Surgical Nurse Practitioner
2 months ago
We are seeking a highly skilled and experienced Registered Nurse to join our team at Fraser Health. As a Registered Nurse - Surgical Services Specialist, you will play a critical role in providing high-quality patient care and contributing to the success of our healthcare team.
Key Responsibilities- Assess patients referred to designated clinical outpatient clinics, collecting information from various sources using skills of observation, communication, data review, and physical assessment.
- Makes a nursing diagnosis of the patient's condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention.
- Plans, performs, and evaluates nursing interventions and care; coordinates nursing care for the patient; sets priorities, assigns, and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards.
- Receives and prepares patients for testing by receiving requisitions from physicians, reviewing patients' case history, correlating clinical history with examination to be performed, assessing the nature of the issue to determine a process for testing, explaining procedures to patients, and monitoring patients' comfort level to ensure patient ease while obtaining required results.
- Performs non-invasive diagnostic tests on the vascular system by positioning patients, performing resting and exercise ankle-brachial indexes, toe-brachial indexes, thoracic outlet testing, and operating continuous wave Doppler and/or plethysmography equipment.
- Assesses test results, records findings, submits results and summary to physicians for review, reporting, and authorization.
- Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
- Assesses learning needs of the patient and family/caregiver; provides information and demonstration of care activities.
- Teaches patients, families/caregivers about risk reduction strategies, emergency management, use of prescribed medications, self-management skills, lifestyle adjustments, and health maintenance.
- Provides individual counseling, group facilitation, lectures, and follow-up on disease-modifying therapies (DMT).
- Collaborates with patients and their families/caregivers in developing the care plan; encourages family participation in the development, implementation, and ongoing modification of the care plan.
- Establishes a therapeutic relationship by demonstrating empathy, trust, and respect, advocating for the patient's rights to privacy, dignity, and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning.
- Participates in the care and discharge planning process for patients by ensuring the care plan is established and implemented effectively, updating care plan, and intervening as appropriate.
- Collaborates with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the clinic team on issues impacting the care/discharge plan.
- Collaborates with members of the interprofessional care team, including physicians and other healthcare professionals/providers, in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.
- Plans and discusses referral information with patients and their families/caregivers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate healthcare/community agencies.
- Participates on nursing committees, care conferences, and councils as assigned or as agreed to with the Manager.
- Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures, or protocols.
- Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within the area of practice.
- Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation.
- Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g., clinical pathways, standards, order sets, and procedures), and equipment.
- Graduation from an approved School of Nursing.
- Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
- Two years recent relevant clinical experience in the designated clinical area and completion of post-graduate coursework and/or certification applicable to the designated clinical area, or an equivalent combination of education, training, and experience.
- RNs performing ABI procedures under Duties 5 and 6 are required to be deemed qualified after the successful completion of the Fraser Health Regional ABI course.
- Clinical proficiency in the designated clinical area.
- Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and apply nursing theory and expertise to provide nursing care through appropriate/prescribed technical, therapeutic, and safety interventions.
- Ability to recognize acuity changes.
- Ability to use factual information, prior learning, and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.
- Ability to communicate effectively with patients, families/caregivers, the public, medical staff, and members of the interprofessional care team using verbal, written, and electronic communication means.
- Ability to promote person-centered care that demonstrates empathy for patients and families/caregivers, sensitivity to diverse cultures and preferences, and patient advocacy.
- Ability to integrate and evaluate data from multiple sources to problem-solve effectively.
- Ability to organize and prioritize work.
- Ability to collaborate with and promote cooperation among members of the interprofessional care team.
- Ability to operate related equipment, including relevant computer applications.
- Physical ability to perform the duties of the position.
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