Milieu Counselor

Bridgeport, CT
Feb 6, 2019


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


Working collaboratively as a member of a multidisciplinary treatment team, the Milieu Counselor is assigned to and works under the direction of a Registered Nurse, participating in carrying out nursing interventions to provide patients with opportunities for learning and adaptive ways of coping. The Milieu Counselor works collaboratively with the licensed staff on the ongoing development of the milieu and activities that promote quality patient outcomes .

  • 1. Assists the nursing staff in maintaining a therapeutic milieu/environment to ensure the care and treatment of patients.
  • 1.1 Acts as a coefacilitator in select unit based therapeutic groups as identified by Nurse Manager.
  • 1.2 Participates in the ongoing development of the therapeutic milieu/environment, creatively shapes milieu activities to the needs of the current patient population''s developmental needs.
  • 1.3 Engages in anticipatory planning and problem solving in collaboration with the Primary/Associate Nurse within the milieu/environment.
  • 1.4 Initiates patient activities and social interactions in individual and group situations consistent with the nursing plan of care.
  • 1.5 Provides environmental and emotional safety for each patient through consistent limit setting, physical holding and restraining, as well as monitoring activities and interactions of visitors, under direction of the Registered Nurse.
  • 1.6 Maintains a clean and safe patient environment.
  • 1.7 Collaborates with the RN, RT, Social Worker or Occupational Therapist in coefacilitating therapeutic activity and/or treatment oriented groups; attends supervision as scheduled to increase understanding of coefacilitator relationship and patient responses to groups.
  • 1.8 Provides the appropriate level of safety monitoring (safety checks, 1:1, line of sight) for each patient as delegated by the RN
  • 2. Under the direction of the Registered Nurse, provides individualized patient care to insure the safety and dignity of the patient.
  • 2.1 Collaborates with members of multidisciplinary team offering suggestions and recommendations on addressing patient/family needs.
  • 2.2 Follows the patient care plan preserving patients'' safety, dignity and autonomy.
  • 2.3 Assists the RN in obtaining specimens within 24 hours of orders; obtains and records accurate I&O data and accurately records behavioral observations, while preserving patient''s safety, dignity and autonomy.
  • 2.4 Teaches and assists patients with activities of daily living while preserving patient safety, dignity and autonomy.
  • 2.5 Collaborates with primary and/or Associate Nurse to assist in the development and ongoing evaluation of the patient''s plan of care and development of discharge plan.
  • 2.6 Observes and documents behavioral responses to interventions in the NCP in clear concise manner utilizing nursing process format.
  • 2.7 Notifies the patient''s nurse of any changes in the patient''s physical/ psychiatric condition and requests assessment by the patient''s nurse
  • 2.8 Collaborates with the primary nurse to assist patient in undergoing testing and consultations in other areas of the hospital
  • 2.9 In collaboration with the nurse, develops alliances with the patient''s family; participates in teaching behavioral techniques consistent with the NCP and in collaboration with the multidisciplinary team
  • 2.10 Performs vital signs as delegated by RN.
  • 3. Participates in unit activities that promote a cohesive staff group.
  • 3.1 Participates in interdisciplinary staff meetings and if unable to attend, reads and signs minutes.
  • 3.2 Participates in and attends scheduled nursing staff meetings and if unable to attend, reads and signs minutes.
  • 3.3 Participates in unit based activities that have a positive impact on unit practice (e.g., collaborates with licensed staff on inservice presentations, policy development task force, etc.)
  • 3.4 Maintains all mandatory continuing education classes and attends six (6) hours of inservice classes yearly, e.g., exceedseattends conferences outside of unit and brings information back to be shared.
  • 3.5 Attends nursing supervision as scheduled and seeks supervision from RN'', SLE, Assistant Patient Service Manager and/ or Patient Service Manager, as appropriate.
  • 4. Demonstrates accountability and responsibility for actions.
  • 4.1 Demonstrates compliance with legal, regulatory and psychiatric policies.
  • 4.2 Uses correct resources for clarification of policies/procedures and assists Psych. Tech.
  • 4.3 Demonstrates interpersonal skills in professional relationships with health workers as evidenced by observation by supervisor
  • 4.4 Demonstrates competency in managing patient problems as observed by supervisor.
  • 4.5 Demonstrates reliable skills in new or unexpected situations as observed by supervisor.
  • 4.6 Meets personnel policy guidelines for punctuality as evidenced by time keeping records and as observed by supervisor.
  • 4.7 Relocates and rotates to meet patient care needs.
  • 4.8 Prioritizes patient care to complete assignments in a timely manner as observed by supervisor.
  • 4.9 Completes indirect patient assignment accurately in a timely manner as observed by supervisor.
  • 4.10 Identifies areas in performance needing improvement as evidenced by ongoing communication with supervisor.
  • 4.11 Develops skills applicable to the unit/division as observed by supervisor.
  • 4.12 Accepts constructive criticism and responds by implementing corrective action as observed by supervisor.
  • 4.13 Demonstrates compliance with High Reliability Organization (HRO) safety principles.
  • 5. Completes non-therapeutic functions under the direction of RN, APRN, PA, or MD.
  • 5.1 Remove medication(s) from the pneumatic tube system sent from the Pharmacy or Hospital Supply to the unit/patient care area.
  • 5.2 Immediately deliver the medication(s) from the pneumatic tube system to the appropriate Registered Nurse, Physician, Advanced Practice Registered Nurse, Physician Assistant or other appropriate licensed practitioner.
  • 5.3 As directed by a Registered Nurse, Physician, Nurse Practitioner, Physician Assistant or other appropriate licensed practitioner, remove IV solutions from the patient care area''s clean utility room and immediately deliver to the appropriate licensed practitioner.
  • 5.4 As directed by a Registered Nurse, Physician, Nurse Practitioner, Physician Assistant or other appropriate licensed practitioner, stock IV solutions in the patient care area''s clean utility room.

    Other information:

    Associates degree required. Bachelor degree and Certified Nursing Assistant certification preferred
    Minimum two (2) years prior experience in Psychology and or related field, working with specialized populations such as adults, adolescents and or children and families with psychiatric illness.
    Ability to work collaboratively in an interdisciplinary team to communicate and effectively deal with complex effectively charged situations and possess group facilitation and crisis management skills .
    While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. They are also required to stand and walk. They must occasionally lift and/or move up to 25 pounds. Specific vision abilities require include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. The noise level in the work environment is usually moderate.

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    Job Info

    Job: 384

    Department: Psychiatry NE8
    Category: Clinical-other
    Status: Part Time With Benefits
    Shift: DAY/EVENING
    Hours: 28.00