Registered Nurse -Adolescent

Mass General Brigham•Middleborough, MA

3d•Onsite

About The Position

The Registered Nurse provides immediate and long-term nursing care to patients, using the nursing process and following department, hospital, and regulatory standards. This is a patient-care role in the Adolescent program at 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 and serves patients with psychiatric and psychosocial challenges, including suicidal and non-suicidal self-injury, mood and anxiety disorders, substance misuse, psychosis, and trauma reactivity. The nurse assesses patient needs, plans and implements individualized nursing interventions, evaluates care, administers medications, communicates clinical status, and collaborates with patients, families, and the multidisciplinary team. The role also includes providing direction to MHSs, participating in emergency response and debriefing, supporting patient education and recovery goals, and maintaining professional competency, confidentiality, and effective use of time and resources.

Requirements

Associate's degree in Nursing required; a Bachelor's degree in Nursing is preferred.
Registered Nurse [RN - State License] required.
Clinical nursing experience of 0–1 year required.
Familiarity with principles and skills needed for practical nursing and patient 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.

Responsibilities

Assess patient needs using multiple data sources, determine health problems and functional status, and identify patient strengths using a recovery-oriented framework.
Perform point-of-care testing and communicate findings to the healthcare team.
Document patient responses to interventions and treatment in the appropriate records and flowsheets.
Recognize behaviors that may contribute to a crisis and use verbal and non-verbal techniques to de-escalate situations.
Plan, individualize, and modify nursing interventions, plans of care, and protocols for assigned patients.
Participate in developing multidisciplinary treatment plans and prioritize patient care needs.
Partner with patients and families to support recovery goals and establish therapeutic relationships with assigned patients.
Provide nursing care interventions and administer medications safely, accurately, and on time using BMV scanning; review physician orders promptly.
Promote least-restrictive interventions and recovery-oriented goals, and participate in leading patient groups.
Evaluate nursing interventions and communicate patients’ clinical status during team rounds and change-of-shift reports.
Use evidence-based nursing knowledge to guide practice and provide leadership in organizing and delivering patient care.
Provide direction and supervision to MHSs, delegate care interventions, and anticipate acute milieu problems to assign staff appropriately.
Take a leadership role in medical and psychiatric emergencies and promote or provide critical-incident debriefing after emergency events.
Participate in training and education for RNs, MHSs, and other healthcare providers.
Teach patients and significant others about health needs and recovery goals, document teaching, and inform the treatment team of learning needs.
Maintain professional growth and competency, complete mandatory in-service requirements, seek feedback, and identify development needs with a supervisor.
Communicate effectively and courteously, maintain patient privacy and confidentiality, and present professionally.
Manage time effectively, use services and supplies economically, contribute to productivity and cost-effectiveness, and notify the shift coordinator or charge nurse of availability for additional assignments.