GENERAL DEFINITION OF CLASS: Within a state hospital or inpatient medical facility, to provide direct care and treatment to severely and chronically mentally disabled patients in a secure forensic treatment setting within Rhode Island State Psychiatric Hospital (RISPH). It involves promoting the therapeutic milieu while exercising custody and supervision of forensic patients consistent with nursing care and treatment plans; performs related work in a forensic setting as required. SUPERVISION RECEIVED: Works under the supervision of a registered nurse whom assignments are received in outline form; specific instructions are given with each new or unusual assignment; work is subject to review and inspection in process and upon completion for effectiveness and conformance with standards of care within the RIPSH, specifically at the forensic setting, including hospital policies, procedures and instructions. SUPERVISION EXERCISED: None ILLUSTRATIVE EXAMPLES OF WORK PERFORMED: Within a state hospital or inpatient medical facility, to provide direct care and treatment to severely and chronically mentally disabled patients in a secure forensic treatment setting within Rhode Island State Psychiatric Hospital (RISPH). It involves promoting the therapeutic milieu while exercising custody and supervision of forensic patients consistent with nursing care and treatment plans performs related work in a forensic setting as required. To perform a variety of duties involved in providing direct care and treatment to severely and chronically mentally disabled patients within the RISPH. To perform duties related to therapeutic evaluation. To interact with patients; listen, encourage, support and provide appropriate feedback. To assist professional staff in formulating and implementing treatment plans and serve as a member of the treatment team. To wake, bathe, dress, feed and groom patients as necessary and prepare them for visitors, grounds privileges, off-site appointments and bed. To observe policies and procedures pertaining to the security of the building which includes but not limited to conduct rounds; take patient count and conduct safety checks; file ward status reports; observe unusual behavior and report unusual incidents to a superior. To escort doctors and visitors on wards as required. To ensure that patients quarters are in sanitary, safe and orderly condition and free of dangerous or unapproved items constituting sharps, contraband or flammables as per RISPH policy. To organize, plan, direct, implement, and participate in unit-based therapeutic patient activities and off-unit activity programs. To physically restrain patients when necessary commensurate with hospital policy and behavioral emergency response training. Restraints are applied under supervision as directed and as per RISPH restraint policy. To observe and report on the physical health of patients; bring signs and symptoms of physical illness to the attention of a superior; assist with physicals of blood work and collect specimens as assigned. Take temperature, pulse and respiration rates. To carry outpatient admission, discharge and transfer procedures; inspect patients for sharps, contraband and flammables as directed and as per RISPH policy. To assist professional nurses and other personnel give treatments of prescribed medications. To perform as a member of the therapeutic team by establishing a positive helping relationship with the patients and interacting professionally with other team members in carrying out the treatment programs developed. This includes collaborating with professional staff and contributing to treatment planning quality assurance or performance improvement activities as necessary. To supervise patient recreational activities; escort patient to appointments and off-site activities. To maintain cleanliness and safety of patient immediate environment; care for patient clothing and personal effects. To recognize and implement a full range of infection control and disease prevention measures. To identify and report elopement and participate in searches. To wear only appropriate dress and only hospital-approved identification badge. To provide one-on-one special supervision and observational care as assigned. To perform routine housekeeping duties to maintain the appropriate therapeutic milieu. To do related work as required.
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Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree