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Job Details

Milieu Counselor - Inpatient Adult Psychiatry

Date Posted: 12/14/2021

Requisition Number: 138

Location: CHA Everett Hospital

Work Days: 11p-7:30a includes e/o weekend & hol as assigned

Category: Human and Social Services

Department: Psych West 2

Job Type: Part-Time

Work Shift: Night

Hours/Week: 24

Union: Yes

Union Name: SEIU 1199


West 2 is a 22 bed acute care for Adults ages 19-64 on a behavioral health unit. The unit is dedicated to providing exceptional care to people in our community with mental health and substance abuse illness. We established a philosophy of caring for patients who need mental health services with kindness, respect and dignity, while we provide them with a supportive environment and treatment to help them heal. Our program is dedicated to depression, bipolar disorders, post-traumatic stress disorders, substance abuse and psychotic diagnoses. Our primary objective: we work to help our patients get better so they can live better lives.

To provide quality patient care according to The Cambridge Hospital standards of nursing practice and the role expectations of the Psychiatric Emergency Service: to assess, plan, implement, evaluate, and document that care and to develop professionally.
The Milieu Counselor is a member of the multidisciplinary team who, under the supervision of a Registered Nurse is responsible for a safe and structured service as well as attending to the individual needs of patients in crisis on an inpatient psychiatric setting.

'Performs specific nursing care under the supervision of a staff nurse psychiatric evaluation of cases assigned.
Understands and can perform a mental status exam.
Can take vital signs as directed.
Under the training of the nursing staff can correctly perform vital signs and report finding to the DOC; learns norms.
Routinely takes signs when report of drug use, withdrawal, c/o dizziness.
Documents assessment and completes all record keeping on patients or other data regarding the operation of the service.
Information follows protocol posted
Information is legible.
Information is recorded prior to leaving that shift.
Log book is complete.
Utilizes the communication book as necessary.
Consultation with medical emergency room on patients with psychiatric problems.
Responds as quickly as possible or explains how long it will be before consultation is available.
Makes an effort to see all consultations regardless of complaint.
Consultation with the DOC regarding all cases.
Calls 100% of the time on each case and makes an effort to do so before patient leaves.
Reports assessment in an open manner to encourage collaboration.
Let's concerns re: assessment and dispositions be know clearly and insists on DOC seeing patient when uncertain.
Makes appropriate referrals for clients to be available resources for follow-up care.
Knows the mental health system.
Makes the necessary follow-up calls when referring out of the system.
Triages and screens clients from other areas and refers them to the correct facility.
Knows catchment area resource materials.
Refers clients in a firm but non-hostile manner.
Provides telephone coverage while on duty. Refers all non-emergent calls
to the appropriate department.
Answers by identifying location; can set limits with those calls which are not emergent without
being rude.
Is knowledgeable of insurance contracts and facilitates follow-up or admission accordingly.
Obtains appropriate insurance approval and documents.
Completes and faxes appropriate information to agencies.
Reports off at the end of each shift both verbally and written.
Provides a comprehensive review of the shift.
Documents on report pad all cases pending or scheduled for follow-up stating proposed plans.
Data is legible and organized.
Receives report and follows through on work that needs to be completed from the previous shift.
Makes necessary calls and checks them off as completed so that there's no confusion as to what needs to be done.
May provide liaison to departments/resources which the service interfaces.
Learns the importance of building and continuing relationships with others and attends assigned meetings.
Records the content of the meetings and shares the information
with others.
Informs the nurse manager of the attendance and frequency of the meeting.
Attends and participates in continuing educational activities.
Follows Department of Nursing policy.
Attends Psychiatric EW conference when possible.
Actively participates in assigned supervision and applies this knowledge to improvement of work performance.
Participates in case presentations during morning rounds or other patient care conferences.
Participates in unit monitoring & unit safety.
Knowledge of hospital fire and safety procedures.
Trained in CPR; recertified annually.
Trained and able to act appropriately in restraint procedure: familiar with application of restraints, familiar with procedures and guidelines of the DMH regulations for restraint of patients.
Able to recognize warning signs indicative of increase assertiveness and/or suicidal impulses and reports to the nurse.
Demonstrates proper use of limit setting and behavioral intervention strategies.
Complies with the guidelines of The Cambridge Hospital.
Reviews and follows hospital policy manual and Department of Nursing Policy and Procedure Manual.
Maintains standards of ethical and confidential patient care.
Delivers care according to the Nursing Department Standards of Care.


Other information:
High school diploma required; B.A, B.S., or M.A. preferred or equivalent years human service experience.
PREVIOUS EXPERIENCE: Human Services experience preferred

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

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