Registered Nurse/Registered Psychiatric Nurse, Community Mental Health & Substance Use Services[...]

Salary
The salary range for this position is CAD $41.42 - $59.52 per hour.

Job Summary

Curious to learn what it’s like to work here? 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 workforce and seek to maintain an environment of respect, caring and trust. If you’re ready to join a team dedicated to providing care and support, apply now! Together we can make a significant difference in the lives of individuals and families, empowering them on their journey to recovery.

Detailed Overview

In 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/Registered Psychiatric Nurse provides treatment and care management services that are inclusionary and flexible for individuals with mental illness and concurrent disorders (e.g., substance use, developmental disorders). The RN collaborates 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, the RN reduces barriers to entering the system of care, promotes a culturally‑safe, trauma‑informed approach, establishes a welcoming therapeutic environment, and promotes client self‑determination and independence.

Responsibilities

• Coordinates 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 the treatment plan to ensure optimum use of resources and 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 to the client, and collaborating with other members of the health care team to discuss and review the care plan, implementing other treatment modalities as required such as ADLs, wound care and administering medications.
• Uses a strengths‑based model, employing 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 clients 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 their quality of life. Teaches clients and their families 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 counseling and education according to a variety of theoretical models to clients and their informal support network as required by methods such as assessing the 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 ongoing follow‑up care to ensure a coordinated approach to treatment. Acts as client advocate to protect and promote clients’ rights 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 reviewing conditions of Extended Leave, determining if the 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 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 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; formulating and explaining a plan of care to client/family or supportive care persons; transporting and/or accompanying clients to physician appointments for assessment to determine suitability for program or to a 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, monitor client progress and ensure 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.

Qualifications

Education, Training & Experience

Graduation from an 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 a substance use certificate program. May require eligibility for completion of the 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 a personal vehicle with appropriate insurance coverage.

Skills And Abilities

• 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 illness and substance use treatment.
• Knowledge of psychopharmacology (indications and side‑effects).
• Counseling 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/caregivers, the public, medical staff and members of the interprofessional care team.
• Ability to promote person‑centered care that demonstrates empathy for clients/families/caregivers, sensitivity to diverse cultures and preferences, including advocacy for special populations.
• Ability to educate clients and families/caregivers 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 and evidence‑informed practice.
• Ability to operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.

About Fraser Health

Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada, on the traditional, ancestral and unceded lands of the Coast Salish and Nlaka’pamux Nations and is home to 32 First Nations within the Fraser Salish region. People – those we care for and those who care for them – are at the heart of everything we do. Our hospital and community-based services are delivered by a team of 50,000+ staff, medical staff and volunteers. We are committed to planetary health and value diversity in the workforce. We strive 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. Together, we are the heart of health care.

Important: Recruitment scam warning – be on alert for recruitment scams. We are aware of several scams targeting individuals by falsely claiming to represent Fraser Health. Always take precautions when sharing personal details with unverified sources. Please note that we will never ask for money or payment, nor ask you to download or install an app at any point during our recruitment process.

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