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Under the direction of the Director, the RN Psychiatry is accountable for providing nursing care in accordance with the Standards of Safe Nursing Practice/Ohio Administrative Code and Understanding Scopes of Practice/Ohio Board of Nursing and ANA Scope and Standards of Care. The staff RN is responsible for assessing, planning, implementing and evaluating care for a given patient population within the established standards and practices of AGMC.#LI-DA1ASSESSMENTS: Completes ongoing assessments.
Recognizes significant changes in patients condition and responds appropriately.
PLANNING: Develops measurable goals for identified problems.
Updates goals for identified problems.
Involves the patient/family (or designee) in developing a plan of care individualized to patient cultural, religious and educational needs.
Coordinates the interdisciplinary plan of care.
Serves as a patient advocate.
Collaborates with multidisciplinary team to formulate an individualized plan of care.
IMPLEMENTATION: Provides nursing care based on patient-centered outcomes and standards of care that are based on current research and evidence-based practice.
Safely administers patient care and treatments in accordance with the Standards of Safe Nursing Practice and institutional policy.
Documents legibly using concise terms, correct terminology and approved abbreviations.
EVALUATION: Participates in on-going interdisciplinary evaluation of patient/family outcomes and contributes to the improvement of care.
Participates in the quality improvement processes.
LEADERSHIP/PROFESSIONAL DEVELOPMENT: Delegates tasks/assignments to employees according to their ability and within the scope of their job descriptions and according to the Delegation by Licensed Nurses, Ohio Administrative Code.
Serves as a resource person sharing knowledge/skills.
Acts as a role model/mentor.
Recognizes and acknowledges peer accomplishments.
Accepts/gives constructive criticism.
Participates in the Peer and Self-Review process.
Pursues on-going education and/or certification in specialty.
Maintains membership in professional organizations.
Involves self in professional development opportunities including community activities.
Adheres to values/guest service standards and Guiding Principles.
Completes mandatory education and training in order to maintain organization and department specific competencies and requirements.
Maintains applicable certification/licensure. Maintains BLS. Completes psychiatric core curriculum and managing disruptive behavior training with 6 months of appointment.
Follows hospital and department policies and procedures with special attention to attendance and punctuality, confidentiality, dress code and display of ID badge, and safety.
DEPARTMENT SPECIFIC DUTIES: Provides individualized and timely interventions in accordance with age specific needs and Department of Nursing/hospital policy including establishing priorities for delivery of patient care to individual patients and for assigned group of patients. This also includes remaining calm and professional during crises or emergency situations.
Accurately documents nursing interventions and patient's responses, in accordance with policy.
Participates in and documents patient care and discharge planning (including progress toward goals) including working with care management staff to facilitate quality patient care with effective use of resources throughout the continuum.
Demonstrates familiarity of unit-based and hospital QI activities and participates in QI data collection.
Communicates information regarding patient's plan of care, current outcomes, and acuity at shift report to oncoming nurses and support staff.
Using appropriate chain of command, communicates information in a timely fashion to Director, physician, or Nursing Coordinator regarding changes in patient's condition and patient care/unit issues.
Demonstrates ability to perform unit coordinator responsibilities as assigned.
Participates in clinical instruction programs to provide learning experiences for students and participates in orientation of new team members.
PSYCHIATRIC TRIAGE NURSE DUTIES: ED triage nurse may work as a psych staff RN when needed - (Director/Manager discretion).
Triages psychiatric patients that present to the ED, and completes the "Medical Screening Examination" form. Initiates admission paperwork, assists with insurance/pre-certification, communicates with attending physician and obtains orders, gives report to the floor, documents all pertinent clinical information, and assists with transporting the patient.
Assists with assessment and treatment of psychiatric nursing issues in the ED, including consultation on managing disruptive behavior and restraint issues. This includes assessing the patient for suicide and elopement risk and recommends proper level of patient observation. May perform nursing consultation in inpatient areas.
Reviews the case with the patient's psychiatrist or appropriate psychiatrist on call as well as the ED physician and collaborates with the Psychiatric Admission Coordinator and Urgent Behavioral Evaluation Team as appropriate
Provides discharge instructions for those who are treated and released.
Serves as a resource/liaison for referrals for admission to psychiatry who are not in the emergency department such as community mental health centers, other hospitals, or facilities.
Other duties as assigned
Education:Graduate from an accredited school of nursing BSN preferred.
Certifications:Currently licensed as a registered nurse in the State of Ohio.
BLS required
Complexity of Work:Maintains competencies specific to patient population served.
Satisfactorily completes psychiatric core curriculum and disruptive behavior training within six months of appointment.
Work Experience:If assigned to ED Triage primarily must have five years nursing experience with three years in inpatient psych.
Physical Requirements:Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.
Requires standing and walking for extended periods of time.
Requires corrected vision and hearing to normal range.
Requires working under stressful conditions and irregular hours.
Exposure to communicable diseases and/or body fluids.
Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
Physical Demand requirements are in excess of those for Light Work.
Personal Protective Equipment:Follows standard precautions using personal protective equipment as required
Cleveland Clinic is pleased to be an equal employment/affirmative action employer: Women/Minorities/Veterans/Individuals with Disabilities.
Full-time