Registered Nurse - Hospital at Home

Vancouver Coastal Health • Vancouver, BC

1d • CA$41 - CA$56 • Hybrid

About The Position

Vancouver Coastal Health (VCH) is implementing minimum Nurse to Patient Ratios (mNPRs) to enhance nursing practice and quality of care. The Registered Nurse (RN) practices within a patient and family-centred care model, adhering to BCCNM standards and organizational values. The RN collaborates with an interprofessional team, physicians, and other healthcare professionals to provide acute-level care to patients in their homes. This involves assessing, planning, implementing, and evaluating nursing care, developing care plans, participating in discharge planning, advocating for patients, and educating patients and caregivers on health promotion and wellness. The RN also documents care, responds to incidents, maintains clinical competence, and participates in committees and research as assigned. The Hospital at Home program provides hospital-level care to medically stable inpatients within their residences, utilizing a multidisciplinary team, virtual visits, and remote patient monitoring. This care is short-term and available 24/7.

Requirements

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Three (3) years’ experience, including two (2) years’ recent, related acute medical/surgical experience or an equivalent combination of education, training and experience.
• Valid BC Driver’s License required.
• Local area travel may require the use of a vehicle.
• Demonstrated ability in nursing practice related to designated client group - acute medical/surgical; including but not limited to patients with complex diseases, respiratory therapies, IV therapies, and nutritional therapies.
• Demonstrated knowledge of pathophysiology, treatment protocols, and nursing interventions related to common diagnosis/surgeries and specific clinical situations related to area of practice (e.g. Sepsis; Chronic Heart Failure; Acute Respiratory illness/disease; Cellulitis).
• Demonstrated ability to provide nursing assessments & interventions related to common diagnosis and anticipate and respond to potential complications and care issues relevant to the designated patient group (e.g. Pain (Acute/Chronic/Neuropathic); Cardiac/Respiratory arrest; Shock; Seizures).
• Demonstrated ability to perform focused secondary assessments and integrate information from a variety of sources including diagnostics to develop plan of care relevant to the designated patient group.
• Demonstrated ability in correct usage of equipment and maintains competency in working with vascular access devices including phlebotomy, peripheral IVs, peripherally inserted central venous catheters, and advanced vascular access devices such as tunneled central lines.
• Demonstrated ability to document patient care on appropriate systems/forms in accordance with organizational and unit standards in a timely and accurate manner.
• Demonstrated skill in safe medication practices, including obtaining best possible medication history (BPMH), order verification, and medication preparation and administration. Accesses appropriate resources to support safe medication administration such as the program clinical pharmacist, parenteral drug therapy manual (PDTM), Lexicomp, and policies and decision support tools (DST).
• Demonstrated skill in safe care & management of patients with respiratory therapies; IV medications and fluids; nutritional therapies; wound care; drainage systems.
• Demonstrated skill in CPR techniques.
• Demonstrated ability to assess risk and limitations in relation to care and interventions in the home environment and to integrate and evaluate pertinent data (from multiple sources) to problem-solve effectively. Ability to escalate as required.
• Ability to operate a variety of technologies, including devices such as cell phone and laptop computers. Ability to teach and communicate with patients/ family with the use of remote nurse call systems.
• General of knowledge 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.
• Physical ability to perform the duties of the position.

Responsibilities

• Practices within the context of a patient and family-centred care model and in accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice for registered nurses, Code of Ethics and the established mission, vision, values, objectives and policies of the organization, including commitments to our pillars of Indigenous Cultural Safety, Anti-Racism, Equity, Diversity and Inclusion, and Planetary Health.
• Collaborates within an interprofessional team and consults with physicians, other health care professionals, and the patient/family/caregiver, while providing nursing care to patients who require acute level care in their homes.
• Assesses, identifies, plans, implements and evaluates the nursing care required to assist patients/clients with acute health care needs in the home and/or hospital setting using an established framework for nursing practice.
• Develops, implements, evaluates and revises care plans, participates in discharge planning, functions as a patient advocate, and teaches patients and their caregivers about illness/injury and overall health promotion and wellness, and/or makes referrals to other identified resources.
• Promotes the best quality of life from the perspective of the patient/family.
• Documents care provided according to College and organizational standards.
• Responds and addresses incidents in accordance with established policies and procedures.
• Maintains and advances their own clinical competence, and participates on designated hospital committees/teams and approved research projects as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior