Job Description CNS - Certified Cursing Specialist
Lahey Clinic Medical Center
Department of Psychiatry and Behavioral Medicine
Lahey Clinic's Department of Psychiatry and Behavioral Medicine is seeking a skilled and highly motivated CNS to join its busy psychiatric practice in Burlington, MA. This position will be responsible for inpatient consults and outpatient therapy. The inpatient service provides consultation for medically admitted adult inpatients at Lahey Clinic's hospital. The Department of Psychiatry and Behavioral Medicine consists of 6 other CNSs, 12 physicians, 9 LICSWs and 5 PhDs. Responsibilities Clinical
Leads individual, family and group psychotherapy to an assigned or selected group of patients according to Lahey Clinic policies and procedures and under the direction of a psychiatrist.
Participates in a multidisciplinary treatment team conference weekly; presents cases for supervision and provides input to other case presentations.
Reports to a physician supervisor weekly for case review and administrative direction.
Utilizes a theoretical base of knowledge to assess, diagnose, formulate interventions and evaluate outcome for patients in ongoing psychotherapy.
Provides psychopharmacological evaluations and treatment under the direction of the supervising psychiatrist and in accordance with state and federal regulations governing the practice of nursing in the Expanded Role.
Maintains confidentiality of patient records and demonstrates discretion when discussing patient information.
Demonstrates a sensitive and supportive attitude with patients and families.
Attends weekly departmental rounds including educational in-services as well as other in-services to maintain professional standards of care.
Utilizes the departmental format for documentation of initial assessments, consultations and psychotherapy. All documentation is completed as per Clinic standards.
Clinical documentation includes assessment, diagnosis, interventions, recommendations and plans in routine progress notes and utilizes recommendations from QA chart reviews to improve documentation.
Administers medications, observes responses and documents this information in the nursing record.
Provides psychiatric assessments, evaluations, interventions and recommendations for crisis and emergencies within the Department of Psychiatry, Emergency Room or on the inpatient units.
Collaborates with department psychiatrist regarding treatment recommendations and coordinates physician intervention when necessary.
Provides follows-up with patients who have been seen in emergency situations and provides ongoing supportive care and treatment.
Participates in triage telephone calls, giving accurate, explicit instructions regarding patient care and follow through.
Communicates patient care problems to the Administrative Director and the treating/supervising psychiatrist.
Anticipates potential emergencies and initiates appropriate interventions.
At the request of the emergency room or inpatient services, provides psychiatric consultation services for the evaluation and treatment of patients with psychiatric or addiction problems. Conducts initial assessments, evaluations and interventions to provide recommendation to referring physician.
Responds promptly to requests for emergency psychiatric consultations. Conducts initial assessments, evaluations, and interventions and provides recommendations to referring physician.
Utilizes information provided by families and community agencies to complete clinical assessment. Provides support and information to patients and families.
Facilitates admission to psychiatric hospitals when deemed appropriate.
Establishes good rapport and professional working relationship with all department staff; maintains appropriate interdepartmental communication.
Contributes to nursing functions through participation on committees as assigned; attends department staff meetings and required in-services.
Provides accurate nursing documentation in the medical record.
Demonstrates consistent, reliable performance.
Organizes schedule effectively; coordinates schedules with other department staff and activities.
Offers suggestions that improve work efficiency and quality of the department.
Assists non-professional nursing personnel in providing care and serves as professional role model.
Serves as consultant to Lahey Clinic colleagues in the management of the psychiatric patient.
Participates and shares knowledge and expertise through staff meetings, educational sessions and committee membership.
Demonstrates responsibility for the proper and safe keeping of all medications within the department.
Incorporates Lahey Clinic Guiding Principles , Mission Statement and Goals into daily activities.
Complies with all Lahey Clinic Policies.
Complies with behavioral expectations of the department and Lahey Clinic.
Maintains courteous and effective interactions with colleagues and patients.
Demonstrates an understanding of the job description, performance expectations, and competency assessment.
Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standard
Participates in departmental and/or interdepartmental quality improvement activities.
Participates in and successfully completes Mandatory Education.
Performs all other duties as needed or directed to meet the needs of the department. Qualifications Education: Graduate of state approved or accredited school of nursing, Masters Degree in Psychiatric Mental Health Nursing and Certification through the American Nurses Association
Licensure, Certification, Registration: Current license to practice professional nursing from the Massachusetts Board of Registration and Basic Life Support (BLS) certification. Maintains professional registration/certification, which allows nursing practice in the Expanded Role under Massachusetts regulations 244CMR4.00
Skills, Knowledge & Abilities: Maintains professional registration/certification, which allows nursing practice in the Expanded Role under the Massachusetts regulations 244CMR4.00
Experience: Requires a minimum of three to five years of inpatient and ambulatory psychiatric nursing experience.
Must have outpatient treatment experience with adult patients. Must have experience prescribing for adults. Shift The shift for this position is days with call five times per year for one week at a time. The shift is generally 8:00am-5:00pm but there is some flexibility in the schedule since the clinic has evening hours on Tuesday and Thursday. Physical Requirements The position requires periods of concentrated mental and visual attention.Nature of work requires lifting or moving light weight (up to 20 pounds).Flow of work and character of duties require average manual coordination.Flow of work and character of duties require average range of motion.Performance of duties requires remaining in position for prolonged periods of time.Assignments require occasional repetitive motion.Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.Performance of duties generally does not involve exposure to hazardous materials.Position entails exposure to bodily fluids and needle sticks, standard precautions must be used.
Assignments include transporting, transfer and positioning of patients.
Incumbent must be continuously prepared to prevent a patient fall.Performance of duties requires the ability to discern and identify colors.Performance of duties requires the ability to discern sharp from dull and hot from cold.Performance of duties requires the ability to hear soft and loud noises. About Lahey Clinic At Lahey Clinic, as one of the world's premier health care organizations, we provide superior health care leading to the best possible outcome for every patient. We exceed our patients' high expectations for service each day. We also help advance medicine through research and the education of tomorrow's health care leaders
We care for our patients with compassion and openness, unsurpassed expertise, a drive for continuous learning improvement, and with respect, caring, teamwork, excellence and commitment to doing our personal best.
Join our team and our mission of excellence by applying today! How To Apply Please apply directly online at http://www.lahey.org/careers. Use the Job ID number to quickly locate the appropriate job listing. Once you have located the desired job, click on the checkbox in the 'Select' column, and then click the 'Apply Now' button, located at the bottom of the screen. Please note you are only able to select 5 jobs at a time.
Lahey Colleagues please apply directly through Colleague Connection using your MR1 Login and Password.
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