Psych Nurse Practitioner - Crisis - Multiple Site

Responsibilities

• Completes Urgent Psychiatric and/or Addiction Medicine evaluations with all patients referred to the 23-hour observation unit from all referral sources including, but not limited to, hospitals, urgent care centers, law enforcement, and other medical practitioners for the purposes of assessment, diagnosis and treatment recommendations.
• Completes Urgent Psychiatric Assessment and/or Addiction Medicine, Ambulatory Detox, or Physical Health Assessments with patients who have been identified by CBI screening staff.
• Carefully coordinate with one another when admitting, transferring, or discharging a patient to a different CBI program or level of care and will document in the medical record to ensure a smooth transition.
• Be available or initiate doc to doc communication and coordination of care and document it appropriately.
• All patients on the unit are evaluated at least daily to provide necessary adjustments in treatment and discharge planning.
• Seclusion and Restraint: Seclusion and restraint interventions are used in accordance with CBI policy. Provide assessment for the appropriate use of seclusion and restraint. Write an order immediately if at the facility, or sign order in the electronic health record within three hours if given verbally.
• Discharge Orders: Review cases and discharge plans during rounds with assigned CBI medical staff. Document and sign full discharge orders and follow-up recommendations within 24 hours of discharge.
• Remain on the unit for the entirety of the scheduled shift. Complete Application for Involuntary Evaluation and Application for Emergency Admission (please see a more detailed job aid).
• Complete Application for Involuntary Evaluation and Application for Emergency Admission (please see a more detailed job aid).
• Admission Orders: Practitioner Admission Orders are completed on admission (in person or verbally to a nurse) and signed by the admitting practitioner within 24-hours of admission.
• Daily Staffing and Rounds: Everyone admitted to the 23-Hour Observation Unit will have a psychiatric evaluation at minimum once every 24 hours, or sooner if clinically appropriate and necessary to justify patient’s need for continued stay. Review cases with RN and Crisis Specialist during rounds as part of discharge planning process. Document rounds in progress note. Reviews cases with oncoming practitioner at the end of each shift.
• Maintain treatment of physical health and/or coordination with PCP and other prescribers while in treatment.
• Internal Consults and Coordination of Care: Coordinate with one another when discharging, admitting or transferring a patient to a different CBI program or level of care and documents in the medical record to ensure a smooth transition.
• Mental Health/Psychiatric Care: Evaluate each patient for ongoing mental health/psychiatric care prior to discharge and document in the electronic health record.
• Evaluate each patient for ongoing physical health issues prior to discharge and document in the electronic health record.

Qualifications

• Remain on the unit for the entirety of the scheduled shift.
• Complete Application for Involuntary Evaluation and Application for Emergency Admission (please see a more detailed job aid).
• Admission Orders: Practitioner Admission Orders are completed on admission (in person or verbally to a nurse) and signed by the admitting practitioner within 24-hours of admission.
• Daily Staffing and Rounds: Everyone admitted to the 23-Hour Observation Unit will have a psychiatric evaluation at minimum once every 24 hours, or sooner if clinically appropriate and necessary to justify patient’s need for continued stay. Review cases with RN and Crisis Specialist during rounds as part of discharge planning process. Document rounds in progress note. Reviews cases with oncoming practitioner at the end of each shift.
• Maintain treatment of physical health and/or coordination with PCP and other prescribers while in treatment.
• Internal Consults and Coordination of Care: Coordinate with one another when discharging, admitting or transferring a patient to a different CBI program or level of care and documents in the medical record to ensure a smooth transition.
• Mental Health/Psychiatric Care: Evaluate each patient for ongoing mental health/psychiatric care prior to discharge and document in the electronic health record.
• Evaluate each patient for ongoing physical health issues prior to discharge and document in the electronic health record.