Psychiatric Nurse Specialist
4 weeks ago
Job Summary
We are seeking a highly skilled Registered Nurse/Registered Psychiatric Nurse to join our team at Fraser Health. As a key member of our interprofessional care team, you will provide and coordinate the delivery of psychiatric nursing care services to clients in an acute psychiatric crisis or situational crisis that could lead to psychiatric de-compensation.
Key Responsibilities
- Intervene to stabilize clients in acute psychiatric or situational crisis by utilizing supportive counselling, therapeutic interventions, and providing a safe and supportive environment.
- Screen potential admissions for appropriateness using screening tools and admission criteria policy and procedure to ensure clients fit the CRESST mandate and that the facility can provide safe care for them.
- Provide assessment, planning, implementation, and evaluation of nursing care of assigned clients by reviewing client/family history, conducting physical/psycho-social/mental status assessments, monitoring medical and psychiatric conditions, providing psycho-education, performing planned interventions, and evaluating outcomes.
- Collaborate with Program Coordinator and Psychiatrist regarding clients' mental/medical status, response to treatment, including medication and readiness for discharge, through scheduled and unscheduled meetings/phone calls.
- Communicate with primary therapist/case manager by faxing confirmation of admission and discharge summaries.
- Obtain collateral information from, and provide status and progress reports to, primary therapist/case managers, doctors, and other related agencies through meetings or telephone contacts.
- Identify clients' mental/medical needs on an ongoing basis by observing, interviewing, and completing physical assessments.
- Make clinical decisions and take action based on these assessments.
- Make necessary arrangements and facilitate hospital admission, as required, for psychiatric or medical emergencies that cannot be dealt with at CRESST.
- Use methods such as obtaining directions from an authorized prescriber, phoning the hospital to advise emergency room staff of pending arrival, conveying proper collateral information, calling ambulance, police, or family to transport client, and completing transfer records.
- For medical client concerns of a less urgent nature, facilitate a doctor's appointment.
- Empower clients in their illness or life stressors by educating clients in group, one-on-one counselling, and family meetings, alternate ways of coping, life skills, and education regarding illness and medications.
- Ensure consistent safe care by completing and reviewing client-focused care plans.
- Ensure that legal documentation requirements are met by reviewing the client's chart, kardex, and medication administration record (MAR) for accuracy and completion.
- Provide necessary documentation for charts by photocopying necessary paperwork.
- Provide discharge support to clients by providing them with community resource information and assisting them in the decision-making process relative to appropriate support.
- Ensure that clients get the necessary medication or treatment by obtaining, clarifying, and following prescriber's orders and communicating same with pharmacy.
- Ensure appropriate client treatment interventions by consulting with primary therapist/case manager and/or doctors regarding client history and treatment modes.
- Ensure that steps are taken to keep at-risk clients safe and ensure compliance with the Community Care Facility Act and Adult Care Regulations by reporting, as required, AWOL clients to police, Program Coordinator, primary therapist/case manager, and family.
- Ensure that client concerns, especially safety issues and serious incidents, are addressed by taking appropriate clinical action such as completing serious incident reports and reporting same, and seeking direction from Program Coordinator or Manager.
- Communicate facility concerns and client issues, with an emphasis on safety, by reporting same to the team, verbally and in writing in the chart, kardex, group book, serious incident report, MAR, and log book.
- Relay information to the next shift by providing a brief verbal report highlighting safety issues and any other issues and situations that may need to be immediately addressed.
- Facilitate client recreation activity by connecting them with community resources and encouraging them to participate in facility recreation activity programs.
- Ensure that clients receive required service by accompanying and/or driving them to appointments, as warranted.
- Contribute to interprofessional team participation by setting priorities, and assigning and delegating tasks to care aides and other support staff.
- Calls in staff as required, based on predetermined guidelines.
- Seeks prior approval for overtime, through management fan-out list, and confirms availability of staff for coverage.
Qualifications
- Graduation from an approved Nursing Program with current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
- One year of recent, related mental health and substance use experience in an acute/sub-acute/community setting, or an equivalent combination of education, training, and experience.
- Standard First Aid and CPR level C (or equivalent).
- Valid Class 5 BC Drivers License and access to personal vehicle with appropriate insurance coverage.
Skills and Abilities
- Ability to complete initial and ongoing mental health and substance use client assessment and provide nursing care through appropriate/prescribed technical, therapeutic, safety-type interventions.
- Applied knowledge of crisis intervention, de-escalation techniques, and suicide-risk assessments.
- Knowledge of mental illness and substance use treatment.
- Knowledge of psychopharmacology (indications and side-effects).
- Counselling and group facilitation skills.
- Knowledge of legislation and government policies and procedures that relate to mental health and substance use practices.
- Ability to communicate effectively verbally and in writing with clients, families/caregivers, the public, medical staff, and members of the interprofessional care team.
- Ability to promote person-centered care that demonstrates empathy for clients/families/caregivers, sensitivity to diverse cultures and preferences, including advocacy for special populations.
- Ability to educate clients and families/caregivers about topics essential to their health care and well-being.
- Ability to organize and prioritize work.
- Ability to collaborate with and promote cooperation among members of the interprofessional care team.
- Ability to use factual information and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.
- Ability to operate related equipment, including relevant computer applications.
- Physical ability to perform the duties of the position.
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