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.

• Instill Trust and Value Differences
• Patient and Community Focus
• 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. Provides direct patient care within the context 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. 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…