Psychiatric Nurse
Hybrid-based
ONET: 29-1141.00
1
Years
110
Skills
282h
Related instructions
2000h
On-the-job training
Classroom instruction topics
- Orientation
- Clinical Case Conferences
- Nursing Skills Competency education and demonstrations
- LPN
- RN
On-the-job training
- Describe Organizational & Physical Layout of RPC
- Tour of facility by preceptor (mentor) – inpatient and off unit areas
- Hospital orientation
- Demonstrate and verbalize an understanding of key use/etiquette.
- Understand the role of the Psychiatric Nurse within RPC
- Communicates and works effectively within RPC
- Verbalizes understanding of job descriptions within RPC
- Verbalizes and demonstrated understanding of administrative responsibilities related to human resource department and patient rights requirements
- Works Effectively as an Interdisciplinary Team Member within RPC
- Follows established procedures related to written reporting requirements, responds to duress pages and patient needs and assists others as assignment allows
- Demonstrates the ability to Perform Basic Documentation/Communication Skills
- Demonstrates proper use of the telephone
- Demonstrates understanding of process for communicating as appropriate with PA, NOD, nursing supervisor and on call administrator
- Demonstrates ability to locate and use daily assignment sheet
- Demonstrates understanding of the steps necessary to contact and communicate with law enforcement and emergency medical services
- Safety
- Demonstrates proper hand hygiene technique according to policy.
- Demonstrates proper body mechanics in completion of assignment
- Properly disposes of sharp, biohazardous waste and pharmaceutical waste
- Demonstrates and verbalizes proper use of personal protective equipment
- Demonstrates protocol for reporting infectious disease Verbalizes understanding of role and responsibility for all codes
- Demonstrates ability to manage a fire drill and follow through on necessary report
- Uses therapeutic communication/boundaries to promote a safe work environment and build rapport with patients
- Attends town hall meetings, staff meetings, and trainings offered to stay informed and update skills.
- Equipment Use and Care
- Demonstrates ability to locate, check, operate, clean and care for equipment on assigned unit
- Assessment and Documentation
- Demonstrates ability to manage an admission including loading and completing admission assessments in EMS system and specific paper forms required during the admission process.
- Demonstrates the ability to review MHW and acuity specialist documentation.
- Demonstrates the ability to perform a nursing mental status assessment.
- Demonstrates the ability to assess a patient for safety prior to and when returning from a pass and document on the appropriate forms and in the EMR.
- Demonstrates the ability to write original nursing notes according to documentation protocol
- Reviews paper chart and demonstrates the ability to locate specific information in the chart or EMS and verbalize understanding of the protocol for use of all documents Verbalizes an understanding of the term “least restrictive care” and demonstrates the
- Verbalizes understanding of the circumstances necessitating completion of an incident report and demonstrates required documentation
- Verbalizes an understanding of mandatory reporting and demonstrates completion of APS form.
- Demonstrates ability to follow nursing protocol for assessing a patient following a fall, documenting in EMS system, and updating plan of care including fall risk assessment.
- Demonstrates the ability to complete nursing responsibilities for patient discharge or transfer
- Verbalizes an understanding of nursing involvement in treatment planning including role in treatment team meetings and development of treatment plans according to policy.
- Milieu Management
- Verbalizes understanding of levels system
- Demonstrates use of the restrictions log for recording all patient restrictions.
- Performs one hour of milieu monitoring including safety checks and demonstrates ability to use unit relevant sign out sheets. Demonstrates ability to perform and document patient and belongings search after a pass and during admission. Demonstrates the ab
- Demonstrates the ability to monitor a patient on 1:1 observation.
- Develops a plan of action when patient is feeling at risk for assault or is displaying violent behavior.
- Demonstrates ability to utilize various techniques when de- escalating an agitated patient.
- Demonstrates basic understanding of behavioral response techniques including verbal de-escalation techniques, communication skills, and behavior management introduced in RPC trainings.
- Demonstrates ability to assess patient for safety prior to leaving the unit.
- Reviews procedure that occurs when patient is absent from the hospital without authorization.
- Observes and participates in groups as assignment allows. Takes an active role in community meetings.
- Verbalizes understanding of daily schedule for assigned patient areas.
- Locates and reviews group books and supplies. Demonstrates ability to plan and facilitate a group. Verbalizes understanding of developing a therapeutic relationship and maintaining boundaries.
- Verbalizes understanding of proactive vs. reactive intervention. Assists patient with ADL's when appropriate
- Demonstrates ability to secure and document patient items in the safe according to protocol.
- Demonstrates ability to accompany patients to RPC clinic appointments along with chart and completed consult. Demonstrates ability to assist patients with forms and verbalizes an understanding of their uses.
- Visitor Education
- Demonstrates ability to educate visitors about practices including items that are not permitted on the individual units. Educates visitors about discharge medications and follow-up appointments when indicated.
- Provides visitors with information regarding unit programming, visiting hours and telephone times.
- Demonstrates completion of documentation of individual and/or visitor education provided.
- Demonstrates use of forensic visitors log to identify allowable visitors.
- Labs
- Demonstrates ability to obtain a specimen, package and label per unit guidelines.
- Assists phlebotomist in obtaining blood specimens safely. Notifies lab of STAT and expedite pickups and lab draws. Verbalizes understanding of process related to critical lab results.
- Demonstrates use of established in house procedure for waived tests.
- Demonstrates process for completing lab slips.
- Medication Administration/Med Room management
- Medication Administration/Med Room management - States the classification, action, safe dosage range, contraindications and side effects of psychotropic and other commonly used medications.
- Medication Administration/Med Room management - Demonstrates knowledge of all rights of medication administration.
- Medication Administration/Med Room management - Uses 2 patient identifiers when administering medication. Identifies automatic stop orders and notifies oncoming nurse and LIP.
- Medication Administration/Med Room management - Checks medication 3 times prior to administration.
- Medication Administration/Med Room management - Identifies medications that require vital signs monitoring, routine lab draws, and demonstrates ability to find levels in EMR and paper chart.
- Medication Administration/Med Room management - Identifies where to locate manual and electronic drug reference materials.
- Medication Administration - Administers medication safely and efficiently by all routes Demonstrates consistent daily pain screens and related assessments
- Medication Administration - Demonstrates administration of medication to a patient who has difficulty swallowing.
- Medication Administration - Demonstrates performing mouth checks during medication pass.
- Medication Administration - Verbalizes understanding of methods for minimizing distractions while passing medications to include keeping the door closed.
- Medication Administration - Verbalizes an understanding of protocol for accessing the night closet.
- Medication Administration - Demonstrates the ability to document the administration of medication on the MAR.
- Medication Administration - Monitors for medication effectiveness and side effects.
- Medication Administration - Demonstrates ability to perform weekly medication inventory.
- Medication Administration - Demonstrates the process for utilizing a witness when wasting controlled substances in the cactus sink.
- Medication Administration - Completes necessary steps after discovering or committing a med error including notifications, EMR documentation, and variance forms.
- Delivering medication outside of the medication room - Brings unopened medication to patient location. Labels syringes for injectable medications.
- Delivering medication outside of the medication room - Shuts and locks med room window and door when exiting the med room.
- Medication refusals - Demonstrates ability to handle situations where a patient may be unwilling to accept medication when offered and uses critical thinking skills regarding safety following refusal of medication.
- Medication refusals - Documents refusal of medication in the MAR and EMR and notifies RN.
- Emergency medication - Reviews Riverview policies and department protocols related to emergency administration of medication.
- Emergency medication - Verbalizes understanding of when PO medications should be offered and when IM medications are clinically indicated in an emergency situation.
- Emergency medication - Documents administration of emergency medications.
- Emergency medication - Demonstrates ability to override Pyxis to obtain and administer emergency medications.
- Transcribing Orders - Reviews each order for completeness and contacts provider to clarify if needed.
- Transcribing Orders - Demonstrates the ability to page the in-house provider after hours to obtain or clarify orders.
- Transcribing Orders - Demonstrates the ability to provide all necessary information and clearly express patient concerns in regard to obtaining orders from LIP.
- High Risk Medications - Verbalizes understanding of how to recognize high risk/high alert medications as determined by pharmacy.
- High Risk Medications - Verbalizes need for another nurse to witness insulin, heparin, coumadin, and override medication prior to administration.
- Informed Consent - Ensures that informed consent has been obtained before administering new medication.
- Informed Consent - Demonstrates the ability to inform guardian of medical and psychiatric emergencies and emergency medication administration.
- Medication Education - Demonstrates providing and documenting ongoing medication education to patients or guardians in a language that they can understand and their verbalized understanding of medication education provided.
- Communication - Shares information with necessary members of the patient care team incoming nurse including: Admissions, Discharges, Pending documents, Individual patient concerns, Med refusals, Scheduled procedures, Lab status, PRN responses and pending
- Emergency Equipment Responsibilities - Demonstrates the ability to complete emergency equipment checks and documentation of checks each shift and report abnormal findings to the appropriate personnel.
- Other Medication Room Responsibilities - Demonstrates procedure for ordering warehouse supplies.
- Other Medication Room Responsibilities - Demonstrates procedure for reporting infectious disease according to department protocol.
- Other Medication Room Responsibilities - Demonstrates procedure for completing weekly MAR checks.
- Other Medication Room Responsibilities - Verbalizes an understanding of responsibility for signing off all medications at the time they are dispensed.
- Cultural Sensitivity and Awareness
- Demonstrates the ability to treat each patient with dignity and respect to lay the foundation for patients to feel comfortable, increasing the likelihood they will remain engaged in care. Demonstrates assessment of the patient utilizing a language that in
- Verbalizes the necessity of awareness of personal bias and prejudice and manages personal reactions, attitudes, and beliefs.
- Recognizes the unique health risks and needs of LGBTQ patients.
- Verbalizes an understanding of the nurse's responsibility not to tolerate any inappropriate behavior from colleagues and to speak up if civil rights violations, inequity, or rudeness are observed.
- Demonstrates ability to work with the team to develop an ongoing plan of care that includes patient identified preferred names and pronouns and mirrors the patient's language in regard to self, family, and community.
- Demonstrates understanding of DHHS policy on provision of interpreters and follows protocol for use of interpreters.
- Demonstrates ability to work with the team to provide for the unique cultural needs of the patient including but not limited to diet, clothing, and personal items.
- Suicide Risk
- Verbalizes understanding of the phenomenon of suicide. Manages personal reactions and beliefs.
- Develops and maintains a therapeutic relationship with the patient at risk for suicide.
- Collects accurate assessment information and communicates risk to the treatment team and provider.
- Demonstrates the completion of a nursing suicide risk assessment.
- Develops an ongoing nursing plan of care/updates intervention based on continuous assessment.
- Demonstrates ongoing assessment of the environment to determine the level of safety, identify risks including ligature risks, and modifies the environment accordingly.
- Verbalizes understanding of the legal and ethical issues related to suicide.
- Demonstrates accurate and thorough documentation of suicide risk.
- Foundational Nursing Care Skills
- Demonstrates accurate and thorough documentation of patient symptoms and care provided.
- Possess knowledge and demonstrates skills necessary when caring for patients with co-occurring medical diagnosis to include but not limited to: Cardiac, Respiratory, GI, GU, Endocrine disorder including metabolic syndrome and Neurologic disorder
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