Registered Nurse -Adolescent

Mass General Brigham•Middleborough, MA

4d•$35 - $73•Onsite

About The Position

The Registered Nurse provides immediate and long-term nursing care to patients using the nursing process and adhering to department, hospital, and regulatory standards. This is a patient-care role in the ART, a 22-bed short-term residential treatment program in Middleboro, Massachusetts. The program uses dialectical behavior therapy (DBT) as its primary treatment modality for patients experiencing psychiatric and psychosocial challenges, including suicidal and non-suicidal self-injurious behaviors, mood and anxiety disorders, substance misuse, psychosis, and trauma reactivity. The nurse assesses patient needs and functional status, develops and individualizes care plans, provides and evaluates nursing interventions, administers medications safely, and communicates clinical findings to the healthcare team. The role also includes crisis de-escalation, participation in treatment planning and patient groups, patient and family education, leadership and delegation of care, and ongoing professional development. The position is per diem, onsite, and has a rotating shift.

Requirements

Associate’s degree in Nursing required; experience cannot substitute for the degree.
Current Registered Nurse state license required.
Clinical nursing experience of 0–1 year required.
Familiarity with principles and skills needed to provide practical nursing care and treatment.
Knowledge of care requirements for the age groups served.
Ability to maintain confidentiality and secure sensitive information.
Knowledge of medical terminology.
Excellent verbal and communication skills.
Ability to accurately screen and triage acute patients.

Nice To Haves

Bachelor’s degree in Nursing preferred.

Responsibilities

Assess patients’ needs and functional status using multiple data sources and a recovery-oriented framework.
Perform point-of-care testing and communicate findings effectively to the healthcare team.
Document patient responses to interventions and treatment in the medical record, Nursing Plan of Care, protocols, and Assessment Flowsheet.
Identify behaviors that may contribute to a crisis and use verbal and non-verbal techniques to de-escalate crisis situations.
Plan, provide, individualize, and evaluate nursing interventions and care plans.
Participate in developing multidisciplinary treatment plans and prioritize patient care needs.
Partner with patients and families to support recovery goals and establish therapeutic alliances with assigned patients.
Administer medications safely, accurately, and on time using BMV scanning; review physician orders promptly.
Promote least-restrictive alternatives and recovery-oriented goals, and participate in leading patient groups.
Communicate patients’ clinical status during team rounds and shift-change reports.
Use evidence-based nursing knowledge to guide practice decisions and organize patient care.
Provide direction and supervision to MHSs, delegate care interventions, and assume a leadership role during medical and psychiatric emergencies.
Promote or provide critical-incident debriefing after emergency events and anticipate acute milieu problems, assigning staff appropriately.
Participate in training and education for RNs, MHSs, and other healthcare providers.
Provide health teaching to patients and significant others, document teaching, and inform the treatment team of learning needs.
Complete mandatory in-service requirements and maintain competency for the patient population.
Seek feedback and identify professional and practice-development needs with a supervisor.
Maintain patient privacy and confidentiality and communicate positively, supportively, and courteously with patients and staff.
Manage time effectively, contribute to hospital and unit productivity and cost-effectiveness, and manage services and supplies economically.
Notify the shift coordinator or charge nurse of availability for additional assignments.