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Recommended vacancies

Registered Nurse/Registered Psychiatric Nurse, Hospice Residence - Delta Hospital (DH)
Fraser Health Authority, Delta, 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 OverviewAs a member of a multidisciplinary team, provides direct nursing care to patients of the Hospice Residence at assigned locations according to established policies and procedures by assessing physical, emotional, spiritual and psychosocial needs; plans, documents and implements care plans; evaluates the effectiveness of the care plan and makes recommendations for care plan changes, where necessary. ResponsibilitiesAssesses, plans, implements and evaluates nursing care of assigned patients by assessing actual or potential problems and strengths, plans and performs interventions and evaluates outcomes.Collects information about the patient using a variety of sources such as skills of observation, communication and physical assessment to enable appropriate nursing care.Communicates and consults with members of the health care team about the patient care plan; participates in interdisciplinary conference and explains plan of care to the  patient and/or families.Acts as an advocate to protect and promote the patient's rights to autonomy, respect, privacy, dignity and access to information.Documents timely and accurate reports of relevant observations including patient and family teaching and evaluation of nursing care.Participates on nursing, 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, where appropriate; identifies self-learning needs and attends educational programs to maintain and enhance clinical competency.Participates in quality improvement activities by identifying patient care issues and collecting data, evaluating 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 of an approved School of Nursing and/or Psychiatric Nursing. Two (2) years' recent, related medical nursing experience in an acute care facility, including one (1) year recent related experience in a hospice/palliative care environment, or an equivalent combination of education, training and experience.Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Skills and AbilitiesKnowledge of nursing practice as it pertains to hospice palliative/residence patients  Knowledge of other healthcare professions and their contribution to the multidisciplinary teamAbility to work independently and as a member of a multidisciplinary teamAbility to communicate effectively both verbally and in writingAbility to organize and prioritize work in a dynamic environmentAbility to develop and maintain rapport with the patient, family and caregiversAbility to operate related equipment including applicable software applicationsPhysical ability to perform the duties of the position.  
Registered Nurse/Registered Psychiatric Nurse - Long-Term Care - (Mountain View Manor) - Delta
Fraser Health Authority, Delta, 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. ResponsibilitiesWorks 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 AbilitiesKnowledge 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.
Community Health Nurse - Registered Nurse - Delta
Fraser Health Authority, Delta, 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 Care Nurse with a real dedication for delivering compassionate patient care to join our Home Health Program in Delta, 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. We have positive and compassionate work environments where you can bring your real passion 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 casual position located in Delta, BC. Delta has a rich farming and agricultural history and has grown into three fast-growing communities: Ladner, Tsawwassen and North Delta. Delta is a vibrant community that is rich in soil and water, rich in history and industry and especially rich in people. A career at Fraser Health will offer you the opportunity to work in a fast growing and exciting organization with professionals who are outstanding in their respective fields. We are proud of the innovation, dedication, teamwork and tenacity of our physicians, employees and volunteers. More than any building or technology, it's our people who make Fraser Health distinct. Be a part of our dedicated team of health care providers in this dynamic and rewarding role! Take the next step and apply, 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. 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. 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 (ACSS) - Delta
Fraser Health Authority, Delta, 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.
RN/RPN, MH&SUS Specialized Populations
Fraser Health Authority, Delta, BC
Salary rangeThe salary range for this position is CAD $49.20 - $67.08 / 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 assessment, treatment, consultation and follow-up services to clients and their caregivers; liaises with relevant community agencies in the planning and development of service for the relevant client population of the assigned team such as Geriatric Mental Health, or Youth Developmental Disabilities, or other; provides education on mental health and substance use issues to professionals and caregivers. ResponsibilitiesProvides clinical nursing services, on a case management basis, to clients and their caregivers referred to the team by screening referrals, providing comprehensive nursing assessments and making recommendations for treatment planning and consultation in collaboration with the interprofessional team.Provides education on mental health and substance use issues related to the relevant client population to care givers, professionals, community groups and agencies; presents information/education sessions to professional colleagues and other government/non-government agencies by developing, delivering and evaluating evidence informed educational programs; supervises and instructs nursing students.Carries out treatment plans and interventions, including administering prescribed psychotropic medication, monitoring the effects, and encouraging medication compliance; provision of support and crisis intervention through home visits and outreach, including facilitation of hospitalization where necessary.Provides follow-up and monitoring of complex psychiatric/medical situations, including substance use/dependence, and referral services where necessary.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, as well as adjustments to care plans as required.Facilitates clients'' utilization of appropriate community services by liaising and collaborating with key service providers in order to ensure appropriate, timely, and seamless care.Initiates and participates in case conferences/meetings with clients, families, service providers and team members to review and plan care.Advocates for clients to protect and promote their autonomy, respect, privacy, dignity, and access to information.Documents assessments, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.Provides consultation and liaison to referral agencies, health service providers and care givers to improve care of clients with mental health and substance use issues.Identifies own learning needs/goals, reviews these with the Team Coordinator and engages in a variety of activities to meet these needs/goals.Participates on professional committees for improvement of client care and/or work environment by reviewing delivery practices to promote improvements to client care and for the efficient and safe operation of the clinical area.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.Performs other related duties as required. QualificationsEducation and ExperienceCurrent practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Two (2) years recent related experience or an equivalent combination of education, training and experience. Valid Class 5 B.C. Driver's License and access to a personal vehicle with appropriate insurance coverage.Skills and AbilitiesAbility to network with other services and agencies.Ability to teach and provide consultation to clients, their care-networks and other health- care professionals.Ability 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 health 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 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 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.
Community Health Nurse - Registered Nurse
Fraser Health Authority, Delta, BC
Salary rangeThe salary range for this position is CAD $41.42 - $59.52 / hour Why 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.  Learn more.   We hire great people for outstanding jobs and need your help to expand the ability to deliver prompt and professional service.     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.   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!   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 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