end up in the local emergency room with comorbidities that are also not being addressed or end up in jail based on their behavior during a psychotic episode with jail staff feeling ill equipped to handle the mentally ill. Once stabilized, they are sent back to the state facility in a revolving door effect. Many of the patients that are seen on the civil side are “frequent flyers” with predictability of increased admissions around the second week of the month (typically when social security and disability checks have been exhausted). For those that are homeless or living in shelters, the state facility is a better option to these patients. “ People with mental illness die early for a variety of reasons. Some are victimized by violence. Others are too sick to take care of their health. On average, people with serious mental illness die up to 23 years sooner than other Americans, giving them a life expectancy on par with people in Bangladesh” (Szabo, 2015). Nurse Leader Interview Summary-Nurse Leader Role
The Clinical Nurse Educator role within the facility is a Registered Nurse with an advanced education and several years of experience in the field of psychiatric nursing. For this interview, I selected the nurse educator that has worked within the facility for over 30 years and has seen the evolution of behavior and mental health services. As a member of the Staff Development and Training department, her role is to onboard newly hired nurses through classroom and ward training. She is also a resource to existing nurses and makes herself available to the wards as needed. Based on her years of experience, her scope within the facility spans to wherever she is needed within her scope of practice. It is also her role to remain up-to-date on changing policies and procedures within the facility, new innovations in healthcare, specifically behavioral health and evidence based practices. Her role includes being a strong communicator, understanding clinical practice, assessment of staff, development of educational programs and evaluates the efficiency as well as integrating evidence based practice into new educational courses. She also assists with updating nursing policies, monitoring certifications as well as identifying areas of improvement by providing solutions for safer, more efficient operations of the facility and improved work flows. She supports the goal of the continuous pursuit of excellence through education, practice and empowerment of new and existing employees. She also serves as a mentor to staff and additional support to the units when needed, supporting the safety of patients and staff. Thee stakeholders she serves are the medical providers, patients, staff members, community partners, hospital administrators and governing bodies. The
role of nurse educator within the facility is responsible for delivering up to date education of policies and procedures as well as evidence based practice modifications within the facility.
- Spring '17