Registered Nurse IV

Commonwealth of Massachusetts•Boston, MA

1d•Onsite

About The Position

The Massachusetts Mental Health Center, a part of the Commonwealth of Massachusetts’ Department of Mental Health is seeking a dynamic Registered Nurse IV, to oversee the daily operations of nursing staff and services at the Fenwood Inn. The RN IV acts as licensed supervisor for his/her shift providing clinical oversight, supervision, intakes, assessments/evaluations and implementation of emergency procedures. This position also provides medication teaching and oversees and documents self-administration of medication and shift activities of 40 adult clients and performs charge/supervisory duties for all shift staff and Mental Health Workers. Note: The hours for this position are Monday through Friday 2:30pm to 11pm. Employees in this position will be required to perform mandatory overtime.

Requirements

Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing
Two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility
Of which at least one year must have been in a supervisory, administrative or managerial capacity
Knowledge of the principles of physiological, psychological and emotional growth and development.
Familiar with the types and characteristics of drugs used in treating physical and mental disorders.
Aware of and uses of diagnostic procedures employed in nursing practice.
Experienced utilizing interviewing and problem-solving techniques.
Knowledge of psychotherapies and principles of psychosocial rehabilitation.
Ability to understand and apply rules, regulations, and laws governing agency and unit and maintain accurate records.
Adept at following and giving clear and precise oral and written instructions.
Ability to read and interpret documents such as physician’s orders and treatment plans as well as participate in a multi-disciplinary health care team.
Able to exercise sound judgement, make decisions, and act quickly in emergency situations.
Skilled in establishing rapport and dealing effectively with persons from diverse cultures, races and lifestyles.
Ability to maintain confidentiality of client information.
Accomplished motivating clients to participate in individual treatment plans.
Experienced treating and interacting with persons who are under physical/emotional stress.
Proficient assessing, analyzing, drawing conclusions, and determining the applicability of clinical data in order to make and/or take appropriate actions, recommendations, or referrals.
Able to supervise and evaluate staff and trainees as well as plan and conduct nursing trainings.
Skilled in preparing and implementing treatment plans.

Nice To Haves

Knowledge of the laws, rules, regulations, policies, procedures, specifications, standards and guidelines governing agency and unit.
Familiar with the types and uses of agency forms.
Knowledge of public and private community-based resources for clients.
Experienced with safety practices and procedures followed by agency and unit.
Educated about newer therapies, interventions and behavioral techniques.
Experience with substance abuse.
Spanish speaking preferred.

Responsibilities

Provides direct nursing care including medication administration, taking vital signs, doing scheduled treatments and counseling the patients.
Assesses and evaluates each client daily for any psychiatric or medical changes.
Provides daily medication teaching to clients of the Fenwood Inn to help them become medication independent.
Develops and maintains appropriate therapeutic relationships with clients demonstrating adaptability in response to client preferences and changing needs.
Provides clinical oversight for clients and staff regarding all clinical and medication issues.
Communicates with clinicians on clinically significant issues or changes and documents in shift report and client chart.
Performs all charge/supervisory responsibilities for all staff (MHW’s) for his/her assigned shift.
Provides liaison and consultation with on-call CCS physician regarding client issues, both psychiatric and medical.
Provides emergency assessment and evaluation of a client in crisis, develops a crisis intervention plan with staff, and, if necessary, consults with the B.E.S.T. team if he/she deems a client in need of a B.E.S.T. evaluation.
Oversees and documents self-medication of 40 adult clients.
Monitors/updates physician orders each shift and performs monthly order summary duties.
Identifies staff training needs and provides programming to meet educational needs.
Communicates to administration on all critical incidents including clients missing from Fenwood Inn for 24 hours.
Responsible for updating and completing registration forms on client admission to and discharge from the Fenwood Inn.
Facilitates implementation of Rehab option treatment plan with focus on medication compliance goals for identified Fenwood Inn clients.
Acts as code blue and code green coordinator for his/her shift.
Implements treatment plans using sound clinical judgement, demonstrated through the use of initiative, good decision making ability and follow through with goals/plans.
Collaborates with other departments of MMHC, DMH, and other agencies community programs and social services.
Provides case management services to facilitate least restrictive care, and promotes the highest level of functioning for clients in the community.
Communicates with clients, families, significant others, and other professionals to advocate on behalf of the clients’ treatment goals.
Responds positively to changes in clinical priorities.
Adapts positively to changes in response to change in procedure, responsibility, or assignment at the Fenwood Inn.
Is punctual, and present at start of shift and monitors MHW punctuality.
Recommend new equipment purchases.
Seeks additional knowledge and skills to promote growth by attending conferences, giving conferences, etc.
Provides supervision to other staff and trainees as assigned.
Completes paperwork in a timely manner according to DMH, MMHC and third-party regulatory standards for quality assurance, utilization review and legal requirements.