Nurse, Registered (Midnight)

Southeastern Michigan Health Association•Detroit, MI

6d•Onsite

About The Position

SEMHA is seeking a Midnight Registered Nurse (RN) to provide comprehensive nursing support and clinical oversight for youth housed at the Wayne County Juvenile Detention Facility in Detroit, Michigan, during overnight operations. The RN supports continuity of care and facility operations, including medication administration, admissions and discharges, clinical audits, and responses to overnight medical needs. The position provides flexible scheduling while ensuring consistent overnight nursing coverage. The role involves conducting assessments and providing care, monitoring and responding to medical concerns and emergencies, documenting health concerns, and following up after outside medical treatment. The RN completes intake screenings and discharge clearances, reviews medical records and orders, administers and monitors medications, maintains medication inventories and records, conducts clinical audits, communicates outstanding issues to nursing leadership and incoming staff, and provides clinical guidance to facility staff. The position also supports emergency preparedness, infection control, quality improvement, and compliance with policies, regulations, and nursing standards. SEMHA positions are grant funded and contingent on continued funding.

Requirements

RN degree from an accredited school.
Active Registered Nurse (RN) license in good standing in the State of Michigan.
Strong clinical judgment and ability to work independently during overnight hours.
Ability to manage multiple responsibilities in a secure 24-hour juvenile detention environment.
Strong communication and documentation skills.
Ability to collaborate effectively with multidisciplinary teams, including medical providers, operational staff, and administration.
BLS certification.
Valid driver's license and reliable transportation.

Nice To Haves

At least one year of clinical nursing experience.
Experience in correctional health, emergency nursing, behavioral health, pediatrics, adolescent health, or community health.

Responsibilities

Conduct nursing assessments and provide care for residents requiring overnight medical evaluation or treatment.
Monitor, assess, and respond to medical concerns, urgent situations, and emergencies.
Document health concerns reported during the shift.
Complete follow-up assessments after hospital visits, specialist appointments, or outside medical treatment.
Review discharge instructions and implement continuity-of-care plans.
Complete medical intake screenings and admission assessments for new residents.
Review incoming medical records, prescriptions, and treatment orders.
Process overnight discharge medical clearances and ensure discharge medications, instructions, and documentation are completed and communicated as needed.
Administer and document medications in accordance with physician orders and facility policies.
Monitor medication effectiveness, adverse reactions, and resident compliance.
Maintain medication inventories, narcotic counts, and storage standards; reconcile and report medication discrepancies according to policy.
Conduct medical record and medication audits to ensure compliance and accuracy.
Review documentation, identify outstanding clinical follow-up needs, and communicate unresolved issues to nursing leadership and incoming staff.
Complete required nursing documentation in a timely manner.
Provide clinical guidance to staff regarding resident health concerns and emergencies.
Serve as the primary overnight medical liaison for facility operations.
Assist with medical response decisions related to illness, injury, or behavioral health concerns.
Support emergency preparedness and safe resident care management.
Maintain infection control standards and operational readiness of medical areas.
Address routine health concerns and nursing requests submitted overnight.
Participate in quality improvement initiatives and process enhancements.
Ensure compliance with applicable policies, regulations, and nursing standards.
Perform other duties as assigned by nursing leadership.