That is structure of psychiatric permanent establishment?

The separation of psychiatric hospital consists of two halves: uneasy and quiet, or sanatory.On an uneasy halfthere are patients in the sharp state with psychomotorexcit ation or stupor, improper behaviour, with hallucinationsand delirium. In this state pati ents present a danger for itselfand surrounding and by virtue of it need twenty-four hoursupervision. Some from them place in an observantchamber, where a permanent post consisting of hospitalattendant(junior nurses) and medical sister is. On thequiet(s anatory) half of patients translate in the period ofrecovery, when they are already able to serve itself and doesnot present to the danger for itself and surrounding.

Psychiatric separation constantly shut the door to on thespecial lock, the keys from th at are present only for doctorsand medical personnel. On windows are grates, nets oru nbreakable glasses. Windows are opened only at presence of grate, and thesmall hinge window pane must be located outside reach ofpatients.

The psychiatric nurse is usually one of the first people apatient will see when he i s admitted to a mental hospital. Heor she will be monitoring most of the patient's plan of careand implementing doctors' orders. The other roles, there are:

1. Medical Duties

A nurse in a psychiatric setting helps to implement the plan of care, as set forth by the doctor and follows his treatment orders. She'll be helping the patient with everyday care. She will administer medications to the patient as ordered, as needed. As she takes care of the patient, she should be careful to chart every detail of her interactions with and observations of patients, as well as vital medical information, so that the doctor and other staff can make objective decisions concerning that patient's care, having been educated as to his progress, or lack thereof. She will most likely be reporting, in person, on the patient's care to both doctors and other nursing staff, as needed, for the best care possible.

2. Nursing Care Plan

As the nurse cares for each of her patients, she will examine him and institute a plan of care, coming up with certain nursing diagnoses and care plans for each diagnosis. This helps to form a well-rounded nursing relationship.with each patient as she seeks the best for each one. These plans depend on each patient's specific problem and is tailored to each patient's special needs.

3. Patient Educator

Of course, as a nurse, she should not only fulfill the medical side of the care plan, but she also needs to educate her patients and their families. This education can extend from the most basic care to teaching the patient about the medications they are taking and their condition. They will ask questions and she should make sure she has researched and studied and listened, so that she can give them the correct information. She might even teach a group of patients about certain techniques or subjects within mental health. It all depends on where she works and her job responsibilities.

4. Patient Advocate

It is also the nurse's job to stand up for her patients' rights as individuals. If she notices a mistake or something that just doesn't seem right in the patient's treatment plan, she should first study it and then approach the doctor. Many mistakes have been corrected because of an observant nurse. If someone has taken advantage of the patient or even abused the patient in some way, this too needs to be reported. If the patient has any kind of problems, it's the nurse's job to report these to the doctors in charge. The nurse is the one who will see the patient the most often and who will get to know the patient on a daily basis, and she needs to step up and take that advocate role, making sure her patients get the best care possible.

5. Care Manager

Nurses in this role assess patients and develop treatment plans, coordinate resources an cera provided by others. The Care Manager also manages patient needs and resources episodeically and is skilled in managing psychiatric rehabilitation as well relapse prevention.

6. Assessment, Evaluation, Triage and Referral Nurse

In this role, the nurse evaluates patients in direct encounters or by telephone in order to triage the patient to the most appropriate level of care, including referrals to credentialed providers, contracted facilities and community resources.

7. Utilization Review Nurse

Many managed care companies employ psychiatric nurses to function as utilization reviewers in wich they review aspects of the patient's care and influences decisions about treatment assignment. In this role they serve as "gatekeepers" to mental health services.

8. Risk Manager

Nurses who work as risk managers are charged with the task of decreasing the probability of adverse outcomes related to patient care. They engage in identifying risk factors, individual and system-wide problems, corrective actions and the implementation of strategies to reduce risk and prevent loss.

9. Marketing and Development Specialist

Some psychiatric nurses work in the managed care growth areas of sales (proposal writing), marketing and program development. In this roles, they interface with consumers, employers, providers and regulators adn they make recommendations for furthering the mission and goals of the managed care organization.

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