Registered Nurse or Licensed Practical Nurse / Night Shift - Sign on Bonus Eligible!

High Point & SEMCOA•Hyannis, MA

5d•Onsite

About The Position

High Point & Affiliated Organizations is hiring a Staff Nurse for its High Point Inpatient Campus in Hyannis. The agency provides substance use and mental health treatment, along with services for survivors of abuse and violence and families experiencing homelessness. Its mission is to treat and prevent substance use disorders and mental illness and help individuals and families improve their quality of life. This position provides nursing care to inpatient patients, including individuals with substance use disorders, psychiatric conditions, and co-occurring medical needs. The nurse assesses patient health, monitors withdrawal symptoms and vital signs, administers medications, supports patient education, coordinates with practitioners and the interdisciplinary team, and maintains accurate records and a safe therapeutic environment. The nurse also helps ensure compliance with confidentiality, medication-control, and patient-safety requirements, and may be asked to cover designated programs or shifts based on safe-staffing needs. The position is based at the High Point Inpatient Campus in Hyannis. The schedule is a 7 p.m. to 7 a.m. night shift, with every other weekend required. Full-time, part-time, and per-diem schedules are listed. Pay is $34–$54.50 per hour depending on license and experience. A $3,000–$5,000 sign-on bonus may be available depending on shift and scheduled hours.

Requirements

Graduate of an accredited professional school of nursing.
Maintain a current nursing license in good standing with the Board of Nursing.
Complete TB screening.
Maintain CPR certification.
Complete certification in the HPAO-approved de-escalation program.
Complete confidentiality training covering 42 CFR Part 2 and HIPAA (45 CFR Parts 160 and 164).
Complete therapeutic boundaries training.
Ability to care for diverse populations.
Complete incident-reporting, all-hazards, infection-control, and substance-use-disorder training, including nicotine addiction.
Ability to lift 50 pounds.
Computer skills.
Ability to solve problems in a timely and therapeutic manner.
Knowledge of substance use disorders, co-occurring substance use and mental health disorders, psychiatric diagnoses, and medical comorbidities.
Night shift schedule of 7 p.m. to 7 a.m., with every other weekend required.

Nice To Haves

Certified Addiction Registered Nurse certification.
Psychiatric Registered Nurse certification.

Responsibilities

Comply with federal confidentiality regulations, including 42 CFR Part 2 and HIPAA, and follow Joint Commission National Patient Safety Goals for Behavioral Health.
Follow DEA regulations and guidelines for controlled substances, including counting, administration, and documentation.
Use critical thinking and nursing best practices to make care decisions and solve problems.
Follow relevant best-practice standards, including ASAM criteria, detox protocols, medication-assisted treatment, and pharmacology.
Document patient information according to established alcohol and drug protocols and applicable DPH regulations for psychiatric and medical conditions.
Educate patients about disease processes and build therapeutic relationships.
Understand medication uses, side effects, and food-drug interactions.
Maintain therapeutic boundaries by setting limits and enforcing rules respectfully.
Collaborate with the interdisciplinary team and triage patient issues for the attending practitioner.
Complete ongoing education in substance use disorders, attend supervision twice monthly or as needed, and attend required meetings and trainings.
Cover designated programs or shifts when required by safe-staffing needs and perform other duties as assigned by nursing and program leadership.
Perform shift duties to keep the unit clean and stocked with medical supplies.
Delegate and oversee Unlicensed Assistive Personnel work as appropriate, and provide concise shift reports to incoming staff.
Complete admission and discharge assessments and procedures.
Monitor and treat patients with co-occurring medical or psychiatric illness and assess their physiological and behavioral health each shift.
Count controlled substances and syringes, when applicable, at each shift change with an incoming and outgoing nurse, and sign the controlled-substance register.
Monitor vital signs and assess withdrawal signs and symptoms according to protocol.
Administer routine and PRN medications according to nursing standards of care.
Fax medication orders to pharmacies and alert the physician or nurse practitioner when medication prior authorizations are required.
Conduct suicide-risk assessments as needed and communicate findings to the practitioner.
Review medications received from the pharmacy and complete nursing and physical assessments, medication reconciliation, and treatment plans for patients admitted to the unit.
Provide psychoeducational groups on medication awareness and effects and other addiction- or mental-health-related subjects when required.
Use verbal de-escalation and appropriate behavioral interventions to maintain safety.
Triage medication concerns for the attending practitioner.
Complete delegated shift monitoring, auditing, and compliance tasks, including logs and reports.
Audit unit supplies and submit orders as needed; coordinate with nutrition and dietary staff about patient needs, allergies, preferences, and screening concerns.
Report environmental or safety concerns to a supervisor immediately and complete chart audits as requested.
Maintain current CPI training and complete patient observation checks, including one-to-one observation when needed for milieu monitoring.