Per Diem RN

Per Diem RN – Brown University Health

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Utilizing the nursing process, the RN provides acute and long‑term nursing care to patients, families and the therapeutic milieu within the Program, Department and Hospital standards. Employees are expected to role‑model the organization’s values of Compassion, Accountability, Respect and Excellence, and to demonstrate the core Success Factors:
Instill Trust & Value Differences, Patient & Community Focus, and Collaborate.

• Provide direct nursing and patient care services by assessing patients’ immediate and long‑term needs.
• Initiate a biopsychosocial assessment of patients’ acute nursing needs guided by the admission procedure; document in required patient medical records format.
• Ensure completion of the nursing assessment form within 8 hours of admission for each assigned patient.
• Communicate significant changes in assessment findings to the nurse in charge and other health‑care providers, and summarize patient status in team meetings and reports.
• Plan treatment interventions with patient, family and health‑care team based on the nursing process.
• Initiate and complete a patient care plan within 8 hours of admission in accordance with the admission procedure.
• Plan for patient/staff safety according to established hospital procedures.
• Develop and update the patient care plan each shift to reflect patient status.
• Formulate patient and family treatment goals; identify nursing interventions based on those goals.
• Identify patient/family strengths and inpatient and after‑care needs.
• Formulate measurable short‑ and long‑term goals with timelines.
• Maintain therapeutic alliance with patients and families, reflected in documentation and supervision.
• Advocate for patients by supporting the Bill of Rights and child mental‑health law.
• Acquire and maintain technical and psychiatric specialty skills appropriate to the clinical program.
• Implement interventions as specified in the Nursing Care Plan within established time frames.
• Follow policies, procedures, program protocols and The Joint Commission standards to ensure safe practice.
• Provide patient education regarding procedures before implementation.
• Administer and document prescribed medications (scheduled/PRN) according to protocol.
• Assess and document medication effectiveness and side‑effects.
• Transcribe physician orders accurately and implement them as prescribed.
• Evaluate the effectiveness of care provided and modify interventions as needed.
• Seek consultation and guidance through established supervision lines to resolve issues affecting patient outcomes and relationships.
• Participate in quality‑assurance data collection and contribute to the Program‑based quality‑assurance program.
• Communicate patient status through behaviorally oriented procedures.
• Question medical orders that conflict with ethical or patient‑care standards.
• Participate in ongoing development and implementation of the therapeutic milieu.
• Provide milieu management each shift by assessing and responding to acute patient‑group needs, including safety, group interactions and staff interactions.
• Respond promptly to assistance requests beyond the unit level as directed by Program protocol.
• Provide leadership during acute or emergency situations; serve as a member of the Emergency Response Team.
• Lead or co‑lead therapeutic milieu groups, supporting individual patient participation.
• Organize and participate in informal patient groups within the program‑based milieu assessment.
• Communicate changes in individual patient/milieu status to the nurse in charge.
• Participate directly in the milieu program as a direct‑care provider.
• Demonstrate leadership in organizing the delivery of patient care.
• Supervise Behavioral Health Specialists and support staff within their scope of practice.
• Prioritize interventions in rapidly changing patient situations, demonstrating organized response to optimize patient welfare.
• Provide consistent leadership on the unit when assigned as nurse in charge.
• Identify and address teaching needs of patients, families and other health‑care providers; document teaching in the care plan.
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