(RN) Registered Nurse, MICY - Outpatient Clinics - Jim Pattison Outpatient Care & Surgery Centre (JPOCSC)

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, and working collaboratively and in partnership with the inter-professional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care and by teaching patients and families about illness management, prevention and treatment in an outpatient clinic and / or in a home environment setting of the designated clinical area.

Responsibilities Conducts a comprehensive nursing assessment of the patient and unborn baby on admission to an outpatient clinic and / or in a home environment setting of the designated clinical area.

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.

Identifies risk factors. Plans, performs and evaluates nursing interventions and care. Collaborates with members of the inter-professional care team including Physicians and other health care professionals / providers as required in the identification and resolution of issues, changes in patient condition, and adjustments to 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 by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the inter-professional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the clinic team on issues that 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 inter-professional care team according to established protocols and practice standards.

Teaches patients and families / care givers about risk factor reduction strategies, emergency management, use of prescribed medications, self-management skills, lifestyle adjustments, and health maintenance.

Provides individual counselling, group facilitation, lectures, and follow up on disease modifying therapies (DMT). Assesses learning needs of the patient and family / care giver;

provides information and demonstration of care activities. Plans and discusses referral information with patient and their families / care givers and, in collaboration with members of the inter-professional 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 designated programs and professional committees, care conferences and councils as assigned, or as agreed to with the Manager.

Participates in research and special projects in collaboration with other members of the inter-professional team; collects and / or interprets data, and provides input for further analysis as required.

Participates in quality improvement and risk management activities; identifies patient care issues, collects data, provides input / recommendations to the inter-disciplinary team on corrective action, and promotes changes to practices, procedures and protocols.

Reports safety and risk concerns through the Patient Safety Learning System. 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 guide the clinical experience of assigned new nursing staff and students; promotes the philosophy of family centered care and Best Practice principles;

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 of care, order sets and procedures), and equipment. Performs other related duties as required.

Qualifications Education and Experience Graduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

Two years of recent related clinical 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.

Valid BC Driver's License and access to a personal vehicle for business related purposes as required. Skills and Abilities Clinical proficiency in the designated clinical area.

Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and apply nursing theory and expertise to provide nursing care through appropriate / prescribed technical, therapeutic, and safety interventions.

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 inter-professional 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 plan, organize and prioritize work in a continually changing environment.

Ability to work independently and to collaborate with and promote cooperation among members of the inter-professional care team.

Ability to teach and instruct patients and families / care givers and community partners on health care topics essential to their health care and well-being.

Ability to deal with and promote change. Ability to operate related equipment including relevant computer applications. Physical ability to perform the duties of the position.