Psychiatric RN - Community Outpatient

GHI Gateway Healthcare•Pawtucket, RI

About The Position

The Psychiatric RN works in an outpatient/community behavioral health setting at Gateway Healthcare, serving clients with lower clinical and medical acuity. The position is full-time, 40 hours per week, on a day shift, with Monday–Friday business hours and rotating on-call duties. The nurse works autonomously within a team-based environment and may arrange or request schedule flexibility within the assigned work week. Driving is required. The RN provides behavioral health assessments and case management, supports medication-related care, and coordinates with clients, group homes, hospitals, care organizations, and multidisciplinary team members. Orientation to behavioral health nursing practice is provided through an outcome- and competency-based process designed to support experienced and new nurses in developing safe, autonomous practice. The role is expected to function within the scope of licensure and the requirements of Gateway Healthcare and the Rhode Island State Board of Nursing. Brown University Health employees are expected to model the values of Compassion, Accountability, Respect, and Excellence. Gateway Nursing incorporates QSEN competencies into practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. The RN will collaborate with multidisciplinary team members to develop innovative programs and foster the adoption and sustainability of innovations.

Requirements

  • Current Rhode Island Registered Nurse licensure through the Rhode Island Board of Nursing, or RN licensure in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
  • ADN, BSN, or Diploma in Nursing.
  • Demonstrated knowledge and clinical skills necessary to provide patient care across Brown University Health, considering the aging process, stages of human development, and cultural diversity.
  • Maintain clinical competency to understand processes and identify barriers to improving patient care quality and the healthcare/workplace care environment.
  • Demonstrate the ability to provide quality nursing services with a commitment to continuous quality improvement.
  • Develop and maintain expertise in the field to address questions and provide strategic direction for quality and safety.
  • Obtain certification in a behavioral health specialty within two years of hire.
  • Ability to drive.

Responsibilities

  • Perform client assessments for behavioral health care and case management.
  • Conduct nursing physical and behavioral health assessments and required physiological, psychological, and psychosocial screenings.
  • Follow Universal Precautions and COVID-19 precautions, including donning and doffing PPE as needed.
  • Document care in the LifeChart electronic health record, including DAP notes, medical database entries, and care coordination related to assessments, injections, and other services.
  • Safely prepare and administer intramuscular injections.
  • Reconcile orders and medications, transcribe medication sheets, and safely pack medications in the group home environment.
  • Admit clients to the group home environment from outside hospitals or care organizations.
  • Deliver medications and rep-payee checks to clients.
  • Escalate care concerns in a timely manner to appropriate parties.
  • Use sound clinical judgment to determine how and when to perform tasks and manage complex cases and long-term conditions.
  • Develop nursing practice through self-reflection and evaluation.
  • Consult Gateway Nursing Leadership and Risk Management when appropriate and escalate care as needed.
  • Collaborate with multidisciplinary team members to develop innovative programs and foster the adoption and sustainability of innovations.
  • Perform other duties as assigned.
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