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Reports to: Director of Behavioral Services

BROAD FUNCTION:
Assume medication management of specific patients in collaboration with a physician. Follow established nursing, medical and nurse practitioners standards, procedures, protocols and practices, and give specific patient care directions to nursing and other staff.

MAJOR RESPONSIBILITIES:
1. Confer with physician(s) concerning assigned patients. Keep physican(s) and Director of Behavioral Services informed, as is appropriate, of needs and problems related to patient care.

2. Comply with established nursing standards. Implement and maintain established department/ unit/hospital policies, procedures, objectives, quality improvement, safety, environmental and infection control. Interpret these to physician, patients, public as is appropriate. Utilize supplies and equipment in a cost-effective manner. Maintain a clean, orderly, safe environment for patients and personnel.

3. Cooperate with other personnel to achieve department objectives and maintain good employee relations, interdepartmental relations and public relations. Maintain patient rights and confidentiality of patient information, and abide by established communications code.

4. Attend required meetings, inservices, educational programs.

5. Maintain professional growth and development through seminars, workshops, and professional affiliations.

6. Consult with physician(s) concerning patient evaluation. Receive assigned patients and orient them to hospital/unit environment. Instruct patients and families and answer questions.

7. Provide diagnostic and assessment services: Secure a health history from patient and/or family, record findings and critically evaluate them. Perform a complete in-depth mental health examination. Requisition laboratory tests and x-ray examinations when appropriate.

8. Provide therapeutic services: Confer with other health care providers to prepare a comprehensive patient care plan. Identify and manage the care of the patient according to established protocols and with collaboration of a physician.

9. Provide surveillance of medication regimens for patients, adjust medications within established protocols and recognize when to refer patient to a physician or other health care provider. Refer complex patient care problems to a physician for assessment and advice. Give direct physical and psychological nursing care in emergencies, as well as in the presence of illness or disability in order to maintain life, provide comfort, reduce stress and enhance a patients coping ability. Collaboratively work with other health agencies and families of patients in the physical and emotional transitions of admission, care, and discharge.

10. Provide preventative health care services to patients. Teach patients and family members ways to improve or maintain their mental health status. Participate in formal and informal patient-teaching activities aimed at promoting positive health practices and an understanding of the individuals medical problem.

11. Arrange consultations and referrals: initiate requests for consultation or referral. Respond to requests from patient, physician or nursing staff. Examine patient and record, and discriminate between normal and abnormal findings, to recognize early stages of serious physical, emotional, or mental problems, and determine when to refer the patient to a physician for evaluation.

12. Maintain required unit records, reports, statistics. Maintain accurate patient records, charts, documentation for administrative purposes and reimbursement for services.

13. Perform other duties as directed/required.

WORKING CONDITIONS
Exposure to patient elements. Lifting and moving patients and equipment.

QUALIFICATIONS
Graduate of an accredited school of nursing. Completion of an accredited program for nurse practitioners including preceptorship with NYS certification. Registration and current RN license. CPR update. Sufficient previous experience as staff nurse. Ability to work collaboratively with physicians and other health care providers.
Oswego Health is a regional health care system committed to providing the highest quality, comprehensive and compassionate health care to the residents of Oswego County. The system includes Oswego Hospital, a 164-bed community acute care hospital; The Manor, a 120-bed skilled nursing facility; and Springside at Seneca Hill, a retirement community for active seniors. Oswego Health also has urgent care centers in Fulton and Central Square. Oswego Healths physicians have some of the latest technology and resources at their fingertips enabling them to provide exceptional care, here are just a few examples:

-State-of-the-art 18 bay emergency department

-8 bed ICU, Maternity Center with private labor delivery rooms

-Efficient 7 suite ambulatory surgery center, robust

-Medical Imaging Department offering a 128 slice CT scanner, 1.5 Tesla - Open Bore MRI, Ultrasound, X-ray, Digital Mammography, Bone Densitometry, Fluoroscopy and Nuclear Medicine

-Urgent Care services include CT capabilities, ultrasound, fluoroscopy and x-ray

-Comprehensive rehabilitation services include PT,OT and ST in both the hospital and outpatient settings and include specialized services by licensed therapists