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Psychiatric Clinical Nurse Specialist

Clinical Nurse Specialists
Description
Direct and advance psychiatric nursing care across inpatient, outpatient, and emergency behavioral health settings. Provide expert assessment and treatment, guide staff practice, and ensure adherence to evidence-based mental health protocols, safety standards, and regulations.
  • • Coordinate or conduct educational programs on psychiatric assessment, de-escalation, and trauma-informed care.
  • • Perform comprehensive mental health assessments, including mental status and suicide risk evaluations.
  • • Evaluate the quality and effectiveness of psychiatric nursing practice and behavioral health systems.
  • • Provide direct care by conducting psychiatric evaluations, ordering tests, and prescribing psychotropic medications where authorized.
  • • Deliver specialized care within subspecialties such as child/adolescent, geriatric, substance use, or crisis stabilization.
  • • Maintain behavioral health policies, procedures, and seclusion/restraint and infection control standards.
  • • Collaborate with psychiatrists, psychologists, social workers, and community agencies to coordinate care.
  • • Develop behavioral health nursing philosophies, goals, policies, and procedures.
  • • Develop, implement, or evaluate standards of psychiatric nursing across inpatient, partial hospitalization, and integrated care settings.
  • • Develop and update individualized care plans, safety plans, and relapse-prevention strategies.
  • • Make clinical recommendations to providers, payers, patients, and organizations regarding psychiatric care.
  • • Plan, evaluate, or modify psychopharmacologic and psychotherapeutic regimens based on ongoing assessments.
  • • Provide patients and families with information to make informed mental health treatment decisions.
  • • Instruct nursing staff in suicide prevention, therapeutic communication, and use of screening tools.
  • • Direct or supervise nursing care within the therapeutic milieu and group programming.
  • • Identify training needs and conduct simulations or drills for psychiatric emergencies.
  • • Stay current with psychiatric nursing evidence, guidelines, and regulations.
  • • Monitor and evaluate patients’ psychiatric status and medical comorbidities with interdisciplinary teams.
  • • Participate in behavioral health research or quality improvement, including protocol and compliance reviews.
  • • Coordinate discharge and aftercare planning, including linkage to community and recovery supports.
  • • Prepare clinical documentation and reports on psychiatric assessments, interventions, and outcomes.
  • • Write nursing orders and standing protocols for behavioral health units.
  • • Provide consultation to emergency, inpatient, or primary care teams on behavioral health issues.
  • • Develop and maintain behavioral health policies and patient care standards based on evidence.
  • • Design and implement evaluation programs to measure psychiatric nursing quality and outcomes.
  • • Design patient education programs on diagnoses, medications, coping skills, and safety planning.
  • • Lead behavioral health compliance with accreditation and regulatory requirements, including seclusion/restraint.
  • • Chair or participate in behavioral health committees and workgroups.
  • • Teach group or individual psychoeducation to support informed treatment decisions.
  • • Coach and mentor nursing staff to advance psychiatric competencies and professional growth.
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Source
Tasks & skills: O*NET occupational data (work activities, skills, knowledge). Learn more
Sources & Standards: This site includes information from O*NET by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. Career Clutch has modified some of this information for student readability. USDOL/ETA has not approved, endorsed, or tested these modifications. O*NET® is a trademark of USDOL/ETA.
Last reviewed: Jan 2026
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