Clinic RN Psychiatry

Principal Responsibilities

• Assessment
  • Collects, prioritizes and synthesizes comprehensive data pertinent to the patient's health or situation.
  • Collects and prioritizes data in a systematic and ongoing process that involves the patient, family, other health care providers and environment as appropriate.
  • Integrates data relevant to the situation to identify needs, patterns and variances.
  • Uses appropriate evidence based assessment techniques and instruments in data collection.
• Diagnosis
  • Analyzes assessment data to determine nursing diagnoses.
  • Interprets assessment information to identify each patient's needs relative to age, developmental stage and culture.
  • Formulates, revises and resolves nursing diagnoses that reflect the current patient status.
  • Validates and communicates nursing diagnoses with the patient, family and other health care team members.
  • Documents nursing diagnoses in compliance with the patient care guidelines.
• Outcomes Identification
  • Identifies expected outcomes individualized to the patient.
  • Establishes, in the collaboration with the family, patient, realistic and measurable patient expected outcomes based on nursing diagnoses, patients present and potential capabilities, goals, available resources and plan for continuity of care.
• Planning
  • Develops a plan that prescribes interventions to attain expected outcomes.
  • Develops an individualized plan considering patient characteristics or the situation as appropriate in conjunction with the patient, family and others.
  • Establishes a plan that provides for continuity of care.
  • Incorporates evidence based nursing practice takes into consideration current statutes, rules and regulations when developing the plan of care.
• Implementation
  • Implements the identified plan.
  • Implements interventions in a safe, timely, appropriate manner.
  • Utilizes evidence-based interventions and treatments specific to the diagnoses as appropriate.
  • Coordinates implementation of the plan of care if appropriate
  • Documents interventions according to documentation guidelines.
• Evaluation
  • Evaluates the patient’s progress towards attainment of the outcome.
  • Evaluates the patient’s/family’s understanding of and response to the plan of care.
  • Utilizes systematic and ongoing assessment data to revise diagnoses, outcomes and the plan of care.
  • Involves the patient, family, and health care team members in the evaluation process when appropriate.
  • Documents revisions in diagnoses, outcomes and the plan of care according to documentation guidelines.
• Quality of Practice
  • Systematically enhances the quality and effectiveness of nursing practice.
  • Participates in quality improvement activities related to nursing practice.
  • Incorporates available QI data to improve nursing practice and outcome.
• Education
  • Attains knowledge and competency that reflects current nursing practice.
  • Participates in educational activities related to nursing practice.
  • Acquires and applies the knowledge gained from educational experiences to current nursing practice.
• Professional Practice Evaluation
  • Evaluates one’s own nursing practice in relation to professional practice standards and regulatory guidelines.
  • Engages in self‑evaluation of practice on a regular basis, identifying strengths and goals for professional development.
  • Obtains informal feedback regarding one’s own practice from patients, peers, professional colleagues, and others.
• Collegiality
  • Contributes to the professional development of peers, colleagues, and others.
  • Shares knowledge and skills in practice settings.
  • Provides immediate and ongoing positive and constructive feedback to colleagues regarding their performance.
  • Contributes to a supportive and healthy work environment.
• Collaboration
  • Collaborates with patient, family, and others in the conduct of nursing practice.
  • Partners with others to effect change and generate positive outcomes through knowledge of the patient or situation.
• Ethics
  • Acts in an ethical manner.
  • Maintains a therapeutic and professional patient‑nurse relationship with appropriate professional role boundaries.
  • Serves as a patient advocate assisting patients in developing skills for self‑advocacy
  • Uses available resources to help formulate ethical decisions.
• Research
  • Integrates research…