Under the general supervision of the Nurse Manager, Senior Milieu Therapist and Charge RN, is responsible for the care and safety of assigned children. As a member of the multidisciplinary treatment team, assumes primary milieu therapist role. Is responsible for the input into the formulation of a therapeutic milieu treatment plan, and the implementation, observation and documentation of this program under the direction of the multidisciplinary team.
Provides services to medically compromised and emotionally disturbed children / adolescents. 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
PRINCIPAL DUTIES AND
- Frontline clinical position for either / both the child (ages 6
- 12 years old) or teen ages 13
- 18, with some children functioning at the range of 4
- 5years old. Manages the structure of the day for significantly medically and emotionally unstable children. Has the ability to lead a group of 6
- 10 pediatric patients who are struggling with severe medical and psychosocial issues through the structured components of their day. Involved with the implementation of behavior plans for the behavioral age groups. Participates in support/supervision related to meal plans. Creates, participates, demonstrates analytical skills and an understanding of psychiatric / medical illnesses and organizes therapeutic and recreational activities to meet the psychosocial and developmental needs for children ranging from 6
- 18 years of age. Creates developmentally appropriate therapeutic recreational activities for varying ages with understanding of relations issues for the school age population. Participates in maintaining a safe and therapeutic environment. Participates in operation of the milieu care plan for assigned patients according to established department and unit-based procedure / policy. Demonstrates appropriate critical incident follow-up skills by timely verbal reporting to charge RN/ Senior MT and documentation in the medical record. Intervenes in disruptive milieu or destructive to self / other patient situations providing timely therapeutic intervention(s). Completes initial milieu assessment within a 24-hour period. Collaborates with other members of the multidisciplinary team. Supports and contributes to the development of milieu therapy care plans / behavioral management. Assists patient searches as appropriate and escorts patients to other departments in the hospital. Demonstrates ability to set consistent and supportive therapeutic limits within guidelines of hospital, unit, department and standards. Institutes behavioral programs specific to the needs of the patient in collaboration with the multidisciplinary team. Handles crisis situations in a safe, effective manner. Has the ability to multitask during a highly structured program day. Maintains and documents level of patient observation as ordered by the Multidisciplinary Team/Nurse Manager/Senior MT. Actively participates in the treatment planning process by attending multidisciplinary team rounds 4 days a week. Communicates individual patient milieu treatment plans in an ongoing manner to the members on the multidisciplinary treatment team throughout the day in order to modify individual treatment plans as clinically necessary. Actively participates in treatment team, shift report and clinical supervision. Demonstrates interpersonal and communication skills to effectively interact with patient/families as well as other members of the healthcare team. Consistently models to patient/ families appropriate and therapeutic interpersonal staff/patient interactions. Initiates formalnformal supervision with the Senior Milieu Therapist and Nurse Manager and incorporates feedback for improvement/ changes in job performance. Adheres to hospital, departmental and unit policies and procedures. Consistently follows all hospital and departmental policies and procedures. Consistently follows all unit-based policies and procedures. Is aware of departmental QA indicators and responsibilities related to such.
BASIC KNOWLEDGE: Associate Degree required. Baccalaureate Degree in a Human Service or related field preferred. Other education and experience considered and may be substituted for educational requirements at the discretion of the Hiring Manager.
Must demonstrate aptitude and willingness to learn role related skills. Current CPR certification Current RIH Crisis Management certification or current enrollment Demonstrates a theoretical understanding of children within families. Must have sound understanding of the social and developmental issues that are encountered in the medically ill child and teen populations.
Understanding of body image, self-esteem and identity development issues particular to teenagers Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging process, human development stages and cultural patterns in each step of the care process
One year of recent (within 3 years) experience in a pediatric environment ages 6-18 Experience with medically compromised and/or emotionally impaired children WORK ENVIRONMENT AND PHYSICAL REOUIREMENTS: General Hospital environment with occasional stressful conditions associated with children with emotional and behavioral disorders. INDEPENDENT ACTION: Responds to individual patient-care situations demonstrating knowledge and skills acquired through education, certification and work experience.
SUPERVISORY RESPONSIBILITY: None
- Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: Variable Work
Day Driving Required: No Union: United Nurses And Allied Professional