Facility-Based Crisis (FBC) Nurse
About the role
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.
Responsibilities
- Perform nursing screenings, collect vital signs, complete withdrawal risk assessments (CIWA/COWS).
- Maintain accurate and timely documentation of screenings, assessments, interventions, incident reports, and medication administration.
- Monitor medical, emotional, and psychiatric stability, including behavioral health safety concerns.
- Assess and document acute psychiatric symptoms, safety risks, and changes in condition.
- Administer medication, including PRN and emergency medications.
- Support crisis stabilization interventions and promote a safe, therapeutic environment.
- 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.
- 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.
- 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.
- May validate task readiness within RN delegation rules.
- Complete required training within prescribed timeframes.
- Other duties as assigned.
Requirements
- 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.
Qualifications
- 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 (e.g., supplies, equipment, assisting patients).
- Ability to safely perform physical interventions such as supporting an unsteady patient, assisting with transfers or responding to emergencies.
- Ability to hear and respond to alarms, client needs and emergency communications.
- Ability to work in a fast-paced environment with potential exposure to individuals in crisis, unpredictable behaviors, and common clinical hazards (e.g. bodily fluids, sharps).
- Ability to use personal protective equipment (PPE) as required.
- Must possess the necessary abilities to perform tasks such as develop written communication as well as review work to determine accuracy.
Benefits
Competitive salary: $27-$30/hr. for LPN’s and RN’s: $32-$37/hr. for this PRN position
403(b) Retirement Plan
Employee Assistance Program
On-the-job skill enhancement and growth
Pay
$27-$30/hr. for LPN’s and RN’s: $32-$37/hr. for this PRN position
Schedule
PRN Shift: 7am to 7pm or 7pm to 7am during the week and weekends. (If you can’t do the full shift but are able to do part of the shift please feel free to apply.)
Benefits
Competitive salary: $27-$30/hr. for LPN’s and RN’s: $32-$37/hr. for this PRN position
403(b) Retirement Plan
Employee Assistance Program
On-the-job skill enhancement and growth
Why Join Us?
As a part of our mission, we help our team members embrace their potential, build resilience, and thrive! You will benefit from ongoing professional growth and development as you work alongside leaders of clinical excellence in mental health and substance use services that care about your success.
About Easterseals PORT Health
Easterseals PORT Health is a trustworthy and compassionate partner, providing exceptional services in disability, mental health, and substance use to help our neighbors live their best lives. Purpose, dedication, and empathy drive our in-person and telehealth service delivery. Our 2,600-member team provides more than 10.2 million hours of meaningful support to 40,200 kids, adults, and families in 11,000 home, facility, and community locations across North Carolina and Virginia.