Nurse Practitioner – Patient Assessment and Transition to Home

Bring your clinical expertise and passion for providing quality and compassionate care to a challenging and rewarding role as a Nurse Practitioner. The Patient Assessment and Transition to Home (PATH) unit is an inpatient hospital-based program in Fraser Health where Nurse Practitioners assume the role of the Most Responsible Provider (MRP) for patients. As part of this rewarding MRP role you will have the opportunity to participate in compensated on-call work rotations to assist the unit remain open 24/7, 365 days a year. NPs in PATH units support and empower medically stable alternative level of care (ALC) designated patients with complex discharge requirements and facilitate successful transitions home to thrive in the community.

This is your opportunity to:

• Develop an understanding of various ALC designated patients and their needs.
• Be proficient in complex assessment, diagnosis, and treatment/management planning.
• Be responsible and accountable assuming the MRP role for inpatients

Specifically, you will gain experience in:

• Complex discharge planning and advanced clinical decision making for patients with multiple comorbidities, chronic diseases, and variable social needs.
• Principles of geriatric medical care to a defined patient population
• Working in a team-based environment with a specialized discharge planning team to minimize hospitalizations, prevent health deterioration, and improve quality of life
• Referral and consultation to and with specialists and in accessing community resources.

Langley Memorial Hospital is a community hospital with 182 acute beds offering medical, surgical, obstetrics, pediatrics, psychiatry, critical care, ambulatory care as well as 24/7 emergency services with nearly 50,000 visits annually.

Emergency Department Expansion

Langley Memorial Hospital recently completed an Emergency Department expansion and added the hospital’s first ever MRI suite, along with other infrastructure upgrades.

Located in the heart of the Fraser Valley, Langley is recognized as the valley’s designated wine country and the horse capital of British Columbia. Its seven unique communities have quickly grown into one thriving city offering all the amenities of a major bustling urban centre, all while preserving its hometown country roots.

This is a great opportunity for a new Nurse Practitioner to join a well supported fellowship program to help consolidate clinical skills. Be part of our clinical enhancement program with regular in-house skills development such as suturing and x-ray interpretation in addition to receiving centralized NP orientation. You will be welcomed into a New Graduate NP Community of Practice team helping to support your successful transition into independent practice.

This position will also have a new and exciting postgraduate up to 6 month nurse practitioner residency program. FH is the first health authority to implement a formal residency program for NPs in the province, which will be key to supporting the development of NPs and practice-readiness in select programs. You will receive in depth in house advanced training within a clinical area relevant to the position, improve your team collaboration and develop a model of patient centred care. This is your opportunity to consolidate your nurse practitioner education with a team helping to support your successful transition into independent practice.

During your residency, you’ll receive:

• Mentorship in multiple clinical areas
• Dedicated clinical supervision during clinical placements
• Protected time for self directed learning relevant to your clinical practice
• Coaching from a consistent experienced nurse practitioner throughout your residency
• Individualized support in transitioning to independent provider

Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations and is home to six Métis Chartered Communities.

Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. Learn more.

Come work with us

Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.

Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner.

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Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families:

The Nurse Practitioner is responsible and accountable for the comprehensive assessment of patients/clients/residents including diagnosing diseases, disorders, and conditions. The Nurse Practitioner initiates treatment including health care management, therapeutic interventions and prescribes medications in accordance with the statutory and regulatory standards, limits, and conditions, and employer policies and procedures. The Nurse Practitioner provides professional guidance to other health professionals and practices autonomously and interdependently within the context of an interdisciplinary health care team, making referrals to specialist physicians and others as appropriate.

The position collaborates with patients/clients/residents and other health professionals to identify and assess trends and patterns that have implications for patients/clients/residents, families and communities; develops and implements population and evidence based strategies to improve health and participates in policy-making activities that influence health services and practices. The position participates in peer review and self review to evaluate the outcome of services at the patient/client/resident, community and population level.

1. Diagnoses and treats previously undiagnosed patients/clients/residents for undifferentiated diseases, disorders, and conditions within the Nurse Practitioner's scope of practice; writes orders for treatment and medications; provides first line care in emergencies.
2. Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.
3. Establishes priorities for management of health, diseases, disorders, and conditions; provides follow-up treatment; communicates with patients/clients/residents and families about health findings, diagnoses and priorities, outcomes and prognoses; supports and counsels patients/clients/residents in their responses to diseases, disorders and conditions.
4. Collaborates and consults with physicians or other health care and social service providers as appropriate to assess and diagnose patient/client/resident status. Develops and implements treatment plans. May admit and discharge patients/clients/residents to facilities according to organizational policies.
5. Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures.
6. Assigns work to other nursing and health care personnel; evaluates work and provides education and supervision as necessary; hires staff, and evaluates staff performance.
7. Participates in research contributing to improved patient/client/resident care and advances in nursing, health policy development and population health.
8. Maintains population health focus by implementing screening and health promotion activities for populations at risk.
9. Participates in interdisciplinary staff and nursing education through case presentations, mentoring, role modeling and facilitating the exchange of knowledge in the classroom, the clinical setting and the community; fosters health care partnerships.
10. Develops, implements and evaluates policies and procedures related to nursing, interdisciplinary care, and health system practices.
11. Performs other duties as required.

Current practicing registration as a Nurse Practitioner with the British Columbia College of Nurses and Midwives (BCCNM).

Recent relevant clinical nursing experience.

Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.

Professional/Technical Capabilities

• Ability to communicate and collaborate with patients/clients/residents and families about health findings, diagnosis, treatment, self care and prognosis.
• Ability to collaborate, consult with and formally refer patients/clients/residents to physicians and other health professionals when appropriate.
• Ability to critically assess and evaluate health research literature to determine best practices; ability to introduce education and evidence based research.
• Ability to assess and recognize population health trends; ability to plan and implement strategies for population based prevention and health promotion.
• Ability to implement and evaluate planned change.
• Ability to supervise others and evaluate the care they deliver.
• Ability to lead a team and work within a team.
• Ability to self-direct, interact and adapt effectively with other professionals in complex, dynamic situations.
• Ability to transfer knowledge, teach, coach and mentor others.
• Ability to identify and respond appropriately to legal and ethical issues that may arise in patient/resident/client care.
• Ability to self-assess performance and assume responsibility and accountability for own professional development, educational or consultative assistance when appropriate.

Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada, on the traditional, ancestral and unceded lands of the Coast Salish and Nlaka’pamux Nations and is home to 32 First Nations within the Fraser Salish region.

People - those we care for and those who care for them - are at the heart of everything we do. Our hospital and community-based services are delivered by a team of 48,000+ staff, medical staff and volunteers.

We are committed to planetary health and value diversity in the work force. We strive to maintain an environment of respect, caring and trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable and culturally safe manner.

Together, we are the heart of health care.

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