SUMMARY:
This Psychiatric Registered Nurse position is located at Bradley Hospital in Riverside, RI on the Adolescent Inpatient Unit.This day shift is part-time at 24 hours per week.
RESPONSIBILITIES:
- Provides direct nursing and patient care services through application of nursing process by assessing patient’s immediate and long-term needs.
- Initiates biopsychosocial assessment of patients’ acute nursing needs guided by admission procedure; documents such in required patient medical records format.
- Assures completion of the nursing assessment form within 8 hours of admission for assigned patient.
- Communicates significant changes in assessment findings to the nurse in charge and other appropriate health care providers and summarizes the patient’s status in team meetings and reports.
- Provides direct patient care through the application of nursing process by planning treatment interventions with the patient, family, and health care team.
- Initiates patient care plan at the time of admission and completes plan within 8 hours according to admission procedure.
- Plans for patient/staff safety according to established Hospital procedures.
- Develops and updates the patient care plan to reflect the patient status each shift:
- - Formulates patient and family treatment goals.
- - Identifies nursing interventions based on treatment goals.
- - Identifies patient/family strengths.
- - Identifies inpatient and aftercare needs of patient and family.
- - Formulates measurable short and long-term goals with time.
- Provides direct patient care services through application of nursing process by implementing nursing care based on individual patient needs.
- Establishes and maintains an individual and milieu-based therapeutic alliance as reflected in ongoing documentation and clinical supervision.
- Serves as a patient advocate by supporting patient Bill of Rights and child mental health law.
- Acquires and maintains technical and psychiatric specialty skills appropriate to clinical program.
- Provides direct patient care within the context of the therapeutic milieu.
- Implements interventions as specified in the Nursing Care Plan within established time frames.
- Follows established policies, procedures, program protocols, and Joint Commission standards to insure safe and effective standards of practice.
- Provides patient education regarding procedures prior to implementation.
- Administers and documents prescribed medications (scheduled/PRN’s) according to medical protocol.
- Assesses and documents effectiveness of medication and side-effects.
- Accurately transcribes physician orders and implements according to prescribed medical protocol.
- Provides direct patient care services through application of nursing process by evaluating effectiveness of care provided by self, peers, subordinates, and other health care providers.
- Evaluates the effectiveness of interventions according to patient’s response and modifies interventions as needed.
- Sees consultation and direction through established lines of supervision in identifying and resolving situations which interfere with patient outcomes and work relationships.
- Participates in accurate quality assurance data collection and contributes to the Program and Program-based nursing quality assurance program.
- Demonstrates the ability to communicate the status of the patient’s condition through the use of behaviorally oriented procedures.
- Assertively and respectfully questions any medical orders which conflict with ethical or patient care standards of nursing/medical back-up.
- Participates in the ongoing development and implementation of the therapeutic milieu.
- Provides milieu management throughout each shift by assessing and responding to the acute needs of the patient group, including:
- - Safety of the environment.
- - Patient group interactions.
- - Staff interactions.
- Responds immediately to requests for assistance beyond the unit level when directed and according to Program protocol.
- Provides leadership in acute or emergency situations according to Program standards; participates as a member of the Emergency Response Team.
- Demonstrates group skills in leading and co-leading therapeutic milieu groups and supports individual patient participation.
- Organizes and participates in informal patient groups in Program-based milieu assessment.
- Communicates significant changes in individual patient/milieu status to nurse in charge.
- Directly participates in the milieu program as a direct care provider.
- Demonstrates leadership in organizing the delivery of patient care.
- Supervises Milieu Therapists and support staff according to their scope of practice in accordance with Joint Commission acute care and Program standards.
- Prioritizes interventions in rapidly changing patient situations as demonstrated by an organized response with an outcome that optimizes patient welfare in accordance with Program standards.
- Provides consistent leadership on unit when assigned as nurse in charge according to Program standards.
- Identifies and provides for teaching needs of patients, families, and other health care providers.
- Reviews and documents teaching needs in nursing care plan.
- Provides basic and complex teaching to patients and documents response in patient’s record.
- Assists in orientation of new employees and students according to orientation guidelines.
- Provides impromptu instruction and demonstration of therapeutic techniques, nursing procedures, and products.
- Maintains commitment to professional growth and competency through ongoing activities that promote professional role development.
- Effectively manages time; recognizing and prioritizing urgent issues while assuring assigned work is completed.
- Follows through on commitments and assigned projects in a timely fashion.
- Consistently documents required materials, keeps records of such, and disseminates to appropriate parties.
- Consistently follows established job schedule and required procedure for assuring adequate coverage during absences.
- Maintains current knowledge of the field as demonstrated by sharing knowledge and skills with members of the health care team during team meetings, report, or informal sessions.
- Participates in the performance appraisal process by identifying specific short and long-term professional goals with supervisor.
- Keeps current with changes in the Hospital and Program by participating in staff meetings, reading and initialing all minutes and new policies and procedures.
- Adherence to Hospital, Department, and Program policies and procedures.
- Attends six Program meetings per year as assigned.
- Maintains current certification in crisis management.
- Maintains current BLS certification.
- Attends Program staff development as assigned.
- Attends monthly Program Development Day presentations as assigned.
- Consistently follows all Hospital and Departmental policies and procedures.
- Consistently follows all Program-based policies and procedures.
MINIMUM QUALIFICATIONS:
- Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
BASIC KNOWLEDGE:
- Graduate of a school of nursing with current license to practice as a Registered Nurse in the State of Rhode Island.
- BLS
- Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
EXPERIENCE:
- One year of psychiatric nursing and/or pediatric nursing preferred
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
- Work is performed in a psychology-based clinical setting requiring extensive standing, walking and occasional lifting of patients.
- Strong background and experience working with students with various emotional and behavioral disorders in addition to a developmental disability, such as intellectual disability of autism spectrum disorders
SUPERVISORY RESPONSIBILITY:
Pay Range:
$35.70-$71.40
EEO Statement:
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location:
Bradley Hospital - 1011 Veterans Memorial Pkwy East Providence, Rhode Island 02915
Work Type:
7:00 am - 7:30 pm, x/2 week, EOW, EOH, as assigned
Work Shift:
Day
Daily Hours:
12 hours
Driving Required:
No