Registered Nurse

Overview

SUMMARY:

Utilizing the nursing process, responsible for providing 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/adolescents. Brown University Health employees are expected to role model the organization s values of Compassion, Accountability, Respect, and Excellence as these values guide everyday actions with patients, customers and one another.

In addition to our values, employees are expected to demonstrate core Success Factors:
Instill Trust and Value Differences;
Patient and Community Focus and Collaborate.

• Provides direct nursing and patient care services through application of the 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.
• Ensures 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; summarizes the patient s status in team meetings and reports.
• Provides direct patient care through application of the 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, including: 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 the 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 ensure safe and effective standards of practice.
• Provides patient education regarding procedures prior to implementation. Administers and documents prescribed medications (scheduled/PRN) according to medical protocol; assesses and documents effectiveness of medications and side-effects; accurately transcribes physician orders and implements according to prescribed medical protocol.
• Evaluates the effectiveness of care and modifies interventions as needed; seeks consultation and direction through established lines of supervision to resolve situations impacting patient outcomes and work relationships.
• Participates in data collection for quality assurance and contributes to the Program and Program-based nursing quality assurance program.
• Demonstrates communication of patient status through behaviorally oriented procedures; questions any medical orders that conflict with ethical or patient care standards of nursing/medical backup.
• Participates in ongoing development and implementation of the therapeutic milieu; provides milieu management each shift by addressing safety, patient group interactions, and staff interactions.
• Responds to requests for assistance beyond unit level according to Program protocol; provides leadership in acute or emergency situations as part of the Emergency Response Team.
• Demonstrates group skills in leading therapeutic milieu groups and supports individual patient participation; organizes and participates in informal patient groups within Program-based milieu assessment.
• Communicates significant changes in individual patient/milieu status to nurse in charge; participates as a direct care provider in the milieu program.
• Provides leadership in organizing the delivery of patient care; supervises Milieu Therapists and support staff according to scope of practice and standards.
• Prioritizes interventions in rapidly changing patient situations to optimize patient welfare according to Program standards. Provides consistent leadership on unit when assigned as nurse in charge.
• Identifies and supports teaching needs of patients, families, and other health care providers; documents teaching needs in the nursing care plan; provides basic and complex teaching and documents responses in patient records.
• Assists in orientation of new…