Site: The McLean Hospital Corporation
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Job Summary
Summary
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.
Does this position require Patient Care?
Yes
Essential Functions
-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.
-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.
-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.
-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.
-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.
-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.
-Maintains a commitment to professional growth and competency.
1 Completes mandatory in-service requirements.
2 Maintains competency for treating patient population.
3 Seeks constructive feedback regarding work performance from peers and professional colleagues.
4 Identifies strengths and areas for professional/practice development with supervisor.
-Demonstrates effective interpersonal communication.
1 Maintains patient privacy and confidentiality.
2 Communicates positively, supportively, and with courtesy to the patients and staff.
3 Presents self in a positive and professional manner.
-Contributes to the productivity and cost-effectiveness of the hospital, department, and unit.
1 Demonstrates effective time management.
2 Demonstrates economical management of services and supplies.
3 Notifies shift coordinator/charge nurse of availability for additional assignments.
Qualifications
Education Other Certificate/Diploma Nursing required or Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only required Experience one year medical/psychiatric experience preferred preferred Knowledge, Skills and Abilities - Demonstrated written and verbal communication skills, ability to utilize the nursing process and to work collaboratively. - Must complete and pass Epic training within 30 days of hire. - Successful passing (80% or higher) of Epic training modules(s) is a minimum requirement of the job.
Additional Job Details (if applicable)
Physical RequirementsStanding Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)
Remote Type
Onsite
Work Location
115 Mill Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Rotating (United States of America)
EEO Statement:
The McLean Hospital Corporation is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
