Psych Consult - Psychiatric Resource Nurse

Job Title & Specialty Area: Psych Consult - Resource nurse

Department: Psych 

Location: Dallas, Texas

Shift: PRN

Why Children’s Health?
At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:
Functions as a member of the interdisciplinary Psychiatry Consult team. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource to the bedside teams by providing clinical support, monitoring compliance with system policies, guidelines, and documentation, and by maintaining a safe environment for patients with mental health needs in the acute care, ICU, and ED areas. Responds to behavioral emergencies throughout the hospital and collaborates with the interdisciplinary BERT team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with mental health needs and ensures compliance with those standards.

Responsibilities:
* Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation
* Supports bedside staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items.
* Delivers competent and skilled nursing care to patients and families according to their identified needs.
* Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients.
* Provides a just in time resource to bedside nursing, administrative supervisors and physicians caring for high-risk behavioral patients.
* Assists staff in finding available resources related to behavioral health patients.
* Attends daily rounds with the Consult Psychiatry service and other services as needed to promote continuity of care and effective hand-off.
* Reviews documentation and orders in EPIC and collaborates with the safety assistant and bedside RN to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete.
* Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution.
* Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety.
* Assists with consistent application of guidelines and policies across the hospital.
* Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes to the High-Risk Behavior Committee.
* Assists the primary nurse in accurately and thoroughly documenting all BERTs in EPIC.
* Attends BERT events in the role of the Psychiatry RN. Assists with patient de-escalation, restraints application if needed, thorough and accurate documentation, and participates in the debriefing afterwards
* Audits BERT documentation and assists in collecting, inputting, and sharing BERT data in real time
* Partners with administrative supervisors to respond to CAPEs.
* Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice.
* Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving ethical and clinical concerns.
* Accurately & thoroughly documents all patient encounters in EPIC
* Ensures that Patient Health Information (PHI) is protected and secured at all times.
* Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.)
* Manages documentation and update of behavioral health flags for the system.

WORK EXPERIENCE
* At least 2 years job related experience Req

EDUCATION
* Four-year bachelor's degree BSN Req

LICENSES AND CERTIFICATIONS
* Current license to practice professional nursing in the State of Texas Req
* Basic Life Support for Healthcare Providers as required by CP 1.20 Life Support Course Requirements Req
* Effective April 20, 2020, new employees must obtain PACES certification within 6 months of hire and existing employees must obtain PACES certification upon expiration of their PEARS certification (no later than April 20, 2022). Req

JOB PROFILE
* Requires in-depth professional knowledge and practical/applied expertise in own discipline and basic knowledge of related disciplines within the broader professional field
* Has knowledge of best practices and how own area integrated with others; demonstrates awareness of the industry, including regulatory, evolving customer demands, and the factors that differentiate the organization in the market
* Acts as a resource for colleagues with less experience; may lead projects with manageable risks and resource requirements
* Solves complex problems and takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information
* Impacts a range of customer, operational, project or service activities within own team and other related teams; works within broad guidelines and policies
* Works independently, receives minimal guidance
* Explains difficult or sensitive information; works to build consensus

NON-MANAGEMENT SKILLS
* Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.
* Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.
* Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.
* Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.
* Develop and use collaborative relationships to facilitate the accomplishment of work goals.
* Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children’s Health a place where everyone can contribute.

 Holistic Benefits – How We’ll Care for You:

· Employee portion of medical plan premiums are covered after 3 years.

· 4%-10% employee savings plan match based on tenure

· Paid Parental Leave (up to 12 weeks)

· Caregiver Leave

· Adoption and surrogacy reimbursement 

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.