Registered Nurse – GI Endoscopy/Ambulatory Care

Salary

The salary range for this position is CAD $41.42 - $59.52 / hour
Job Summary

Come work with us!

We invite you to apply today and find out why employees recommend Fraser Health to their friends as an exceptional place to work. We are committed to planetary health; we value diversity in the work force and seek 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.

Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including earning four weeks of vacation in your first year, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.

Detailed Overview

Depending on the assigned clinical area within the Ambulatory Care Unit, the Registered Nurse (RN) may be required to be competent in multiple clinical settings. This job description addresses various scenarios where nurses are required to work in one or more areas requiring advanced training and experience.

In accordance with established vision and values of the organization, the RN practices in accordance to the Professional Standards and Scope of Practice for Registered Nurses: Standards, Limits, Conditions as outlined by the British Columbia College of Nurses and Midwives (BCCNM) as well as within a client and family-centered care model. The RN is responsible for the assessment, planning, implementation, and evaluation of client care, according to organizational policies, procedures, standards, and unit specific protocols. Working in collaboration with the multidisciplinary team, the RN ensures the delivery of client centered care by assisting individual clients and their families respond to changing health care needs. The RN demonstrates a specialized body of knowledge and bases practice on nursing science and related content from other sciences and humanities.

Responsibilities

1. Completes a comprehensive assessment of the physiological, psychological, socio-cultural, and spiritual needs of the client and family unit and determines client status and responses to actual or potential health problems.
2. Coordinates and oversees the overall care of the patient in a team nursing or interprofessional approach (where applicable). Sets priorities, provides clinical expertise and leadership for the patient’s plan of care with the interprofessional team and assigns tasks as appropriate to other members of the healthcare team. Evaluates the appropriateness and effectiveness of treatments and interventions on an ongoing basis.
3. Ensures the client and family actively participates in the development, implementation, and ongoing modification of the plan of care, including the long and short-term goals. Develops and implements learning plans to meet identified client learning needs.
4. Establishes a therapeutic relationship using effective interpersonal and interviewing techniques, ensuring client choice and autonomy in decision making and care planning. Acts as a role model by demonstrating empathy, trust, and respect in all interpersonal relationships, and recognizes personal impact on team dynamics.
5. Collaborates with the multidisciplinary team and participates in rounds and/or patient care conferences to ensure effective, consistent, and comprehensive care planning and delivery. Justifies decisions with reference to knowledge or theory.
6. Ensures pertinent information and significant clinical changes are communicated to the client and family and members of the multidisciplinary team.
7. Reviews pertinent data obtained through investigative procedures, and by other members of the health care team (including medical history, progress notes, consultation reports, lab reports, etc.) and incorporates findings into the plan of care.
8. Documents assessments, records of observation, care provision and client responses according to professional standards and facility guidelines which may include computerized records and databases.
9. Discusses and plans referral information with client and family and other health team members and in collaboration initiates referrals to appropriate health care/community agencies.
10. Contributes to the development and revision of standards of care, policies and procedures and advocates improvements in clinical nursing practice, health care and health care services.
11. Participates in formulation, implementation, and evaluation of Continuous Quality Improvement initiatives.
12. Demonstrates an awareness of the overall needs of the unit/assignment by:
    a. Planning, organizing, and establishing priorities,
    b. Using resources effectively and efficiently, and
    c. Responding to unanticipated events and changing client or unit needs.
13. Maintains a safe environment for clients, family, and staff, through:
    a. Accident prevention,
    b. Knowledge of emergency procedures and regulations,
    c. Using skills, physical facilities, supplies and equipment safely and appropriately, and
    d. Practicing infection control procedures.
14. Participates and attends in-service and other educational programs as required. Identifies learning goals and maintains and updates current clinical competence and knowledge within area of practice.
15. Acts as a preceptor or mentor to guide the clinical experience of assigned new nursing staff and students; provides input to the Nurse Manager as requested on individual’s progress in achieving established standards of care.
16. Performs other related duties as assigned.

Qualifications

Education, Training & Experience

• Graduation from a recognized School of Nursing with current practicing registration with the British Columbia College of Nurses and Midwives (BCCNM).
• Advanced preparation in the clinical specialty of the assigned program area as required by the position:
  Ambulatory Care
  • Minor Procedures Clinic - completion of recognized post-basic education in perioperative nursing, or an equivalent combination of education, training, and experience. Recent related ambulatory care or perioperative unit experience which includes experience in minor surgical, oncology, and/or medical specialty clinics in an acute care facility.
  • GI Endoscopy: completion of recognized post-basic education in gastroenterology/GI endoscopy nursing, or an equivalent combination of education, training, and experience. Preference given to those with recent related GI endoscopy experience. Perioperative, peri-anesthesia, or critical care nursing education may also be considered when there are no qualified applicants with gastroenterology/GI endoscopy nursing education.
  • Current CPR certification required.

Skills & Abilities

• Ability to complete initial and ongoing client assessments (clinical and diagnostic reasoning) and provide nursing care through appropriate/ prescribed technical, therapeutic, safety type interventions.
• Ability to communicate effectively with the clients, families, the public, medical staff, and the members of the interdisciplinary team using verbal, written and computer communication means.
• Ability to integrate and evaluate pertinent data (from multiple sources) to problem-solve effectively.
• Ability to promote client-focused care that demonstrates care for and with clients and significant others, sensitive to diverse cultures and preferences, client advocacy and social justice concerns.
• Ability to transmit information intended to instruct clients and others about topics essential to health care and well-being.
• Manages time and resources, implementing activities to promote cooperation among relevant others, collaboration across disciplines and related activities.
• Ability to collaborate with and promote staff morale, cooperation, assertiveness and risk-taking, creative planning for change and innovations, implementation of health authority policies or other protocols, and ongoing professional development of self.
• Ability to use factual information, prior learning and basic principles and procedures to support decisions and actions with relevant research-based evidence. Integrates best practice from nursing and health-related disciplines and the humanities, arts, and sciences disciplines into professional practice.
• Ability to operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.

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.

Together, we are the heart of health care.

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1. Completes a comprehensive assessment of the physiological, psychological, socio-cultural, and spiritual needs of the client and family unit and determines client status and responses to actual or potential health problems.
2. Coordinates and oversees the overall care of the patient in a team nursing or interprofessional approach (where applicable). Sets priorities, provides clinical expertise and leadership for the patient’s plan of care with the interprofessional team and assigns tasks as appropriate to other members of the healthcare team. Evaluates the appropriateness and effectiveness of treatments and interventions on an ongoing basis.
3. Ensures the client and family actively participates in the development, implementation, and ongoing modification of the plan of care, including the long and short-term goals. Develops and implements learning plans to meet identified client learning needs.
4. Establishes a therapeutic relationship using effective interpersonal and interviewing techniques, ensuring client choice and autonomy in decision making and care planning. Acts as a role model by demonstrating empathy, trust, and respect in all interpersonal relationships, and recognizes personal impact on team dynamics.
5. Collaborates with the multidisciplinary team and participates in rounds and/or patient care conferences to ensure effective, consistent, and comprehensive care planning and delivery. Justifies decisions with reference to knowledge or theory.
6. Ensures pertinent information and significant clinical changes are communicated to the client and family and members of the multidisciplinary team.
7. Reviews pertinent data obtained through investigative procedures, and by other members of the health care team (including medical history, progress notes, consultation reports, lab reports, etc.) and incorporates findings into the plan of care.
8. Documents assessments, records of observation, care provision and client responses according to professional standards and facility guidelines which may include computerized records and databases.
9. Discusses and plans referral information with client and family and other health team members and in collaboration initiates referrals to appropriate health care/community agencies.
10. Contributes to the development and revision of standards of care, policies and procedures and advocates improvements in clinical nursing practice, health care and health care services.
11. Participates in formulation, implementation, and evaluation of Continuous Quality Improvement initiatives.
12. Demonstrates an awareness of the overall needs of the unit/assignment by:
    a. Planning, organizing, and establishing priorities,
    b. Using resources effectively and efficiently, and
    c. Responding to unanticipated events and changing client or unit needs.
13. Maintains a safe environment for clients, family, and staff, through:
    a. Accident prevention,
    b. Knowledge of emergency procedures and regulations,
    c. Using skills, physical facilities, supplies and equipment safely and appropriately, and
    d. Practicing infection control procedures.
14. Participates and attends in-service and other educational programs as required. Identifies learning goals and maintains and updates current clinical competence and knowledge within area of practice.
15. Acts as a preceptor or mentor to guide the clinical experience of assigned new nursing staff and students; provides input to the Nurse Manager as requested on individual’s progress in achieving established standards of care.
16. Performs other related duties as assigned.

Education, Training & Experience

• Graduation from a recognized School of Nursing with current practicing registration with the British Columbia College of Nurses and Midwives (BCCNM).
• Advanced preparation in the clinical specialty of the assigned program area as required by the position:
  Ambulatory Care
  • Minor Procedures Clinic - completion of recognized post-basic education in perioperative nursing, or an equivalent combination of education, training, and experience. Recent related ambulatory care or perioperative unit experience which includes experience in minor surgical, oncology, and/or medical specialty clinics in an acute care facility.
  • GI Endoscopy: completion of recognized post-basic education in gastroenterology/GI endoscopy nursing, or an equivalent combination of education, training, and experience. Preference given to those with recent related GI endoscopy experience. Perioperative, peri-anesthesia, or critical care nursing education may also be considered when there are no qualified applicants with gastroenterology/GI endoscopy nursing education.
  • Current CPR certification required.

Skills & Abilities

• Ability to complete initial and ongoing client assessments (clinical and diagnostic reasoning) and provide nursing care through appropriate/ prescribed technical, therapeutic, safety type interventions.
• Ability to communicate effectively with the clients, families, the public, medical staff, and the members of the interdisciplinary team using verbal, written and computer communication means.
• Ability to integrate and evaluate pertinent data (from multiple sources) to problem-solve effectively.
• Ability to promote client-focused care that demonstrates care for and with clients and significant others, sensitive to diverse cultures and preferences, client advocacy and social justice concerns.
• Ability to transmit information intended to instruct clients and others about topics essential to health care and well-being.
• Manages time and resources, implementing activities to promote cooperation among relevant others, collaboration across disciplines and related activities.
• Ability to collaborate with and promote staff morale, cooperation, assertiveness and risk-taking, creative planning for change and innovations, implementation of health authority policies or other protocols, and ongoing professional development of self.
• Ability to use factual information, prior learning and basic principles and procedures to support decisions and actions with relevant research-based evidence. Integrates best practice from nursing and health-related disciplines and the humanities, arts, and sciences disciplines into professional practice.
• Ability to operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.