Board of Health laws and regulations pertaining to
institutional care of patients;
•Ability to interpret, give and follow oral and written directions;
•Ability to develop and apply nursing care plans;
•Ability to provide guidance to staff nurses;
•Ability to organize and review the work of staff;
•Ability to coordinate the activities of others.
•Uses technology for charting patient information.
Difficulty of Work:
Must possess extensive knowledge of agency programs, policies, procedures,
program objectives, consumer needs, federal and state requirements and all
related initiatives essential for the management, development and implementation
of processes to ensure fiscal integrity. Judgment is needed to effectively
recommend and ensure implementation of policies and procedures and the
facilitation of complex process changes. Incumbent must be innovative,
persuasive, and understand the importance of checks and balances to provide
accountability in fiscal matters. Incumbent must use judgment in selecting and
applying guidelines consistently to difficult and different problems such as
those that may arise from large, complex contracts/accounts. Incumbent must have
the ability to identify and recommend resolutions to complex problems or
situations regarding fiscal matters.
Responsibility:
Incumbent works independently and has final authority (with the collaborative
agreement) for care prescribed to assigned patients. May request directions from
physician(s) when situations arise that are outside of the scope of practice.
Incumbent must ensure that medical care provided is within the State Board of
Health Laws and Joint Commission of Accreditation of Healthcare Organizations
regulations and guidelines. Incumbent is administratively supervised by the
Medical Director.
Work is broad in scope involving application of a full range of specialized
nursing skills and utilization of professional judgment in collecting,
evaluating and acting on subjective and objective medical information. Decisions
are sometimes complicated by the psychological condition of the patient (the
patient’s ability to comprehend and communicate their medical information to the
clinician).
Personal Work Relationships:
Incumbent is responsible for developing a rapport with patients and their
families in order to provide good patient care. Incumbent must also work with
other staff members for the purpose of sharing and
gathering information and functioning as part of the interdisciplinary team.
Incumbent also serves in a training capacity with patients and, at times, with
staff. Incumbent provides clinical direction to nursing staff. Incumbent may
refer patients to outside medical providers and will confer with providers
regarding diagnosis and possible treatment.
Physical Effort:
Involves sitting, lifting, bending, stooping, walking, and standing. Ability to
perform Bridge Building interventions and CPR is required
Working Conditions:
Works in a psychiatric hospital. At times, the incumbent may be required to work
different areas on or off grounds. Potential for physical injury related to
patient behavior and management of that behavior.A
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