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Registered Nurse/Registered Psychiatric Nurse

2 months ago


Surrey, British Columbia, Canada Fraser Health Authority Full time
About the Role

We are seeking a highly skilled Registered Nurse/Registered Psychiatric Nurse to join our team as a Crisis Intervention Specialist. In this role, you will provide and coordinate the delivery of psychiatric nursing care services to clients in an acute psychiatric crisis or situational crisis that could lead to psychiatric de-compensation.

Key Responsibilities
  1. Intervene to stabilize clients in acute psychiatric or situational crisis by utilizing supportive counselling, therapeutic interventions, and providing a safe and supportive environment.
  2. Screen potential admissions for appropriateness using screening tools and admission criteria policies and procedures to ensure clients fit the CRESST mandate and that the facility can provide safe care for them.
  3. Provide assessment, planning, implementation, and evaluation of nursing care for assigned clients by reviewing client/family history, conducting physical/psycho-social/mental status assessments, monitoring medical and psychiatric conditions, providing psycho-education, performing planned interventions, and evaluating outcomes.
  4. Collaborate with Program Coordinator and Psychiatrist regarding clients' mental/medical status, response to treatment, including medication and readiness for discharge, by communication through scheduled and unscheduled meetings/phone calls.
  5. Identify clients' mental/medical needs on an ongoing basis by observing, interviewing, and completing physical assessments, making clinical decisions, and taking action based on these assessments.
  6. Make necessary arrangements and facilitate hospital admission for psychiatric or medical emergencies that cannot be dealt with at CRESST, using methods such as obtaining directions from an authorized prescriber, phoning the hospital to advise emergency room staff of pending arrival, conveying proper collateral information, calling ambulance, police, or family to transport client, and completing transfer records.
  7. Empower clients in their illness or life stressors by educating clients in group, one-on-one counselling, and family meetings, alternate ways of coping, life skills, and education regarding illness and medications.
  8. Ensure consistent safe care by completing and reviewing client-focused care plans, ensuring legal documentation requirements are met by reviewing the client's chart, kardex, and medication administration record (MAR) for accuracy and completion, and providing necessary documentation for charts by photocopying necessary paperwork.
  9. Provide discharge support to clients by providing them with community resource information and assisting them in the decision-making process relative to appropriate support.
  10. Ensure that clients receive necessary medication or treatment by obtaining, clarifying, and following prescriber's orders and communicating same with pharmacy.
  11. Ensure appropriate client treatment interventions by consulting with primary therapist/case manager and/or doctors regarding client history and treatment modes.
  12. Ensure that steps are taken to keep at-risk clients safe and ensure compliance with the Community Care Facility Act and Adult Care Regulations by reporting, as required, AWOL clients to police, Program Coordinator, primary therapist/case manager, and family.
  13. Ensure that client concerns, especially safety issues and serious incidents, are addressed by taking appropriate clinical action such as completing serious incident reports and reporting same, and seeking direction from Program Coordinator or Manager.
  14. Communicate facility concerns and client issues, with an emphasis on safety, by reporting same to the team, verbally and in writing in the chart, kardex, group book, serious incident report, MAR, and log book, and relaying information to the next shift by providing a brief verbal report highlighting safety issues and any other issues and situations that may need to be immediately addressed.
  15. Facilitate client recreation activity by connecting them with community resources and encouraging them to participate in facility recreation activity programs, ensuring that clients receive required service by accompanying and/or driving them to appointments, as warranted.
  16. Contribute to interprofessional team participation by setting priorities, and assigning and delegating tasks to care for other support staff.
  17. Call in staff as required, based on predetermined guidelines, seeking prior approval for overtime through management fan-out list, and confirming availability of staff for coverage.
  18. Perform other related duties as assigned.
Requirements

We are looking for a Registered Nurse/Registered Psychiatric Nurse with a strong background in mental health and substance use, who is able to work collaboratively and in partnership with the interprofessional care team in the provision of person-centered and recovery-oriented care. The ideal candidate will have a strong understanding of crisis intervention, de-escalation techniques, and suicide-risk assessments, as well as knowledge of mental illness and substance use treatment, psychopharmacology, and legislation and government policies and procedures that relate to mental health and substance use practices.

The successful candidate will be able to communicate effectively verbally and in writing with clients, families/caregivers, the public, medical staff, and members of the interprofessional care team, and will have the ability to promote person-centered care that demonstrates empathy for clients/families/caregivers, sensitivity to diverse cultures and preferences, including advocacy for special populations.

The ideal candidate will also have the ability to educate clients and families/caregivers about topics essential to their health care and well-being, organize and prioritize work, collaborate with and promote cooperation among members of the interprofessional care team, use factual information and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice, operate related equipment including relevant computer applications, and have the physical ability to perform the duties of the position.