Per Diem RN - SUD MGH Bridge Clinic - MGH

Mass General Brigham•Boston, MA

1d•$42 - $106•Onsite

About The Position

The Bridge Clinic Substance Use Disorder per diem Registered Nurse position is part of the Massachusetts General Hospital Program for Substance Use and Addiction Services (PSAS), a hospital-wide program to improve access to evidence-based substance use disorder (SUD) care. This position will provide care in the Bridge Clinic, a transitional clinic that works to engage and stabilize high risk patients before connecting them to long-term care in the community. The Registered Nurse is responsible for assuring competent, compassionate, individualized, nursing care for patients with SUD. This role collaborates with all members of the care team to ensure that patient care is coordinated, comprehensive, and that care transitions are seamless. This is a part-time per diem position, with primary hours from 8:30 AM - 1 PM on Saturdays & Sundays. Additional per diem hours during the week are available to add as desired.

Requirements

Associate's Degree Nursing required or Bachelor's Degree Nursing preferred
Registered Nurse [RN - State License] required
Clinical nursing experience 0-1 year required
Familiarity with the principles and skills needed for practical nursing to provide patient care and treatment.
Knowledgeable of the care required by respective age groups for which care is being provided.
Ability to maintain confidentiality and secure sensitive information.
Knowledge of medical terminology.
Excellent verbal and communication skills.
Ability to accurately screen and triage acute patients.

Nice To Haves

Bachelor's Degree Nursing preferred

Responsibilities

Provide competent, compassionate, evidence-based nursing care utilizing the nursing process and interdisciplinary teamwork, and collaboration.
Actively manage patient flow, including rooming and triaging.
Triage and help identify level of care and intervention needed in cases of substance intoxication or withdrawal.
Expedite appropriate care and treatment of the patient utilizing assessment, critical reasoning and clinical judgment.
Integrate knowledge of each patient’s history and unique circumstances.
Document nursing assessment, interventions, plan and outcome in the patient record in a timely manner.
Assess, triage, provide nursing consultation, and perform follow-up and surveillance of patient status and outcomes, utilizing a variety of telecommunications technologies.
Create a therapeutic relationship with patient and family.
Provide health education to facilitate patient treatment, including but not limited to medications for SUD and PrEP (Pre-exposure prophylaxis), safer drug use, prevention of infections.
Respect and support patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
Work with the pharmacy and the outpatient team to obtain medication orders, prescriptions, refills, and communication as needed.
Complete toxicology screening for patients.
Assess and medically manage withdrawal from opioids appropriate to the level of care provided, or refer for a higher level of care if indicated, using and appropriately interpreting standardized screening and assessment tools and standard withdrawal assessment scales.
Provide outpatient pharmacotherapy for addiction, including opioid antagonist or agonist therapy such as naltrexone, buprenorphine and methadone.
Administer injectable SUD pharmacotherapy as indicated.
Consult with members of the treatment team and other treatment professionals to devise an individualized plan for optimal psychosocial treatment for individual patients.
Work as part of a team involved in intensive case management of individuals with substance use disorders.
Collaborate with all members of the health care team to ensure coordination of care.
Review and follow-up with patients, and members of the health care team, to ensure that patients are current with all necessary tests, screenings and follow-up care.
Attend weekly all team rounds.
Track and follow-up with care team and patient on all critical referrals and test results.
Evaluate effectiveness of care and interventions for assigned group of patients, in collaboration with the health care team.
Communicate with members of the health care team, including in-patient and outpatient teams, to ensure continuity in care transitions.
Create a healthy, respectful work environment.
Maintain and updates clinical knowledge and skills based on current nursing practice.
Adhere to departmental requirements for required training.
Identify specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them.
Any and all other duties as indicated within scope of practice, especially spearheading projects related to addiction care in the practices.
Accountable for interpreting the plan of medical care, assessment of patients' clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients.
Maintain accurate, detailed reports, and records.
Administer medications to patients and monitor patients for reactions or side effects.
Record patients' medical information and vital signs.
Monitor, record, and report symptoms or changes in patients' conditions.
Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
Modify patient treatment plans as indicated by patients' responses and conditions.