Facility Based Crisis (FBC) Nurse

Easterseals PORT Health•Ahoskie, NC

5d•Onsite

About The Position

The FBC Nurse provides direct nursing care, medication administration, and ongoing health monitoring for adults experiencing behavioral health or substance use crises in a 24/7 Facility‑Based Crisis (FBC) program. Working under the direction of the FBC Program Supervisor and within the NC Nurse Practice Act, the FBC Nurse implements provider-ordered treatment protocols, supports crisis stabilization and withdrawal monitoring, and promotes a safe, therapeutic environment. The FBC Nurse also assists with training and supporting facility staff in nursing-related tasks and clinical expectations.

Requirements

Active, unencumbered North Carolina RN or LPN license, or a valid Multistate/Compact RN or LPN license.
One year of experience in behavioral health or substance use treatment preferred.
Strong oral and written communication skills.
Demonstrated sound clinical judgement within scope of practices; ability to maintain confidentiality and professional ethics at all times.
Ability to manage multiple priorities and work effectively in a fast-paced crisis environment.
Valid unrestricted North Carolina driver’s license, reliable transportation, and current vehicle insurance.
Proficiency with EHR systems or technically savvy.

Responsibilities

Perform nursing screenings, collect vital signs, complete withdrawal risk assessments (CIWA/COWS).
Monitor medical, emotional, and psychiatric stability, including behavioral health safety concerns.
Assess and document acute psychiatric symptoms, safety risks, and changes in condition.
Participate in crisis stabilization interventions and support a safe, therapeutic environment.
Administer medication, including PRN and emergency medications.
Monitor for medication effectiveness and adverse reactions.
Ensure medical safety, accurate documentation, and controlled substance accountability.
Implement provider-ordered treatment protocols, including detoxification and symptom-management orders.
Consult with the provider as needed regarding patient status or treatment concerns.
Lead de-escalation efforts and coach staff in trauma-informed crisis response.
Serve as the clinical liaison for the shift team, promoting consistent communication and care.
Provide clinical guidance to non-licensed personnel.
Support the FBC Program Supervisor by reinforcing clinical expectations and standards.
Maintain accurate and timely documentation of screenings, assessments, interventions, incident reports, and medication administration.
Participate in audits, quality improvement activities, drills, and incident reviews.
Uphold infection control standards, patient rights, and emergency preparedness requirements.
Comply with Easterseals PORT Health policies and procedures, accrediting body standards, and applicable regulatory requirements.
Assist the FBC Program Supervisor in training and supporting non-licensed personnel in medication‑related tasks, including vital sign collection, medication administration, medication safety, observation and reporting, and documentation accuracy.
RN only: May validate task readiness within RN delegation rules.
Complete required training within prescribed timeframes.
Other duties as assigned.