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

High Point & Affiliated Organizations•Hyannis, MA

6d•$34 - $55•Onsite

About The Position

High Point & Affiliated Organizations (HPAO) is a health and human service agency that treats and prevents substance use disorders and mental illness. Its programs throughout Southeastern Massachusetts provide inpatient, outpatient, residential, and community-based treatment, as well as services for survivors of abuse and violence and families experiencing homelessness. HPAO aims to help individuals and families achieve personal change and improve their quality of life. The nurse works at the High Point Inpatient Campus in Hyannis, providing nursing care to patients with substance use disorders and co-occurring mental or medical conditions. The role includes assessing patients, administering and monitoring medications, supporting patient safety, documenting care, collaborating with an interdisciplinary team, and maintaining therapeutic boundaries. Nurses may also provide education and groups, delegate and oversee appropriate work by Unlicensed Assistive Personnel, and complete shift-specific unit, supply, reporting, and compliance tasks. This position is offered as full-time, part-time, or per-diem work. The day shift is 7 a.m.–7 p.m., with every other weekend required. A $2,000 sign-on bonus may be available depending on shift and scheduled hours. Pay is $34–$54.50 per hour, depending on license and experience.

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 and hold CPR certification.
Complete certification in the HPAO-approved de-escalation program and maintain active, current CPI training.
Complete confidentiality training covering 42 CFR Part 2 and HIPAA, therapeutic boundaries training, incident reporting training, all hazards training, infection control training, and substance use disorder training, including nicotine addiction.
Ability to care for diverse populations and solve problems in a timely, therapeutic manner.
Computer skills.
Knowledge of substance use disorders, co-occurring substance use and mental health disorders, psychiatric diagnoses, and medical comorbidities.
Ability to lift 50 pounds.
Work the day shift from 7 a.m. to 7 p.m. and every other weekend.

Nice To Haves

Certified Addiction Registered Nurse certification and/or Psychiatric Registered Nurse certification preferred.

Responsibilities

Comply with federal confidentiality regulations, including 42 CFR Part 2 and HIPAA, and adhere to Joint Commission National Patient Safety Goals for Behavioral Health.
Follow DEA requirements for controlled substances, including counting, administration, and documentation.
Use critical thinking and nursing best practices to make care decisions and solve problems.
Follow relevant ASAM best-practice standards, including detox protocols, medication-assisted treatment, and pharmacology.
Document patient information according to applicable alcohol and drug protocols and DPH regulations for psychiatric and medical conditions.
Educate patients about the disease process and medication uses, side effects, and food-drug interactions through a therapeutic relationship.
Maintain respectful therapeutic boundaries, set limits, and enforce rules.
Collaborate with the interdisciplinary team and triage patient and medication concerns for the attending practitioner.
Complete required continuing education, supervision, meetings, and trainings; maintain current CPI training.
Cover designated programs or shifts when mandated to support safe staffing, and perform other assigned duties.
Clean and stock the unit and provide concise shift reports to incoming nursing and Unlicensed Assistive Personnel staff.
Complete admission and discharge assessments and procedures, nursing and physical assessments, medication reconciliation, and treatment plans.
Monitor and treat patients with co-occurring medical or psychiatric illness; assess physiological and behavioral health status each shift.
Conduct controlled substance and applicable syringe counts at shift change with incoming and outgoing nurses, and sign the controlled substance register.
Monitor vital signs and withdrawal symptoms according to protocol, and administer routine and PRN medications according to nursing standards of care.
Fax medication orders to pharmacies, alert the physician or nurse practitioner when prior authorization is required, and review medications received from the pharmacy.
Conduct suicide risk assessments as needed and communicate results to the practitioner.
Provide psychoeducational groups on medication awareness and other subjects related to addiction or mental illness when required.
Use verbal de-escalation and appropriate behavioral interventions to maintain safety.
Complete delegated shift tasks for monitoring, auditing, and compliance, including logs and reports; complete chart audits as requested.
Audit unit supplies and submit orders as needed; coordinate with nutrition and dietary staff regarding patient needs, allergies, preferences, and screening concerns.
Report environmental or safety concerns to a supervisor immediately.
Complete patient observation checks, including one-to-one observation when needed for milieu monitoring.
Delegate and oversee the work of Recovery Specialists and other Unlicensed Assistive Personnel as appropriate.