Staff Nurse Resource Team

Site: The McLean Hospital Corporation

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

Summary<br>The Gunderson Residence of McLean Hospital is an intensive residential program for individuals with personality disorders. The program uses an integrative treatment approach combining principles of various evidence-based treatments for borderline personality disorder, including Dialectical Behavioral Therapy (DBT), CBT, Mentalization-Based Treatment (MBT), and John Gunderson's Good Psychiatric Management of BPD (GPM). As these treatments are implemented in a highly interpersonally oriented milieu, patients learn more effective ways of managing their thoughts, emotions, behaviors, and interpersonal relationships while an overall treatment emphasis is placed on the importance of building a life outside of treatment through improved functioning in normative social and vocational roles.
The staff RN works closely with the clinical team to provide ongoing medical monitoring, assessment, and counseling for non-psychiatric medical conditions. The RN will provide brief therapy and psychoeducation around treatment, diagnosis, and medications. Duties include coordinating medical care with other McLean services and external clinics and hospitals. Additionally, the RN will provide containment and support for the community given that this is a milieu-based treatment committed to implementing specific evidence-based principles of interpersonal management. They will also be responsible for MAP certification training and testing for counselors and for providing nursing care within the standards of the department, hospital and regulatory agencies.
<br><br>Does this position require Patient Care?<br>Yes<br><br>Essential Functions<br>-1 Utilizes multiple data sources to determine actual/potential health problems and functional status.
Utilizes Recovery Oriented Framework to identify patient strengths.
2 Performs point of care testing.
3 Communicates findings effectively to members of the healthcare team.
4 Documentation reflects response to intervention, demonstrates an understanding of patients’ response to treatment interventions.
5 Identifies patient behaviors that contribute to the development of a crisis; utilizes non-verbal and verbal techniques to de-escalate crisis situation. <br>
-Accurately plans nursing interventions for assigned patients.
1 Modifies and individualizes Nursing Plan of Care and protocols.
2 Participates in the development of the multidisciplinary treatment plan.
3 Demonstrates ability to prioritize patient care needs.
4 Partners with patients/families to support recovery goals. <br>
-Provides and implements nursing care interventions.
1 Establishes a therapeutic alliance with assigned patients.
2 Demonstrates safe, accurate and timely medication administration using BMV scanning.
3 Reviews physician orders in a timely manner.
4 Promotes interventions that provide the least-restrictive alternatives and recovery oriented goals.
5 Participates in leading patient groups. <br>
-Accurately evaluates the effectiveness of nursing care interventions.
1 Documentation on the Nursing Plan of Care, protocols, and Assessment Flowsheet reflects response to intervention, demonstrates an understanding of patients’ response to treatment interventions.
2 Accurately communicates patients’ clinical status at clinical team rounds and change of shift reports.
3 Utilizes evidence based nursing knowledge to guide practice decisions. <br>
-Provides a leadership role in organizing and providing patient care.
1 Provides direction and supervision of MHSs.
Delegate care interventions.
2 Assumes a leadership role in medical and psychiatric emergencies.
3 Promotes/provides for critical incident de-briefing following emergency event.
4 Anticipates acute milieu problems and delegates staff appropriately.
5 Participates in the training and education of RNs, MHSs, and other healthcare providers. <br>
-Provides for teaching needs of patient and significant others.
1 Provides health teaching related to patient needs and recovery goals.
2 Documents teaching in the patient’s record.
3 Informs treatment team of patient and significant others’ learning needs. <br>