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Boston Health Care for the Homeless Program Harm Reduction RN - Per Diem in Boston, Massachusetts

Boston Health Care for the Homeless is seeking per diem nurses to work in our harm reduction roles at the Engagement Center, a new drop-in day center for homeless individuals of Boston, and SPOT (Supportive Place for Observation and Treatment), our sedation monitoring program. The ideal candidate for this role is a compassionate and self-motivated individual who embraces the mission of BHCHP and is committed to delivering high quality nursing care in a low-threshold community environment.

Job Summary:

While working at the Engagement Center the RN will provide in-the-moment, low-threshold medical access to patients who may otherwise not present to shelter clinics. In instances of sedation, the Harm Reduction RN will ensure that sedated patients are triaged and safely monitored in a supportive and compassionate environment. Services provided will include: clinical assessments, RN case management, medical monitoring, intervention in the case of overdose and immediate linkages to addiction treatment and primary care.

While working in SPOT the RN will ensure that sedated patients are triaged and monitored safely in a supportive and compassionate environment in which the intent is to reduce harm from drug use. The services provided will be medical monitoring, intervention in the case of overdose and immediate linkages to addiction treatment and primary care. The goals of this approach are to address an existing problem for BHCHP patients, to decrease overdose deaths and to more effectively connect patients to addiction treatment.


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 the Engagement Center

  • At the Engagement Center: nursing visits, medication management, care coordination

  • Non-judgmental clinical support for patients who are overly sedated in an effort 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 Harm Reduction Principles and provides risk reduction counseling and connection to treatment programs

  • Responsible for updating and maintaining accurate treatment records, flow sheets and other documentation; and for ensuring that the medical aspects of the engagement center is fully equipped and operational daily


  • Maintains a direct line of communication with SPOT staff, engagement center BPHC staff, and shelter staff; maintaining professional approach

  • Maintains the standards of accurate and complete recording and reporting ensuring that the clinical record for each patient is current and accurate


  • Commonwealth of Massachusetts RN license

  • Minimum of 2 years nursing experience preferred; bilingual candidates encouraged to apply

  • Strong assessment skills; understanding of substance abuse and behavioral health issues

  • Interest in public health, primary and preventive nursing/medicine; and interest and experience working with disadvantaged and underserved groups preferred

  • Self-directed, motivated and flexible with the ability to work independently and as part of a team

  • Pharmacological understanding of medications or drugs that cause sedation; knowledge of opioid overdose management and brief interventions; and experience in understanding the effects of sedating medications and poly-substance use

  • Clear Understanding of the ?Outpatient Evaluation of the Sedated Patient and Monitoring of Selected Patients Whose Sedation is Due to Intoxication? policy

Does this amazing opportunity interest you? Then we'd love to hear from you.

An Equal Opportunity Employer.