Psych Nurse Practitioner Mexico

Psychiatric Nurse Practitioner

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness.

The position is on-site, starts with 8-16 hours per week at opening and may transition to full time.

At Community Bridges, Inc. (CBI), a psychiatric practitioner is an integral specialty for our whole person approach in our integrated system of physical, psychiatric, and addiction services. The scope of practice of psychiatric practitioner in the inpatient setting will see adults 18 and older, all genders, all socio-economic backgrounds, complex medical history, and co-occurring psychiatric disorders. Psychiatric practitioners at CBI will be expected to provide patient-centered, evidence-based care for patients as well as serve as patient advocates in all health-related matters, including the appropriate use of specialists, health services, and community resources.

This document defines the skills, activities, and expertise that fall within the psychiatric practitioner's scope of practice in the inpatient and outpatient setting. General scope within their skills, competencies, and experience, licensed practitioner shall:

• Completes Urgent Psychiatric and/or Addiction Medicine evaluations with all patients referred to the 23-hour observation unit from all referral sources including, but not limited to, hospitals, urgent care centers, law enforcement, and other medical practitioners for the purposes of assessment, diagnosis and treatment recommendations.
• Complete Urgent Psychiatric Assessment and/or Addiction Medicine, Ambulatory Detox, or Physical Health Assessments with patients who have been identified by CBI screening staff.
• Coordinate with one another when admitting, transferring, or discharging a patient to a different CBI program or level of care and will document in the medical record to ensure a smooth transition.
• Be available or initiate doc to doc communication and coordination of care and document it appropriately.
• All patients on the unit are evaluated at least daily to provide necessary adjustments in treatment and discharge planning.

Seclusion and Restraint:

• Seclusion and restraint interventions are used in accordance with CBI policy
• Provide assessment for the appropriate use of seclusion and restraint. Assessment includes documentation of staffing of current behaviors, known medical conditions, know psychiatric/behavioral health conditions and any current medication.
• Write an order immediately if at the facility, or sign order in the electronic health record within three hours if given verbally. Practitioner shall coordinate with the RN staff to confirm the date and time of intervention.
• When writing/signing order, the order shall include the following:
• The date and time that the restraint or seclusion was ordered;
• The specific restraint or seclusion ordered;
• If chemical restraint is ordered, then the drugs ordered names, strength, dosage, route of administration, and symptoms being treated
• Maximum duration authorized is not to exceed three continuous hours.
• Complete and document an assessment within one hour after order for restraint or seclusion takes place, which shall include current behavior, reaction to intervention being used, patient's current medical condition, and whether to continue or terminate the restraint or seclusion
• Write a release order or document a second order at the end of three hours if restraint or seclusion needs to be continued

Discharge Orders:

• Review cases and discharge plans during rounds with assigned CBI medical staff.
• Document and sign full discharge orders and follow-up recommendations within 24 hours of discharge

In addition to meeting universal requirements, practitioner will:

• Remain on the unit for the entirety of the scheduled shift. Deviations require prior approval from the CMO or designee.
• Complete Application for Involuntary Evaluation and Application for Emergency Admission…