Certified Registered Nurse Practitioner (CNRP) Psych (666239)

PSYCHIATRIC CRNP MINIMUM QUALIFICATIONS/REQUIREMENTS

• Hold a Commonwealth of Pennsylvania Registered Nurse license that is active and in good standing, with no restrictions or adverse actions taken against it by the State Board of Nursing.
• Hold Commonwealth of Pennsylvania CRNP certification with a specialty in “Psychiatric – Mental Health” (or formerly listed as “Family Psychiatric – Mental Health”).
• Hold Commonwealth of Pennsylvania Prescriptive Authority Approval
• Be a graduate of an accredited (NLN - National League of Nursing) approved CRNP program
• Documented Continuing Education credits as required for current licensure in the Commonwealth of Pennsylvania.
• Valid Medicare/Medicaid ID number.
• Evidence of malpractice insurance.
• Minimum of one year experience as a Certified Registered Nurse Practitioner (CRNP) with a specialty in psychiatry.
• Experience in leadership in working with a mental health interdisciplinary treatment team.
• The candidate must meet all requirements for credentialing and privileging at Torrance State Hospital. The candidate’s clinical privileges and medical staff membership at Torrance State Hospital shall terminate upon termination of employment or termination of the contract, whichever comes first.

Required Knowledge, Skills and Abilities:

1. Experience utilizing the theories, principles, practices and techniques used in the field of psychiatric and mental health nursing, and the relationships between diagnostic findings and therapeutic methodologies.
2. Experience in the diagnosis and treatment of the sign, symptoms and social implications of mental illnesses.
3. Experience with the application of psychiatric and mental health nursing principles to individual and group behavior.
4. Knowledge of and experience with laboratory methods, equipment and techniques as they relate to the field of psychiatric and mental health nursing.
5. Ability to examine patients, interpret results of diagnostic testing, findings, make decisions and to prescribe or carry out course of treatment.
6. Ability to communicate with and gain the confidence and cooperation of patients and to instill and maintain a cooperative attitude with other members of the treatment team throughout the care and treatment process.
7. Ability to educate and instruct other hospital staff in current, accepted treatment principles and techniques used in the field of psychiatric and mental health nursing.
8. Ability to follow general instructions and departmental or hospital policies in carrying out the care and treatment of patients.
9. Ability to communicate effectively, both orally and in writing with various members of the clinical staff as well other hospital personnel.
10. Ability to establish and maintain effective work relationships with patients as well as departmental or hospital personnel, and the general public.

SERVICE/HOURS:

A. The Psychiatric – Mental Health CRNP shall provide 37.5 hours over the course of at least 3 days (subject to change) as directed with one half hour unpaid lunch unless hospital-related circumstances require otherwise. The Psychiatric CRNP may work up to 40 hours per week, but the additional hours must be arranged with the candidate on a case by case basis and must be pre-approved by the Chief Medical Officer, or designee. There is no allowance for overtime provided in the contract or this purchase order.

B. The Psychiatric – Mental Health CRNP is responsible for the care and treatment of mentally ill patients on a designated service area(s) and has professional responsibility for diagnosis, determination of treatment methods, and leadership in the implementation of treatment plans, and discharge planning. The work is performed under the general direction of a higher level psychiatrist or other administrative supervisor for clinical and administrative issues and is reviewed for conformance to current, accepted psychiatric nursing and medical principles and techniques through staff conferences, case reports, observation during performance, evaluation of results, and performance improvement activities.

C. Service to include responsibility in patient care and treatment which may include but is not limited to:

1. Psychiatric assessments/diagnosis.
2. Admission notes and evaluations.
3. Discharge summaries.
4. Directs and participates in Treatment Team functions.
5. Assures active treatment is occurring on assigned unit(s). Psychiatric rounds are to be completed daily on the units.
6. Required documentation in the chart is consistent with DHS/OMHSAS regulations, Torrance State Hospital requirements, professional nursing, and CMS standards.
7. Commitment/recommitment petitions and hearings, financial/medical competency evaluations and hearings, and other legal proceedings, as required.
8. Document psychiatric nursing care.
9. Performance improvement responsibilities as assigned.
10. Provides consultation to, consults with, and advises members of the nursing or other clinical staff and allied hospital personnel, agencies, relatives, and other interested persons on the care, treatment, and prognosis of patients.
11. Review of laboratory reports, test results, x-ray reports, other diagnostic test reports, physical and neurological examinations, consultation reports, and other medical/psychiatric reports in order to alert staff to any unusual circumstances.
12. Family intervention as dictated by clinical requirements.
13. Discharge planning and communication with the base service units.
14. Perform other related duties as required.
15. Responsibilities and duties will be governed and updated by Office of Mental Health and Substance Abuse Service, DHS, Torrance State Hospital, and other administrative and regulatory agencies’ bulletins and directives.
16. The incumbent may chair or be a member of any hospital/medical staff committee or task force.
17. The incumbent is required to cover other unit(s) during normal working hours with no increase in hourly rate, as assigned, in cases where the attending psychiatrist is off duty and according to the number of primary psychiatric staff.

D. In all cases timeliness of responsibilities will be determined by Torrance State Hospital.

MANDATORY TRAINING:

All contract staff are required to attend orientation for a period as determined by TSH and shall be required to attend training during the normal day time business hours. Training shall be provided by TSH staff. Successful completion of training is mandatory.

Special Treatment Procedures:

• Utilizes crisis prevention techniques.
• Plans, directs, and provides Psychiatric – Mental Health CRNP care for the patients requiring suicidal precautions, special levels of observations, physical restraint and protective devices.
• Responds to psychiatric emergencies, directs staff in providing the patients with individual instruction, assistance and support. Observes and reports changes in patient behaviors. Utilizes verbal techniques to address patient concerns and de-escalate. Participates in escorting consumer(s). Provides physical control of consumer(s) during application of physical hold.
• Ensures the use of least restrictive measures and follows Hospital policies/procedures in the care of consumer(s) in restraint/special observation.

Emergency/Medical Interventions/Use of Medical Equipment:

• Adheres to infection control / Universal Precautions policies and procedures.
• Responds to medical emergencies, announces medical emergency, takes appropriate actions for which specifically trained. These could include cardio-pulmonary resuscitation (CPR), first aid, foreign body airway obstruction management, or other emergency treatment procedures. Following emergency, takes appropriate action according to DSH Policies and Procedures.
• Responds to disaster / emergencies, e.g. fires, earthquakes, floods, hazardous materials incidents, bomb threats, utility interruptions or transportation accidents; follows basic emergency procedures as contained in TSH Policies and Procedures.

Competency Maintenance Activities:

• Attends and participates in ongoing mandatory DHS, hospital and departmental training programs.
• Attends in-service training programs.

Oral and Written Communications:

• Interacts with patients utilizing therapeutic communication skills.
• Contributes to the plan of care (ICTP).
• Writes/prints legibly.
• Documents specific, accurate and complete information in the Medical Record
• Documents in DAR format.
• Reports factual patient information.
• Provides accurate and legible written work/incident related statements as required.
• Maintains confidentiality of patient information.
• Reports problems accurately using the chain of command.
• Reports/documents patient incidents on the SI 815 Incident reports
• Keeps conversations free from discriminatory, abusive or sexually harassing comments.
• Interacts with families and community providers.
• Complies with documentation policies and procedures for the completion of all hospital, patient records and reports.
• Provides input and feedback for staff, committee, and improvement team meetings.
• Interacts with colleagues in a cooperative manner to develop effective working relationships.
• Prepares and submits thorough and accurate reports in a timely manner as required.

Critical Thinking:

• Organizes, prioritizes and plans patient care.
• Prescribes and coordinates mental health care.
• Prioritizes work tasks to be accomplished.
• Utilizes available equipment resources.
• Recognizes/anticipates patients’ needs.
• Applies age specific/service population specific criteria to interventions.
• Employs least restrictive behavioral management techniques.
• Directs staff during psychiatric and medical emergencies.
• Directs staff regarding patient care activities/program.
• Anticipates/recognizes patient safety needs.
• Assists staff during disaster and fire emergencies/drills.
• Maintains awareness of unit conditions, milieu and patient activities to promote a safe and therapeutic environment.
• Develops, recommends and directs changes in the provision of care and treatment methods to promote patient safety.

Patient Rights:

• Acts as a patient advocate.
• Recognizes and protects the rights of patients.
• Identifies, describes, and reports patient abuse allegations.
• Commits NO acts of patient abuse.
• Cooperates with administrative investigations.
• Maintains confidentiality of patient information.

Professional Conduct:

• Demonstrates professional conduct with coworkers/patients.
• Demonstrates ethical behavior in the work place.
• Maintains a non-discriminatory work environment.
• Abides by the Governor’s Code of Conduct and DHS Personnel Regulations, policies and procedures, and TSH policies and procedures.
• Adheres to scheduled work hours.
• Complies with sign in/out procedures.
• Adheres to established procedures for reporting off work in accordance with mandated time frames.
• Has no unexcused instance of failure to contact the immediate supervisor or designee to notify him/her of absence.
• Reports all work-related accidents.

Performance Improvement:

• Identifies unit improvement opportunities.
• Participates / supports /hospital performance improvement initiatives.
• Performs other related duties as assigned.

Decision Making:

• Decisions regarding patient care are made within the scope of CRNP and in accordance with TSH Policies and Procedures.

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Last updated on Dec 11, 2024