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Maine Behavioral Healthcare

Spring Harbor

Psychiatric Nursing

Psychiatric Nurse I
Psychiatric Nurse II
Psychiatric Nurse III

Psychiatric Nurse I
Job Summary
Duties & Responsibilities

Patient Care Delivery Practices:

  • Demonstrates competent and caring practice with patients/families, evidenced by feedback from two co-workers.
  • Thoroughly assesses the patient and documents findings within expected time frames, as evidenced by two completed assessments.
  • Competent in working with diverse patient populations and interventions that generally have a helpful or positive impact on patient care [applicant gives example].
  • Provides ongoing patient/family education to assist the patient in managing his/her psychiatric illness upon return to community living [applicant demonstrates by providing evidence of teaching through group outlines or other means].
  • Demonstrates current competence in use of PCS or EMR, or is actively pursuing training to gain competency with these patient-care computer applications.

Milieu Management/Safety:

  • Demonstrates competency in milieu management and consistently attends to safety issues.
  • Submits at least one example of an intervention that prevented escalation of a problem.

Teaching/Coaching Practices:

  • Assists students in clinical rotations by orienting them to the unit and models the role of the nurse at Spring Harbor Hospital.
  • Effectively provides informal education to other clinical staff members.

Leadership Competencies:

  • Participates in problem solving at the unit level [demonstrates evidence of this by participation in unit meetings or through other examples].
  • Accepts relief charge nurse role as needed, as verified by the Program Manager or Supervisor.

Program Development/Team Work:

  • Understands the unit's quality improvement efforts and actively monitors indicators and provides input to team.
  • Participates or reviews unit staff meetings, as evidenced by meeting attendance or reading and signing off on minutes.
  • Supports best practices as identified by Spring Harbor.
  • Participates in quality improvement by looking for such opportunities within the patient care area.

Communication/Interpersonal Skills:

  • Promotes positive relationship-building by encouraging support and assistance rather than disagreement and avoidance
  • Promotes positive relationship-building by treating all colleagues as professionals worthy of respect.

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Psychiatric Nurse II

Job Summary
Duties & Responsibilities

Patient Care Delivery Practices: [Role Models]

  • Demonstrates caring and compassionate practice.
  • Develops and applies expertise in working with diverse patient populations and interventions that generally have a positive impact on patient care.
  • Provides ongoing patient and family education to assist the patient/family in managing psychiatric illness upon return to community living.
  • Provides updates to staff on age-specific care, cultural issues, and/or special needs of patients when indicated.

Milieu Management/Safety: Role Models

  • Demonstrates collaborative problem-solving with the treatment team to successfully manage/prevent patient crises.
  • Serves as preceptor to other psychiatric nurses and psychiatric technicians in milieu management and safety.
  • Encourages strength-based approach within the milieu.

Teaching/Coaching Practices:

  • Supervises students in clinical rotations and assists them in meeting their identified goals.
  • Provides positive role model for psychiatric nursing by balancing documentation requirements with time spent assessing and educating patients, as well as other necessary nursing interventions.
  • Provides formal and informal unit-based education.
  • Serves as preceptor for Level I Nurses or nurses completing a clinical practicum.

Leadership Competencies:

  • Identifies a unit problem or concern and actively problem-solves and/or offers solutions for improvement.
  • Actively participates in at least one unit or hospital level committee.

Program Development/Team Work:

  • Leads a unit activity or function to improve team morale, as evidenced by documentation of the activity or function by psych nurse or MD.
  • Supports evidence-based practice based on Spring Harbor's policies.

Communication/Interpersonal Skills:

  • Coaches team members to improve communication and build a positive team environment.
  • Provides solutions to problems and models positive problem-solving skills.

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Psychiatric Nurse III
Job Summary
Duties & Responsibilities 

Patient Care Delivery Practices:

  • Demonstrates the development of a caring and compassionate practice.
  • Develops and applies expertise in working with diverse patient populations and interventions that generally has a positive impact on patient care.
  • Provides ongoing patient and family education to assist the patient/family in managing psychiatric illness upon return to community living.
  • Provides updates to staff on age-specific care, cultural issues, and/or special needs of patients when indicated.
  • Ensures that the environment is therapeutic and facilitates the goals of the patient's individual treatment plans, as evidenced by peer feedback and collaborating psychiatrist feedback forms.

Milieu Management/Safety:

  • Demonstrates collaborative problem-solving with the treatment team to successfully manage/prevent patient crises.
  • Preceptor for other psychiatric nurses and psychiatric technicians in milieu management and safety.
  • Monitors strength-based approach within the milieu.
  • Ensures that safety concerns are promptly and effectively addressed, as evidenced by documentation on incident reports.
  • Anticipates and responds to potential safety issues, as evidenced by trends in occurrence reporting, medication error rate, staff or patient injuries, sentinel events, critical incidents, and seclusions and restraints.

Teaching/Coaching Practices:

  • Supervises students in clinical rotations and assists them in meeting their identified goals.
  • Provides positive role model for psychiatric nursing by balancing documentation requirements with time spent assessing and educating patients, as well as other necessary nursing interventions.
  • Provides formal and informal unit-based education.
  • Recognizes need for ongoing and emergent education.  Works collaboratively with others to facilitate staff education, as evidenced by attendance sheets, meeting minutes, and compliance with mandatory education requirements.

Leadership Competencies:

  • Identifies a unit problem or concern and actively problem solves and/or offers solutions for improvement.
  • Actively participates in a least one unit or hospital level committee.
  • Provides opportunities for staff to participate on hospital-wide function teams and committees, as evidenced by unit staff participation rate on committee/function teams.
  • Provides adequate staffing for assigned areas of responsibility, as evidenced by 24-hour reports and/or HR staffing effectiveness data.
  • Communicates effectively with other nurse leaders to maximize direct-care staffing, as evidenced by peer feedback and collaborating psychiatrist feedback forms.

Program Development:

  • Fosters identification of suitable nursing research topics and evidence-based practice.  Supports hospital policy in this area, as evidenced by minutes from nursing research committee or documentation of work.
  • Facilitates nurse participation in the monitoring and evaluation of nursing care, as evidenced by minutes of staff meetings and peer feedback form.

Quality Improvement:

  • Identifies opportunities to improve patient care, as evidenced by documentation.
  • Participates in hospital performance improvement functions, unit communication meetings, and hospital committees as requested by Service Administrator/Director, as evidenced by audits, reports, attendance sheets, or minutes.
  • Contributes to the development and continuous improvement of nursing services.

Financial/Cost Savings/Productivity:

  • Participates in development of unit/service budget, as evidenced by administrator's feedback.
  • Involves staff in the development, implementation, and monitoring of the unit/department budget, as evidenced by meeting minutes and/or documentation of the contributions made by staff.

Professional Development:

  • Effectively utilizes individual or group supervision, as evidenced by documentation of successful outcomes and/or in minutes.
  • Networks with peers at institutional, local, state, regional, national level to promote personal, professional, and organizational goals, as evidenced by written documentation.
  • Seeks additional knowledge and skills appropriate to a psychiatric setting, as evidenced by participation in educational programs and activities, conferences, workshops, and self-directed learning.
  • Promotes psychiatric nursing through articles, publications, and nominations for integration of the role of the psychiatric nurse.
  • Seeks ANA certification.
  • Uses opportunities in practice to exchange knowledge, skills, and clinical observations with colleagues.
  • Participates in a community activity, as evidenced by a written summary of activity.
  • Participates in staff recruitment and retention efforts, as evidenced by one example of performance in this area.
  • Facilitates staff community involvement, as evidenced by staff performance evaluations and copies of written summary of staff activity.

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