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Advanced Practice Psychiatric Nurses
SOC Code: 29-1141.02

Provide advanced nursing care for patients with psychiatric disorders. May provide psychotherapy under the direction of a psychiatrist.

Sample of reported job titles: Administrative Director, Behavioral Health Services; Adult Psychiatric Mental Health Nurse Practitioner; Advanced Practice Nurse Psychotherapist (APN Psychotherapist); Advanced Practice Psychiatric Nurse; Associate Chief Nurse; Associate Director of Nursing; Coordinator of the Psychiatric Liaison Service; Deputy Director of Clinical Specialty Services; Psychiatric Clinical Nurse Specialist; Psychiatric Mental Health Nurse (PMH Nurse)

Tasks

  • Monitor patients' medication usage and results.
  • Document patients' medical and psychological histories, physical assessment results, diagnoses, treatment plans, prescriptions, or outcomes.
  • Diagnose psychiatric disorders and mental health conditions.
  • Evaluate patients' behavior to formulate diagnoses or assess treatments.
  • Distinguish between physiologically and psychologically based disorders and diagnose appropriately.
  • Assess patients' mental and physical status based on the presenting symptoms and complaints.
  • Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans.
  • Write prescriptions for psychotropic medications as allowed by state regulations and collaborative practice agreements.
  • Collaborate with interdisciplinary team members, including psychiatrists, psychologists, or nursing staff, to develop, implement, or evaluate treatment plans.
  • Develop and implement treatment plans.
  • Participate in activities aimed at professional growth and development including conferences or continuing education activities.
  • Conduct individual, group, or family psychotherapy for those with chronic or acute mental disorders.
  • Interpret diagnostic or laboratory tests such as electrocardiograms (EKGs) and renal functioning tests.
  • Consult with psychiatrists or other professionals when unusual or complex cases are encountered.
  • Participate in treatment team conferences regarding diagnosis or treatment of difficult cases.
  • Develop practice protocols for mental health problems based on review and evaluation of published research.
  • Refer patients requiring more specialized or complex treatment to psychiatrists, primary care physicians, or other medical specialists.
  • Develop, implement, or evaluate programs such as outreach activities, community mental health programs, and crisis situation response activities.
  • Teach classes in mental health topics such as stress reduction.
  • Administer medications including those administered by injection.
  • Monitor the use and status of medical and pharmaceutical supplies.
  • Provide routine physical health screenings to detect or monitor problems such as heart disease and diabetes.
  • Treat patients for routine physical health problems.
  • Direct or provide home health services.

Technology Skills

  • Data base user interface and query software - Microsoft Access
  • Medical software - AUDIT-C; Beck Anxiety Inventory; Young Mania Rating Scale; Zung Depression Rating Scale (see all 18 examples)
  • Spreadsheet software - Microsoft Excel

Tools Used

  • Binocular light compound microscopes
  • Blood pressure cuff kits - Blood pressure cuffs; Sphygmomanometers
  • Handheld thermometer - Handheld thermometers
  • Hypodermic needle - Hypodermic needles
  • Intravenous infusion pumps for general use - Intravenous IV pumps
  • Laser fax machine - Laser facsimile machines
  • Long term continuous electrocardiography EKG or holter monitoring systems - Electrocardiogram
  • Medical acoustic stethoscope or accessory - Mechanical stethoscopes
  • Medication or pill dispensers or accessories - Medication administration systems
  • Nebulizer or accessories - Nebulizers
  • Peripheral intravenous catheters for general use - Catheters
  • Personal computers
  • Photocopiers
  • Restraints - Mechanical restraints
  • Transcutaneous electric nerve stimulation units - Transcutaneous electric nerve stimulation TENS equipment

Knowledge

  • Therapy and Counseling - Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
  • Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
  • English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
  • Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
  • Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Sociology and Anthropology - Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
  • Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
  • Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
  • Philosophy and Theology - Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
  • Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
  • Public Safety and Security - Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
  • Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

Skills

  • Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
  • Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
  • Speaking - Talking to others to convey information effectively.
  • Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
  • Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.
  • Service Orientation - Actively looking for ways to help people.
  • Writing - Communicating effectively in writing as appropriate for the needs of the audience.
  • Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  • Instructing - Teaching others how to do something.
  • Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
  • Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
  • Coordination - Adjusting actions in relation to others' actions.
  • Negotiation - Bringing others together and trying to reconcile differences.
  • Time Management - Managing one's own time and the time of others.
  • Persuasion - Persuading others to change their minds or behavior.
  • Systems Analysis - Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
  • Systems Evaluation - Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.

Abilities

  • Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
  • Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Oral Expression - The ability to communicate information and ideas in speaking so others will understand.
  • Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
  • Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
  • Speech Clarity - The ability to speak clearly so others can understand you.
  • Written Comprehension - The ability to read and understand information and ideas presented in writing.
  • Written Expression - The ability to communicate information and ideas in writing so others will understand.
  • Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
  • Speech Recognition - The ability to identify and understand the speech of another person.
  • Near Vision - The ability to see details at close range (within a few feet of the observer).
  • Category Flexibility - The ability to generate or use different sets of rules for combining or grouping things in different ways.
  • Fluency of Ideas - The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
  • Originality - The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
  • Selective Attention - The ability to concentrate on a task over a period of time without being distracted.

Interests

  • Interest code: SI
    • Social - Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
    • Investigative - Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

Work Context

  • Face-to-Face Discussions - 97% responded “Every day.”
  • Telephone - 86% responded “Every day.”
  • Electronic Mail - 90% responded “Every day.”
  • Freedom to Make Decisions - 76% responded “A lot of freedom.”
  • Contact With Others - 66% responded “Constant contact with others.”
  • Indoors, Environmentally Controlled - 76% responded “Every day.”
  • Structured versus Unstructured Work - 55% responded “A lot of freedom.”
  • Frequency of Decision Making - 57% responded “Every day.”
  • Duration of Typical Work Week - 69% responded “More than 40 hours.”
  • Importance of Being Exact or Accurate - 50% responded “Extremely important.”
  • Work With Work Group or Team - 48% responded “Extremely important.”
  • Impact of Decisions on Co-workers or Company Results - 52% responded “Very important results.”
  • Exposed to Disease or Infections - 56% responded “Every day.”
  • Consequence of Error - 66% responded “Extremely serious.”
  • Physical Proximity - 41% responded “Very close (near touching).”
  • Time Pressure - 41% responded “Once a week or more but not every day.”
  • Deal With Unpleasant or Angry People - 52% responded “Once a week or more but not every day.”
  • Coordinate or Lead Others - 52% responded “Very important.”
  • Letters and Memos - 41% responded “Once a week or more but not every day.”
  • Spend Time Sitting - 48% responded “More than half the time.”
  • Deal With External Customers - 45% responded “Extremely important.”
  • Frequency of Conflict Situations - 31% responded “Once a week or more but not every day.”
  • Deal With Physically Aggressive People - 45% responded “Once a week or more but not every day.”
  • Responsible for Others' Health and Safety - 31% responded “High responsibility.”
  • Importance of Repeating Same Tasks - 28% responded “Very important.”

Education

Percentage of RespondentsEducation Level Required
66%Master's degree
24%Post-master's certificate
7%Professional degree

Work Styles

  • Integrity - Job requires being honest and ethical.
  • Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
  • Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
  • Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
  • Self Control - Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
  • Stress Tolerance - Job requires accepting criticism and dealing calmly and effectively with high stress situations.
  • Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
  • Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
  • Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
  • Analytical Thinking - Job requires analyzing information and using logic to address work-related issues and problems.
  • Initiative - Job requires a willingness to take on responsibilities and challenges.
  • Persistence - Job requires persistence in the face of obstacles.
  • Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
  • Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
  • Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction.
  • Innovation - Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.

Work Values

  • Relationships - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
  • Working Conditions - Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.
  • Support - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

Wages & Trends

  • Median wages (2017)
    • $33.65 hourly, $70,000 annual
  • Employment (2016)
    • 2,955,000 employees
  • Projected growth (2016-2026)
    • Much faster than average (15% or higher)
  • Projected job openings (2016-2026)
    • 203,700

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