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Community Health Nurse

2 months ago


New Westminster, British Columbia, Canada Fraser Health Authority Full time

**Community Health Registered Nurse**

A Community Health Registered Nurse provides comprehensive care to clients in their homes, promoting independence and self-management of chronic health conditions.





**Job Description**

* **Responsibilities:**
* Establishes a therapeutic relationship with clients through interpersonal and interviewing techniques.
* Screens referrals, provides individualized client assessments, and interprofessional care planning and interventions.
* Initiates/develops a comprehensive shared client care plan in collaboration with the interprofessional team, primary care provider, client, and/or family.
* Provides direct client care and identifies other care services required in accordance with applicable guidelines, policies, and evidence-based best practice.
* Facilitates care conferencing to review client care plan and determines timing and referral to other services and/or interventions.
* Discusses clinical findings with client/family, in collaboration with the interprofessional team, to develop action plans and set goals directed at clinical needs, self-management, self-care, and improved health-related quality of life.
* Supports clients and their families before, during, and after interprofessional conferences and clinic visits.
* Arranges and participates in joint home visits to clients and/or families with other healthcare professionals.
* Provides health counseling to clients, including education, self-management, self-monitoring, and wellness/health promotion/prevention.
* Maintains clinical records, including intake screens, client assessments, clinical interventions, treatment formulations, care plans, and progress notes.
* Participates in department quality improvement and risk management activities by identifying patient care issues and collecting data.
* Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor as appropriate.
* Provides input in the development and revision of standards of care, policies, and procedures and advocates for improvements in clinical practice, health care, and health care services.
* Performs other related duties as assigned.
* **Qualifications:**
* Current practicing registration as a Licensed Practical Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
* One (1) 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.
* Valid BC Driver's license and access to a personal vehicle for business-related purposes.
* **Skills and Abilities:**
* Demonstrated knowledge, skills, and competence in the areas of gerontology and adults living with complex frailty and chronic illnesses.
* Demonstrated ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventions.
* Demonstrated ability to communicate effectively, both verbally and in writing.
* Demonstrated ability to integrate and evaluate pertinent data from multiple sources to problem-solve effectively.
* Knowledge of broad health care services, community resources agencies, and their role in providing a continuum of care.
* Ability to promote client-focused care, including sensitivity to diverse cultures and preferences.
* Ability to independently manage and prioritize clients with diverse healthcare issues.
* Ability to teach clients and others about topics essential to health care, health promotion, and care self-management using care management principles.
* Ability to work effectively in a dynamic environment with changing priorities.
* Ability to work 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.





**About Fraser Health**

Fraser Health is a healthcare organization that provides services to over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada. The organization values diversity and strives to maintain an environment of respect, caring, and trust.