Per Diem Psychiatric Registered Nurse

Requirements:

New York State licensed Registered Nurse
BSN required
One year medical-surgical experience with one-year psychiatric experience preferred.
American Heart Association BLS (adult and child) required.

*1) Assesses the patient’s physiologic health status

· Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously.

· Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate.

· Assesses level of pain and pain management.

· Communicates/documents patient’s physiologic health status and plan of care.

*2) Assesses patient’s psychosocial health status

· Elicits perception of medical/nursing care and the expectation of care;

· Determines coping mechanism, knowledge level, and ability to comprehend;

· Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;

· Communicates and documents psychological status and care plan; support group, counseling services, social services.

*3) Identifies patient outcome

· Develops criteria for measurement of patient outcomes;

· Identifies actual/potential patient problems;

· Identifies patient’s need for teaching based on psychosocial and developmental assessment;

· Develops patient outcome statement (s) and establishes individualized patient goals.

* 4) Formulates the plan of care and establishes the priorities necessary to achieve expected outcome

· Identifies care activities and establishes the priorities necessary to achieve expected outcome;

· Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;

· Documents the plan of care and collaborates with physicians and other health team members.

*5) Implements the plan of care

· Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.).

· Exercises professional skills related to the plan of care;

· Reassesses patients as needed and appropriately revises plan of care;

· Practices group techniques satisfactorily with supervision;

· Correctly administers prescribed treatments;

· Correctly uses equipment necessary for patient care;

· Provides emotional support to patient and significant other;

· Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;

· Makes accurate observations of patient’s conditions during treatments/ procedures. Reports and records same as appropriate;

· Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions;

· Uses appropriate methods of documentation according to departmental policy;

· Sets appropriate limits on patient behavior, utilizing non-violent behavioral interventions while maintaining patients’ rights and dignity;

· Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;

· Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers;

· Participates in planning for discharge and coordinates referrals, as appropriate;

· Provides discharge instructions to patient and significant other.

*6) Evaluates care provided for patient outcome

· Demonstrates ability to measure effectiveness of care provided and documents same;

· Performs variance analysis related to outcome data for performance improvement;

· Designs, implements, and evaluates systems to improve care in Unit;

· Keeps accurate documentation of patient’s treatment, activity and condition;

· Uses appropriate methods of documentation according to departmental policy.

* 7) Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team

· Collaborates with the appropriate physician on patient’s plan of care;

· Accurately interprets and implements treatment regimen as prescribed by the Physician;

· Assists the Physician during treatments and/or diagnostic procedures;

· Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate;

· Uses clinical judgment in delegating assignments to the Behavioral Health Associate, and Unit Clerk in providing patient care, and ensures that assignments are completed in a timely fashion.

*8) Administers medications correctly and safely

· Correctly identifies medication: action; dosage; side effects and implications for the patient;

· Has knowledge of medications being administered including an understanding of psychotropic medications and their effects;

· Meets standard on medication administration examination;

· Demonstrates preparation of local solutions;

· Demonstrates preparation of I.V. drips;

· Administers medication correctly, documenting the medication administration record including time, date, full signature and approved abbreviations;

· Educates patients and significant others related to drug and food interactions.

*9) Participates in patient and family education

· Provides the patient with an explanation of his/her condition as indicated;

· Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;

· Recognizes and utilizes health teaching opportunities and resources

· /materials available for this teaching;

· Provides for early discharge planning and appropriate referrals for post-hospital care;

· Evaluates the effectiveness of teaching by feedback from patient/family and documents same.

*10) Accepts reassignment to other units when necessary.

*11) Performs skills necessary to assume shift responsibility when designated by Nurse Manager.

12) Performs related duties, as required.

*ADA Essential Functions

**Additional Salary Details:The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Job Type: Per diem

Pay: $57.33 per hour

Medical specialties:

• Psychiatry

Physical setting:

• Hospital

Standard shift:

• Day shift
• Night shift
• Overnight shift

Supplemental schedule:

• Holidays
• On call

Weekly schedule:

• Weekends as needed

Education:

• Bachelor's (Required)

License/Certification:

• RN License (Required)

Work Location: In person