Psychiatric Advanced Practice Provider; PMHNP or PA; Psychiatric Emergency Services

Description

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The Department of Emergency Medicine at the University of North Carolina is seeking a Psychiatric Advanced Practice Provider (PMHNP or Physician Assistant with relevant psychiatric training) to join the Emergency Department's Psychiatric Emergency Service (PES). This provider is responsible for the screening, ongoing evaluation, and treatment of patients presenting with mental health and/or substance use-related concerns in the Emergency Department.

• Performing comprehensive psychiatric evaluations and establishing diagnoses
• Responding to behavioral emergencies
• Providing brief supportive therapy
• Prescribing and ordering evidence-based psychopharmacologic treatments
• Making recommendations regarding involuntary commitment when appropriate
• Collaborating with a multidisciplinary crisis team on resources and disposition planning
• Obtain relevant medical and psychiatric history, perform focused physical assessments, and review and interpret pertinent diagnostic tests and results.
• Timely and thorough documentation of psychiatric consult notes, including assessment and medical decision-making, treatment recommendations (including level of care), patient history, diagnoses, and mental status examinations.
• Prior emergency department and/or psychiatric crisis experience
• North Carolina First Commitment Certification Strong written and verbal communication skills, excellent organization, and the ability to function effectively in a fast-paced emergency department environment are essential.

• Prior emergency department and/or psychiatric crisis experience
• North Carolina First Commitment Certification Additional Benefits
• Eligible for evening and weekend shift differentials
• Eligible for continuing medical education (CME) reimbursement through the Department of Emergency Medicine.

• Nights

Summary:

A Nurse Practitioner functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

1. Clinical
- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs.

Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient.

Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. Education
- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, house staff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends…