Registered Nurse, Outreach - Critical Care - Royal Columbian Hospital

Responsibilities

• 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; plans, performs and evaluates nursing interventions and care.
• Provides support in the designated clinical area with the implementation of patient care plans and protocols requiring specific nursing skills such as, but not limited to Sepsis Protocol and Induced Hypothermia Protocol; participates in the interprofessional decision process to stabilize patient on the nursing unit, transfers to the designated clinical area and/or facility, or modifies a patient's care plan.
• Acts as a role model for nurses by providing collegial sharing of information and by demonstrating advanced practice skills in the designated clinical area.
• Establishes a therapeutic relationship with the patient by demonstrating empathy, trust and respect; advocates 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.
• Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards.
• Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators and other health care professionals/providers in the identification and resolution of issues; makes adjustments to care plans, as required and in regard to changes in the patient's condition.
• Plans and discusses referral information with patient and their families/caregivers and in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.
• Documents assessments, nursing diagnoses, observations, interventions, patient/family responses, outcomes/evaluations and referrals according to practice standards and Fraser Health procedures.
• Participates in research and quality improvement activities by identifying patient care issues, collecting data and identifying needs; recommends corrective action and changes to practices, procedures or protocols.
• Participates in and attends in-services and other educational programs; identifies own learning goals and maintains and updates current clinical competence and knowledge within the designated clinical area.
• Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities and participates in staff orientation.
• Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs and policy/clinical decision support tools and equipment.
• Participates on nursing committees, care conferences and councils, as assigned or as agreed to with the Manager.
• Performs other related duties, as assigned.

Qualifications

• Education, Training & Experience Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Two (2) years’ recent related acute care experience and completion of a nursing program in the designated clinical area (critical care or emergency nursing), or an equivalent combination of education, training and experience.
• Current certification in Basic Cardiac Life Support (BCLS) or Advanced Cardiac Life Support (ACLS).
• Skills & Abilities Comprehensive knowledge of nursing theory and evidence based practice within the designated clinical area.
• Ability to role model evidenced based advanced practice skills in the designated clinical area.
• Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.
• Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional 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 teach and instruct patients and families/care givers 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, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.
• Ability to operate related equipment including applicable computer applications.
• Physical ability to perform the duties of the position.

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