RN position for Bradley Hospital Adolescent Inpatient Unit
part-time 24 hours per week day/evening shift (7:00 am - 3:30 pm
and 3:00 pm - 11:30 pm) every other weekend and holiday.
Adolescent Inpatient Unit is for children ages 13 to 18 who
suffer from serious emotional and behavioral disorders and need
short-term stabilization assessment and treatment for suicidal
aggressive or other unsafe behaviors. The unit features 30 private
adolescent rooms located in small quiet pods that enable staff to
closely monitor and quickly respond to patients.
Utilizing the nursing process is responsible for providing for
the acute and long-term nursing care needs of patients families and
generic Program milieu within the context of Program Department and
Hospital standards. Provides services to children/adolescents.
Provides direct nursing and patient care services through
application of nursing process by assessing patients immediate and
Initiates biopsychosocial assessment of patients acute nursing
needs guided by admission procedure; documents such in required
patient medical records format.
Assures completion of the nursing assessment form within 8 hours
of admission for assigned patient.
Communicates significant changes in assessment findings to the
nurse in charge and other appropriate health care providers and
summarizes the patients status in team meetings and reports.
Provides direct patient care through the application of nursing
process by planning treatment interventions with the patient family
and health care team.
Initiates patient care plan at the time of admission and
completes plan within 8 hours according to admission procedure.
Plans for patient/staff safety according to established Hospital
Develops and updates the patient care plan to reflect the
patient status each shift:
- Formulates patient and family treatment goals.
- Identifies nursing interventions based on treatment goals.
- Identifies patient/family strengths.
- Identifies inpatient and aftercare needs of patient and
- Formulates measurable short and long-term goals with time.
Provides direct patient care services through application of
nursing process by implementing nursing care based on individual
Establishes and maintains an individual and milieu-based
therapeutic alliance as reflected in ongoing documentation and
Serves as a patient advocate by supporting patient Bill of
Rights and child mental health law.
Acquires and maintains technical and psychiatric specialty
skills appropriate to clinical program.
Provides direct patient care within the context of the
Implements interventions as specified in the Nursing Care Plan
within established time frames.
Follows established policies procedures program protocols and
Joint Commission standards to insure safe and effective standards
Provides patient education regarding procedures prior to
Administers and documents prescribed medications
(scheduled/PRNs) according to medical protocol.
Assesses and documents effectiveness of medication and
Accurately transcribes physician orders and implements according
to prescribed medical protocol.
Provides direct patient care services through application of
nursing process by evaluating effectiveness of care provided by
self peers subordinates and other health care providers.
Evaluates the effectiveness of interventions according to
patients response and modifies interventions as needed.
Sees consultation and direction through established lines of
supervision in identifying and resolving situations which interfere
with patient outcomes and work relationships.
Participates in accurate quality assurance data collection and
contributes to the Program and Program-based nursing quality
Demonstrates the ability to communicate the status of the
patients condition through the use of behaviorally oriented
Assertively and respectfully questions any medical orders which
conflict with ethical or patient care standards of nursing/medical
Participates in the ongoing development and implementation of
the therapeutic milieu.
Provides milieu management throughout each shift by assessing
and responding to the acute needs of the patient group
- Safety of the environment.
- Patient group interactions.
- Staff interactions.
Responds immediately to requests for assistance beyond the unit
level when directed and according to Program protocol.
Provides leadership in acute or emergency situations according
to Program standards; participates as a member of the Emergency
Demonstrates group skills in leading and co-leading therapeutic
milieu groups and supports individual patient participation.
Organizes and participates in informal patient groups in
Program-based milieu assessment.
Communicates significant changes in individual patient/milieu
status to nurse in charge.
Directly participates in the milieu program as a direct care
Demonstrates leadership in organizing the delivery of patient
Supervises Milieu Therapists and support staff according to
their scope of practice in accordance with Joint Commission acute
care and Program standards.
Prioritizes interventions in rapidly changing patient situations
as demonstrated by an organized response with an outcome that
optimizes patient welfare in accordance with Program standards.
Provides consistent leadership on unit when assigned as nurse in
charge according to Program standards.
Identifies and provides for teaching needs of patients families
and other health care providers.
Reviews and documents teaching needs in nursing care plan.
Provides basic and complex teaching to patients and documents
response in patients record.
Assists in orientation of new employees and students according
to orientation guidelines.
Provides impromptu instruction and demonstration of therapeutic
techniques nursing procedures and products.
Maintains commitment to professional growth and competency
through ongoing activities that promote professional role
Effectively manages time; recognizing and prioritizing urgent
issues while assuring assigned work is completed.
Follows through on commitments and assigned projects in a timely
Consistently documents required materials keeps records of such
and disseminates to appropriate parties.
Consistently follows established job schedule and required
procedure for assuring adequate coverage during absences.
Maintains current knowledge of the field as demonstrated by
sharing knowledge and skills with members of the health care team
during team meetings report or informal sessions.
Participates in the performance appraisal process by identifying
specific short and long-term professional goals with
Keeps current with changes in the Hospital and Program by
participating in staff meetings reading and initialing all minutes
and new policies and procedures.
Adherence to Hospital Department and Program policies and
Attends six Program meetings per year as assigned.
Maintains current certification in crisis management.
Maintains current CPR certification.
Attends Program staff development as assigned.
Attends monthly Program Development Day presentations as
Consistently follows all Hospital and Departmental policies and
Consistently follows all Program-based policies and
Graduate of a school of nursing with current license to practice
as a Registered Nurse in the State of Rhode Island.
Demonstrated knowledge and skills necessary to provide care to
patients with consideration of aging processes human development
stages and cultural patterns in each step of the care process.
One year of psychiatric nursing and/or pediatric nursing
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
Work is performed in a psychology-based clinical setting
requiring extensive standing walking and occasional lifting of
Strong background and experience working with students with
various emotional and behavioral disorders in addition to a
developmental disability such as mental retardation of autism
Lifespan is an Equal Opportunity / Affirmative Action employer.
All qualified applicants will receive consideration for employment
without regard to race color religion sex national origin age
ethnicity sexual orientation ancestry genetics gender identity or
expression disability protected veteran or marital status. Lifespan
is a VEVRAA Federal Contractor.
Location: Bradley Hospital USA:RI:East Providence
Work Type: Part Time
Shift: Shift 4