Community Health Nurse

4 days ago


Chilliwack, Canada Fraser Health Authority Full time
Job Title: Community Health Nurse

We are seeking a skilled Community Health Nurse to join our team at Fraser Health Authority. As a Community Health Nurse, you will play a vital role in providing high-quality patient care and promoting health and wellness in our community.

Job Summary

The successful candidate will be responsible for assessing and treating complex geriatric and adult patients with chronic health conditions in an acute or community/outpatient care setting. You will work collaboratively with an interprofessional team to develop and implement comprehensive care plans, provide education and support to clients and families, and facilitate transitions across the healthcare continuum.

Responsibilities
  1. Establish and maintain therapeutic relationships with clients and families through effective communication and interpersonal skills.
  2. Conduct initial and ongoing client assessments, develop and implement care plans, and provide nursing care through therapeutic interventions.
  3. Collaborate with the interprofessional team, primary care provider, and other healthcare professionals to identify and resolve client care issues and coordinate the integration of care and services.
  4. Develop and maintain comprehensive shared patient/client care plans, in collaboration with the interprofessional team, primary care provider, client, and/or family.
  5. Provide direct client care, identify other care services required, and provide comprehensive explanations of care to clients and families.
  6. Make decisions on client-specific direct care tasks, assign tasks to Community Health Workers, and delegate tasks as appropriate.
  7. Facilitate care conferencing to review client care plans, determine timing and referral to other services, and develop next steps in collaboration with the client and family.
  8. Discuss clinical findings with clients/families, develop action plans, and set goals directed at clinical needs, self-management, self-care, and improved health-related quality of life.
  9. Support clients and families before, during, and after interprofessional conferences and clinic visits by providing information and advocating on their behalf.
  10. Arrange and participate in joint home visits to clients and/or families with other healthcare professionals, as required.
  11. Provide health counseling to clients, including education, self-management, self-monitoring, and wellness/health promotion/prevention through a combination of clinic, telephone, or home visits.
  12. Maintain clinical records, including intake screens, client assessments, clinical interventions, treatment formulations, care plans, and progress notes.
  13. Maintain statistical information on clients in accordance with established policies, standards, and procedures.
  14. Participate in department quality improvement and risk management activities, identify client care issues, and collect data.
  15. Participate in research opportunities, as required.
  16. Participate in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor as appropriate.
  17. Provide input in the development and revision of standards of care, policies, and procedures, and advocate for improvements in clinical practice, healthcare, and healthcare services.
  18. Perform other related duties, as assigned.
Qualifications

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

One (1) year 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, including recent experience in care and discharge planning, or an equivalent combination of education, training, and experience.

Valid BC Driver's license and access to a personal vehicle for business-related purposes.

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 healthcare 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 healthcare, 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.



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