Registered Nurse, Per Diem

Brown Medicine•Madison, WI

1d•$36 - $71•Onsite

About The Position

This per diem Registered Nurse position is based at Exeter House in Exeter, Rhode Island, within the Bradley Hospital Residential Program. The variable-shift role requires a minimum of four shifts per month and provides nursing care to children and adolescents. Using the nursing process, the nurse addresses patients’ acute and long-term care needs, as well as the needs of their families and the Program milieu, in accordance with Program, Department, and Hospital standards. The nurse assesses patients, plans and implements individualized care, evaluates outcomes, administers and documents medications, provides patient and family education, and supports a safe therapeutic milieu. The role also includes communication and collaboration with the care team, leadership during acute or emergency situations, supervision of milieu therapists and support staff within their scope of practice, participation in quality assurance and staff development, and adherence to Hospital and Program policies. Brown University Health employees are expected to model the organization’s values of Compassion, Accountability, Respect, and Excellence.

Requirements

Current Registered Nurse licensure in Rhode Island through the Rhode Island Board of Nursing or licensure under the Nurse Licensure Compact.
Graduate of a school of nursing.
Knowledge and skills to provide care while considering aging processes, human developmental stages, and cultural patterns throughout the care process.
Strong background and experience working with students with emotional and behavioral disorders and developmental disabilities, including intellectual disability or autism spectrum disorders.
Current certification in crisis management.
Current CPR certification.

Nice To Haves

One year of psychiatric nursing and/or pediatric nursing experience is preferred.

Responsibilities

Assess patients’ immediate and long-term nursing needs and initiate and document biopsychosocial and nursing assessments according to admission procedures.
Communicate significant changes in patient or milieu status to the nurse in charge and other appropriate providers, and report patient status in team meetings and handoffs.
Initiate and complete patient care plans within required time frames; update plans each shift with treatment goals, nursing interventions, patient and family strengths, and inpatient and aftercare needs.
Plan for patient and staff safety according to established Hospital procedures.
Provide individualized nursing care and therapeutic milieu-based care, implementing interventions within the Nursing Care Plan and established time frames.
Establish and maintain therapeutic relationships with patients and the milieu, document care, and support patient rights and applicable child mental health law.
Maintain technical and psychiatric specialty skills appropriate to the clinical program and follow Hospital policies, Program protocols, and Joint Commission standards.
Educate patients about procedures before implementation; administer and document prescribed medications, assess their effectiveness and side effects, and accurately transcribe and implement physician orders.
Evaluate the effectiveness of care and interventions, modify interventions in response to patients, and seek consultation through established supervisory channels when needed.
Participate in quality assurance data collection and the Program-based nursing quality assurance program.
Communicate patient status using behaviorally oriented procedures and respectfully question orders that conflict with ethical or patient-care standards.
Support development and implementation of the therapeutic milieu, including assessing and responding to environmental safety, patient-group needs, and staff interactions.
Respond to requests for assistance beyond the unit when directed and provide leadership in acute or emergency situations, including participation as a member of the Emergency Response Team.
Lead or co-lead therapeutic milieu groups, encourage patient participation, organize informal patient groups, and directly participate in the milieu program as a care provider.
Organize delivery of patient care and supervise Milieu Therapists and support staff within their scope of practice and applicable standards.
Prioritize interventions in rapidly changing situations and provide unit leadership when assigned as nurse in charge.
Identify, provide, and document teaching for patients, families, and health care providers; assist with orientation of new employees and students and provide instruction in therapeutic techniques and nursing procedures.
Maintain professional growth and competency, manage time effectively, complete assigned work and documentation, and follow required schedules and coverage procedures.
Share current field knowledge with the health care team and participate in performance appraisal, staff meetings, assigned Program meetings, staff development, and Program Development Day presentations.
Maintain current crisis management and CPR certifications and comply with Hospital, Department, and Program policies and procedures.