Prescribing Clinical Nurse Specialist
The Providence Center - Behavioral Health Job ID: 0636
530 N Main Street Providence ,RI
37.5 Mon-Fri 8-4:30
SUMMARY Assess, prescribe and provide prescribed treatment for mental health and dually diagnosed clients, working as part of a team. REQUIREMENT: The staff in this position must apply for privileges in accordance with the guidelines established in the Competency Assessment Plan. Approval of privileges is a condition of continued employment. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Perform a comprehensive psychosocial assessment of assigned clients. -Treat consumers with respect. -Respond to consumer crisis calls and calls for medication renewals. -Utilize physical assessment skills to determine related nursing interventions. -Develop an individualized consumer plan of care. -Formulate nursing diagnosis based on initial assessment. -Assess clinical emergencies, including suicide and danger to others, and coordinate resources for stabilization. Perform advanced psychiatric nursing in accordance with psychiatric mental health nursing standards of practice (ANA). -Plan consumer care with other members of the team. -Interact with managed care organizations to advocate for the appropriate level of care. -Prescribe for assigned clients per all licensing regulations and TPC policies. -Understand legal responsibilities and accountabilities. -Consult with assigned physician and other appropriate resources to manage consumer care. -Perform in a calm and professional manner during crisis or emergency situations. -Function within the limits of Center policies and procedures. -Adhere to written clinical procedures and standards. -Make and act on decisions independently to resolve actual/potential consumer problems. -Maintain confidentiality in accordance with Center Policy and legal requirements. -Co-facilitate medication and support groups. -Treat consumers with respect. Implement the consumer plan of care. -Evaluate the consumer's response to the plan of care and update the plan based on consumer's response. -Involve the consumer and/or family in the development of the plan of care. -Instruct consumers and families concerning the disease process, plan of treatment and rehabilitation course, using available teaching materials when appropriate. -Educate consumers on the various medications on the expected effects and side effects. -Question any aspect of the consumer's treatment regimen which endangers the level of wellness. -Communicate questionable aspects of consumer care to appropriate persons. Prescribe and administer medications as per written department standards. -Implement appropriately prescribed medication regimen. -Educate consumers on the side effects and through discussions determine the effectiveness. Coordinate activities regarding consumer hospitalization. -Assess and evaluate the necessity for hospitalization. -Serve as liaison with hospital regarding admission, case review and discharge. -Complete required paperwork. Collaborate with the staff members in providing care to consumers and provide staff supervision as needed. -Coordinate consumer care activities with clinical staff as necessary. -Assist BHOP staff in delivery of services. -Supervise staff regarding clinical matters related to care. -Serve as a clinical resource person to staff. -Attend and participate in scheduled staff meetings. Perform recordkeeping in accordance with Health Information Services (HIS) and other Center requirements. -Complete daily activity logs. -Complete initial assessment forms. -Complete progress notes with appropriate format. -Develop and implement a clear, specific, behaviorally oriented treatment plan with ongoing consumer and team input and with consumer signature. -Complete insurance documentation as required. -Complete required reports and evaluations. -Follow required office procedures in a cooperative manner. -Initiate and process incident reports as per Center guidelines. -Adhere to Infection Control protocols. Maintain cooperative relationships with consumers, staff and the public. -Communicate with various local agencies and other departments or teams at The Providence Center. -Work in cooperation with coworkers and supervisory staff. -Deal with team members regarding problems in a constructive manner. -Communicate pertinent information regarding consumers to after hours staff. -Accept and use direction and supervision. -Benefit from constructive criticism. Attend trainings, case presentations and conferences. -Provide feedback to staff on the content of educational programs attended. -Participate in the education of other Center health professionals. -Attend mandatory in-service trainings. Perform duties in accordance with departmental goals, objectives and standards. -Adjust to meet changes in scheduling. -Provide information for clinical treatment and team decisions. -Participate in developing BHOP goals and objectives. -Analyze the delivery of service and recommend corrective action. -Identify educational/training needs. -Perform select maintenance activities: inventory control and/or stock medication; special equipment checks. OCCASIONAL DUTIES: Serve on appropriate Center committees.
MSN and RI Psychiatric Nurse Clinical Specialist Certification required. RI RN license and licensed for prescribing privileges. Knowledge of the managed care process. Experience and licensure to be credentialed required. Valid driver's license and insured auto required.