Partners Healthcare System Boston , MA 02298
Posted 2 weeks ago
GENERAL SUMMARY
The Office-based Addiction Treatment (OBAT) Registered Nurse is a position with the Massachusetts General Hospital Program for Substance Use and Addiction Services (PSAS), 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 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 8:30AM-1PM on Saturdays & Sundays. Additional per diem hours during the week available to add as desired.
PRINCIPAL DUTIES AND 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
Professional Development
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.
SKILLS/ABILITIES/COMPETENCIES REQUIRED
BLS Certification
Certified Addictions Registered Nurse (CARN) certification required or willingness to achieve CARN certification in first 9 months of employment
Proficiency in toxicology screening and addiction pharmacotherapy treatment options, including long acting injectable medications (or willingness to learn)
Understanding of the philosophy of harm reduction
Strong interpersonal skills.
Strong patient communication and patient education skills.
Excellent written and verbal communication skills
EDUCATION
Graduate of an accredited nursing program.
Bachelor of Science in Nursing preferred; new graduates must have a BSN degree.
EXPERIENCE
Partners Healthcare System