RN - Clinical Nurse II - Psychiatric Emergency Dept. - Days
University of Maryland Medical Center - Baltimore, MD

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This role is considered the minimum role for all nurses at UMMC who have greater than 12 months experience. This nurse will be competent in the skills/knowledge required and fully participate in unit governance. He/she will practice and adhere to the guidelines specified in the UMMC Professional Nurse Job Charter. Independently provides and coordinates care provided to patients within a clinical specialty. Serves as a fully effective and participative member of the multidisciplinary patient care services team. Demonstrates and models the full range of nursing professional practice in both care provided and in participation in development of strategies to improve patient outcomes, satisfaction with service and cost effectiveness at the unit level. Is accountable to patients and families for the processes and outcomes of care during an episode of care. Is accountable to peers for the advancement of group practice on the unit, and to the nurse manager for the totality of work performance.Services OverviewPsychiatric Emergency Services (PES) provides a single point of entry for patients to access psychiatric evaluations and treatment resources during an emergency and/or crisis. Patients come to the PES, in the ambulatory treatment area, as outpatients. Staff members also provide consultation service to the Adult and Pediatric Emergency Departments. Most patients initially arrive as outpatients, but approximately 40% are subsequently admitted to an inpatient bed.PES operates 24 hours, 7 days per week. This service serves about six to twenty five patients per day, and length of stay is generally one to six hours, depending on the complexity of the patient's needs pending disposition. If disposition is not secured, patients may return to Psych Urgent Care for interim care until final disposition is established.Services1)24 hour emergency services2)walk in evaluation3)consultation for Pediatric patients4)ambulatory Detox for patients who are enrolled in Substance Abuse programs Types and Ages Patients ServedThe patients served by PES are adults, 18 or older. About 70% of them are male. Special requirements posed by these patients include language barriers and cognitive disorganization. The patient population is chronically and persistently mentally ill. Most are ambulatory.Scope and Complexity of Patient Care NeedsThe major populations served by the PES are individuals with major depression, bipolar disorder, schizophrenia and other psychoses, anxiety disorders and substance use disorders. Activities and procedures carried out address the patient's needs including multidisciplinary intake, evaluation and assessment, psycho social interventions as appropriate, brief intensive case management, community support services referrals and disposition to the appropriate level of care. Collaboration with the Adult Emergency Department occurs when patients have co morbid complex medical or surgical conditions. Ambulatory detoxification services are provided Tuesday-Saturday for referred patients who are concurrently enrolled in a substance abuse program.Graduation from an accredited school of nursing, with a Bachelor's degree in Nursing preferred; Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to compact state requirements outlined by the Maryland Board of Nursing

Graduation from an accredited school of nursing, with a Bachelor's degree in Nursing preferred; Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to compact state requirements outlined by the Maryland Board of NursingCB*12/31/2013

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