Registered Nurse PD

Registered Nurse

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 children/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 include:

• Providing direct nursing and patient care services through application of nursing process by assessing patient's immediate and long-term needs.
• Initiating biopsychosocial assessment of patients' acute nursing needs guided by admission procedure; documents such in required patient medical records format.
• Assuring completion of the nursing assessment form within 8 hours of admission for assigned patient.
• Communicating significant changes in assessment findings to the nurse in charge and other appropriate health care providers and summarizing the patient's status in team meetings and reports.
• Providing direct patient care through the application of nursing process by planning treatment interventions with the patient, family, and health care team.
• Initiating 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.
• Developing and updating the patient care plan to reflect the patient status each shift.
• Formulating patient and family treatment goals.
• Identifying nursing interventions based on treatment goals.
• Identifying patient/family strengths.
• Identifying inpatient and aftercare needs of patient and family.
• Formulating measurable short and long-term goals with time.
• Providing direct patient care services through application of nursing process by implementing nursing care based on individual patient needs.
• Establishing and maintaining an individual and milieu-based therapeutic alliance as reflected in ongoing documentation and clinical supervision.
• Serving as a patient advocate by supporting patient Bill of Rights and child mental health law.
• Acquiring and maintaining technical and psychiatric specialty skills appropriate to clinical program.
• Providing direct patient care within the context of the therapeutic milieu.
• Implementing interventions as specified in the Nursing Care Plan within established time frames.
• Following established policies, procedures, program protocols, and The Joint Commission (TJC) standards to insure safe and effective standards of practice.
• Providing patient education regarding procedures prior to implementation.
• Administering and documenting prescribed medications (scheduled/PRN's) according to medical protocol.
• Assessing and documenting effectiveness of medication and side-effects.
• Accurately transcribing physician orders and implementing according to prescribed medical protocol.
• Providing direct patient care services through application of nursing process by evaluating effectiveness of care provided by self, peers, subordinates, and other health care providers.
• Evaluating the effectiveness of interventions according to patient's response and modifying interventions as needed.
• Seeing consultation and direction through established lines of supervision in identifying and resolving situations which interfere with patient outcomes and work relationships.
• Participating in accurate quality assurance data collection and contributing to the Program and Program-based nursing quality assurance program.
• Demonstrating the ability to communicate the status of the patient's condition through the use of behaviorally oriented procedures.
• Assertively and respectfully questioning any medical orders which conflict with ethical or patient care standards of nursing/medical back-up.
• Participating in the ongoing development and implementation of the therapeutic milieu.
• Providing 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.
• Responding immediately to requests for assistance beyond the unit level when directed and according to Program protocol.
• Providing leadership in acute or emergency situations according to Program standards; participating as a member of the Emergency Response Team.
• Demonstrating group skills in leading and co-leading therapeutic milieu groups and supports individual patient participation.
• Organizing and participating in informal patient groups in Program-based milieu assessment.
• Communicating significant changes in individual patient/milieu status to nurse in charge.
• Directly participating in the milieu program as a direct care provider.
• Demonstrating leadership in organizing the delivery of patient care.
• Supervising Behavioral Health Specialists and support staff according to their scope of practice in accordance with TJC acute care and Program standards.
• Prioritizing interventions in rapidly changing patient situations as demonstrated by an organized response with an outcome that optimizes patient welfare in accordance with Program standards.
• Providing consistent leadership on unit when assigned as nurse in charge according to Program standards.
• Identifying and providing for teaching needs of patients, families, and other health care providers.
• Reviewing and documenting teaching needs in nursing care plan.
• Providing basic and complex teaching to patients and documenting response in patient's record.
• Assisting in orientation of new employees and students according to orientation guidelines.
• Providing impromptu instruction and demonstration of therapeutic techniques, nursing procedures, and products.
• Maintaining commitment to professional growth and competency through ongoing activities that promote professional role development.
• Effectively managing time; recognizing and prioritizing urgent issues while assuring assigned work is completed.
• Following through on commitments and assigned projects in a timely fashion.
• Consistently documenting required materials, keeping records of such, and disseminating to appropriate parties.
• Consistently following established job schedule and required procedure for assuring adequate coverage during absences.
• Maintaining 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.
• Participating in the performance appraisal process by identifying specific short and long-term professional goals with supervisor.
• Keeping 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.
• Attending six Program meetings per year as assigned.
• Maintaining current certification in crisis management.
• Maintaining current BLS certification.
• Attending Program staff development as assigned.
• Attending monthly Program Development Day presentations as assigned.
• Consistently following all Hospital and Departmental policies and procedures.
• Consistently following all Program-based policies and procedures.
• Supervisory responsibility: None

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: 3 shifts a month. alternating weekends and holidays

Work Shift: Variable

Daily Hours: Per Diem - As required

Driving Required: No