POSTING NUMBER: 1063643,1066053,1065859, 1064696, 106444, 1067542, 1068707, 1071551
POSITION: Registered Nurse * Emergency - Specialty Qualified
REPORTS TO: Manager, Clinical Services or designate
BARGAINING ASSOCIATION: Nurses' Bargaining Association
BARGAINING UNIT: British Columbia Nurses' Union (BCNU)
CLASSIFICATION: Direct Care Level 3 (DC1)
JOB DESCRIPTION NUMBER: N6413
JOB CODE: N_DC1
In accordance with the College of Registered Nurses' of British Columbia (CRNBC) standards of practice and the Mission and Values of Fraser Health, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients in an emergency department.
DUTIES & 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 and implemented effectively, updating care plan 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.
- Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation.
- 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.
Education, Training, and Experience
Graduation from an approved School of Nursing with current practicing registration with the College of Registered Nurses of British Columbia (CRNBC). Completion of applicable post graduate course work in emergency, or an equivalent combination of education, training and experience in emergency.