Facility-Based Crisis (FBC) Nurse

At Easterseals PORT Health (ESPH), our mission is rooted in empowering individuals and strengthening communities. We are seeking a compassionate and dedicated PRN Nurse to join our team at the Facility Based Crisis Center in Jacksonville, NC. 

This isn’t just a job — you will be influencing change and shaping futures as a leader in our shared mission of helping people reach their full potential.

Position Summary:

The FBC Nurse provides direct nursing care, medication administration, and ongoing health monitoring for adults experiencing behavioral health or substance use crises in a 24/7 Facility‑Based Crisis (FBC) program. Working under the direction of the FBC Program Supervisor and within the NC Nurse Practice Act, the FBC Nurse implements provider-ordered treatment protocols, supports crisis stabilization and withdrawal monitoring, and promotes a safe, therapeutic environment.  The FBC Nurse also assists with training and supporting facility staff in nursing-related tasks and clinical expectations.

Your Role in Our Mission:

*Clinical Assessment & Monitoring

• Perform nursing screenings, collect vital signs, complete withdrawal risk assessments (CIWA/COWS).
• Monitor medical, emotional, and psychiatric stability, including behavioral health safety concerns.  
• Assess and document acute psychiatric symptoms, safety risks, and changes in condition.
• Participate in crisis stabilization interventions and support a safe, therapeutic environment.

*Medication Management

• Administer medication, including PRN and emergency medications.
• Monitor for medication effectiveness and adverse reactions.
• Ensure medical safety, accurate documentation, and controlled substance accountability.
• Implement provider-ordered treatment protocols, including detoxification and symptom-management orders.
• Consult with the provider as needed regarding patient status or treatment concerns.

Crisis Response & Team Support

• Lead de-escalation efforts and coach staff in trauma-informed crisis response.
• *Serve as the clinical liaison for the shift team, promoting consistent communication and care
• Provide clinical guidance to non-licensed personnel.
• Support the FBC Program Supervisor by reinforcing clinical expectations and standards.

*Documentation, Compliance & Quality

• Maintain accurate and timely documentation of screenings, assessments, interventions, incident reports, and medication administration.
• Participate in audits, quality improvement activities, drills, and incident reviews.
• Uphold infection control standards, patient rights, and emergency preparedness requirements.
• Comply with Easterseals PORT Health policies and procedures, accrediting body standards, and applicable regulatory requirements.

*Training & Development

• Assist the FBC Program Supervisor in training and supporting non-licensed personnel in medication‑related tasks, including vital sign collection, medication administration, medication safety, observation and reporting, and documentation accuracy.
• RN only: May validate task readiness within RN delegation rules.
• Complete required training within prescribed timeframes.
• Other duties as assigned.

What We’re Looking For:

• Active, unencumbered North Carolina RN or LPN license, or a valid Multistate/Compact RN or LPN license.
• One year of experience in behavioral health or substance use treatment preferred.
• Strong oral and written communication skills.
• Demonstrated sound clinical judgement within scope of practices; ability to maintain confidentiality and professional ethics at all times.
• Ability to manage multiple priorities and work effectively in a fast-paced crisis environment.
• Valid unrestricted North Carolina driver’s license, reliable transportation, and current vehicle insurance.
• Proficiency with EHR systems or technically savvy. 

Equipment Used:

• Office & Communication Equipment:  computer, printer, copier, phone, Microsoft Office, Electronic Health Record (EHR)
• Medical Equipment:  Automated external defibrillator (AED), breathalyzer, thermometer, sphygmomanometer, pulse oximeter, stethoscope, centrifuge.

Essential physical requirements: 

• Ability to stand, walk, or remain mobile for extended periods during a shift.
• Ability to lift, push, pull or carry up to 25-35 pounds occasionally