Responsible for furnishing comprehensive, skilled psychiatric nursing services to psychiatric patients in their place or residence.
1. Initial and ongoing comprehensive assessments of the client's needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time points.
2. Assesses the medical, cognitive, emotional, psychosocial, safety, developmental status, and psychiatric nursing needs of the patient during the initial nursing evaluation, assesses the appropriateness of care and criteria for acceptance to psychiatric home healthcare, reports the status of all new patients to the Director of Clinical Services (DCS) and the patient's Physicians.
3. Evaluates the patient's management and compliance with the medical and psychiatric plan of care.
4. Maintains awareness of indicators in patient's behavior that call for changes in the treatment modality (crisis, suicidal ideation).
5. Observes and evaluates the physical and mental status of the patient for complications and medication side effects, and implements appropriate intervention while working closely with the patient's Physicians.
6. Implements nursing actions that will promote, maintain, or restore physical and mental health, prevent illnesses and effect rehabilitation.
7. Instructs patient/caregiver in cognitive and technical aspects of care, medication regimes, disease processes, safety interventions, ADL care, and intervention.
8. Administers IM medications, performs lab draws and specimens collections, and educates patient and caregiver in appropriate medical techniques.
9. Documents visits, including instructions and interventions, in an accurate and timely manner while complying with the Agency's policies and procedures, documents all telephone calls and physician contact for inclusion in the patient's chart.
10. Informs patient's physician and the DCS of any changes in the patient's status.
11. Respects the patient and family's rights as defined by the Federal and state laws and Patient Bill of Rights, respects patient's right to confidentiality.
12. Establishes emergency procedures, instructs patient/caregiver when to call nurse, Physician and 911, maintains patient safety when a crisis occurs, calls/911, Physician and DCS on call. Documents the incident report after the crisis is controlled.
13. Communicates closely with the physician, the interdisciplinary team, and appropriate agencies and institutions for continuity of care, acts as case manager in coordinating care for the patient.
14. Uses universal precautions while administering care to patients and is knowledgeable with respect to policies, procedures, and protocol regarding infection control.
15. Adheres to Agency's policies, procedures, regarding resuscitation of patients.
16. Supervises home health aides every 14 days and reviews patient care plan as needed.
17. Complies with Home Health Agency's quality assurance program.
18. Reviews treatment planning under the direction of a physician every 30 days, to include nursing action, interventions, and goals for each patient.
19. Participates in the patient's discharge planning process and completes discharge summaries after discharge.
20. Supports healthcare professionals within the Agency for other patients with psychosocial issues, assisting in developing a treatment plan of care.
21. Maintains positive relations with patient referral sources and community resources.
22. Attends patient case conferences and participates in in-service training programs for staff.
23. May be requested by DCS to fill in for the other nurses.
1. Position is stressful in terms of meeting deadlines.
2. Requires minimal lifting of office records and printouts.
3. Travel is required, by car or airplane to local, out-of-town or state seminars, conferences or meetings.
4. The ability to communicate well, both verbally and in writing is required.
5. The ability to access client's homes which may not be routinely wheelchair accessible is required.
6. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the client's condition and to perform client care.
7. Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of clients and the turning of clients.
Utilization of CRT, calculator, multi-line telephone, copy machine, basic nursing equipment.
Has access to all client medical records, which may be discussed with the Administrator, Director of Nursing, Director of Finance and Performance Improvement Department Staff.
1. Must be a Registered Nurse licensed by the state.
2. Two years of acute psychiatric experience in a psychiatric hospital is required.
3. A Master's degree in Psychiatric or Mental Health Nursing is preferred, but not required.
4. A Bachelor's Degree or an Associate Degree is required at a minimum.
5. Must have a driver's license and a reliable means of transportation to assure timely arrival at client's homes