Nurse Practitioner Assistant

1 month ago

KillarneyTurtle Mountain, Canada Prairie Mountain Health Full time
Job Title: Undergraduate Nurse Employee

Job Summary:

The Undergraduate Nurse Employee (UNE) position provides an opportunity for nursing students to consolidate their knowledge and skills acquired in their approved nursing education program towards competency in the range and complexity of Registered Nurse (RN) or Registered Psychiatric Nurse (RPN) practice.

Responsibilities:Assessment
  • Collects relevant health history, psychosocial, and physical examination data and contributes to the comprehensive assessment of the health status of each assigned patient.
  • Performs assessments and updates patient data.
  • Assesses patients in context of the determinants of health.
  • Identifies patient learning needs and priorities for care preferences and goals in collaboration with the patient/family.
  • Communicates assessment findings to the supervising RN or RPN, at the point of care, and other health care team members in a timely, clear, accurate manner.
  • Documents assessments according to employer governance documents.
Planning
  • Contributes to the development and modification of the patient plan of care in collaboration with the patient/family and other health care team members.
  • Articulates relevant information related to the health status, self-care abilities, and limitations of the patient to the RN or RPN.
  • Identifies priorities for care in collaboration with the patient/family and RN or RPN.
  • Contributes to the establishment of measurable short and long-term goals contributing to patient health outcomes.
  • Contributes to the identification and planning of patient-centred nursing care.
  • Identifies the need for referrals to selected resources both in acute care and continuing care.
  • Contributes to the identification of health learning and discharge planning needs of patient and family.
  • Documents plan of care for the patient.
Implementation
  • Focuses nursing care toward patient health care outcomes.
  • Provides care based on the patient plan of care and communicates provision of care with the RN or RPN.
  • Modifies nursing care according to changes in the health status of the patient.
  • Participates in providing patient education as appropriate.
  • Provides culturally sensitive care and establishes culturally safe relationships.
  • Documents nursing care provided.
Evaluation
  • Assists with measurement of expected outcomes for planned nursing care.
  • Observes and communicates patient response to nursing interventions to the RN or RPN.
  • Identifies the need for revisions to the patient plan of care based on ongoing assessment of the condition and progress of the patient.
  • Collaborates with the health care team to revise the patient plan for care.
  • Documents the patient responses to nursing care provided.
Quality and Safety
  • Performs nursing care safely according to the knowledge, skills, and abilities obtained in formal nursing education in collaboration with the RN or RPN.
  • Identifies and seeks consultation from the RN or RPN when they lack competence and/or knowledge/skills to perform an assigned nursing intervention.
  • Identifies and seeks guidance and assistance from the RN or RPN when the complexity of the patient condition or care is beyond the competency of the UNE and/or the patient status changes.
  • Understands own role and other's roles and accountabilities within the health care team.
  • Respects confidentiality and privacy while collecting, accessing, using, and disclosing health and personal information to protect patients, co-workers, the public, and employer business information in accordance with PHIA.
  • Meets infection prevention and control requirements by adhering to site infection prevention control practice support documents and additional precautions when required.
  • Uses equipment and supplies according to established standards and processes.
  • Uses appropriate lifting and transfer techniques.
  • Disposes of and handles hazardous materials according to WHMIS and site policies and practice support documents.
  • Recognizes safety issues and trends and reports appropriately.
  • Recognizes and responds appropriately to emergency response codes.

Supervision Requirements:

To perform any nursing intervention, the UNE must have attained competency and be a registered student in their approved nursing education program.

At the beginning of each shift, an RN or RPN is identified to provide supervision of the nursing care, including reserved acts, performed by the UNE. The level of supervision and assignment of care is determined in collaboration with the UNE, based on:

  • The nature and level of risk of the nursing activity.
  • The established competency of the UNE.
  • Employer policies.
  • The practice setting.

The UNE shall not be left in charge or left alone on a unit or in any practice setting without an RN/RPN or another regulated member present on that unit or in that practice setting.

Reserved Acts:

To perform a reserved act, the UNE must have attained competency in their approved nursing education program.

To perform reserved acts, the UNE must be supervised either directly or indirectly by an RN or RPN who is authorized and competent to perform and consents to supervise the reserved acts in the practice setting.

The supervising RN or RPN may collaborate with another regulated health care professional who is authorized and competent to perform and consents to supervise the reserved acts activity according to the regulations and standards of their regulatory college. The RN or RPN still remains responsible for the supervision of the UNE for the overall provision of care provided to the patient.

In determining whether a reserved act is performed by the UNE and deciding whether direct or indirect supervision is required, the manager (or designate) and RN or RPN at point of care takes into consideration:

  • Assessment of the patient's health care needs.
  • Nursing care required and a reserved act to be performed.
  • Current established competencies of the UNE.
  • The supports and resources available for supervision.
  • Level of risk in the UNE performing the reserved acts.
  • Practice setting.

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