Professional practice evaluation improvement Collegiality Collaboration Ethics

Professional practice evaluation improvement

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Professional practice evaluation –improvement Collegiality Collaboration Ethics Research Resource utilization Leadership Delegation Education and certification of P/MH Nurses Technical level o Unlicensed personal – psychiatric aid (PA’S) o Licensed practical nurse – LPN Professional Level o Generalist: Associate degree, diploma or BSN RN, C (certified) o Specialist : MSN, DNP, or PhD PMHNP or PMHCNS (board certified) Basic Practice Rn with BSN credentialed by the (ANCC) Use of nursing process to treat actual or potential mental health problems or psychiatric disorders Promote and foster health and safety Assess dysfunction; assist to regain or improve coping abilities Maximize strengths; prevent further disabilities Advance practice Minimum entry masters level preparation o DNP, DNS, PHD Nationally certified by ANCC licensed for advance practice by state o PMHCNS o PMHNP Pt. Interviews State the purpose Use open ended questions to allow observations of pt.s verbal and noverbal responses Use closed- ended questions to elicit specific information Clarify when words do not have the same meaning Summarize to allow the pt. correct the nurse’s interpretation Motivational interviewing (OARS) Suicide thoughts - yes/no o Very pointed questions Philosophy of PMHN Assist the person to change or cope with current or potential problems o Therapeutic use of self
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o Humanistic focus, belief in client’s worth dignity and human rights o Holistic view of client as intellectual bio-psych-social – spiritual being Promote constructive coping mechanisms Maximize adaptive coping responses o What did you used to do to manage Responsibilities of the PMHN Assess identify outcomes and evaluate responses Manage the therapeutic milieu 24/7 ( secure safe environment) Administers psychotropic medications ( LPN/RN) or prescribes them (APRN) Educates clients to resolve problems Supports clients to improve recreational occupational and social skills Preforms counseling (generalist) or psychotherapy ( CS) Only staffed there then continually Biopsychsocial Nursing Assesment Biologic o Health status o Physical examination o Physical function o Pharmacologic Psychological o Responses to mental health problems o Mental status o Behavior o Self-concept o Stress and coping o Risk assessment Assessment of Mental Status A snap shot of the pat. Current mental status at this point in time Baseline for future comparison Objective, nonjudgmental observations and factual information o No interpretations or global opinions Note the content as well as the process of the pts’s communication Have specific evidence to back it up Categories of the mental status Exam General observations o Physical appearance, Speech, attitude, motor activity Orientation o Level of consciousness Mood and affect Cognition and thought process o
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