Psychiatric Registered Nurse (RN)
Company: Boston Medical Center
Posted on: June 18, 2022
Boston Medical Center is seeking a Psychiatric Nurse for its
82-bed, behavioral health hospital, located in Brockton, MA.
Brockton hospital operates as a behavioral health accountable care
organization that providing cutting-edge, inpatient treatment and
stabilization for individuals experiencing complex mental health
and substance use needs. Inpatient Psychiatric Nurses are a
critical part of a multi-disciplinary/multi-cultural team that
possess unique expertise and focus on providing quality behavioral
health care to acute populations.
Under general direction of the Nurse Manager, Psychiatric Nurses
are dedicated team members responsible for providing direct patient
care to psychiatric patients. The role encompasses nursing
assessment, diagnosis, planning, intervention, evaluation, and
coordination of care for patients and their families across the
health care continuum. The Psychiatric Nurse is accountable for
clinical, educational, quality and fiscal patient care outcomes
using the model of care designed by the inpatient psychiatric unit
and in accordance with established agency policies, procedures,
protocols, guidelines and standards of practice. The Psychiatric
Nurse works collaboratively with a multidisciplinary team to take
care of the mental, emotional or behavioral disorders for those
patients engaged in services.
Position: Psychiatric Registered Nurse (RN)
Department: Brockton Psych Facility
Schedule: Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
STANDARDS OF CARE
Consistently and effectively utilizes all steps of the nursing
process in the provision of timely, safe, efficient and appropriate
- Assesses the patient and family in a systematic and ongoing
manner for both overt and covert signs and symptoms in accordance
with the standards of clinical nursing practice.
- Collects pertinent data using appropriate assessment
- Prioritizes data according to the patient's immediate condition
- Involves the patient, family/significant others and appropriate
behavioral health care providers in the collection of data when
- Consistently uses clear, concise and effective written/oral
communication and complies with departmental policies when
sharing/documenting relevant patient care data.
- Identifies emergency/crisis situations, communicates such in a
timely manner to appropriate behavioral health care team members,
and responds appropriately when needed.
Analyzes the assessment data to determine appropriate nursing
- Demonstrates use of critical thinking skills, derives and
documents appropriate diagnoses from patient and family assessment
Identifies expected outcomes individualized to the patient.
- Derives and documents realistic, appropriate clinical and
educational patient-centered outcomes consistent with patient's
diagnoses, capabilities and expectations in accordance to the
standards of clinical nursing practice.
- Develops outcomes as measurable goals which include a time
estimate for attainment and provides direction for continuity of
- Mutually formulates outcomes with the patient, significant
others and behavioral health care team when appropriate.
Develops a plan of care that prescribes interventions to attain
- Develops and documents an individualized plan of care that
reflects the patient's condition, prioritizes his/her needs, and
provides for continuity of care.
- Develops the plan with the client, significant others and
appropriate behavioral health care providers.
- Develops a plan reflective of current nursing practice
standards, policies, procedures, protocols and guidelines.
- Plan reflects effective use of available resources and
appropriate internal/external referrals in order to provide
comprehensive care to patients and families.
Implements interventions identified in the nursing and medical plan
- Prioritizes patient care interventions based on fluctuating
patient and Psychiatric unit needs.
- Effectively delegates appropriate patient care activities to
co-workers with appropriate knowledge and skill level and ensures
that co-workers have completed the delegated tasks in a timely
- Provides for a safe, clean Psychatric unit environment through
use of appropriate risk management practices, e.g. labeling and
removing broken/expired equipment/materials from service.
- Demonstrates safe technical competence based on patient needs,
including but not limited to direct care skills, e.g., phlebotomy,
IV insertion, etc., informatics, and equipment
- Implements patient care interventions/treatments and
administers medications in accordance with established practice
standards, policies, and protocols.
- Educates patient and family regarding current illness,
procedures, treatments, plan of care as well as health maintenance,
promotion, and illness/injury prevention.
- In emergency/crisis situations, demonstrates effective decision
making in accordance with standards of clinical nursing practice,
re-prioritizes patient care needs, initiates appropriate response
actions, and directs other team members to ensure a complete and
- Documents interventions according to departmental policy.
Evaluates the patient's progress toward the attainment of clinical
and educational outcomes.
- Conducts systematic and ongoing patient reassessments and
- Evaluates the effectiveness of interventions in relation to
desired outcomes and includes the patient, significant others and
appropriate health care providers in the evaluation process as
- Demonstrates use of critical thinking skills through the
incorporation of ongoing assessment data in the revision of
diagnoses, outcomes and the plan of care.
- Provides follow-up care in person via home visits and via
telephone when needed and when appropriate.
- Documents patient's response to interventions as well as
revisions in diagnoses, outcomes and plan of care according to
STANDARDS OF PROFESSIONAL PERFORMANCE
Systematically evaluates the quality, cost, and effectiveness of
- Participates/leads quality improvement and/or research
activities as appropriate to the individual's position, education,
skills, and practice environment.
- Uses the results of patient satisfaction, quality improvement
and/or research data to initiate changes in practice.
- Accounts for completing daily patient classification data and
incident reports in a timely manner.
- Participates in cost containment initiatives and
- When two or more practice options exist that achieve the same
quality of expected patient outcome, evaluates factors related to
safety, effectiveness and cost when selecting the appropriate
Acts in a professional manner relative to practice standards,
statutes, and regulations.
- Practices in compliance with established practice standards,
policies, procedures, protocols, guidelines, statutes and
regulations (example: DMH, DPH, JCAHO, Fire Code, OSHA, and
- Functions without supervision in a manner appropriate for level
of experience and education.
- Responsible for seeing things through to completion and for
informing appropriate staff of outcomes.
- Offers, seeks out and acts upon constructive feedback regarding
professional practice to improve daily practice and to achieve
goals identified during performance appraisal.
- Takes appropriate steps to effectively resolve peer conflicts
or investigate questionable activities. Discusses such with
individuals involved and seeks assistance from nurse manager when
- Maintains accurate annual professional development record.
- Demonstrates flexibility and ability to positively adapt to
changing staffing/clinical/patient census needs including but not
limited to offering assistance to others, adjusting patient
assignments, floating to other areas/units, etc.
- Demonstrates reliability in regard to attendance and
- Maintains a presentable appearance in accordance with dress
code requirements including wearing a visible identification badge
that identifies one's self as a registered staff nurse.
The nurse acquires and maintains current knowledge in nursing
- To maintain clinical competence in Psychiatric Nursing,
participates in ongoing educational activities to enhance clinical
knowledge and update requisite skills.
- Independently identifies need for in-service/educational
sessions and seeks experience to meet such needs and to maintain
- Completes the following mandatory requirements: annual BLS
certification, institutional mandatory education, e.g., safety
regulations, infection control standards, etc., and
departmental/unit specific competencies.
- Actively participates on unit or departmental based task
forces, councils, or committees.
The nurse contributes to the professional development of peers,
colleagues, and others.
- Takes initiative to share knowledge and skills willingly with
colleagues, students, and novice practitioners in a collegial
- Provides peers with constructive feedback regarding their
practice and professional skills.
- Acts as a resource for new employees, float staff, and other
unit team members.
- Assists in the orientation and/or acts as preceptor for new
employees and/or nursing students.
The nurse's decisions and actions on behalf of patients are
determined in an ethical manner.
- Delivers care in a manner that preserves/protects client
autonomy, dignity, confidentiality, and rights.
- Acts as a patient advocate in order to facilitate meeting
identified patient needs.
- Delivers care in a non-judgmental and nondiscriminatory manner
that is sensitive to and demonstrates respect for patient
- Seeks available resources to help formulate ethical
The nurse collaborates with client, significant others and health
care providers in delivering client care.
- Communicates and consults with client, significant others and
members of the health care team regarding required patient
- Works cooperatively and constructively with all departments and
health care team members to establish an environment that supports
the process of collaboration.
- Participates as an integral member of the health team during
family/staff meetings, formal/informal shift rounds/reports, and
- Coordinates appropriate internal and external referrals to
assist patients to gain access to services, pre-approvals,
- Coordinates discharge activities including arranging for
home/agency referrals when necessary.
- Interprets/translates for patient/family/visitors when
conversant in their native language as needed.
- Acts as a shift charge nurse when requested/needed and oriented
- Performs all other related duties as assigned.
(The above statements in this job description are intended to
depict the general nature and level of work assigned to the
employee(s) in this job. The above is not intended to represent an
exhaustive list of accountable duties and responsibilities
Associate's Degree in Nursing required
BSN required within four years of hire
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Licensed to practice professional nursing as a registered nurse in
the Commonwealth of Massachusetts.
Requires current basic life support (BLS) certification. Some units
may require Advanced Cardiac Life support (ACLS) certification.
Additional certifications may be required for certain practice
Varies depending on the needs of the unit/department.
KNOWLEDGE AND SKILLS:
- Knowledge of professional nursing principles, procedures, and
techniques used in the care and treatment
of patients in psychiatric settings
- Knowledge of social, psychological, and physical factors of
- Knowledge of psychotropic medications and their side
- Knowledge of State and Federal regulations that apply to the
care of patients in inpatient psychiatric settings
- Knowledge of principles of crisis prevention and
- Provides effective leadership in high-stress situations with
sensitivity, tact, and diplomacy
- Basic computer proficiency inclusive of ability to access,
enters, and interpret computerized data/information.
- Effective interpersonal skills to facilitate communication with
various members of the health care team, patients, and
- Organizational skills to set priorities and efficiently
complete assigned work.
- Analytical ability to solve clinical nursing issues and conduct
quality improvement research utilization projects.
- Ability to effectively delegate appropriate patient care
- Effective verbal and written communication skills appropriate
to the patient populations served.
- Physical ability to meet the core job responsibilities in
accordance with practice setting demands for the patient
populations regularly served.
- Ability to effectively manage stress due to critical issues
related to patient care, changing organizational climate and
- Multilingual skills (beyond that of English) in languages
appropriate to the patient populations served by the medical center
Req id: 24409
Keywords: Boston Medical Center, Brockton , Psychiatric Registered Nurse (RN), Healthcare , Brockton, Massachusetts
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