Registered Nurse

SUMMARY Utilizing the nursing process, is responsible for providing for the acute and long-term nursing care needs of patients, families, and the generic Program milieu within the context of Program, Department, and Hospital standards. Provides services to children and adolescents. Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate. 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 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, including: 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. Implements interventions as specified in the Nursing Care Plan within established time frames. Follows established policies, procedures, program protocols, and Joint Commission standards to ensure safe and effective standards of practice. Provides patient education regarding procedures prior to implementation. Administers and documents prescribed medications (scheduled/PRN) according to medical protocol. Assesses and documents effectiveness of medication and side‑effects. Accurately transcribes physician orders and implements according to prescribed medical protocol. Evaluates effectiveness of interventions, modifies interventions as needed. Sees consultation and direction through established lines of supervision to resolve situations that 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 behaviorally oriented procedures. Assertively and respectfully questions any medical orders that conflict with ethical or patient care standards. Participates in 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, and staff interactions. Safety of the environment Patient group interactions Staff interactions Responds immediately to requests for assistance beyond the unit level when directed 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 with an organized response that optimizes patient welfare. Provides consistent leadership on unit when assigned as nurse in charge. 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. Assists in orientation of new employees and students. 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; prioritizes urgent issues while ensuring assigned work is completed timely. Consistently documents required materials, keeps records, and disseminates to appropriate parties. Consistently follows established job schedule and required procedure for adequate coverage during absences. Maintains current knowledge of the field by sharing knowledge and skills with the health care team during meetings, reports, or informal sessions. Participates in performance appraisal process by setting specific short and long‑term professional goals with supervisor. Keeps current with changes in the Hospital and Program by attending staff meetings, reading and initialing minutes and new policies and procedures. Adherence to Hospital, Department, and Program policies and procedures. Attends six Program meetings per year, Program staff development, and monthly Program Development Day presentations. MINIMUM QUALIFICATIONS Licensure as Registered Nurse in the State of Rhode Island or licensed under the Nurse Licensure Compact. Graduate of a school of nursing with current license to practice as a Registered Nurse in Rhode Island. Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages, and cultural patterns. 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 or autism spectrum disorders. SUPERVISORY RESPONSIBILITY None PAY RANGE Pay Range: $35.70 – $71.40 per hour 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 32 hours per week, 2:00 pm – 10:30 pm, every other weekend/holiday WORK SHIFT Evening DAILY HOURS 8 hours DRIVING REQUIRED No #J-18808-Ljbffr