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 Program milieu within the context of Program, Department, and Hospital standards. Provides services to children and adolescents.

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.
      • 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.
      • 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.
      • Serves 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.
      • 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.
      • Consistently follows all Hospital and Departmental policies and procedures.
      • Consistently follows all Program-based policies and procedures.

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

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.