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Geriatric Nurse Clinician
3 weeks ago
Detailed Overview In accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Geriatric Nurse Clinician utilizes evidence-informed practice to provide consultation and clinical expertise related to care for the older adults. Role models direct care skills to staff and students, performs gerontological nursing assessments and ongoing evaluation of older adults with complex care needs, and provides information and education to staff and/or patients/families. Participates in research, policy, quality improvement, and risk management activities. The Nurse Clinician perform in-reach and outreach services; home and community visits and may be required to work at multiple sites across Fraser Health. Responsibilities Demonstrates expertise and provides clinical leadership in evidence-informed practice; reviews literature, consults with experts, collaborates with members of the interprofessional team, evaluates clinical practice, recommends changes to existing standards to the Manager, and participates on regional and provincial committees related to care for older adults. Role models direct patient care skills to staff and students related to older adults and provides just in time education at the point of care required to ensure optimal care Coaches, mentors and provides information utilizing clinical evidence, policy (e.g. clinical decision support tools), literature and resources, and education theory. Performs comprehensive gerontological nursing assessment to older adults who present with complex care needs; intervenes as needed, and evaluates outcomes of these interventions. Collaborates with the interprofessional team to develop/support development of individualized care plans, ongoing evaluation of the care plan. 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; accesses system information and resources to review client data such as medical history, progress notes, consultation reports, lab reports, and incorporates findings into the care plan; plans, organizes and establishes priorities by using resources effectively and efficiently; responds to unanticipated events and/or changing client or service assignment needs, as needed. May provide in-reach support to acute care teams with appropriate and timely discharge and/or transfer of patients home or to alternate care settings Arranges rapid referral to Geriatricians, and the coordination of referrals and linkages to appropriate community resources including Older Adult programs such as the Specialized Seniors Clinics. Provides health counseling to clients/families including education, self-management, self-monitoring and wellness/health promotion/prevention through a combination of clinic, telephone or home visits; collaborates with the other healthcare professionals in the clinics, community programs and services to facilitate the follow of information through a variety of settings within the primary & community care network. Maintains clinical records such as intake screens, patient/client assessments, clinical interventions, treatment formulations, care plans and progress notes; maintains statistical information on patient/client in accordance with established policies, standards, and procedures. Determines education requirements that meet clinical and learner needs, in collaboration with the Manager/Director/Clinical Nurse Educator/Clinical Nurse Specialist; completes learning needs assessments of individuals or groups to assist in the determination of the learning requirements and their objectives. Arranges and/or provides preceptorships and mentorships for staff and students regarding older adult health care, as appropriate. Develops and revises education tools/plans on the basis of identified learner needs, chart audits, patient outcomes, and introduction of new/revised clinical decision support tools or scope(s) of practice/roles/functions. Plans and schedules education activities and maintains a system for tracking attendance; maintains related statistics. Delivers learner-centered education to individuals or groups of staff and patient/families through methods such as coaching, conducting presentations, facilitating groups, and providing lectures. Evaluates effectiveness of education programs and consultations to ensure older adult care/learning needs are met and to determine opportunities for improvement; maintains related reports. Collaborates with other practice leaders to provide leadership, consultation and performance support to clinical staff, employed student nurses and students to assess, plan, implement and evaluate care. Supports staff to plan and carry out patient/family education about discharge planning, illness prevention and health promotion. Participates in quality improvement and risk management activities by methods such as evaluating effect of changes in practice, making recommendations to improve current practices, and conducting quality and safety audits. Participates in research and special projects; promotes staff awareness and involvement in research activities. Maintains professional practice growth, knowledge and expertise to reflect current standards of practice by reviewing relevant literature, attending educational workshops and in-services, consulting and networking with other health care professionals. Assists the Manager/Director by attending panel interviews, providing recommendations on the selection of new staff, and providing feedback on optimal use of budgetary resources as requested, including recommending use of related products that help meet patient goals. Assists the Manager/Director in assessing and supporting clinical skill and performance, as related to older adult care, by providing related input and coaching staff to help them achieve established clinical performance goals. Participates in the review, development, implementation and evaluation of evidence-informed clinical decision support tools/policies. Performs other related duties as assigned. Qualifications Education and Experience Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Three years of recent related clinical experience in gerontological nursing including one year of education and/or leadership experience, or an equivalent combination of education, training and experience. Completion of post graduate course work and/or certification applicable to gerontological nursing (Canadian Nurses Association Gerontology Nursing Certificate). Valid BC Driver's License and access to a personal vehicle for business related purposes. Skills and Abilities Clinical proficiency/expertise in acute gerontological nursing. Demonstrated ability to complete initial and ongoing client assessments and provide care through therapeutic interventions. Demonstrated ability to integrate and evaluate pertinent data from multiple sources to problem-solve effectively. Ability to role model direct care skills, coach, mentor and teach nursing skills that are compliant with current standards of practice and that ensure quality of care. Ability to apply educational theories and evidence to teaching practices. Ability to identify learning needs of individual or groups of staff. Ability to foster effective teaching and learning relationships. Ability to facilitate learning and create effective learning environments. Ability to collaborate with a variety of stakeholders in preparing appropriate learner environments. Ability to develop and utilize appropriate practice assessment tools. Ability to communicate effectively both verbally and in writing. Ability to work independently in an organized and self directed manner. Ability to problem-solve and effectively deal with conflict situations. Ability to promote client-focused care including sensitivity to diverse cultures and preferences. Ability to independently manage an prioritize clients with diverse healthcare issues. Ability to conceptualize teaching from a unit to regional focus. Knowledge of research processes and methodology. Ability to operate related equipment. Physical ability to perform the duties of the position. About Fraser Health Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada, on the traditional, ancestral and unceded lands of the Coast Salish and Nlaka’pamux Nations and is home to 32 First Nations within the Fraser Salish region. People - those we care for and those who care for them - are at the heart of everything we do. Our hospital and community-based services are delivered by a team of 48,+ staff, medical staff and volunteers. We are committed to planetary health and value diversity in the work force. We strive to maintain an environment of respect, caring and trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable and culturally safe manner. Together, we are the heart of health care. Instagram | Facebook | LinkedIn | X | Indeed | Glassdoor IMPORTANT: Recruitment scam warning Please be on alert for recruitment scams. We are aware of several scams targeting individuals by falsely claiming to represent Fraser Health. Always take precautions when sharing personal details with unverified sources. Please note that we will never ask for money or payment, nor ask you to download or install an app at any point during our recruitment process.