Per Diem RN / LPN

RN / LPN

Program & Location: Plymouth Inpatient Campus
Sign on Bonus: $3,000
Pay Range: $34 - $54.50 per hour (depending on license and experience)
Status: Per Diem

Shift: Morning 7a-3p, Evening 3p-11p, Overnight 11p-7a

High Point & Affiliated Organizations is a health and human service agency whose mission is to treat and prevent substance use disorders and mental illness. High Point recognizes, more now than ever, the need for a work life balance! Schedules can be developed off of 4, 8, or 12 hour shifts. Our leave time package for eligible staff is unmatched and allows employees the time off they need to rest, relax and enjoy life! Time off requests placed with more than 30 days are typically granted and within 30 days a scheduler app assists in trading or filling shifts. Shift trades are allowed even if it accrues overtime.  High Point also understands the need to support and recognize staff diversity. In addition to our leave time package, we offer one floating holiday per quarter to allow staff the time off to observe and celebrate their cultures and beliefs! Also, we are consistently monitoring the economy and like agencies to adjust our pay grades at least once a year to, not only remain competitive, but to maintain livable wages. Continued education opportunities assist RN’s in expanding their skills.

Benefits

• Medical, Dental and Vision
• Long & short-term disability
• Discounted personal insurances 
• 403b - Retirement
• FSA & DCA
• Employee Assistance Program
• Sign-On Bonuses & Referral Incentives
• Eligibility for free classes to become a Licensed Counselor or Recovery Coach
• Education days to use towards CEU's or Volunteer Work
• Free meals at select programs and when available

Staff Nurse Requirements

• TB Screening;
• CPR Certification;
• Certification in the HPAO approved de-escalation program;
• Confidentiality training (42 CFR, Part 2 and 45 CFR Parts 160 & 164 HIPAA);
• Therapeutic Boundaries Training;
• Ability to care for diverse populations;
• Incident Reporting Training;
• All Hazards Training;
• Infection Control Training;
• Substance Use Disorder Training (including Nicotine Addiction);
• Ability to lift 50lbs;
• Computer Skills;
• Ability to solve problems in a timely and therapeutic manner;
• Knowledge of Substance Use Disorders, Dually Diagnosed (Substance/Mental Health Disorders), Psychiatric Diagnosis and Medical Co-morbidities.

Staff Nurse Duties and Responsibilities

•  Compliance with Federal Regulations regarding 42 CFR Part 2, Confidentiality of Substance Use Disorder and HIPAA Regulations;
• Adherence to Joint Commission National Patient Safety Goals for Behavioral Health;
• Adherence to DEA regulations and guidelines pertaining to controlled substances, including count, administration and documentation standards;
• Utilize critical thinking skills and apply best nursing practices in accordance with policy when making decisions and problem solving to provide for best patient care and outcome;
• Be familiar with best practice standards in line with ASAM criteria inclusive of detox protocols, MAT and/or pharmacology;
• Documents patient information according to established alcohol/drug protocols as well as any psychiatric/medical conditions per DPH Regulations indicated;
• Assist the patient in understanding the disease process through education and therapeutic relationship;
• Understands medication uses, side effects and food-drug interactions;
• Maintain therapeutic boundaries by setting limits and enforcing rules in a respectful manner;
• Utilizes effective time management;
• Collaborate with the interdisciplinary team;
• Triage patient issues for the attending Practitioner;
• Responsible for HPAO continued education in the field of substance use disorders;
• Attends supervision with assigned supervisor twice monthly and/or as needed based on status or concerns;
• Attend mandatory meetings and trainings;
• May be mandated to cover designated program/shifts based upon safe staffing needs;
• Perform any other duties as assigned by Nurse Manager, Program Director, Site Director, and/or DON.

Inpatient Services Specific Responsibilities

•  Perform shift specific duties to ensure the unit is cleaned and properly stocked with necessary medical supplies;
• Delegates and oversees the work of Unlicensed Assistive Personnel (Recovery Specialists/RS) as appropriate;
• Provide a comprehensive, concise shift report for all incoming nursing and Unlicensed Assistive Personnel (RS) staff;
• Complete Admission and Discharge Assessments and procedures;
• Monitor and treat patients who have co-occurring medical/psychiatric illness;
• Assess the physiological and behavioral health status of the patients each shift;
• Conduct controlled substance count and syringe count (when applicable) at the change of every shift (with one on-coming and one off-going nurse) and sign the controlled substance register;
• Monitor vital signs and assess withdrawal signs and symptoms per protocol;
• Administer routine PRN medications according to the nursing standards of care; 
• Fax medication orders to pharmacies and alert MD/NP when prior-authorizations are required for medications;
• Conducts suicide risk assessment as needed and communicates information to practitioner;
• Review medications received from pharmacy;
• Conduct a nursing assessment/physical assessment including medication reconciliation and treatment plan on patients admitted to the unit;
• Provide psycho-educational groups on medication awareness and effects as well as other subjects associated with addiction/mental illness, if required;
• Ability to engage in verbal de-escalation of patients and provide appropriate behavioral interventions to maintain safety;
• Maintain therapeutic boundaries by setting limits and enforcing rules in a respectful manner;
• Triage medication concerns for the attending practitioner;
• Complete all required shift tasks delegated for monitoring, auditing, and compliance (logs, reports as assigned);
• Audit unit supplies and submit orders as needed to supervisor;
• Coordination with nutritionist and dietary department for any patient nutritional needs, including allergies, preferences, nutrition screening concerns;
• Report any environmental/safety concerns to the supervisor immediately;
• Complete chart audits as requested to ensure documentation for nursing is completed timely;
• Maintain active and current CPI training;
• Complete patient observation checks, 1:1 patient observations as needed for milieu monitoring.

Staff Nurse Qualifications

• Graduate of an accredited professional school of Nursing;
• Must maintain current license status and be in good standing with the Board of Nursing;
• Certified Addiction Registered Nurse and/or Psychiatric Registered Nurse certification preferred.