Registered Nurse (Med/Surg) - General Surgery

• minimum Nurse to Patient Ratios (mNPRs) Vancouver Coastal Health (VCH) is proud to be part of the provincial implementation of minimum Nurse to Patient Ratios (mNPRs), an initiative aimed at enhancing nursing practice and strengthening quality of care across the health system. mNPRs set the minimum number of nurses providing care to patients on a given unit.
• In British Columbia, mNPRs are developed in partnership with the Ministry of Health, the BC Nurses’ Union (BCNU) and health organizations.
• Guided by our values: We Care for Everyone, We Are Always Learning and We Strive for Better Results, we remain committed to fostering quality practice and learning environments where nurses can grow and thrive.
• Salary Details The salary range for this position is CAD $41.42/Hr. - CAD $55.91/Hr.
• Job Summary Using a best practices approach, provides nursing care to assigned patients/clients working independently and as a member of an interdisciplinary care team.
• Assesses, plans, implements and evaluates client care for surgical patient/client group.
• Participates in discharge planning, functions as a client advocate and teaches clients and their families about illness/injury and overall health promotion and wellness.
• Enhances quality of life from the perspective of the client/family.
• Documents care provided and responds to incidents in accordance with established policies and procedures.
• Consults, confers and collaborates with other health care providers.
• Maintains and advances own clinical competence.
• Participates on designated hospital committees/teams and approved research projects as assigned.
• Practices in accordance with the British Columbia College of Nurses & Midwives (BCCNM) standards (professional & practice) and code of ethics for a Registered Nurse.
• Practices within the scope of practice as set by the organization, as per VCH policies and guidelines/clinical practice documents and within own competence.
• This practice is aligned with the vision, mission, goals and values of the organization as well as with the concept of a client and family centred care model.

Qualifications

• Education & Experience Current practicing registration as a Registered Nurse with the British Columbia College of Nurses & Midwives (BCCNM).Skills & AbilitiesDemonstrated ability in nursing practice related to designated client group – Surgical Patients1. Demonstrated knowledge of pathophysiology related to common diagnosis/surgeries and specific clinical situations related to area of practice (e.g. Orthopedic/Ortho Trauma; Heart failure (CHF); Chest Pain, MI, Angina; Respiratory Disease/ Asthma/COPD; Diabetes; Gastrointestinal; Bowel Surgery ERAS; Resections; Hepatic; Renal; Glandular procedures; Vascular; Mastectomy; Urology; Cystectomy ERAS).2. Demonstrated ability to provide nursing assessments & interventions related to common diagnosis/surgeries and specific clinical situations relevant to the designated patient/client group (e.g. Management of fractures; Hip/Knee replacement; Arrhythmias; Sepsis/Shock; DVT/Pulmonary embolism; Endovascular Aortic Stent Grafts; Diabetes; Cardiac/Respiratory failure and arrest; End-stage liver disease; Renal failure; Amputation/Lower limb; Epidural and PCA; Chest Tubes: Ostomies; Wound Care: surgical incisions, skin grafts, VAC dressing, chronic and complex wounds).3. Demonstrated ability to perform focused secondary assessments and integrate information from a variety of sources including diagnostics and develop plan of care relevant to the designated patient/client group.4. Demonstrated ability to anticipate and respond to potential complications and care issues relevant to the designated patient/client group.5. Demonstrated ability in correct usage of equipment and maintains competency in working with Oxygen delivery equipment; Care related pumps, catheters, tubes, suctions for designated patient population; Negative Pressure Wound Therapy (NPWT); Cryocuff. 6. Demonstrated ability to document client care on appropriate systems/forms in accordance with organizational and unit standards in a timely and accurate manner.7. Demonstrated skill in the management of patients with altered immune response, acute /chronic pain management, Manages anticoagulated therapy & DVT prophylaxis, management of opioid tolerant patients, analgesics, patients with addictions / withdrawal issues. Utilizes the Pain Assessment Record to perform comprehensive pain assessments; Omnicell system, including narcotics.8. Demonstrated skill in safe care & management of patients with Post-op infections; Resections; Pancreatectomy; Splenectomy; Pigtail Drainage Catheter; Pleural chest tube; Skin grafts and donor site; Wound care; Catheterization; Chest tubes; Compartment syndrome; CP Nerve Blocks (CPNBC); Blood glucose monitoring.9. Demonstrated skill in assessing, maintaining, troubleshooting CVC; CVC/PICC/maintenance, blood collection and removal; Peripheral IV insertion and maintenance; Enteral/TPN/Parenteral Nutrition; Administering blood and blood product transfusions; Tracheostomy care.10. Demonstrated skill in performing RN autonomous scope of practice and standards of care relevant to designated patient/client population including IV, infection control, isolation protocols etc. 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 Ministry of Health policy, all health care workers working in publicly-funded health care facilities are required to report their past receipt of certain vaccines or history of certain infections. Collecting these records will allow for offering of any missing vaccines, and for appropriate actions to be taken in the event of any future exposure to a communicable disease or during outbreaks. For all new hires and appointments to Vancouver Coastal Health, you will be asked to provide this information as part of the onboarding process. Why Join Vancouver Coastal Health (VCH):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.