Registered Nurse

SUMMARY: This Psychiatric Registered Nurse position is located at CADD Exeter House in Exeter, RI. This variable shift position is full-time at 36 hours per week. 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 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. 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; and 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 interaction and 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 #J-18808-Ljbffr Rhode Island Hospital