Join Harborview Medical Center for an outstanding opportunity as
Psychiatric Advanced Practice Provider/Clinical Nurse Specialist
RESPONSIBLE TO: Director of Professional Development and Nursing Excellence
SUMMARY: Under general supervision of the Director of Professional Development & Nursing Excellence, the Psychiatric Advanced Practice Provider/Clinical Nurse Specialist provides clinical expertise to patients and their families, is a resource person for health care providers, and participates in research and teaching programs. Advanced Practice Provider work is performed with general independence and decision-making responsibility under the general guidance of the attending physicians, chief resident, clinical lead APP, and Director of Professional Development & Nursing Excellence. Guidelines include general policy, procedures, and practice guidelines established by the department and Harborview Medical Center.
Standards of Performance (clinical skills where applicable to practice setting)
1. Documentation – documents pertinent findings & diagnostics on chart and/or in dictation, completes Pro Fee sheet appropriately
2. Accuracy – orders appropriate diagnostic tests
3. Thoroughness – follows through with diagnostic tests
4. Follow-up – makes discharge referrals appropriately
5. Prescribing – prescribes appropriate medication on an individualized basis
14. Neatness – keeps work area clean, cleans lab resources after using
15. Productivity – see an appropriate number of patients in a shift
16. Use of Time – uses time at work in job related activity
17. Students – shares knowledge base with students in clinic training
18. Working Relationships – works well with superiors, colleagues, & subordinates
19. Reliability – arrives to work in a timely manner, uses sick time appropriately
20. Competence – overall performance
Standards of Daily Practice
1. Evaluates the patient’s needs and implements the appropriate medical/nursing interventions directed toward the restoration of optimal mental and physical well-being of the patient and family as they cope with the crisis of acute/chronic illness.
2. Communicates the discharge plan to the patient and significant others.
3. Demonstrates respect for the patient’s confidentiality.
4. Recognizes and addresses situations and concurrent medical problems that pose a challenge to the patient’s return to their pre-admission status.
5. Maintains active involvement in issues of cost containment, discharge planning, and throughput.
6. Demonstrates a thorough knowledge and adherence to the policies and procedures at HMC.
8. Demonstrates flexibility while striving as a specialized clinical practitioner within the hospital.
1. Acts as consultant role model, educator, and resource for nursing and other health care professionals.
2. Provides direction for creative approaches to the management of complex patient problems.
3. Provides educational and support to nurses, peers, students, residents, and the community.
Safety and Response to Emergencies
1. Participates in interdepartmental efforts to facilitate a safe environment.
2. Understands and follows hospital and departmental protocol for emergencies and disasters.
3. Takes immediate action to address environmental, equipment, or engineering issues that present a potential safety risk.
4. Functions within safety, infection control, emergency, and equipment guidelines.
Patient Advocacy and Humanistic Care
1. Maintains awareness of others and greets patients, families, visitors, managers, and staff in a manner that conveys a positive reception.
2. Demonstrates an atmosphere/attitude of respect for human dignity and the uniqueness of each patient, visitor, and staff member.
3. Protects confidentiality of written and verbal information according to policy and procedure.
4. Reports when illegal/unethical/unprofessional practice of another member of the health care team occurs.
5. Follows appropriate channels to resolve concerns.
6. Demonstrates courteous and professional communication skills with administrator, co-workers, visitors, patients, and families.
7. Receives and refers patient inquiries, compliments, and complaints to appropriate department(s).
Professional Growth and Behavior
1. Demonstrates professional commitments through membership on nursing committees, institutional activities, and specialty organizations.
2. Obtains/retains certification in specialized area of nursing.
3. Completes all mandatory education programs, re-certification, and re-credentialing requirements.
4. Consistently wears identification badge.
5. Contributes to group problem solving and is respectful of the comments of others.
6. Gives and accepts feedback in a constructive and courteous manner.
7. Actively participates in Annual Performance Appraisal.
8. Apprises attending physician and Director of Professional Development & Nursing Excellence of actual and/or potential problems in a timely manner.
9. Is able to resolve conflicts and/or direct to appropriate staff/department for resolution.
10. Sets yearly goals.
11. Membership in Professional Associations.
12. Seeks out opportunities for learning and on-going professional growth; identifies own learning needs and seeks direction for growth.
Quality Assessment and Improvement
1. Recommends and assists with implementing, as appropriate, solutions for resolving procedural system causes for incidents/risks.
2. Develops clerical organization tools or systems that prevent errors/increases efficiency and accuracy; seeks cost-effective alternatives for routine and specialized office supplies and equipment.
3. Develops/participates in departmental/hospital Continuing Quality Improvement (CQI) programs.
Department Specific Knowledge/Skills Requirements
Under the oversight of the Director of Professional Development and Nursing Excellence, and with input from the Associate Chief Nursing Officer for Pscychiatry:
• Works as a member of the Psychiatry Consultation Liaison Service to consult on behavioral health patients on medical-surgical units.
• Provides education to medical-surgical nursing staff for behaviorally challenging patient situations based on the assessed learning needs of the staff. Examples of staff education include: coaching, role-modeling, and informal/formal training.
Knowledge, Skills and Abilities
1. Ability to coordinate information gathering and dissemination within a complex administrative system
2. Strong communication skills with the ability to communicate effectively across interdisciplinary teams
3. Demonstrated ability to work effectively and efficiently within teams and independently, strong interpersonal skills
Behavioral Health Education
1. Serves as a behavioral health resource for inpatient medical surgical units at Harborview Medical Center
2. Collaborates with an interdisciplinary team to develop care plans for patients with challenging behaviors; participates in Extreme Team meetings for patients with challenging behaviors and/or behavioral health issues.
3. Provides direct support of staff, patients, and families in education and care continuum needs related to behavioral health
4. Functions as a liaison with the psychiatry consult team and the inpatient primary team and nursing staff
5. Provide consultation to other Mental Health Practitioners and nurses as needed.
Healthcare Team Development and Education
1. Aligns self with other operational educators and Clinical Nurse Specialists to ensure coordination and collaboration of educational initiatives directed at staff/faculty outside of PCS.
2. Promotes and supports a high functioning environment that fosters continual learning and professional development.
3. Utilizes innovative methods to teach, communicate, and disseminate behavioral health practices to improve patient safety and clinical outcomes.
1. Utilizes principles of Continuous Quality Improvement to identify areas for system improvement in behavioral health practices and patient safety.
2. Consults and collaborates with members of the healthcare team on unit and service initiatives related to behavioral health and patient safety.
1. Establishes effective work priorities and methods
2. Meets deadlines, project goals, and follows up on staff/clinical issues in a timely manner.
3. Maintains accessibility, response and follow through to off shift and weekend staff
4. Assumes responsibility for own professional learning needs including attendance at relevant educational offerings, completion of annual evaluation, annual competencies, and maintenance of expert behavioral health and clinical knowledge base.
5. Demonstrates ability to consider the impact of decisions and actions on the overall organizational mission and goals
6. Models ethical conduct, service standards, confidentiality and service excellence in day to day practice
7. Is open to constructive feedback and integrates recommendations into practice.
8. Initiates, responds to and participates in organizational changes in a constructive, supportive manner.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.