Nurse Practitioner ~ Psychiatric Consult Liaison

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** Hiring Range:**$ - $#
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The Psychiatric Nurse Practitioner, in consultation with the designated supervising psychiatrist, is primarily responsible for providing evaluation, brief treatment and medication prescription to the young adulthood through advanced age, and at any point along a physical continuum of the designated population. The need for psychiatric services may be generated by a primary mental health problem or secondary to co-existing health care problems.
* Provide psychiatric consultation as requested on medical / surgical units and in the Emergency Department
* Evaluate medical patients for psychiatric disorders, substance use disorders, risk assessments, decision-making capacity, behavior management, level of care assessments, provide medication and overall management recommendations.
* Work collaboratively with medical team to determine consultation questions and review findings to develop appropriate treatment plans.
* Provide support to Psychiatric Emergency Services team by assisting in evaluation of select patients and determination of appropriate disposition
* Supervision by Medical Director of Inpatient Psychiatry and Emergency Services; review cases
* Coordination with collateral contacts (family, police, state agencies, etc.) as needed
* Complete consultations within 24 hours; complete documentation and submit for billing
** Major Responsibilities:
** 1. Provides diagnostic and assessment services.  Secures a health history from patient and/or family, records findings, and evaluates them.  Performs a complete in-depth physical examination.  Orders/performs pertinent diagnostic tests based on age and history.
2. Analyzes data collected to determine health status and identify differential diagnoses based on history, physical exam, and clinical findings.
3. Partners with physicians regarding proposed plan of care.  Formulates this plan of care with the patient.
4. Manages therapeutic regime as outlined by established protocols for patients with acute illnesses.  (Protocols are guidelines concerning patient care that are established between the physician and nurse practitioner.  The guidelines outline subjective and objective findings, treatment plan and follow-up).  Reassesses and modifies plan as necessary to achieve medical and health goals.  Confers with physician for clinical direction as outlined by protocols.
5. Documents patient care outcomes to determine effectiveness of plan of care.  Communicates outcomes with physician.
6. Signed delineation of privileges at hire between NP and collaborating physician.  Must renew delineation of privileges each credentialing cycle including:
* scope of departmental practice
* treatment of emergencies
* physician consultation
* writing orders/prescription
7. Prescribes medications from Schedules II-VI.  The form of prescription may be written or verbal via telephone order.  Written prescriptions may be initiated by the nurse practitioner after obtaining proper registration numbers from the Massachusetts Department of Public Health and Drug Enforcement Agency.
8. Provides patient education.  Acts as coordinator for admitting and discharging assigned patients.  Works collaboratively with other health agencies and families of patients in the transition from admission to discharge.  Confers with other health care providers including consultations and referrals to prepare a comprehensive patient care plan.
9. Within established protocols, under the supervision of the physician, nurse practitioners will assist with procedures in the operating room and with endoscopic procedures.
10. Enhances…