Registered Nurse, Per Diem

Brown Medicine•Dunkirk, MD

2d•$36 - $71

About The Position

Registered Nurse: Out-patient/Community Behavioral Health setting Serve a client base with lower clinical/medical acuity. Perform job duties within a team-based work environment. Autonomy of practice with opportunity for arranged/requested flexibility of schedule within the assigned work week. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: The role of the behavioral health RN is challenging and changes on a continuum with client behavior(s). The following framework is needed for new and tenured nurses to safely transition into behavioral health nursing practice. Perform client assessments for behavioral health care and case management. Demonstrate skills for practicing as a nurse in the out-patient/community settings in relation to different modes of care within a given patient demographic: Adherence to Universal Precautions and Covid-19 precautions (donning/doffing PPE) as needed. Nursing physical/behavioral health assessments and required physiological, psychological, and psychosocial screenings. Documentation in the electronic health record, LifeChart: complete DAP Notes, medical database, care coordination (assessments injections, etc.) Safely prepare and administer IM injections. Reconcile orders/medications, transcribe medication sheets, and safely pack medications in the group home environment. Admit client to group home environment from outside hospitals/care organizations. Deliver medications/re-payee checks to clients. Timely Escalation-of-Care/Concerns to appropriate parties. Demonstrate cognitive appropriateness to practice: RN’s must know how and know when to perform tasks, manage complex cases and long-term conditions. Demonstrate (shows/does) development of practice and ability for self-reflection and evaluation. Demonstrate knowledge of when to consult with Gateway Nursing Leadership and Risk management (Escalate Care) Perform other duties as assigned. Orientation to nursing behavioral health practice is provided. Orientation is outcome and competency based, allowing experienced behavioral health RNs, tenured and recent graduate RN’s who are new to the outpatient/community behavioral healthcare setting, meet the needs of developing an autonomous and safe practice. This allows the RN to function the fullest extent of their licensure as defined by Brown University Health’s Gateway Healthcare and the Rhode Island State Board of Nursing, to meet the ever-changing needs of the clients Gateway Healthcare serves. Gateway Nursing incorporates QSEN Competencies into practice: Patient centered care Teamwork and collaboration Evidence Based Practice (EBP) Quality Improvement (QI) Safety Informatics https://qsen.org/competencies/graduate-ksas/ The Registered Nurse will collaborate with multi-disciplinary team members in developing innovative programs to solidify relationships and associations that foster adoption and sustenance of innovations.

Requirements

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
ADN, BSN, or Diploma in Nursing are required.
Must have current licensure to practice as a Registered Nurse in the state of Rhode Island.
Must demonstrate that knowledge has been acquired along with the clinical skills necessary to provide care to patients throughout the Brown University Health with consideration of the aging process, stages of human development, and sensitivity to cultural diversity in each step of the care process.
Maintains clinical competency to understand processes and identify barriers to improve quality of patient care and healthcare/workplace care environment.
Demonstrate 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.

Responsibilities

Perform client assessments for behavioral health care and case management.
Demonstrate skills for practicing as a nurse in the out-patient/community settings in relation to different modes of care within a given patient demographic: Adherence to Universal Precautions and Covid-19 precautions (donning/doffing PPE) as needed.
Nursing physical/behavioral health assessments and required physiological, psychological, and psychosocial screenings.
Documentation in the electronic health record, LifeChart: complete DAP Notes, medical database, care coordination (assessments injections, etc.)
Safely prepare and administer IM injections.
Reconcile orders/medications, transcribe medication sheets, and safely pack medications in the group home environment.
Admit client to group home environment from outside hospitals/care organizations.
Deliver medications/re-payee checks to clients.
Timely Escalation-of-Care/Concerns to appropriate parties.
Demonstrate cognitive appropriateness to practice: RN’s must know how and know when to perform tasks, manage complex cases and long-term conditions.
Demonstrate (shows/does) development of practice and ability for self-reflection and evaluation.
Demonstrate knowledge of when to consult with Gateway Nursing Leadership and Risk management (Escalate Care)
Perform other duties as assigned.