Building Success on Strong Foundations - PNA

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Psychiatric Nurses Association PNA - <strong>Building</strong> <strong>Success</strong> on Strong FoundationsDeveloping an Advanced Nurse Practitioner(ANP) post in Addiction and Mental HealthSt. Vincent’s Hospital, Fairview / HSE Dublin North CentralClódagh O’Sullivan / Phil Burke DONThe Lodge, St. Vincent’s Hospital, Fairview, Dublin 3Phone: 01-8842401 Clódagh O’ Sullivan01-8842445 Phil BurkeEmail: clodaghosullivan@svhf.ie / philburke@svhf.ieBest practice in relation to alcohol services indicates that provision of alcohol detoxification should occur intandem with the initiation of psychosocial treatments (Carroll, 1997) The experience of the Substance AbuseService is that due to (1) extensive waiting lists and (2) detoxification being within the medical domain andpsychosocial treatments within the (specialist) nursing domain, these two events happen quite separately, withthe consequential ‘loss’ of clients between both events.In order to address this and to provide expert care at point of client contact, the ANP post has been developed.The ANP will meet the client when they first present, assess the client for detoxification and organise* same.The ANP follows up the client on an ongoing basis to continually assess progress on detoxification and toinitiate psychosocial treatments. The client continues to meet with the ANP until (a) discharge or (b) a placebecomes available for longer term counselling.(*Future plans include nurse prescribing)Nursing and MidwifePrescribing in IrelandFollowing legislative amendments to allow nurses and midwivesprescriptive authority in Ireland in May 2007, the prescribinginitiative continues to gain momentum, led nationally by theHealth Service Executive HSE. Through the Office of theNursing Services Director.Currently there are 21 nurses and midwives registered as NursePrescribers with An Bord Altranais and the number is set toincrease further - 56 organisations are in the process ofimplementing the initiative across 46 clinical specialities.You Can Download This publication Atwww.ncnm.ie/files/prescribing/Intro_prescribing_oct07.pdf14
Psychiatric Nurses Association PNA - <strong>Building</strong> <strong>Success</strong> on Strong FoundationsNurse Empowerment within theMultidisciplinary Team.Loughrea/ Athenry Community Mental Health Services.Ann Cleary /Francis WalshLoughrea Day Hospital, Barrack Street,Loughrea, Co Galway.Phone: 091 847003Email: Anneg.cleary@hse.ieNurses’ role and input in service development in a ruralmental health service in County Galway has enhancedand redefined the contribution of nursing as adiscipline within the MDT team.Prior to 2004 the role of nurses outside of the medicalprofession was mainly around the provision of careonce assessment was completed by the medicalprofession, this effectively meant under utilisation ofnursing expertise. Multidisciplinary subgroups wereestablished comprised of all team members andchaired by nurses focused on the followinginitiatives:· Generic Biopsychosocial Assessment· Care-Coordination· Recovery Care Planning.Yearly audits, undertaken by nurses havedemonstrated an improvement in service deliverybetween 2005-2008. Major advances were recorded interms of access to the service with a significantreduction in hospital admissions.Nurses now conduct the initial assessments of serviceusers and in 2008 from the 294 new referrals to theservice nurses have assessed 220 people. This hassignificantly impacted on waiting times bringing abouta reduction from 6-8 weeks for medical assessment tosame day biopsychosocial assessment.All nurses carry a caseload and coordinate the care ofservice users on this caseload including assessing,planning care, liaising with primary care, working withfamilies and carers in delivering a truly biopsychosocialholistic recovery focused service.Currently nurses are care coordinating the largestnumber of service users.Following these changes a number of benefits haveoccurred for nursing. Nurses feel empowered asclinicians with increased levels of autonomy withproper support and supervision.Nurses are actively involved in audit/ research andcontinuing education and play an active part inpromoting the invaluable contribution of the nursingprofession on nurse academic programmes and atnational conferences. Our governing body An BordAltranais on inspection in 2006 acknowledged theservice as a centre of nursing excellence in their annualreport.Psychiatric Mental Health NursingAn Irish PerspectiveEds: Jean Morrissey, Brian Keoghand Louise Doyle· Includes a chapter on the physical assessment ofclients with mental health problems, and a chapteronphysical treatments and pharmacology.Foreword by Prof. Phil Barker· A new and unique textbookshowcasing psychiatricmental health nursing from anIrish perspective.· Contribution from keypsychiatric mental healthnursing academics, cliniciansand experts.· Introduces and details thenew Mental Health Act2001 in Ireland.· Discusses all the main illnesses in a nursing carecontext, providing an overview of the treatmentsavailable, with an emphasis on the nursing careand management of these illnesses.· Provides a detailed account of a number ofcontemporary issues impacting on the practice ofpsychiatric and mental health nursing; including serviceuser involvement, sexuality and mental health, clinicalsupervision, liaison psychiatric nursing and transculturalmental nursing.· Uses scenarios and reflective questions at the endof each chapter to facilitate student learning andrevision.· Suitable as a core text for all students of mentalhealth nursing across all years and has relevancefor postgraduate mental health nursing students.This book is also suitable as a resource for practisingclinicians.15
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