Registered Nurse, Consultation-Liaison; CL

Position: Registered Nurse, Consultation-Liaison (CL)
We are recruiting for a motivated Registered Nurse, Consultation-Liaison (CL) to join our team!

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Department
Inpatient Nursing Director

Job Summary

The Denver Health Consultation-Liaison RN (CL-RN) provides psychiatric consultation for patients who have co-occurring medical and psychiatric conditions and are admitted to hospital-based medical units. The role focuses on proactive care and team collaboration. The 24/7 DART role works within the Psychiatric Consult Liaison Team, reports to the Behavioral Health Services' Nursing Director and supports provider leadership. The CL-RN serves as a vital link between psychiatric expertise and bedside nursing, ensuring safe, comprehensive care for patients with complex needs.

Under general supervision, the professional nurse adheres to the American Nurses Association (ANA) standards of professional nursing and performance, and the ANA Code of Ethics to provide care to all healthcare consumers. Applies critical thinking, evidence-based practices and competence to collaborate with the health care team to promote excellence in healthcare consumer safety and quality outcomes. Utilizes the Theory of Human Caring and Caritas in daily practice.

"Jean Watson, PhD, RN, AHN-BC, FAAN, Founder / Director, Watson Caring Science Institute."

Essential Functions
:

• Attend morning Psychiatric Consultation-Liaison (PCL) Report. (15%)
• Communicates throughout shift with PCL and primary teams re: needs for medication interventions.
  
  • Liaise with primary nursing teams to obtain clinical information to be relayed to PCL on select patients.
  
  • Help primary nursing teams administer sedations for safety PRNs, E-Meds/I-Meds, restraints, and LAIs.
  
  • When able, help patients with physical disabilities.
  
  • Check on patients in restraints to help remove them from restraints as quickly as possible. (20%)
• Proactive Chart Review & Assessment - Proactively collects comprehensive data pertinent to the healthcare consumer's health and/or situation.
  
  • Demonstrates an understanding of assessment findings as they relate to disease process and continuum of care.
  
  • Performs daily chart reviews to identify at risk patients for aggression, delirium, and behavioral health concerns.
  
  • Checks in on patients who are high risk for agitation (history of aggression, delirium, intoxication or in withdrawal) as indicated. May join PCL in assessing high risk patients for agitation.
  
  • Conduct SBIRT intervention for Alcohol Use Disorder.
  
  • Support care for patients with Delirium.
  
  • Physically facilitate transfer of patients to Denver Health Inpatient Psychiatric Units (IPUs) and Integrated Medical and Psychiatric Care Unit (IMAP).
  
  • Helps with administering screening tools to patients when clinically appropriate. Identifies and reports any abnormalities in assessment data per healthcare consumer specific parameters.
  
  • Performs data best practices and HIPAA compliance.
  
  • Collects data to promote patient, staff, unit, and hospital improvement. (15%)
• Crisis Response - Responds to all incidents of escalation, aggression, and violence to the requested location
  (pavilion and room #). (10%)
• Debrief/Documentation
  
  • The CL-RN will conduct a debrief after the event, when possible, based on the primary team's clinical prioritization.
  
  • Ensures complete documentation that complies with clinical guidelines. (5%)
• Plan - Partners with patient and interprofessional team to develop a plan with measurable outcomes and goals that prescribes strategies and alternatives to attain expected outcomes.
  Provides Case Management to help find IPU placement, when needed. (10%)
• Collaboration/Communication - Abides by the vision, the associated goals, and the plan to implement and measure progress of an individual's health. The RN collaborates with the patient, family, and others in the conduct of professional nursing practice.
  
  • Consistently partners with interprofessional team on patient throughput by proactively…