Registered Nurse (Med/Surg) - Thoracic
About The Position
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 designated thoracic 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 and 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.
Requirements
- Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
- Demonstrated ability in nursing practice related to designated client group - Respiratory Medicine and Thoracic Surgery.
- Demonstrated knowledge of pathophysiology related to common diagnosis/surgeries and specific clinical situations related to area of practice (e.g. Thoracic surgery procedures; Pulmonary Resections (wedge, segmental, lobectomy); Lung Transplantation; Respiratory illness/disease; Lung cancer; Cystic Fibrosis; Hypercapnic / hypoxemic respiratory failure).
- 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. Open lung biopsy; Chest tube management, Large/Small bore; BiPAP; Pre/post-operative care for bronchoscopy; Pneumothorax, thoracostomy; PleurX Pleural Catheter; Oxygen therapy; PAH - Prostacyclin infusions).
- 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.
- Demonstrated ability to anticipate and respond to potential complications and care issues relevant to the designated patient/client group.
- Demonstrated ability in correct usage of equipment and maintains competency in working with chest patient related drainage systems, tubes, catheters, infusion pumps.
- Demonstrated ability to document client care on appropriate systems/forms in accordance with organizational and unit standards in a timely and accurate manner.
- Demonstrated skill in the management of patients with acute postop pain, including use of thoracic epidurals and patient controlled analgesia, Ketamine, Neuropathic pain, Continuous Peripheral Nerve Block. Utilizes the Pain Assessment Record to perform comprehensive pain assessments.
- Demonstrated skill in safe care & management of patients with a pleural chest tube, tracheostomy.
- Demonstrated skill in PICC line (peripherally-inserted central catheter) and central venous catheter dressing change, capping and flushing, drawing blood, & removal
- 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.
Responsibilities
- Assesses, plans, implements and evaluates client care for designated thoracic patient/client group.
- Participates in discharge planning.
- Functions as a client advocate.
- 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 and 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.
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What This Job Offers
Career Level
Mid Level
