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.

• 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…