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Overview of salaries statistics of the profession "Nurse in "

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Overview of salaries statistics of the profession "Nurse in "

6 879 $ Average monthly salary

Average salary in the last 12 months: "Nurse in "

Currency: CAD USD Year: 2024
The bar chart shows the change in the level of average salary of the profession Nurse in .

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Cancer Nurse

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Charge Nurse

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Chemotherapy Nurse

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Chief Nurse

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Clinical Lead Nurse

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Clinical Nurse

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Clinical Research Nurse

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Community Nurse

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Community Psychiatric Nurse

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Dermatology Nurse

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Diabetic Nurse Specialist

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Endo Nurse

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Fertility Nurse

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Forensic Nurse

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General Nurse

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Haematology Nurse Specialist

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Hospice Nurse

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Infection Control Nurse

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Lead Cancer Nurse

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Lead Nurse

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Licensed Practical Nurse

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LPN

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Mental Health Nurse

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Neuro-developmental Nurse Specialist

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Night Nurse

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Nurse Advisor

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Nurse Assessor

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Nurse Supervisor

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Occupational Health Nurse

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Oncology Chemotherapy Nurse

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Oncology Nurse

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Ophthalmology Nurse

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Paediatric Nurse

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Practice Nurse

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Prison Nurse

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Psychiatric Nurse

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Recovery Nurse

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Relief Nurse

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RGN Nurse

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RGN Qualified Nurse

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RGN/RMN Qualified Nurse

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School Nurse

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Scrub Nurse

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Substance Misuse Nurse

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Surgery Nurse

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Surgical Nurse

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Tracheoscopy Nurse

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Registered Nurse, Surgical Services - Operating Room-Chilliwack General Hospital (CGH)
Fraser Health Authority, Chilliwack, BC
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The details below outline a few of the perks that would be available to you, take a read through and see why it’s worth it – Your overall compensation is increased  - As part of the new provincial collective agreement, as a regular status nurse, you receive an increase to overall compensation100% of your benefits are employer-paid with no out-of pocket (i.e. no waiting for reimbursement)You’re immediately enrolled in a defined pension plan (no waiting period)You’re eligible for 87% maternity leave top-upYou can maintain a flexible schedule – As part of the new collective agreement, there are more flexible scheduling options available for regular status nurses. Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions.  Connect with us! Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members! You can also visit us on Indeed and Glassdoor. Instagram | Facebook | LinkedIn | Twitter |  Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Registered Nurse (RN), O.R. provides direct nursing care to patients within the Operating Room (OR) according to established standards and administrative policies and procedures. Assesses patients physical and psycho-social needs; identifies problems, plans, implements, documents, evaluates and coordinates the nursing care of assigned patients and performs scrubbing and circulating duties. Responsibilities Assesses, plans, implements and evaluates nursing care of patients. Identifies actual or potential problems, plans interventions, performs planned interventions and evaluates outcomes. Receives and admits patients to the OR.  Coordinates and provides nursing care to patients according to physician and anaesthetist orders and in conformance with established standards and hospital policies. Sets priorities, assigns and delegates tasks to appropriate staff Participates in identifying and reducing risk factors that may impact the patient and/or health care team. Acts as an advocate to protect and promote the patient's right to autonomy, respect, privacy, dignity and access to information.  Modifies care as needs change. Initiates immediate treatment, such as applying non-invasive monitoring devices if required. Obtains, checks, sets up and positions supplies, instruments and equipment required for surgery ensuring that instruments and equipment are in working order. Reports instruments/equipment in need of repair. Follows standardized count policy and provides appropriate documentation.  Performs scrub and circulation duties within the OR according to prescribed procedures and protocols.   Collects information from a variety of sources using skills of observation, communication and physical assessment to enable the provision of appropriate nursing care. Participates in quality improvement activities and research by identifying patient care issues and collecting data. Participates as an active member on nursing and hospital committees and councils for improvement of patient care and/or work environment. Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor and mentor as appropriate. Participates in the evaluation of patient care programs, techniques, standards and procedures by providing feedback about effectiveness and patient care outcomes. Maintains a safe environment for patients, families and staff by adhering to established safety and emergency practices and procedures. Performs other related duties as assigned. QualificationsEducation and ExperienceGraduation from an approved School of Nursing. Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year's recent relevant clinical nursing experience in the designated clinical area, and completion of post graduate course work and/or certification applicable to the designated clinical area, or an equivalent combination of education, training and experience. Skills and Abilities Clinical proficiency in the designated clinical area. Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate / prescribed technical, therapeutic, and safety interventions. Ability to determine and deal with emergency situations. Ability to recognize acuity changes.  Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant  research-based evidence / evidence-informed practice. Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic applications.  Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy. Ability to integrate and evaluate data from multiple sources to problem-solve effectively. Ability to organize and prioritize work. Ability to collaborate with and promote cooperation among members of the interprofessional care team. Ability to operate related equipment including relevant computer applications. Physical ability to perform the duties of the position.
Emergency Psychiatric Liaison Nurse (EPLN)
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health continues to be recognized as one of BC's Top Employers, are you someone who is passionate about making a difference in the lives of others? Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of nearly 45,000 medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Effective October 26th, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Take the next step and apply so we can continue the conversation with you. Come work with dedicated health care providers who are enthusiastic and committed to provide quality healthcare to our clients/patients/residents. We invite you to find out why more than 95% of new employees recommend Fraser Health as an excellent place to work. Work hard and have fun while you do it. Curious to learn what it’s like to work here? Like us on Facebook (@fraserhealthcareers), follow us on Twitter & Instagram (@FHCareer), or connect with us on LinkedIn (fraserhealthcareers) for first-hand employee insights. Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered and recovery oriented care, the Registered Nurse/Registered Psychiatric Nurse performs intake assessment, crisis intervention, and direct patient care to Psychiatric patients in the Emergency Department and/or MH&SUS zone in the Emergency Department, in accordance with the British Columbia College of Nurses and Midwives (BCCNM). Provides input into and assists with ensuring effective patient flow for assessed and admitted psychiatric patients including those awaiting transfer for further assessment; assists with patient admission and transfer to ensure psychiatric services and bed destination is achieved in a timely manner. Within the context of a patient service culture, screens and assesses patients to develop care plans. Collaborates with Emergency Department Nurses, other emergency service providers, the interprofessional community mental health team and other community service providers and assists in adapting care plans to address psychiatric needs, with final dispositions authorized by the Emergency Room physicians or consulting Psychiatrist. Responsibilities Receives referrals through the Patient Care Coordinator (PCC) and a variety of internal and external sources, including the general Emergency Department, Pediatric Emergency Department and Mental Health/Substance Use Zone. Performs psychosocial assessments and collects collateral related to patients' primary support group, social environment, occupation, education, housing, finance, health service access, and legal problems. Completes emergency psychiatry patient assessments for patients triaged to psychiatry. Develops care plans with final dispositions authorized by the Emergency Department Physician or consulting Psychiatrist, and provides general and crisis counselling to patients and their families, in accordance with approved treatment plans. Evaluates the psychiatric nursing care needs of assigned patients and provides direct psychiatric nursing care. Identifies preventative, therapeutic, and rehabilitative aspects of care, and develops and modifies individualized care plans in consultation with the interprofessional team and family members, with clear attention to treatment and risk management priorities. Carries out selected treatments and procedures as prescribed by physicians and nursing orders, in accordance with hospital policy and procedures. Collaborates and consults with Emergency Department staff and other allied health department service providers in the hospital and community, and assists in adapting care plans to address psychiatric needs. Provides patient advocacy services with other agencies, services and service providers. Documents assessments, care plan, observations, patient/family responses, outcomes/evaluation, and referrals according to practice standards and Fraser Health procedures. Liaises and communicates as required to support patient flow of admitted psychiatric patients being transferred to inpatient units in a timely manner. Communicates and shares knowledge and information with Coordinators and other team members of the community mental health team on client care issues, resources and discharge planning process; organizes and participates in interdisciplinary conferences with psychiatrists as required; explains plan of care to patients and their family; refers patient to rehabilitation and other adjunctive services including the acute care site as appropriate. Completes and maintains electronic Psychiatric Liaison Contact Sheets before the end of each shift or within the designated and hours of work. Liaises with appropriate departments and professionals, and facilitates transition to aftercare by following transition of care processes including provision of discharge plans and referral to community service providers. Acts as a patient advocate by assisting patients and their family members to access appropriate community resources. Provides guidance to Emergency Department nursing staff, and a variety of internal sources, involved in caring for psychiatric patients, and provides leadership for team members actively involved in violence de-escalation, suicide prevention and restraint practices. Ensures safe patient management and adherence to restraint policies and procedures. Participates in quality improvement activities and research by identifying patient care issues and collecting data. Provides input to the Managers regarding policies, procedures, and operational requirements by observing service needs and providing spoken or written suggestions that address patient and family needs and promote effective use of resources. Identifies own learning needs/goals, reviews these with the Manager or designate and engages in a variety of activities to meet these needs/goals. Maintains a safe environment for patients, families and staff by adhering to established safety and emergency practices and procedures. Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor or mentor as appropriate. Identifies self-learning needs and attends educational programs to maintain and enhance clinical competency. Performs other related duties as assigned. QualificationsEducation and ExperienceGraduation from an approved School of Nursing plus current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year recent related experience in an acute or community Mental Health & Substance Use setting, or an equivalent combination of education, training, and experience.Skills and Abilities Ability to complete initial and ongoing mental health and substance use patient assessment and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions including crisis intervention. Knowledge of mental illness and substance use treatment. Knowledge of psychopharmacology (indications and side effects). Counselling and group facilitation skills. Knowledge of legislation and government policies and procedures that relate to mental health and substance use practices. Ability to communicate effectively verbally and in writing with patients, families/care givers, the public, medical staff and members of the interprofessional care team. Ability to promote person-centered care that demonstrates empathy for patients/families/care givers, sensitivity to diverse cultures and preferences, including advocacy for special populations. Ability to educate patients and families/care givers about topics essential to their health care and well-being. Ability to organize and prioritize work. Ability to collaborate with and promote cooperation among members of the interprofessional care team. Ability to use factual information and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice. Ability to operate related equipment including relevant computer applications. Physical ability to perform the duties of the position.
Registered Nurse, Surgical Services - Inpatient - Chilliwack
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities. Our team of 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more. Come work with us! Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.  Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions. Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner. Connect with us! Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members! You can also visit us on Indeed and Glassdoor. Instagram | Facebook | LinkedIn | Twitter | TikTok Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients in an acute medical unit. Responsibilities Assesses patients and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient's condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention. Plans, performs and evaluates nursing interventions and care. Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient's rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning. Participates in the care and discharge planning process for patients on admission by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan. Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards. Receives and prepares patients for testing by receiving requisitions from physicians, reviewing patients' case history, correlating clinical history with examination to be performed, assessing the nature of the issue to determine a process for testing, explaining procedures to patients, and monitoring patients comfort level to ensure patient is at ease while obtaining required results. Performs non-invasive diagnostic tests on the vascular system by positioning patient, performing resting and exercise ankle-brachial indexes, toe-brachial indexes, thoracic outlet testing, and operating continuous wave Doppler and/or plethysmography equipment. Performs Transcutaneous Oxygen Measurement (TCOM) by operating the transcutaneous oxygen machine. Assesses test results, records findings, submits results and summary to physicians for review, reporting and authorization. Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition. Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activites to support self-care and the discharge plan. Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies. Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures. Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager. Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols. Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice. Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation. Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures), and equipment. Performs other related duties as required. QualificationsEducation and ExperienceGraduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). RNs performing ABI procedures under Duties 5 and 6 are required to be deemed qualified after the successful completion of the Fraser Health Regional ABI course.Skills and Abilities Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions. Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means. Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy. Ability to integrate and evaluate data from multiple sources to problem-solve effectively. Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being. Ability to organize and prioritize work. Ability to collaborate with and promote cooperation among members of the interprofessional care team. Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice. Ability to operate related equipment including relevant computer applications. Physical ability to perform the duties of the position.
Licensed Practical Nurse, Full Scope - Heritage Village - Chilliwack
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $31.89 - $43.65 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities. Our team of 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more.  Come work with us! Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care. Have you heard about the new incentives within the new provincial collective agreement for Nurses that make taking a regular/temporary position much more appealing? The details below outline a few of the perks that would be available to you, take a read through and see why it’s worth it – Your overall compensation is increased  - As part of the new provincial collective agreement, as a regular status nurse, you receive an increase to overall compensation 100% of your benefits are employer-paid with no out-of pocket (i.e. no waiting for reimbursement)You’re immediately enrolled in a defined pension plan (no waiting period)You’re eligible for 87% maternity leave top-upYou can maintain a flexible schedule – As part of the new collective agreement, there are more flexible scheduling options available for regular status nurses. Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions. Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner. Connect with us! Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members! You can also visit us on Indeed and Glassdoor. Instagram | Facebook | LinkedIn | Twitter | TikTok Detailed OverviewUnder the direction of the Manager, Clinical Operations or designate and in collaboration as a member of a multidisciplinary team; performs assessments, plans, implements and evaluates nursing care. The LPN operates in accordance with the competency guidelines and full scope of practice within the Standards of Practice as outlined by the British Columbia College of Nurses and Midwives (BCCNM), and according to agency operating policies and standards and unit specific protocols. ResponsibilitiesAssesses patient/resident/family's actual and potential strengths and limitations including physiological, psychological, socio-cultural, and spiritual needs.Provides a supportive environment for patient/resident/family. Promotes patient/resident/family involvement in health care decisions; provides information and opportunity to discuss concerns; respects personal choices.Contributes to the development and ongoing changes to the individualized plan of care, including attending and providing input into multidisciplinary care planning meetings and family conferences.Provides nursing care according to identified policies and procedures, technology and FHA standards and evaluates outcomes. Records observations and reports problems and/or changes to designated staff.Performs admissions, discharges, and transfers of patients/residents according to agency operating policies and procedures.Documents and updates all relevant care and procedure information to ensure patient/resident safety and comfort.Operates and maintains effective functioning equipment related to patient/resident care such as bathtubs, scales and mechanical lifts.Assists in maintaining a safe and clean environment for patients/residents and staff.Assists in the orientation of new staff, students and other members of the Health Care Team.Participates in continuous quality improvement and program evaluation activities, education sessions, team conferences, meetings and committees.Performs other related duties as assigned. QualificationsEducation and ExperienceGraduate of a recognized practical nursing program or equivalent combination of education, training and experience. Current practicing registration as a Licensed Practical Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Skills and AbilitiesAbility to communicate effectively, both verbally and in writing.Ability to deal with others effectively.Ability to organize work and implement a plan of care.Knowledge and competencies to work at full scope of practice as currently required by the BCCNM, including administering medications.Ability to operate related equipment.Physical ability to carry out the duties of the position.
Registered Nurse/Registered Psychiatric Nurse, Community Mental Health & Substance Use Services
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health continues to be recognized as one of BC's Top Employers, are you someone who is passionate about making a difference in the lives of others? Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of nearly 45,000 medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Effective October 26th, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Take the next step and apply so we can continue the conversation with you. Come work with dedicated health care providers who are enthusiastic and committed to provide quality healthcare to our clients/patients/residents. We invite you to find out why more than 95% of new employees recommend Fraser Health as an excellent place to work. Work hard and have fun while you do it. Curious to learn what it’s like to work here? Like us on Facebook (@fraserhealthcareers), follow us on Twitter & Instagram (@FHCareer), or connect with us on LinkedIn (fraserhealthcareers) for first-hand employee insights.  Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered and recovery oriented care, the Registered Nurse/Registered Psychiatric Nurse provides treatment and care management services that are both inclusionary and flexible for individuals with mental illness and concurrent disorders (e.g. substance use, developmental disorders) to meet the needs of the client and to provide integration and continuity across the care continuum. Works collaboratively within an interdisciplinary team-based model of care and promotes rapid engagement in the provision of consistent, relevant and timely delivery of client and family-centered care. With an emphasis on recovery and rehabilitation, reducing barriers to enter the system of care, and promoting a culturally-safe and responsive, trauma-informed approach, establishes a welcoming therapeutic environment and promotes client self-determination and independence. ResponsibilitiesCoordinates care for clients by collaborating with interprofessional care team, performing intake functions, conducting mental health assessments, developing, implementing, maintaining and adjusting comprehensive treatment plans based on client needs and best practices, administering prescribed medications, and monitoring and assessing clients' mental state, response to medications and efficacy of treatment plan to ensure optimum use of resources and to facilitate client centred care.Plans and provides direct nursing care to clients in compliance with standards of practice by performing activities such as reviewing client/family history, conducting physical/psychosocial assessments, assessing vital signs, developing a care plan specific for the client and collaborating with other members of the health care team to discuss and review the care plan, and implements other treatment modalities as required such as ADLs, wound care and administering of medications.The nurse works from a strengths-based model, using motivational interviewing and engagement techniques and works collaboratively with clients and professionals to develop and implement individualized care plans and assists clients to access appropriate services in the community.Establishes, maintains and enhances therapeutic relationships based on respect with client and their informal support network by engaging stakeholders in treatment planning and evaluation, providing support and follow-up planning, promoting and supporting clients to manage self care, encouraging informed decision making and empowering the client to improve the clients' quality of life. Teaches client and their family about management and treatment of specific psychiatric conditions, concurrent substance use issues, their symptoms and integration of illness into their lifestyle.Provides treatment services including crisis intervention, individual counselling and education according to a variety of theoretical models to clients and their informal support network as required by methods such as assessing situation, eliciting concerns, exploring emotional response to illness, identifying goals and expectations, reviewing client and family learning needs, assisting with understanding of illness, teaching coping strategies, and consulting with colleagues when required.Initiates and participates in case conferences/meetings with clients, family, service providers and members of the interprofessional team for identification of client mental health issues, concerns regarding services and coordination, emergent issues, and discussion of on-going follow-up care to ensure a coordinated approach to treatment. Acts as client advocate to protect and promote clients' right to autonomy, respect, privacy, dignity, and access to information.Consults and collaborates with members of the interprofessional care team including MH&SUS Physicians, Primary Care Providers (GP/NP), Team Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in client condition.Monitors Extended Leave as required under the Mental Health Act by methods such as reviewing conditions of Extended Leave, determining if client is following the conditions and tracking renewal of certification due dates to ensure continuity of appropriate treatment.Aids client access to services such as medical appointments, hospitals, and social programs by methods such as providing healthcare information, contacting relevant programs/services, and assisting clients with processing forms, transportation issues, and daily living tasks.Documents assessments, care plan, observations, interventions, client/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.Maintains a safe environment for clients, visitors and employees by adhering to established safety and emergency practices and procedures and reporting any risks and anomalies to the Team Coordinator.Identifies own learning needs/goals, reviews these with the Team Coordinator and engages in a variety of activities to meet these needs/goals.Participates in research and quality improvement activities by identifying client care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.May be required to: plan, coordinate, and deliver educational sessions to clients and their family members, other service providers, and community agencies regarding Mental Health & Substance Use services.May be required to: facilitate group sessions utilizing psychodynamic, cognitive/behavioural, interpersonal, and supportive interventions in conjunction and consultation with other interprofessional team members.May be required to: provide outreach nursing care to clients in their home setting, primary care setting, or suitable alternative including individuals who are homeless or at risk of homelessness performing nursing functions such as assessing substance use/dependence, determining physical and mental status, monitoring withdrawal symptoms and evaluating response to medications administered; formulate and explain plan of care to client/family or supportive care persons; transport and/or accompany clients to physician appointments for assessment to determine suitability for program or to designated safe bed for withdrawal management support.May include working with residential facilities or community agencies/homes to conduct client assessments, facilitate placement, develop individualized care/service plan, monitoring of client progress and ensuring appropriate referrals and discharges.As assigned: in accordance with BCCNM standards, limits and conditions, demonstrates and articulates the responsibility of the authorized RN/RPN prescriber to the interprofessional team and when interacting with the client. Identifies when client needs exceed RN/RPN scope of practice.Performs other related duties as required. QualificationsEducation, Training & ExperienceGraduation from approved School of Nursing or Psychiatric Nursing. Two (2) years recent related experience providing treatment services to individuals with mental health and/or concurrent disorders, or an equivalent combination of education, training and experience. May require completion of substance use certificate program. May require: eligible for completion of BC Provincial Opiate Addiction Treatment Support Program course and approved related preceptorship. Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Valid Class 5 BC Driver's License and access to personal vehicle with appropriate insurance coverage.Skills and AbilitiesAbility to complete initial and ongoing mental health and substance use client assessment and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions including crisis intervention.Knowledge of mental illness and substance use treatmentKnowledge of psychopharmacology (indications and side-effects).Counselling and group facilitation skills.Knowledge of legislation and government policies and procedures that relate to mental health and substance use practices.Ability to communicate effectively verbally and in writing with clients, families/care givers, the public, medical staff and members of the interprofessional care team.Ability to promote person-centered care that demonstrates empathy for clients/families/care givers, sensitivity to diverse cultures and preferences, including advocacy for special populations.Ability to educate clients and families/care givers about topics essential to their health care and well-being.Ability to organize and prioritize work.Ability to collaborate with and promote cooperation among members of the interprofessional care team.Ability to use factual information and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.Ability to operate related equipment including relevant computer applications.Physical ability to perform the duties of the position.
(RN) Registered Nurse, Perinatal Transition Line - Chilliwack General Hospital – Training Opportunity
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?This is an exciting Perinatal training opportunity at Chilliwack General Hospital (CGH), located in Chilliwack, BC. Fraser Health offers specialty nursing education sponsorship to new applicants, including new graduates nurses, or currently registered Nurses as part of our ongoing shared responsibility for professional development and safe, competent, ethical care. Sponsorship for the Specialty Nursing education includes:Tuition for required coursesWages during the full time studies portion Mandatory daysThe BCIT - Perinatal Program – offers 3 intakes a year (Spring, Fall and Winter). The program is 24 weeks long (12 weeks online studies and 12 weeks full time studies format)The FHE – Perinatal In house Program – offers 2-3 intakes a year. The program is about 14 weeks long in a full time studies formatCandidates accepting this training opportunity agree to remain with Fraser Health in NICU for at least 18 months subsequent to completing training. This will ensure that candidates are able to consolidate and apply their skills in the specialty area. Learn more about Specialty Nursing Education Sponsorship at Fraser Health.Fraser Health is the heart of health care for nearly two million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities. Our hospital and community-based services are delivered by a team of 45,000+ staff, medical staff and volunteers dedicated to serving our patients, families, and communities: Better health, best in health care. Learn more. Effective October 26, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.  Come work with us!  We invite you to apply today and find out why employees recommend Fraser Health to their friends as an exceptional place to work. We are committed to planetary health, we value diversity in the work force and seek to maintain an environment of Respect, Caring and Trust.  Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care. Connect with us! We invite you to apply today and find out why employees recommend Fraser Health to their friends as an exceptional place to work. We are committed to planetary health, we value diversity in the work force and seek to maintain an environment of Respect, Caring and Trust.  Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members! You can also visit us on Indeed and Glassdoor.  Instagram | Facebook | LinkedIn | Twitter  Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients.The purpose of this position is to provide qualified registered nurses the opportunity to consolidate their skills by rotating through a specialty nursing unit(s) prior to and/or during the undertaking of post graduate course work applicable to the relevant specialty nursing unit(s). As such, successful applicants will be expected to participate in and successfully complete the applicable post graduate specialty nursing courses/program within the agreed-to time frames. ResponsibilitiesAssesses patients and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient's condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention. Plans, performs and evaluates nursing interventions and care.Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient's rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning.Participates in the care and discharge planning process for patients on admission by ensuring the care plan is established, implemented, and evaluated effectively, updating care plan in a timely manner, and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan.Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards.Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice.Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures) and equipment.Performs other related duties as required. QualificationsEducation and ExperienceGraduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Completion of the applicable post graduate specialty nursing course/program and/or willingness to complete the applicable post graduate specialty nursing courses/program.Current certification in Basic Cardiac Life Support (BCLS).Skills and AbilitiesAbility to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means.Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy.Ability to integrate and evaluate data from multiple sources to problem-solve effectively.Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being.Ability to organize and prioritize work.Ability to collaborate with and promote cooperation among members of the interprofessional care team.Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.Ability to operate related equipment including relevant computer applications.Physical ability to perform the duties of the position.
Community Health Nurse - Licensed Practical Nurse
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $32.84 - $44.96 / hour Why Fraser Health?We invite you to apply today and find out why more than 95% of new employees recommend Fraser Health to their friends as an exceptional place to work. A 2022 BC Top Employer, we value diversity in the work force and seek to maintain an environment of Respect, Caring & Trust. Do you have a real passion for serving others? Are you a registered Licensed Practical Nurse looking to work in a dynamic community environment? If you've answered “yes”, then we want you to keep reading! We hire great people for outstanding jobs and need your help to expand the ability to deliver prompt and professional service. We are currently looking for a casual Community Health Nurse - Licensed Practical Nurse to join our Home Health team and provide services in the Fraser Health East Community located in Chilliwack, B.C.  Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.  Effective October 26th 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).  Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Curious to learn what it’s like to work here? Like us on Facebook (@fraserhealthcareers), follow us on Twitter & Instagram (@FHCareer), or connect with us on LinkedIn (fraserhealthcareers) for first-hand employee insights. Detailed OverviewIn accordance with the competency guidelines and full scope of practice within the Standards of Practice as outlined by the British Columbia College of Nurses and Midwives (BCCNM) and the Mission and Values of Fraser Health, the Community Health Nurse (CHN) - Licensed Practical Nurse works independently in the community setting.  Works collaboratively and as a member of an interprofessional team in the management of an assigned client caseload including assessments, coaching, interventions, client care services and follow up to enable clients and their families to live confidently and safely at home and/or community; emphasizes the promotion, maintenance and restoration of health such as the treatment of chronic diseases through teaching, counselling and direct client care; facilitates and manages client transitions across the healthcare continuum utilizing the provincial Primary & Community Care model to optimize recovery or adapting to changes in the client's condition to minimize avoidable admission to residential and/or acute care facilities; collaborates and ensures linkages with acute, primary and community care healthcare providers including the client's primary care provider (Nurse Practitioner, Physician, other specialist(s)) and family/supports regarding client care planning; supports clients and families, as client care is transitioned to primary/community care provider including FH and non-FH community services. Responsibilities Establishes a therapeutic relationship with the client through the use of interpersonal and interviewing techniques, in person and/or over the telephone, to ensure the client's choice and autonomy in decision-making and care planning including the client's right to dignity and privacy. Screens referrals, provides individualized client assessments, interprofessional care planning and interventions including clinical care, when appropriate and referral services for clients with multiple complex chronic conditions; assists clients to achieve an optimal level of function by facilitating timely and appropriate health services and utilizing a variety of resources and services; collaborates with the primary care provider, client, the family/supports/caregivers, other health care professionals, clinics, hospitals and other community resources to identify and resolve client care issues and coordinate the integration of care and services. Initiates/develops a comprehensive shared client care plan, in collaboration with the interprofessional team, primary care provider, client and/or family, other healthcare providers and/or referring clinics; facilitates and supports the transition of the client care plan to the referring source, primary/community care provider and/or community agencies. Provides direct client care and identifies other care services required in accordance with applicable guidelines, policies and evidence-based best practice; provides comprehensive explanations of care to the client and family, as appropriate. As required based on the local community model, assigns direct client care tasks to Community Health Workers; provides in-home demonstrations and training to standards of practice for assigned tasks; collaborates with the Community Health Nurse - Registered Nurse in the monitoring of Community Health Workers performing clients specific delegated direct care tasks to ensure that the Community Health Worker has the necessary knowledge, skills and support to perform the task within the clearly defined limits. Facilitates care conferencing to review client care plan, in collaboration with the interprofessional team and primary care provider to determine timing and referral to other services and/or interventions to improve patient/client outcomes; initiates, monitors and evaluates the appropriateness and effectiveness of the short and long term care plan to meet specific client goals; develops next steps in collaboration with the client and family; develops and supports a transition process for achieving client care goals across the care continuum including discharge and/or transfer to other services, as required. Discusses clinical findings with client/family, in collaboration with the interprofessional team to develops action plans and sets goals directed at clinical needs, self -management, self-care and improved health-related quality of life; accesses system information and resources to review client data such as medical history, progress notes, consultation reports, lab reports and incorporates findings into the care plan; plans, organizes and establishes priorities by using resources effectively and efficiently; responds to unanticipated events and/or changing client or service assignment needs, as needed. Supports clients and their families before, during and after interprofessional conferences and clinic visits by providing information through their decision-making process regarding treatment options; advocates on behalf of the client/family to support their choices and needs and provides direct care to client within the clinic/community/home as they transition to another program, service or healthcare provider. Arranges and participates in joint home visits to clients and/or families with other healthcare professionals, as required; provides advice to the client and/or caregiver about available community resources. Provides health counseling to clients including education, self-management, self-monitoring and wellness/health promotion/prevention through a combination of clinic, telephone or home visits; collaborates with other healthcare professionals in clinics, community programs and services to facilitate the flow of information through a variety of settings within the primary & community care network. Maintains clinical records such as intake screens, client assessments, clinical interventions, treatment formulations, care plans and progress notes; maintains statistical information on patient/client in accordance with established policies, standards, and procedures. Maintains professional practice growth, knowledge and expertise to reflect current standards of practice by reviewing relevant literature, attending educational workshops and in-services, consulting and networking with other health care professionals. Participates in department quality improvement and risk management activities by identifying patient care issues and collecting data; participates in research opportunities, as required. Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor as appropriate. Provides input in the development and revision of standards of care, policies and procedures and advocates for improvements in clinical practice, health care and health care services; participates in the development, implementation and evaluation of quality improvement initiatives within the program by providing recommendations to the Manager. Performs other related duties, as assigned. QualificationsEducation and ExperienceCurrent practicing registration as a Licensed Practical Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year's recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions in an acute or community/outpatient care setting including recent experience in care and discharge planning, or an equivalent combination of education, training and experience. Valid BC Driver's license and access to a personal vehicle for business-related purposes. Skills and Abilities Demonstrated knowledge, skills and competence in the areas such as gerontology and adults living with complex frailty and chronic illnesses. Demonstrated ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventions. Demonstrated ability to communicate effectively, both verbally and in writing. Demonstrated ability to integrate and evaluate pertinent data from multiple sources to problem-solve effectively. Knowledge of broad health care services, community resources agencies and their role in providing a continuum of care. Ability to promote client-focused care including sensitivity to diverse cultures and preferences. Ability to independently manage and prioritize clients with diverse healthcare issues. Ability to teach clients and others about topics essential to health care, health promotion and care self-management using care management principles. Ability to work effectively in a dynamic environment with changing priorities. Ability to work independently and as a member of an interprofessional team. Ability to operate related equipment including applicable software applications. Physical ability to perform the duties of the position.
Registered Nurse/Registered Psychiatric Nurse - Long Term Care - Heritage Village (Chilliwack)
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Are you looking for a place to showcase your nursing skills and expertise? We have the position for you! We are seeking a motivated Registered Nurse/Registered Psychiatric Nurse with a real passion for delivering compassionate patient care to join our Long-Term Care Services at Heritage Village in Chilliwack, BC. Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of nearly 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Twelve acute care hospitals, BC’s first dedicated outpatient care and surgery centre and a wide range of services in public health, home health, mental health and long-term care facilities - all within Metro Vancouver and the Fraser Valley. Known as one of the most desirable place to live in the world, these dynamic communities along with inspiring scenery and easy access to an abundance of outdoor activities provide an amazing quality of life. We have a positive and compassionate work environment where you can bring your dedication for nursing to the role and be part of our rapidly thriving team. Fraser Health is experiencing unprecedented growth and now you can be a part of a busy and exciting team. This role is a full-time position based in Chilliwack, BC. Chilliwack is located 100 kilometres east of Vancouver, Chilliwack’s natural surroundings; rural setting and thriving agricultural, commercial and industrial economy have drawn many to its neighborhoods. Its mountains, lakes and rivers provide beautiful settings for many outdoor activities such as fishing, hiking, camping, boating, kayaking and golfing. A career at Fraser Health will offer you the opportunity to work in a fast growing and exciting organization with professionals who are eminent in their respective fields.  A career at Fraser Health will offer you the opportunity to work in a fast growing and exciting organization with professionals who are eminent in their respective fields. We offer a competitive salary package, including comprehensive health benefits coverage. Join our dedicated team of health care providers in this dynamic and rewarding role!Apply today and take the next step in your career, so we can continue the conversation and make a difference in the communities we serve. Join Fraser Health where we value diversity in the work force and strives to maintain an environment of Respect, Caring & Trust.  As of May 15, 2020 in order to mitigate the risk of the transmission of Covid 19 among persons in our care, patients, residents and also staff in our long term care facilities, an order under the Public Health Act was enacted to limit movement of staff between long term care facilities. While this order is in place staff will be limited to employment in only one (1) long term care facility. This vacancy is located at a long term care facility and will be pursuant to this order. Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) Standards of Nursing Practice and the Mission and Values of Fraser Health, the Registered Nurse/Registered Psychiatric Nurse (RN/RPN) works collaboratively and in partnership with the interdisciplinary team in the provision of person-centered care to diverse populations. This includes promoting resident/client choices, individualized care plans, encouraging resident/client and family involvement in care decisions and supporting continuity and consistency of care. Utilizing an outcome-oriented approach and reflecting evidence-informed practice, the RN/RPN provides direct nursing care designed to meet the needs of residents/clients and their families. Works in partnership with Licensed Practical Nurses and other members of the interdisciplinary team by sharing information, demonstrating and/or providing guidance on clinical care. Responsibilities Works collaboratively and in partnership with the interdisciplinary team to identify current or potential care concerns and strengths, plans interventions; documents and performs planned interventions and evaluates outcomes, as required. Provides person-centered, direct nursing care (including wound care, dementia care and palliative care) and develops care priorities in accordance with established policies, procedures and standards of nursing practice. Modifies care as needed, initiates immediate treatment if required and communicates changes to interdisciplinary team members in a timely and appropriate manner. Collects information from a variety of sources using skills of observation, communication and physical assessment to enable the provision of quality care. Documents relevant observations, assessments and interventions; including resident/client and family teaching and evaluation of care using appropriate technological tools (for example, InterRai). Communicates resident/client assessments and changes to Physicians, Resident/Client Care Coordinator, and the interdisciplinary team. Participates in care planning supporting decision making and person-centered care. Acts as an advocate to protect and promote residents'/client's rights to autonomy, respect, privacy, dignity, diversity and access to information in accordance with standards of professional practice and philosophy of Residential Care/Acquired Brain Injury Services.  Works in partnership with Licensed Practical Nurses and other interdisciplinary team members by sharing information, demonstrating and/or providing guidance on clinical tasks, consulting with staff, reassigning clinical/health related tasks when necessary and providing verbal input into staff performance, when requested. Participates in the orientation and ongoing education of students and others, including LPNs, HCAs and other members of the interdisciplinary team by providing information and acting as a preceptor, mentor and support as requested. Participates in quality improvement activities by gathering information, providing input into proposed policies and revisions of current policies. Provides feedback on clinical pathways, protocols and procedures. Supports advanced clinical practice by identifying research needs and participates in research according to established guidelines. Maintains records, prepares reports, and collects statistical and quality improvement data for research and evaluation purposes, including workload measurement data and quality indicators. Maintains a safe working environment by following health and safety guidelines, ensuring equipment is in safe working condition, reporting unsafe, hazardous conditions and suspected resident/client abuse; completes reports and assists with investigation and follow up as necessary. Complies with WorkSafe BC requirements including completing safety audits at assigned units. Provides input to the Manager/delegate regarding the identification and need for supplies and equipment, future needs of the Program and monitoring of product use. Performs other related duties as assigned. QualificationsEducation and ExperienceGraduate of an approved School of Nursing or Psychiatric Nursing. Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year's recent, related gerontological nursing experience or an equivalent combination of education, training and experience. Current Level 1 First Aid certificate.Skills and Abilities Knowledge of nursing theory and evidence-informed practice. Knowledge of health care disciplines and their roles in health care. Ability to apply clinical knowledge in practice. Ability to apply critical thinking skills, problem solve and effectively resolve conflict situations. Ability to communicate effectively both verbally and in writing. Ability to provide leadership and clinical guidance. Ability to work independently and as a member of the interdisciplinary team. Ability to plan, organize and prioritize work in a self-directed manner. Ability to operate related equipment. Physical ability to perform the duties of the position.
Registered Nurse/Registered Psychiatric Nurse - CGH
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.  Effective October 26, 2021 all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).  Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) Standards of Nursing Practice and the Mission and Values of Fraser Health, the Registered Nurse/Registered Psychiatric Nurse (RN/RPN) works collaboratively and in partnership with the interdisciplinary team in the provision of person-centered care to diverse populations. This includes promoting resident/client choices, individualized care plans, encouraging resident/client and family involvement in care decisions and supporting continuity and consistency of care. Utilizing an outcome-oriented approach and reflecting evidence-informed practice, the RN/RPN provides direct nursing care designed to meet the needs of residents/clients and their families. Works in partnership with Licensed Practical Nurses and other members of the interdisciplinary team by sharing information, demonstrating and/or providing guidance on clinical care. Responsibilities Works collaboratively and in partnership with the interdisciplinary team to identify current or potential care concerns and strengths, plans interventions; documents and performs planned interventions and evaluates outcomes, as required. Provides person-centered, direct nursing care (including wound care, dementia care and palliative care) and develops care priorities in accordance with established policies, procedures and standards of nursing practice. Modifies care as needed, initiates immediate treatment if required and communicates changes to interdisciplinary team members in a timely and appropriate manner. Collects information from a variety of sources using skills of observation, communication and physical assessment to enable the provision of quality care. Documents relevant observations, assessments and interventions; including resident/client and family teaching and evaluation of care using appropriate technological tools (for example, InterRai). Communicates resident/client assessments and changes to Physicians, Resident/Client Care Coordinator, and the interdisciplinary team. Participates in care planning supporting decision making and person-centered care. Acts as an advocate to protect and promote residents'/client's rights to autonomy, respect, privacy, dignity, diversity and access to information in accordance with standards of professional practice and philosophy of Residential Care/Acquired Brain Injury Services.  Works in partnership with Licensed Practical Nurses and other interdisciplinary team members by sharing information, demonstrating and/or providing guidance on clinical tasks, consulting with staff, reassigning clinical/health related tasks when necessary and providing verbal input into staff performance, when requested. Participates in the orientation and ongoing education of students and others, including LPNs, HCAs and other members of the interdisciplinary team by providing information and acting as a preceptor, mentor and support as requested. Participates in quality improvement activities by gathering information, providing input into proposed policies and revisions of current policies. Provides feedback on clinical pathways, protocols and procedures. Supports advanced clinical practice by identifying research needs and participates in research according to established guidelines. Maintains records, prepares reports, and collects statistical and quality improvement data for research and evaluation purposes, including workload measurement data and quality indicators. Maintains a safe working environment by following health and safety guidelines, ensuring equipment is in safe working condition, reporting unsafe, hazardous conditions and suspected resident/client abuse; completes reports and assists with investigation and follow up as necessary. Complies with WorkSafe BC requirements including completing safety audits at assigned units. Provides input to the Manager/delegate regarding the identification and need for supplies and equipment, future needs of the Program and monitoring of product use. Performs other related duties as assigned. QualificationsEducation and ExperienceGraduate of an approved School of Nursing or Psychiatric Nursing. Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year's recent, related gerontological nursing experience or an equivalent combination of education, training and experience. Current Level 1 First Aid certificate.Skills and Abilities Knowledge of nursing theory and evidence-informed practice. Knowledge of health care disciplines and their roles in health care. Ability to apply clinical knowledge in practice. Ability to apply critical thinking skills, problem solve and effectively resolve conflict situations. Ability to communicate effectively both verbally and in writing. Ability to provide leadership and clinical guidance. Ability to work independently and as a member of the interdisciplinary team. Ability to plan, organize and prioritize work in a self-directed manner. Ability to operate related equipment. Physical ability to perform the duties of the position.
Registered Nurse, Transition Line (Specialty Nursing) - ER (CGH)-Cas
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.    Effective October 26, 2021 all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).  Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients.The purpose of this position is to provide qualified registered nurses the opportunity to consolidate their skills by rotating through a specialty nursing unit(s) prior to and/or during the undertaking of post graduate course work applicable to the relevant specialty nursing unit(s). As such, successful applicants will be expected to participate in and successfully complete the applicable post graduate specialty nursing courses/program within the agreed-to time frames. ResponsibilitiesAssesses patients and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient's condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention. Plans, performs and evaluates nursing interventions and care.Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient's rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning.Participates in the care and discharge planning process for patients on admission by ensuring the care plan is established, implemented, and evaluated effectively, updating care plan in a timely manner, and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan.Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards.Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice.Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures) and equipment.Performs other related duties as required. QualificationsEducation and ExperienceGraduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Completion of the applicable post graduate specialty nursing course/program and/or willingness to complete the applicable post graduate specialty nursing courses/program.Current certification in Basic Cardiac Life Support (BCLS).Skills and AbilitiesAbility to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means.Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy.Ability to integrate and evaluate data from multiple sources to problem-solve effectively.Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being.Ability to organize and prioritize work.Ability to collaborate with and promote cooperation among members of the interprofessional care team.Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.Ability to operate related equipment including relevant computer applications.Physical ability to perform the duties of the position.
Registered Nurse, Medicine - Chilliwack General Hospital (CGH)
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?We invite you to apply today and find out why more than 95% of new employees recommend Fraser Health to their friends as an exceptional place to work. A 2022 BC Top Employer, we value diversity in the work force and seek to maintain an environment of Respect, Caring & Trust.  Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.  Effective October 26, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.    Curious to learn what it’s like to work here? Like us onFacebook(@fraserhealthcareers), follow us onTwitter&Instagram(@FHCareer), or connect with us onLinkedIn(fraserhealthcareers) for first-hand employee insights.  Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients in (an) acute inpatient areas. ResponsibilitiesAssesses patients and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient''s condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention. Plans, performs and evaluates nursing interventions and care.Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient's rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning.Participates in the care and discharge planning process for patients on admission by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan.Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards.Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals.  Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures. Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.Participates in and attends in-services and other educational programs.  Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice.Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation.Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures), and equipment.Performs other related duties as required. QualificationsEducation and ExperienceGraduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Skills and AbilitiesAbility to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means.Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy.Ability to integrate and evaluate data from multiple sources to problem-solve effectively.Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being.Ability to organize and prioritize work.Ability to collaborate with and promote cooperation among members of the interprofessional care team.Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.Ability to operate related equipment including relevant computer applications.Physical ability to perform the duties of the position.
Community Health Nurse - Registered Nurse
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Do you have a passion for nursing? We have the position for you! We are seeking a motivated Community Health Nurse with a real dedication for delivering compassionate patient care to join our team in Surrey!  Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.  Effective October 26, 2021 all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).  Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Community Health Nurse (CHN) - Registered Nurse works independently in the community setting. Works collaboratively and as a member of an interprofessional team in the management of an assigned client caseload including assessments, coaching, interventions, client care services and follow up to enable clients and their families to live confidently and safely at home and/or community; emphasizes the promotion, maintenance and restoration of health such as the treatment of chronic diseases through teaching, counselling and direct client care; facilitates and manages client transitions across the healthcare continuum utilizing the provincial Primary & Community Care model to optimize recovery or adapting to changes in the client's condition to minimize avoidable admission to residential and/or acute care facilities; collaborates and ensures linkages with acute, primary and community care healthcare providers including the client's primary care provider (Nurse Practitioner, Physician, other specialist(s)) and family/supports regarding client care planning; supports clients and families, as client care is transitioned to primary/community care provider including FH and non-FH community services. Responsibilities Establishes a therapeutic relationship with the client through the use of interpersonal and interviewing techniques, in person and/or over the telephone, to ensure the client's choice and autonomy in decision-making and care planning including the client's right to dignity and privacy. Screens referrals, provides individualized client assessments, interprofessional care planning and interventions including clinical care, when appropriate and referral services for clients with multiple complex chronic conditions; assists clients to achieve an optimal level of function by facilitating timely and appropriate health services and utilizing a variety of resources and services; collaborates with the primary care provider, client, the family/supports/caregivers, other health care professionals, clinics, hospitals and other community resources to identify and resolve client care issues and coordinate the integration of care and services. Develops a comprehensive shared patient/client care plan, in collaboration with the interprofessional team, primary care provider, client and/or family, other healthcare providers and/or referring clinics; facilitates and supports the transition of the client care plan to the referring source, primary/community care provider and/or community agencies. Provides direct client care and identifies other care services required in accordance with applicable guidelines, policies and evidence-based best practice; provides comprehensive explanations of care to the client and family, as appropriate. As required based on the local community model, makes decisions on client specific direct care tasks; assigns direct client care tasks to Community Health Workers and when appropriate delegates client specific direct care tasks to Community Health Workers; provides in-home demonstrations and training to standards of practice for assigned and delegated client specific tasks; ensures that the Community Health Worker has the necessary knowledge, skills and support to perform the delegated tasks within the clearly defined limits; collaborates with the Community Health Nurse - Licensed Practical Nurse in the monitoring of Community Health Workers performing clients specific delegated direct care tasks. Facilitates care conferencing to review client care plans, in collaboration with the interprofessional team and primary care provider to determine timing and referral to other services and/or interventions to improve client outcomes; initiates, monitors and evaluates the appropriateness and effectiveness of the short and long term care plan to meet specific client goals; develops next steps in collaboration with the client and family; develops and supports a transition process for achieving client care goals across the care continuum including discharge and/or transfer to other services, as required. Discusses clinical findings with client/family, in collaboration with the interprofessional team to develops action plans and sets goals directed at clinical needs, self -management, self-care and improved health-related quality of life; accesses system information and resources to review client data such as medical history, progress notes, consultation reports, lab reports and incorporates findings into the care plan; plans, organizes and establishes priorities by using resources effectively and efficiently; responds to unanticipated events and/or changing client or service assignment needs, as needed. Supports clients and their families before, during and after interprofessional conferences and clinic visits by providing information through their decision-making process regarding treatment options; advocates on behalf of the client/family to support their choices and needs and provides direct care to client within the clinic/community/home as they transition to another program, service or healthcare provider. Arranges and participates in joint home visits to clients and/or families with other healthcare professionals, as required; provides advice to the client and/or caregiver about available community resources. Provides health counseling to clients including education, self-management, self-monitoring and wellness/health promotion/prevention through a combination of clinic, telephone or home visits; collaborates with other healthcare professionals in clinics, community programs and services to facilitate the flow of information through a variety of settings within the primary & community care network. Maintains clinical records such as intake screens, client assessments, clinical interventions, treatment formulations, care plans and progress notes; maintains statistical information on clients in accordance with established policies, standards, and procedures. Maintains professional practice growth, knowledge and expertise to reflect current standards of practice by reviewing relevant literature, attending educational workshops and in-services, consulting and networking with other health care professionals. Participates in department quality improvement and risk management activities by identifying client care issues and collecting data; participates in research opportunities, as required. Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor as appropriate. Provides input in the development and revision of standards of care, policies and procedures and advocates for improvements in clinical practice, health care and health care services; participates in the development, implementation and evaluation of quality improvement initiatives within the program by providing recommendations to the Manager. Performs other related duties, as assigned. QualificationsEducation and ExperienceCurrent practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions in an acute or community/outpatient care setting including recent experience in care and discharge planning, or an equivalent combination of education, training and experience. Valid BC Driver's license and access to a personal vehicle for business-related purposes.Skills and Abilities Demonstrated knowledge, skills and competence in the areas such as gerontology and adults living with complex frailty and chronic illnesses Demonstrated ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventions Demonstrated ability to communicate effectively, both verbally and in writing Demonstrated ability to integrate and evaluate pertinent data from multiple sources to problem-solve effectively Knowledge of broad health care services, community resources agencies and their role in providing a continuum of care Ability to promote client-focused care including sensitivity to diverse cultures and preferences Ability to independently manage and prioritize clients with diverse healthcare issues Ability to teach clients and others about topics essential to health care, health promotion and care self-management using care management principles Ability to work effectively in a dynamic environment with changing priorities Ability to work independently and as a member of an interprofessional team Ability to operate related equipment including applicable software applications Physical ability to perform the duties of the position
Registered Nurse, CCU, ICU, Cardiac Stepdown, High Acuity (CCU) - CGH
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of nearly 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Effective October 26, 2021 all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).  Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.  Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients in an acute medical unit. Responsibilities Assesses patients and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient''s condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention. Plans, performs and evaluates nursing interventions and care. Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient's rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning. Participates in the care and discharge planning process for patients on admission by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan. Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards. Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition. Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan. Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies. Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures. Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager. Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols. Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice. Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation. Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures), and equipment. Performs other related duties as required. QualificationsEducation and ExperienceGraduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Completion of applicable post graduate course work, or an equivalent combination of education, training and experience. Current certification in Basic Cardiac Life Support (BCLS).Skills and Abilities Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions. Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means. Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy. Ability to integrate and evaluate data from multiple sources to problem-solve effectively. Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being. Ability to organize and prioritize work. Ability to collaborate with and promote cooperation among members of the interprofessional care team. Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice. Ability to operate related equipment including relevant computer applications. Physical ability to perform the duties of the position.
Community Health Nurse - Registered Nurse - Chilliwack
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities. Our team of 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more.  Come work with us! Fraser Health is proudly recognized as a BC Top Employer. Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.  Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and there are no exceptions. Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner. Connect with us! Connect with us on our Careers social channels where you’ll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members! You can also visit us on Indeed and Glassdoor. Instagram | Facebook | LinkedIn | Twitter | TikTok Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Community Health Nurse (CHN) - Registered Nurse works independently in the community setting. Works collaboratively and as a member of an interprofessional team in the management of an assigned client caseload including assessments, coaching, interventions, client care services and follow up to enable clients and their families to live confidently and safely at home and/or community; emphasizes the promotion, maintenance and restoration of health such as the treatment of chronic diseases through teaching, counselling and direct client care; facilitates and manages client transitions across the healthcare continuum utilizing the provincial Primary & Community Care model to optimize recovery or adapting to changes in the client's condition to minimize avoidable admission to residential and/or acute care facilities; collaborates and ensures linkages with acute, primary and community care healthcare providers including the client's primary care provider (Nurse Practitioner, Physician, other specialist(s)) and family/supports regarding client care planning; supports clients and families, as client care is transitioned to primary/community care provider including FH and non-FH community services. ResponsibilitiesEstablishes a therapeutic relationship with the client through the use of interpersonal and interviewing techniques, in person and/or over the telephone, to ensure the client's choice and autonomy in decision-making and care planning including the client's right to dignity and privacy.Screens referrals, provides individualized client assessments, interprofessional care planning and interventions including clinical care, when appropriate and referral services for clients with multiple complex chronic conditions; assists clients to achieve an optimal level of function by facilitating timely and appropriate health services and utilizing a variety of resources and services; collaborates with the primary care provider, client, the family/supports/caregivers, other health care professionals, clinics, hospitals and other community resources to identify and resolve client care issues and coordinate the integration of care and services.Develops a comprehensive shared patient/client care plan, in collaboration with the interprofessional team, primary care provider, client and/or family, other healthcare providers and/or referring clinics; facilitates and supports the transition of the client care plan to the referring source, primary/community care provider and/or community agencies.Provides direct client care and identifies other care services required in accordance with applicable guidelines, policies and evidence-based best practice; provides comprehensive explanations of care to the client and family, as appropriate.As required based on the local community model, makes decisions on client specific direct care tasks; assigns direct client care tasks to Community Health Workers and when appropriate delegates client specific direct care tasks to Community Health Workers; provides in-home demonstrations and training to standards of practice for assigned and delegated client specific tasks; ensures that the Community Health Worker has the necessary knowledge, skills and support to perform the delegated tasks within the clearly defined limits; collaborates with the Community Health Nurse - Licensed Practical Nurse in the monitoring of Community Health Workers performing clients specific delegated direct care tasks.Facilitates care conferencing to review client care plans, in collaboration with the interprofessional team and primary care provider to determine timing and referral to other services and/or interventions to improve client outcomes; initiates, monitors and evaluates the appropriateness and effectiveness of the short and long term care plan to meet specific client goals; develops next steps in collaboration with the client and family; develops and supports a transition process for achieving client care goals across the care continuum including discharge and/or transfer to other services, as required.Discusses clinical findings with client/family, in collaboration with the interprofessional team to develops action plans and sets goals directed at clinical needs, self -management, self-care and improved health-related quality of life; accesses system information and resources to review client data such as medical history, progress notes, consultation reports, lab reports and incorporates findings into the care plan; plans, organizes and establishes priorities by using resources effectively and efficiently; responds to unanticipated events and/or changing client or service assignment needs, as needed.Supports clients and their families before, during and after interprofessional conferences and clinic visits by providing information through their decision-making process regarding treatment options; advocates on behalf of the client/family to support their choices and needs and provides direct care to client within the clinic/community/home as they transition to another program, service or healthcare provider.Arranges and participates in joint home visits to clients and/or families with other healthcare professionals, as required; provides advice to the client and/or caregiver about available community resources.Provides health counseling to clients including education, self-management, self-monitoring and wellness/health promotion/prevention through a combination of clinic, telephone or home visits; collaborates with other healthcare professionals in clinics, community programs and services to facilitate the flow of information through a variety of settings within the primary & community care network.Maintains clinical records such as intake screens, client assessments, clinical interventions, treatment formulations, care plans and progress notes; maintains statistical information on clients in accordance with established policies, standards, and procedures.Maintains professional practice growth, knowledge and expertise to reflect current standards of practice by reviewing relevant literature, attending educational workshops and in-services, consulting and networking with other health care professionals.Participates in department quality improvement and risk management activities by identifying client care issues and collecting data; participates in research opportunities, as required.Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor as appropriate.Provides input in the development and revision of standards of care, policies and procedures and advocates for improvements in clinical practice, health care and health care services; participates in the development, implementation and evaluation of quality improvement initiatives within the program by providing recommendations to the Manager.Performs other related duties, as assigned. QualificationsEducation and ExperienceCurrent practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).One (1) year recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions in an acute or community/outpatient care setting including recent experience in care and discharge planning, or an equivalent combination of education, training and experience.Valid BC Driver's license and access to a personal vehicle for business-related purposes.Skills and AbilitiesDemonstrated knowledge, skills and competence in the areas such as gerontology and adults living with complex frailty and chronic illnessesDemonstrated ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventionsDemonstrated ability to communicate effectively, both verbally and in writingDemonstrated ability to integrate and evaluate pertinent data from multiple sources to problem-solve effectivelyKnowledge of broad health care services, community resources agencies and their role in providing a continuum of careAbility to promote client-focused care including sensitivity to diverse cultures and preferencesAbility to independently manage and prioritize clients with diverse healthcare issuesAbility to teach clients and others about topics essential to health care, health promotion and care self-management using care management principlesAbility to work effectively in a dynamic environment with changing prioritiesAbility to work independently and as a member of an interprofessional teamAbility to operate related equipment including applicable software applicationsPhysical ability to perform the duties of the position
Registered Nurse/Registered Psychiatric Nurse, Community Mental Health & Substance Use Services - Chilliwack General Hospital
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Effective October 26, 2021 all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).  Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered and recovery oriented care, the Registered Nurse/Registered Psychiatric Nurse provides treatment and care management services that are both inclusionary and flexible for individuals with mental illness and concurrent disorders (e.g. substance use, developmental disorders) to meet the needs of the client and to provide integration and continuity across the care continuum. Works collaboratively within an interdisciplinary team-based model of care and promotes rapid engagement in the provision of consistent, relevant and timely delivery of client and family-centered care. With an emphasis on recovery and rehabilitation, reducing barriers to enter the system of care, and promoting a culturally-safe and responsive, trauma-informed approach, establishes a welcoming therapeutic environment and promotes client self-determination and independence. ResponsibilitiesCoordinates care for clients by collaborating with interprofessional care team, performing intake functions, conducting mental health assessments, developing, implementing, maintaining and adjusting comprehensive treatment plans based on client needs and best practices, administering prescribed medications, and monitoring and assessing clients''''' mental state, response to medications and efficacy of treatment plan to ensure optimum use of resources and to facilitate client centred care.Plans and provides direct nursing care to clients in compliance with standards of practice by performing activities such as reviewing client/family history, conducting physical/psychosocial assessments, assessing vital signs, developing a care plan specific for the client and collaborating with other members of the health care team to discuss and review the care plan, and implements other treatment modalities as required such as ADLs, wound care and administering of medications.The nurse works from a strengths-based model, using motivational interviewing and engagement techniques and works collaboratively with clients and professionals to develop and implement individualized care plans and assists clients to access appropriate services in the community.Establishes, maintains and enhances therapeutic relationships based on respect with client and their informal support network by engaging stakeholders in treatment planning and evaluation, providing support and follow-up planning, promoting and supporting clients to manage self care, encouraging informed decision making and empowering the client to improve the clients' quality of life. Teaches client and their family about management and treatment of specific psychiatric conditions, concurrent substance use issues, their symptoms and integration of illness into their lifestyle.Provides treatment services including crisis intervention, individual counselling and education according to a variety of theoretical models to clients and their informal support network as required by methods such as assessing situation, eliciting concerns, exploring emotional response to illness, identifying goals and expectations, reviewing client and family learning needs, assisting with understanding of illness, teaching coping strategies, and consulting with colleagues when required.Initiates and participates in case conferences/meetings with clients, family, service providers and members of the interprofessional team for identification of client mental health issues, concerns regarding services and coordination, emergent issues, and discussion of on-going follow-up care to ensure a coordinated approach to treatment. Acts as client advocate to protect and promote clients' right to autonomy, respect, privacy, dignity, and access to information.Consults and collaborates with members of the interprofessional care team including MH&SUS Physicians, Primary Care Providers (GP/NP), Team Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in client condition.Monitors Extended Leave as required under the Mental Health Act by methods such as reviewing conditions of Extended Leave, determining if client is following the conditions and tracking renewal of certification due dates to ensure continuity of appropriate treatment.Aids client access to services such as medical appointments, hospitals, and social programs by methods such as providing healthcare information, contacting relevant programs/services, and assisting clients with processing forms, transportation issues, and daily living tasks.Documents assessments, care plan, observations, interventions, client/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.Maintains a safe environment for clients, visitors and employees by adhering to established safety and emergency practices and procedures and reporting any risks and anomalies to the Team Coordinator.Identifies own learning needs/goals, reviews these with the Team Coordinator and engages in a variety of activities to meet these needs/goals.Participates in research and quality improvement activities by identifying client care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.May be required to: plan, coordinate, and deliver educational sessions to clients and their family members, other service providers, and community agencies regarding Mental Health & Substance Use services.May be required to: facilitate group sessions utilizing psychodynamic, cognitive/behavioural, interpersonal, and supportive interventions in conjunction and consultation with other interprofessional team members.May be required to: provide outreach nursing care to clients in their home setting, primary care setting, or suitable alternative including individuals who are homeless or at risk of homelessness performing nursing functions such as assessing substance use/dependence, determining physical and mental status, monitoring withdrawal symptoms and evaluating response to medications administered; formulate and explain plan of care to client/family or supportive care persons; transport and/or accompany clients to physician appointments for assessment to determine suitability for program or to designated safe bed for withdrawal management support.May include working with residential facilities or community agencies/homes to conduct client assessments, facilitate placement, develop individualized care/service plan, monitoring of client progress and ensuring appropriate referrals and discharges.Performs other related duties as required. QualificationsEducation and ExperienceGraduation from approved School of Nursing or Psychiatric Nursing.Two (2) years recent related experience providing treatment services to individuals with mental health and/or concurrent disorders, or an equivalent combination of education, training and experience. May require completion of substance use certificate program. Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Valid Class 5 BC Driver''s License and access to personal vehicle with appropriate insurance coverage.Skills and AbilitiesAbility to complete initial and ongoing mental health and substance use client assessment and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions including crisis intervention.Knowledge of mental illness and substance use treatmentKnowledge of psychopharmacology (indications and side-effects).Counselling and group facilitation skills.Knowledge of legislation and government policies and procedures that relate to mental health and substance use practices.Ability to communicate effectively verbally and in writing with clients, families/care givers, the public, medical staff and members of the interprofessional care team.Ability to promote person-centered care that demonstrates empathy for clients/families/care givers, sensitivity to diverse cultures and preferences, including advocacy for special populations.Ability to educate clients and families/care givers about topics essential to their health care and well-being.Ability to organize and prioritize work.Ability to collaborate with and promote cooperation among members of the interprofessional care team.Ability to use factual information and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.Ability to operate related equipment including relevant computer applications.Physical ability to perform the duties of the position.
Psychiatric Liaison Nurse
Fraser Health Authority, Chilliwack, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?Fraser Health continues to be recognized as one of BC's Top Employers, are you someone who is passionate about making a difference in the lives of others? Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations. Our team of nearly 45,000 medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Effective October 26th, 2021, all new hires to Fraser Health will need to have full COVID 19 vaccination (have received a full series of a World Health Organization “WHO” approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines). Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer. Take the next step and apply so we can continue the conversation with you. Come work with dedicated health care providers who are enthusiastic and committed to provide quality healthcare to our clients/patients/residents. We invite you to find out why more than 95% of new employees recommend Fraser Health as an excellent place to work. Work hard and have fun while you do it. Curious to learn what it’s like to work here? Like us on Facebook (@fraserhealthcareers), follow us on Twitter & Instagram (@FHCareer), or connect with us on LinkedIn (fraserhealthcareers) for first-hand employee insights. Detailed OverviewIn accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered and recovery oriented care the Psychiatric Liaison Nurse performs intake assessment, offers crisis intervention, and provides input into the care of psychiatric and concurrent disordered patients in the Emergency Department. Provides input into the care of psychiatric patients awaiting transfer for further assessment or inpatient admission. Assists with ensuring effective patient flow for assessed patients through collaboration with Emergency Department nurses, other emergency service providers, the interprofessional community mental health and substance use team and other community service providers. Assists in adapting care plans to address psychiatric needs, with final dispositions authorized by the Emergency Room physicians or consulting Psychiatrist. The Psychiatric Liaison Nurse works in close association with the interprofessional community mental health team, agencies and other community service providers. May provide short term follow-up treatment and case management services at the Mental Health Centre for adults treated in the Emergency Department. Responsibilities Screens psychiatric referrals from a variety of internal and external sources, gathers background information and determines service priorities. Works with Emergency Department staff in the identification of potential psychiatric referrals. Performs psychosocial assessments and collects collateral related to patients' primary support group, social environment, occupation, education, housing, finance, health service access, and legal problems. Completes emergency psychiatry patient assessments for patients triaged to psychiatry. Develops care plans with final dispositions authorized by the Emergency Room Physician or consulting psychiatrist and provides general and crisis counselling to patients and their families including short term crisis follow-up in accordance with approved treatment plans. May provide short-term follow-up treatment and case management services at the Mental Health Centre for adults treated in the Emergency Department. Communicates and consults with Coordinators and other members of the interprofessional mental health and substance use team on patient care issues, resources and discharge planning; organizes and participates in interprofessional conferences; engages patients and their family in plan of care and refers patients to other services as required. Provides patient advocacy services with other agencies, services and service providers. Documents assessments, care plan, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures. Completes and maintains electronic Psychiatric Liaison Contact Sheets before the end of each shift or within the designated and hours of work. Participates in patient care conferences of admitted psychiatric patients as required to ensure appropriate discharge planning and linkages to appropriate community mental health services. Liaises with appropriate departments and professionals and facilitates transition to aftercare by sharing emergency treatment outcomes and care plans with Mental Health & Substance Use staff. Acts as patient advocate by assisting patients and their family members to access appropriate community resources. Provides guidance to hospital staff involved in caring for psychiatric patients and provides input for team members actively involved in violence de-escalation, suicide prevention, seclusion, and restraint practices. Ensures safe patient management and adherence to restraint policies and procedures. Participates in quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols. Provides input to the Managers regarding policies, procedures, and operational requirements by observing service needs and providing spoken or written suggestions that address patient and family needs and promote effective use of resources. Identifies own learning needs/goals, reviews these with the Manager or designate and engages in a variety of activities to meet these needs/goals. Maintains a safe environment for patients, families and staff by adhering to established safety and emergency practices and procedures. Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor or mentor as appropriate. Identifies self-learning needs and attends educational programs to maintain and enhance clinical competency. Performs other related duties as assigned. QualificationsEducation and ExperienceGraduation from an approved school of Nursing or Psychiatric Nursing. Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). One (1) year recent related experience in acute or community mental health and substance use setting or an equivalent combination of education, training and experience.Skills and Abilities Ability to complete initial and ongoing mental health and substance use patient assessment and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions including crisis intervention. Knowledge of mental illness and substance use treatment. Knowledge of psychopharmacology (indications and side-effects). Counselling and group facilitation skills. Knowledge of legislation and government policies and procedures that relate to mental health and substance use practices. Ability to communicate effectively verbally and in writing with patients/families/care givers, the public, medical staff and members of the interprofessional care team. Ability to promote person-centered care that demonstrates empathy for patients/families/care givers, sensitivity to diverse cultures and preferences, including advocacy for special populations. Ability to educate patients and families/care givers about topics essential to their health care and well-being. Ability to organize and prioritize work. Ability to collaborate with and promote cooperation among members of the interprofessional care team. Ability to use factual information and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice. Ability to operate related equipment including relevant computer applications. Physical ability to perform the duties of the position.