Boston Health Care for the Homeless Program
Location
Boston, Massachusetts
Salary
$40 - $58 / HOUR
The nurse provides direct, low-threshold medical access, including urgent care, wound care, health education, and sedation monitoring for patients experiencing homelessness or acute intoxication. Responsibilities also involve serving as the first responder in medical emergencies and connecting patients to ongoing services and treatment programs.
Candidates must possess a Commonwealth of Massachusetts RN license and ideally have a minimum of two years of nursing experience, along with strong assessment skills related to substance abuse and behavioral health. Knowledge of opioid overdose management and experience with chronic wound care are essential for this public health-focused role.
Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.
We are looking for a nurse who is public health conscious to join our CAT Team. Our team’s guiding principle is to meet patients where they are on the spectrum of drug use and recovery, to decrease overdose deaths, and to connect patients more effectively to services and care in line with their individual health goals. In this role, the nurse will be on the front line of innovative approaches to the drug overdose crisis and a pivotal part of improving drug user health.
While working at team sites the RN will provide in-the-moment, low-threshold medical access to patients who may otherwise not present to traditional clinics. In instances of sedation, the CAT RN will ensure that patients are triaged and safely monitored in a supportive and compassionate environment. The RN will also support patients with wound care, health education, connection to HIV prevention and treatment services, primary care services, and other clinical care needs as they come up.
Direct Nursing Care: Direct nursing care to ensure that all needs of the patients are met, conforming to established policies and procedures, as well as Department of Public Health regulations. Serves as the first responder in the case of a medical emergency at all sites. Provides nursing visits, medication assistance, care coordination, and sedation monitoring. Non-judgmental clinical support for patients who are acutely intoxicated from a substance to prevent overdose. Accurate assessment of sedation and documentation, involving the rapid response team as clinically indicated. Supportive engagement of patients with substance uses disorder in a manner consistent with risk reduction principles, counseling and connection to treatment programs. Responsible for updating and maintaining accurate treatment records, flow sheets and other documentation. Responsible for ensuring that the medical aspect of the clinical site is fully equipped and operational daily.
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