Milieu Nurse Per Diem

Boys and Girls Village INC•Milford, CT

About The Position

The Milieu Nurse provides nursing services and administers medication as needed in a psychiatric residential treatment program and a residential program for adolescent boys with problem sexual behavior. The nurse directly engages with youth, supports the development of adaptive living skills, and works as part of a multidisciplinary team to provide therapeutic services throughout each client’s stay. The role includes supervising and monitoring clients and managing crisis situations calmly and therapeutically in collaboration with mental health workers. The nurse provides and assesses medical care within the limits of the state license and program policies, responds to medical emergencies, completes nursing assessments, monitors emergency safety interventions, and documents care and incidents. The role also includes direct care, behavioral management, recreational and therapeutic programming, participation in weekly groups and staff meetings, and implementation of client treatment and crisis management plans. The position is per diem, and the nurse may be required to stay beyond the end of a shift when coverage is needed. Some travel may be required, and the schedule must remain flexible to meet program needs.

Requirements

  • Be a Registered Nurse licensed in the State of Connecticut and have graduated from an accredited school of nursing.
  • Ability to manage crisis situations, implement behavior modification programs, maintain appropriate boundaries, and work as a team member.
  • Effective communication skills when working with children, families, and other staff.
  • Fulfill competency-based training requirements in TCI and Social Skills Model.
  • Valid driver’s license and clean driving record.
  • Ability to perform TCI in accordance with program policy and procedure.
  • Ability to climb stairs.
  • Ability to maintain a flexible schedule to meet program needs.

Nice To Haves

  • Bilingual ability.
  • Knowledge of cultural diversity and childhood development.
  • CPR certification.
  • Experience working with a psychiatric population or in the congregate care system.
  • Experience working in pediatric care.

Responsibilities

  • Provide a safe, orderly, and nurturing living experience for children in care.
  • Assess and provide medical care as permitted under the state license and program policies and procedures.
  • Administer medication as scheduled by the Program Nurse and prescribed by medical staff.
  • Take direct charge of medical emergencies and evaluate clients’ physical conditions, completing nursing assessments as required.
  • Observe and monitor restraints and complete required documentation.
  • Communicate with supervisors about physical or health issues that may affect the health or safety of clients or staff.
  • Educate mental health workers about medical issues, medication administration, medical policies and procedures, and universal precautions.
  • Assist clients with daily living skills and teach them new skills.
  • Implement program and medical policies and procedures.
  • Monitor, assess, and document emergency safety interventions, including restraints and escorts.
  • Collaborate with mental health workers and milieu supervisors to implement regulations concerning emergency safety interventions.
  • Implement the goals and objectives of each client’s treatment and crisis management plans in daily activities.
  • Complete daily documentation, including PNMI moments in time (Safe Haven), monitoring sheets, and incident reports.
  • Discuss observed issues and client behaviors with supervisors so shift summaries accurately reflect events.
  • Immediately notify supervisors and/or the Director about crisis situations, including elopements, major aggression, and sexual acting out.
  • Immediately notify a supervisor when emergency personnel are on campus.
  • Provide direct care, supervision, behavioral management, recreational programming, and therapeutic programming.
  • Provide crisis intervention using individual, group, and peer principles; perform emergency safety interventions when necessary and in accordance with policy and procedure.
  • Complete required training within indicated time frames.
  • Participate in planning and implementing programming designed to encourage developmental growth across a wide range of ages.
  • Participate in weekly therapeutic groups under clinical staff guidance.
  • Adhere to the staffing schedule; shift assignments are determined by program needs.
  • Attend weekly staff meetings.
  • Accept additional assignments and responsibilities as requested by supervisors.
  • May be required to stay beyond the end of a shift when coverage is needed.
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