About The Position

The Discharge Follow up Nurse with Vancouver Coastal Health (VCH) at the Adult Mental Health team in North Vancouver, BC, practices within a client and family centred care model. In accordance with BCCNM standards and the organization's values, this position monitors and checks in with patients after discharge from acute Mental Health and/or Substance use hospital stays. The role involves ensuring clients are aware of discharge plans and community supports, conducting point of care risk assessments, and collaborating with the treating team to connect patients with community resources. The nurse develops collaborative client care plans and refers clients to appropriate internal, community, and/or professional services. The Adult Community Mental Health team, located at the HOpe Centre, provides specialized, community-based services for adults with serious or persistent mental illness or those in early stages of developing a mental health disorder. Care is inclusionary, flexible, and tailored to individual needs, delivered through in-office appointments, home visits, and community outreach. This multidisciplinary team includes psychiatrists, nurses, social workers, occupational therapists, and other allied health professionals. The HOpe Centre, opened in 2014 on the Lions Gate Hospital campus, is a central point for North Shore mental health services, housing inpatient units and outpatient services, and features an on-site café and nearby amenities.

Requirements

  • Current practicing registration as a Registered Nurse or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM)
  • Two (2) years’ recent related clinical nursing experience in a community setting working with a variety of mental health & substance use clients, 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
  • Comprehensive knowledge of BCCNM standards of practice and guidelines
  • Comprehensive knowledge and demonstrated ability to apply case management principles within a client and family/caregiver centred care model for clients with complex health care needs
  • General knowledge of Trauma Informed Practice and Harm Reduction approaches and Strengths-based care
  • Demonstrated ability to promote Indigenous Cultural Safety
  • Demonstrated ability to provide competent and culturally safety care in a variety of settings and with diverse populations
  • Demonstrated ability to problem solve using sound judgment in applying critical thinking skills within safe limits of client care
  • Demonstrated skill in physical assessment and chronic disease management
  • Demonstrated ability to work independently and set care priorities for a client caseload
  • Comprehensive knowledge of other health disciplines and their role in client care and other health and community resources related to the care of clients and caregivers
  • Demonstrated ability to work collaboratively as a member of an interdisciplinary team
  • Knowledge of adult education principles, methods and tools
  • Demonstrated ability to use research and methodology in practice
  • Demonstrated ability to teach, coach and facilitate clients and families/care givers individually or in group settings
  • Demonstrated ability to establish workload priorities in collaboration with others
  • Demonstrated ability to effectively communicate both verbally and in writing
  • Demonstrated ability to communicate and effectively deal with co-workers, physicians, other health care staff, clients, families/care givers and staff of outside agencies
  • Demonstrated ability to effectively deal with conflict resolutions
  • Demonstrated ability to escalate care when appropriate
  • Ability to adjust to new or unexpected events
  • Ability in conducting physical, mental, psychosocial/functional environmental assessments
  • Ability to operate related equipment including applicable software applications
  • Physical ability to perform the duties of the position

Responsibilities

  • Monitors and checks in with patients following a discharge from an acute Mental Health and/or Substance use stay in the hospital
  • Ensures that the client is aware of discharge plans, community supports
  • Conducts a point of care risk assessment
  • Works in collaboration with the treating team to ensure the patient is aware of supports available to them in community
  • Develops collaborative client care plans
  • Refers clients to appropriate internal, community and/or professional services, as required

Benefits

  • Comprehensive health benefits package, including MSP, extended health and dental and municipal pension plan
  • Grow your career with employer-paid training and leadership development opportunities
  • Wellness supports, including counselling, critical incident and innovative wellness services are available to employees and their immediate families
  • Award-winning recognition programs to honour staff, medical staff and volunteers
  • Access to exclusive discount offers and deals for VCH staff

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

501-1,000 employees

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