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Fraser Health

Public health authority operating hospitals

Community Health Nurse - Licensed Practical Nurse

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timePort Moody, BC, CanadaCA$32.84 - CA$44.96 /hr

About the Job

Requirements

  • Current practicing registration as a Licensed Practical Nurse with the British Columbia College of Nurses and Midwives.
  • One year's recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions in an acute or community/outpatient care setting, including recent experience in care and discharge planning, or an equivalent combination of education, training and experience.
  • A valid British Columbia driver's license and access to a personal vehicle for business-related purposes.
  • Knowledge, skills, and competence in gerontology and in supporting adults living with complex frailty and chronic illnesses.
  • Ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventions.
  • Ability to communicate effectively, both verbally and in writing.
  • Ability to integrate and evaluate pertinent data from multiple sources to solve problems effectively.
  • Knowledge of broad health care services, community resource agencies, and their roles in providing a continuum of care.
  • Ability to promote client-focused care with sensitivity to diverse cultures and preferences.
  • Ability to manage independently and prioritize clients with diverse health care issues.
  • Ability to teach clients and others about health care, health promotion, and self-management using care management principles.
  • Ability to work effectively in a dynamic environment with changing priorities, independently and as a member of an interprofessional team.
  • Ability to operate related equipment, including applicable software applications.
  • Physical ability to perform the duties of the position.

Responsibilities

  • Establish therapeutic relationships with clients using interpersonal and interviewing techniques in person or by telephone, supporting client choice, autonomy in decision-making and care planning, dignity, and privacy.
  • Screen referrals; assess clients individually; develop interprofessional care plans and interventions, including clinical care when appropriate; refer clients with multiple complex chronic conditions to services; facilitate timely and appropriate health services; and collaborate with primary care providers, clients, families, caregivers, health professionals, clinics, hospitals, and community resources to resolve care issues and coordinate services.
  • Develop comprehensive shared client care plans with the interprofessional team, primary care providers, clients, families, other health care providers, and referring clinics; facilitate and support transition of care plans to referral sources, primary or community care providers, and community agencies.
  • Provide direct client care and identify other required care services in accordance with applicable guidelines, policies, and evidence-based practices; explain care comprehensively to clients and families as appropriate.
  • As required by the local community model, assign direct care tasks to Community Health Workers; demonstrate and train them in assigned tasks according to practice standards; and collaborate with a Registered Nurse in monitoring delegated care tasks to ensure workers have the required knowledge, skills, and support within defined limits.
  • Facilitate care conferences with the interprofessional team and primary care provider to review plans, determine service referrals and interventions, and improve outcomes; initiate, monitor, and evaluate care plans; develop next steps with clients and families; and support transitions, discharge, or transfer across the care continuum.
  • Discuss clinical findings with clients and families alongside the interprofessional team; develop action plans and goals for clinical needs, self-management, self-care, and health-related quality of life; review client data and incorporate findings into care plans; prioritize and use resources effectively; and respond to changing client or service needs.
  • Support clients and families before, during, and after interprofessional conferences and clinic visits by providing treatment-option information; advocate for their choices and needs; and provide direct care as clients transition to another program, service, or provider.
  • Arrange and participate in joint home visits with clients or families and other health professionals as required; advise clients and caregivers about available community resources.
  • Provide health counselling, education, self-management, self-monitoring, and wellness, health-promotion, and prevention services through clinic, telephone, or home visits; collaborate with health professionals to facilitate information flow across primary and community care settings.
  • Maintain clinical records, including intake screens, assessments, interventions, treatment formulations, care plans, and progress notes; maintain client statistical information according to established policies, standards, and procedures.
  • Maintain professional practice, knowledge, and expertise by reviewing relevant literature, attending workshops and in-services, consulting, and networking with health professionals.
  • Participate in departmental quality improvement and risk management by identifying patient-care issues and collecting data; participate in research opportunities as required.
  • Orient and provide ongoing education to nursing staff and students, including acting as a preceptor as appropriate.
  • Provide input on developing and revising standards of care, policies, and procedures; advocate for improvements in clinical practice and health services; and contribute recommendations to the Manager and participate in developing, implementing, and evaluating program quality-improvement initiatives.
  • Perform other related duties as assigned.

About the Company

Fraser Health

Public health authority operating hospitals

Fraser Health is a Canadian health authority that provides health services to about 1.8 million people in British Columbia. It operates 12 hospitals, including major trauma centers, as well as outpatient care and surgery centers, and offers services in residential care, public health, home health, and mental health. It employs more than 40,000 staff, medical staff, and volunteers who coordinate care across hospitals, clinics, and community settings to ensure patients receive the right care at the right time. Its goal is to keep communities healthy by delivering accessible, high-quality care and by creating good workplaces for its employees and volunteers.

Company size
10,001+
Company stage
Grant
Total funding
$20K
Headquarters
Surrey, Canada
Founded
2001

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