Summary

Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.

Our Values and Success Factors

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

• Provides direct patient care.
• Provides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.
• Evaluates effectiveness of patient care and identifies opportunities for improvement.
• Collaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.
• Assesses and provides appropriate teaching based on patient and family needs.
• Participates in unit-based quality improvement and research activities.
• Utilizes all available resources to provide quality, cost effective patient care.
• Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.
• Identifies growth needs and participates in educational opportunities and professional organizations.
• Serves as a role model/preceptor to new graduate nurses and less experienced personnel.
• Assumes charge nurse responsibility for the patient care unit as delegated.

Competency Assessment: Key Functions

Nursing Process

• Meets the physical, psychosocial, environmental and educational needs of patients:
  • Child
  • Adolescent
• Analyzes complex patient problems that are frequently changing and requiring continuous problem solving
• Provides direct care to pediatric patients with complex medical and psychiatric diagnoses
• Determines what types of interventions are most valuable for individual patient situations
• Initiates nursing rounds, taking an active role in assessing patient progress and determining appropriateness for specific scheduled activities
• Delegates to the certified nursing assistants and mental health workers as needed

Patient Teaching

• Provides education to patient according to age and developmental level.
• Evaluates the patient’s and/or families/caregivers response to teaching using teach back and GetWell Network methodologies.

Communication

• Recognizes when the patient needs or wants to talk about problems, concerns or fears; fosters relationships that allow for meaningful communication
• Interacts with disorganized patients to orient them to time, person and place; increase their attention span, clarify their thinking with reality testing. Displays an objective non-judgmental attitude.
• Functions as a group leader, demonstrating an understanding of group dynamics
• Participates in group activities and therapy, demonstrating an understanding of group dynamics
• Participates with the multidisciplinary treatment team process by reporting nursing assessment findings on assigned patients. Develops and revises the individualized patient care plan and provides input into the individualized patient treatment plan
• Fosters the concept of maintaining a therapeutic milieu for all patients

Knowledge/Skills

• Protects disorganized, self-destructive or psychotic patients through nursing interventions. Assists with out-of-control patients using de-escalation and physical restraint as needed
• Maintains annual department-specific competency in managing assaultive and challenging behavior, seclusion and restraint guidelines, guidelines for suicide risk and precautions, and emergency unit evacuation procedures
• Attends CPI certification per hospital guidelines within 3 months of employment

Minimum Qualifications

• 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.

Basic Knowledge

• Baccalaureate in Nursing preferred.
• Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.
• Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

Work Environment and Physical Requirements

• Visual and aural ability to monitor patient status.
• Physical ability to assist in lifting and positioning patients.
• Exposed to patient care environment.
• Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

Pay Range: 

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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