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PSYCHIATRIC NURSE

Position Description

 

INTRODUCTION:
The incumbent serves as the Psychiatric Nurse within one of the facilities located across the nation as a member of the healthcare team providing medical care to detainees in ICE custody.
DUTIES AND RESPONSIBILITIES:
1. Provides direct nursing care to detainees.
2. Performs a variety of administrative/floor duties as an extension and in support of the head nurse.
3. Provides comprehensive nursing care to patients in the psychiatric ward.
4. Makes nursing care assignments to various skill levels of professional and nonprofessional personnel.
5. Assigns staff to patient care duties based on patient condition and expertise of staff. Monitors and oversees staff performance.
6. Obtains patient history and assesses physical, psycho-social and spiritual needs.
7. Develops nursing plan of care and participates in the plan of care with multi-disciplinary team members.
8. Obtains medical histories and performs a nursing assessment on detainees entering the Service Processing Center (SPC) referring any medical problems to the physician, or mid level provider.
9. Monitors, evaluates and revises plan of care as needed.
10. Assesses patient condition considering biopsychosocial, spiritual and cultural issues.
11. Reviews all patient admission data collected to complete assessments.
12. Assesses and identifies high risk symptoms/behaviors in patients to include suicidal risk, homicidal risk, and verbal and physical acting out.
13. Assesses patient learning needs, and develops a plan of care based on identified needs.
14. Observes, interprets and documents all pertinent patient behaviors.
15. Demonstrates an understanding of psychiatric conditions as defined in the DSM-IV in planning nursing care for patients.
16. With training and experience, assumes responsibility for the coordination, quality and delivery of nursing care on the unit during the assigned shift.
17. Performs nursing care in a manner which demonstrates respect for dignity, personal preference, culture and rights.
18. Provides the specialized nursing expertise required in intensive psychiatric nursing, in crisis intervention or in general psychiatric nursing.
19. Initiates emergency treatment in psychiatric or medical crisis.
20. Coordinates arrangements with custody for emergency patient transfers to local community hospitals.
21. Communicates critical information to a supervisor or a local hospital’s charge nurse.
22. Performs nursing care independently using sound clinical nursing judgment in compliance with American Nurses Association (ANA), Nursing Standards of Patient Care, Local Nursing Care/Administrative and Patient Care Manual policies.
23. Demonstrates knowledge of the use, side effects and precautions for the psychotropic medications commonly used in Mental Health units.
24. Safely administers and monitors patient’s response to medications and treatments.
25. Administers involuntary medications as ordered in a safe manner using a team approach.
26. Works flexible hours to include day, evening, morning shifts, holidays and weekends.
27. Availability for emergency call back.
28. Utilizes universal precautions with all patients and follow safety and infection control protocols.
29. Assesses patient’s PPD status on admission and places PPD skin test as indicated.
30. Works closely with the Infection Control Coordinator reporting all suspected or confirmed infections.
31. Administers immunizations, plants PPD’s and reads and records as requested.
32. Completes waived testing (Glucometer 3 and hemoccult testing) accurately, and performs quality control checks per guidelines.
33. Performs 12 Lead ECG test as needed.
34. Performs treatments and procedures with attention to accuracy, patient safety and comfort.
35. Performs individual and group patient education/instruction to facilitate meeting the health needs of patients and preventing disability or disease.
36. Maintains a therapeutic relationship with patients and differentiates therapeutic action from social interactions.
37. Communicates effectively in an accurate, concise and timely manner with patients, co-workers, multidisciplinary team members.
38. Completes written medical record documentation in an accurate, well organized, legible and timely manner.
39. Demonstrates effective behaviors and communication techniques for de-escalation and/or prevention of crisis situations.
40. Demonstrates effective limit setting with patients.
41. Uses nonverbal communication that conveys respect for patients and staff.
42. Assists with the on-the-job orientation of new nursing personnel.
43. Participates in multi-disciplinary teams, nursing reports, staff meetings, quality improvement work groups/activities, in-services, continuing education programs and other assigned committees.
44. Maintains a collaborative relationship with co-workers and all health care workers.
45. Identifies own learning needs and participates in training opportunities that promote professional development.
46. Maintains current with new developments by attending educational conferences related to Mental Health and other health care concerns/topics.
47. Provides triage and screening of detainees during sick call.
48. Identifies and manages minor illnesses as directed under established nursing guidelines and refers medical problems to the appropriate medical provider.
49. Identifies changes in patient’s condition and takes appropriate actions.
50. Assists the medical provider with medical appointments by taking the detainees vital signs, documenting them in the chart and assisting as necessary.
51. Transcribes reviews and executes physicians' orders. Ensures that medications prescribed are administered as ordered. When medication orders are signed off, initials are placed next to the order and circled.
52. Applies knowledge of drugs and therapeutics when dispensing medication.
53. Maintains security when dispensing medications.
54. Maintains awareness of the potential hazard of drug hoarding and trafficking among detainees.
55. Properly disposes of all needles/syringes.
56. Maintains accuracy of Sharps Log.
57. Maintains non-involvement in the security aspects of care.
58. Documents all detainee clinical encounters per policy.
59. Maintains patient and medical record confidentiality.
60. Performs or assists with emergency treatment of injury or illness to detainees as needed.
61. Provides nebulizer treatments; inserts indwelling urinary catheters; irrigates indwelling urinary catheters.
62. Follows procedures as designated in Standard Nursing Manual.
63. Prepares statistical information, regularly scheduled reports, or special reports as necessary.
64. Draws labs and collects laboratory specimens.
65. Attends general/medical staff meetings.
66. Coordinates referrals to off-site providers as required.
67. Assures a safe and clean working environment.
68. Performs record keeping functions in accordance with program policies.
69. Performs other duties and responsibilities as assigned.
70. Responsible for maintenance of medical equipment and quality control of laboratory reagents.
71. Serves as a medical escort of detainees, as needed, for domestic/overseas travel.
72. Maintains medical supply stock level, ordering, and restocking as needed.
73. Performs or designates other staff to dispose of biologically hazardous wastes on a regular basis.
74. May participate in QI Reviews.
75. Provides daily nursing care as needed and notifies physician or PA/NP of any abnormal findings if an Infirmary (Short Stay Unit) is onsite.
76. Provides staff assistance at other IHSC staffed ICE medical facilities on temporary duty (TDY) status if needed.
77. Provides comprehensive nursing care to patients based on the medical care plan, nursing care plan and the physical, mental and emotional needs of the patient.
78. Uses the nursing process and performs the initial nursing history and assessment, develops a nursing care plan, develops and implements nursing orders.
79. Evaluates the nursing care provided based on the patient’s response to that care and revises the nursing care plan accordingly.
80. Recognizes and informs appropriate personnel of changes in a patient's condition.
81. Follows established protocols for psychiatric patients.
REQUIRED KNOWLEDGE:
1. Knowledge of professional nursing concepts, principles, practices, and nursing standards as related to medical and psychiatric nursing.
2. Knowledge of team nursing and supervision.
3. Knowledge of group and individual therapies used in treatment of the psychiatric patient.
4. Ability to apply professional nursing principals, procedures, and techniques to patient care and nursing supervision.
5. Practical knowledge of medications, administration guidelines, and pharmaceutical agents including desired and adverse effects, in order to recognize untoward effects and take appropriate corrective measures.
6. Knowledge of training methods and appropriate interpersonal skills to develop a rapport with patients and co-workers.
7. Knowledge of and participation in established clinic programs and requirements on safety, infection control, quality assurance, maintenance of records, statistical information gathering, etc.
8. Knowledge and skill in providing care and response to emergency situations.
9. Ability to provide patient health education instruction and evaluation of patient understanding.
10. Knowledge of substantial previous professional clinical psychiatric nursing training and experience in nursing care principles, practices and procedures required to access needs of patients.
11. Knowledge of roles of team members in the overall patient treatment plan and group therapy theories and techniques.
12. The incumbent will be a graduate of a school of professional nursing approved by the appropriate State accrediting agency; BSN or higher degree preferred.
13. Must be licensed by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States.
14. Maintain current CPR/BLS certification.
15. Maintains clinical professional skills via continuing education opportunities.
16. Psychiatric Nursing Certification-Preferred.
17. Advance Practice Certification- Preferred.
18. Cultural Competency.
19. Good Oral/Written Communication Skills.
SUPERVISORY CONTROLS
Works under the direction of the Health Services Administrator (HSA). If the HSA is not a clinician, the clinical supervision is provided by the Clinical Director.
PHYSICAL DEMANDS:
Work requires walking, standing, bending, and some lifting, for example to assist patients out of wheelchairs.