Registered Nurse

SUMMARY Utilizing the nursing process, is responsible for providing for the acute and long-term nursing care needs of patients, families, and generic Program milieu within the context of Program, Department, and Hospital standards. Provides services to childrendolescents. 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 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. 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. 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. Evaluates the effectiveness of interventions according to patient’s response and modifies interventions as needed. Ensures safe and effective care by communicating status through 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. 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. Consistently documents required materials and disseminates to appropriate parties. Maintains current knowledge of the field and shares knowledge and skills with members of the health care team. Participates in the performance appraisal process by identifying specific short‑term and long‑term professional goals with supervisor. Keeps current with changes in the Hospital and Program by attending staff meetings, reading and initialing all minutes and new policies and procedures; Attends Program staff development events. 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. 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 No supervisory responsibilities. 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 3 shifts per week, every other weekend and every other holiday, 11pm-7:30am WORK SHIFT Night DAILY HOURS 12 hours DRIVING REQUIRED No #J-18808-Ljbffr