Registered Nurse (RN) - Hospital at Home

Come work as a Registered Nurse with Vancouver Coastal Health (VCH)!

Vancouver Coastal Health (VCH) is looking for Registered Nurses to join a ground-breaking new department associated with the Acute Medicine Program at Vancouver General Hospital.

Apply today to join our team!

About the Hospital at Home Program :

The Hospital at Home program caters to patients who meet specific medical stability criteria, providing them with hospital-level care within their residences rather than within the traditional hospital setting.

Despite receiving care at home, these patients are considered inpatients. They receive daily in-person care from a dedicated, multidisciplinary team of hospital clinicians, supplemented by virtual visits and remote patient monitoring.

The Hospital at Home care is short-term and accessible around the clock, every day of the year.

A healthcare team, including a doctor, nurse, and other specialists, delivers care to the patient through a combination of in-person home visits and virtual visits (via phone and / or video).

If you are passionate about offering patient-centered care and looking for a new professional challenge, this opportunity might be for you.

As a Registered Nurse in the Hospital at Home team you will :

• Collaborate within an interprofessional team and consult with physicians, other health care professionals, and the patient / family / caregiver, while providing nursing care to patients who require acute level care in their homes.
• Assess, identify, plan, implement and evaluate the nursing care required to assist patients / clients with acute health care needs in the home and / or hospital setting using an established framework for nursing practice.
• Develop, implement, evaluate and revise care plans, participate in discharge planning, function as a patient advocate, and teach patients and their caregivers about illness / injury and overall health promotion and wellness, and / or makes referrals to other identified resources.
• Promote the best quality of life from the perspective of the patient / family.
• Document care provided according to College and organizational standards.
• Respond and address incidents in accordance with established policies and procedures.
• Maintain and advance your own clinical competence, and participate on designated hospital committees / teams and approved research projects as assigned.

Qualifications

Education & Experience

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Three (3) years’ experience, including two (2) years’ recent, related acute medical / surgical experience or an equivalent combination of education, training and experience.
• Valid BC Driver’s License required. Local area travel may require the use of a vehicle.

Knowledge, Skills & Abilities

Demonstrated ability in nursing practice related to designated client group - acute medical / surgical; including but not limited to patients with complex diseases, respiratory therapies, IV therapies, and nutritional therapies.

Demonstrated knowledge of pathophysiology, treatment protocols, and nursing interventions related to common diagnosis / surgeries and specific clinical situations related to area of practice (e.

g. Sepsis; Chronic Heart Failure; Acute Respiratory illness / disease; Cellulitis).

Demonstrated ability to provide nursing assessments & interventions related to common diagnosis and anticipate and respond to potential complications and care issues relevant to the designated patient group (e.

g. Pain (Acute / Chronic / Neuropathic); Cardiac / Respiratory arrest; Shock; Seizures).

• Demonstrated ability to perform focused secondary assessments and integrate information from a variety of sources including diagnostics to develop plan of care relevant to the designated patient group.
• Demonstrated ability in correct usage of equipment and maintains competency in working with vascular access devices including phlebotomy, peripheral IVs, peripherally inserted central venous catheters, and advanced vascular access devices such as tunneled central lines.
• Demonstrated ability to document patient care on appropriate systems / forms in accordance with organizational and unit standards in a timely and accurate manner.
• Demonstrated skill in safe medication practices, including obtaining best possible medication history (BPMH), order verification, and medication preparation and administration.

Accesses appropriate resources to support safe medication administration such as the program clinical pharmacist, parenteral drug therapy manual (PDTM), Lexicomp, and policies and decision support tools (DST).

Demonstrated skill in safe care & management of patients with respiratory therapies; IV medications and fluids; nutritional therapies;

wound care; drainage systems.

• Demonstrated skill in CPR techniques.
• Demonstrated ability to assess risk and limitations in relation to care and interventions in the home environment and to integrate and evaluate pertinent data (from multiple sources) to problem-solve effectively.

Ability to escalate as required.

• Ability to operate a variety of technologies, including devices such as cell phone and laptop computers. Ability to teach and communicate with patients / family with the use of remote nurse call systems.
• General of knowledge Trauma Informed Practice and Harm Reduction approaches and Strengths-based care.
• Demonstrated ability to promote Indigenous Cultural Safety.
• Demonstrated ability to provide competent and culturally safety care in a variety of settings and with diverse populations.
• Physical ability to perform the duties of the position.

Closing Statement

The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes.

As per the current Public Health Orders, as of October 5, 2023, all employees working for Vancouver Coastal Health must be fully vaccinated for COVID-19 or have received a single dose of the most-recent, updated COVID-19 vaccine.

Proof of vaccination status will be required.

WHY JOIN VANCOUVER COASTAL HEALTH?

VCH is a world class innovator in medical care, research and teaching, delivering service to more than one million BC residents.

At VCH, we embrace thinking boldly, taking smart risks, and "going first" when we believe it will lead to the best possible outcomes for patients and their families.

We invite you to join us in creating healthy lives in healthy communities by showcasing our passion for care, connection to the communities we serve and our culture of teamwork that makes VCH a great place to work.

• Comprehensive health benefits package, including MSP, extended health and dental and municipal pension plan
• Grow your career with employer-paid training and leadership development opportunities
• Wellness supports, including counselling, critical incident and innovative wellness services are available to employees and their immediate families
• Award-winning recognition programs to honour staff, medical staff and volunteers
• Access to exclusive discount offers and deals for VCH staff

Equity, diversity, and inclusion are essential to our goals of creating a great place to work and delivering exceptional care.

We acknowledge and accommodate unique differences and ensure special measures are in place so that all prospective and current employees are given an opportunity to succeed.

We are committed to building a representative workforce and encourage applications reflecting diversity of sex, sexual orientation, gender identity or expression, racialization or ancestry, disability, political belief, religion, marital or family status, age, and / or status as a First Nation, Metis, Inuit, or Indigenous person.

Vancouver Coastal Health is proud to be recognized as one of Canada's Top 100 Employers in 2023.

Only short-listed applicants will be contacted for this posting.