The Nurse Practitioner is responsible for the comprehensive assessment, diagnosis, treatment, and management of patients across the continuum of elective and non-elective orthopaedic care, working within a collaborative, team-based model alongside orthopaedic surgeons. Key duties include participating in daily rounds, coordinating discharge planning, consulting with subspecialties, contributing to quality improvement, and ensuring accurate documentation.
Requirements summary
Candidates must possess current practicing registration as a Nurse Practitioner with the British Columbia College of Nurses and Midwives (BCCNM) and have recent relevant clinical nursing experience. The role emphasizes leadership capabilities aligned with the Fraser Health Leadership Framework and strong professional/technical skills in assessment, collaboration, research evaluation, and team supervision.
professional certificateLeadershipTeam CollaborationDocumentationPatient AssessmentQuality ImprovementClinical ExpertiseMentorshipTreatment PlanningDischarge PlanningEvidence Based PracticeDiagnosisMedication PrescriptionOrthopaedic SurgeryX-ray InterpretationPOCUSMeditech Expanse
Job description
Salary
The salary range for this position is CAD $59.56 - $85.62 / hour Job Summary
Bring your clinical expertise, dedication, and passion for providing quality, compassionate care to a challenging and rewarding role as a Nurse Practitioner (NP) in Orthopaedic Surgery at Royal Columbian Hospital (RCH).
We are currently seeking two NPs to join our dynamic Orthopaedic Surgery team, delivering comprehensive care to patients with complex medical needs across the continuum of elective and non-elective orthopedic surgical care.
Practicing within a collaborative, team-based model, the Nurse Practitioner (NP) will work closely with orthopaedic surgeons who remain the Most Responsible Provider (MRP) for surgical care and interprofessional colleagues to deliver seamless, patient-centered care from admission through to discharge or transfer.
The NP plays a key role in assessing, diagnosing, treating, and managing patients across the continuum of elective and non-elective orthopaedic care.
Responsibilities include participating in daily rounds, coordinating discharge planning and transitions of care, consulting with medical subspecialties, and supporting community reintegration.
The NP also contributes to quality improvement, education, and research initiatives, while ensuring accurate documentation using Fraser Health’s Meditech Expanse system.
RCH located in New Westminster, BC, is one of Fraser Health’s three regional hospitals and a leading tertiary care center in New Westminster, BC, and a key site within Fraser Health for specialized surgical services.
As a regional referral hospital, RCH provides advanced orthopaedic surgical care, including both elective and emergency procedures, supported by a multidisciplinary team and state-of-the-art facilities.
The hospital’s integrated approach ensures high-quality, patient-centered care across the full continuum—from acute intervention to rehabilitation and discharge planning.
New Westminster is known for its stunning waterfront views along the Fraser River, located on the north side of the Fraser River bordering several municipalities in each direction (Burnaby, Coquitlam, Surrey, and Delta), making it the centre of the Greater Vancouver region.
Residency Opportunity Our Nurse Practitioner Residency Program offers a unique postgraduate experience that will elevate your skills and strengthen your transition into independent practice.
Benefits
Maternity Top-Up
Benefit Portability
Generous Vacation Time
Immediate Pension Enrollment
Comprehensive, 100% Employer-Paid Benefits
Translink Pass Subsidy
During your residency, you’ll receive: Advanced Training: Dive deep into a clinical area relevant to your role.
Our in-house experts will provide specialized training that sets you up for success.
Team Collaboration: Build connections as you work alongside experienced professionals who value teamwork and shared goals.
Patient-Centered Care: Develop a model of care that puts patients at the heart of everything you do.
Make a real impact on their lives.
Mentorship
Benefit from mentorship across multiple clinical areas. Learn from the best and grow exponentially.
Clinical
Supervision: During your clinical placements, enjoy dedicated supervision that ensures you’re on the right track.
Self-Directed
Learning: We believe in your growth. You will set aside protected time for self-directed learning tailored to your clinical practice and needs.
Experienced
Coaching: Get personalized guidance and support with weekly check-ins from an experienced nurse practitioner throughout your residency.
Be part of our clinical enhancement program with regular in-house skills development such as 12 lead ECG interpretation, Point of Care ultrasound (POCUS), suturing and x-ray interpretation in addition to receiving centralized NP orientation.
You will be welcomed into a New Graduate NP Community of Practice team helping to support your successful transition into independent practice.
Experience the exceptional benefits of working with us including: Comprehensive, 100% Employer-Paid Benefits: Enjoy peace of mind with full coverage.
Generous Vacation Time: eligible employees can earn up to four weeks of vacation to recharge and relax.
Benefit Portability: Seamlessly transfer your benefits from another HEABC employer.
Immediate Pension Enrollment: Secure your future with a defined municipal pension plan from day one.
Maternity Top-Up: Receive an 87% top-up during maternity leave.
TransLink Pass Subsidy: Save on commuting costs with a 50% subsidy on TransLink passes Additional employee discounts and perks available *Eligibility based on employment status
Detailed Overview
Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families: The Nurse Practitioner is responsible and accountable for the comprehensive assessment of patients/clients/residents including diagnosing diseases, disorders, and conditions.
The Nurse Practitioner initiates treatment including health care management, therapeutic interventions and prescribes medications in accordance with the statutory and regulatory standards, limits, and conditions, and employer policies and procedures.
The Nurse Practitioner provides professional guidance to other health professionals and practices autonomously and interdependently within the context of an interdisciplinary health care team, making referrals to specialist physicians and others as appropriate.
The position collaborates with patients/clients/residents and other health professionals to identify and assess trends and patterns that have implications for patients/clients/residents, families and communities; develops and implements population and evidence based strategies to improve health and participates in policy-making activities that influence health services and practices.
The position participates in peer review and self review to evaluate the outcome of services at the patient/client/resident, community and population level.
Responsibilities
Diagnoses and treats previously undiagnosed patients/clients/residents for undifferentiated diseases, disorders, and conditions within the Nurse Practitioner's scope of practice; writes orders for treatment and medications; provides first line care in emergencies.
Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.
Establishes priorities for management of health, diseases, disorders, and conditions; provides follow-up treatment; communicates with patients/clients/residents and families about health findings, diagnoses and priorities, outcomes and prognoses; supports and counsels patients/clients/residents in their responses to diseases, disorders and conditions.
Collaborates and consults with physicians or other health care and social service providers as appropriate to assess and diagnose patient/client/resident status.
Develops and implements treatment plans.
May admit and discharge patients/clients/residents to facilities according to organizational policies.
Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures.
Assigns work to other nursing and health care personnel; evaluates work and provides education and supervision as necessary; hires staff, and evaluates staff performance.
Participates in research contributing to improved patient/client/resident care and advances in nursing, health policy development and population health.
Maintains population health focus by implementing screening and health promotion activities for populations at risk.
Participates in interdisciplinary staff and nursing education through case presentations, mentoring, role modeling and facilitating the exchange of knowledge in the classroom, the clinical setting and the community; fosters health care partnerships.
Develops, implements and evaluates policies and procedures related to nursing, interdisciplinary care, and health system practices.
Performs other duties as required.
Qualifications: Education and Experience
Current practicing registration as a Nurse Practitioner with the British Columbia College of Nurses and Midwives (BCCNM). Recent relevant clinical nursing experience.
Competencies
Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.
Professional/Technical Capabilities Ability to communicate and collaborate with patients/clients/residents and families about health findings, diagnosis, treatment, self care and prognosis.
Ability to collaborate, consult with and formally refer patients/clients/residents to physicians and other health professionals when appropriate.
Ability to critically assess and evaluate health research literature to determine best practices; ability to introduce education and evidence based research.
Ability to assess and recognize population health trends; ability to plan and implement strategies for population based prevention and health promotion.
Ability to implement and evaluate planned change.
Ability to supervise others and evaluate the care they deliver.
Ability to lead a team and work within a team.
Ability to self-direct, interact and adapt effectively with other professionals in complex, dynamic situations.
Ability to transfer knowledge, teach, coach and mentor others.
Ability to identify and respond appropriately to legal and ethical issues that may arise in patient/resident/client care.
Ability to self-assess performance and assume responsibility and accountability for own professional development, educational or consultative assistance when appropriate.
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 work force. 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.
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