Registered Nurse, Transition Line - Cardiac Surgery Intensive Care Unit (CSICU) - Royal Columbian Hospital

Fraser Health•New Westminster, BC

2d•Onsite

About The Position

This position offers qualified registered nurses the opportunity to consolidate their skills by rotating through a specialty nursing unit(s) prior to and/or during the undertaking of post graduate coursework. Successful applicants will be expected to participate in and successfully complete applicable post graduate specialty nursing courses/programs within agreed-to time frames. The role involves providing direct patient care by assessing, planning, providing, and evaluating nursing care to patients in accordance with British Columbia College of Nurses and Midwives (BCCNM) standards of practice and Fraser Health's Mission and Values, working collaboratively within an interprofessional care team.

Requirements

Graduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
Completion of the applicable post graduate specialty nursing course/program and/or willingness to complete the applicable post graduate specialty nursing courses/program.
Current certification in Basic Cardiac Life Support (BCLS).
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 computer applications.
Physical ability to perform the duties of the position.

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.
Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating 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.
Participates in the care and discharge planning process for patients on admission by ensuring the care plan is established, implemented, and evaluated effectively, updating care plan in a timely manner, and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan.
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, adjustments to care plans as required, and in regard to changes in patient condition.
Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.
Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.
Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.
Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for 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 area of practice.
Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures) and equipment.
Performs other related duties as required.