Complex Care Clinician (RN) - Home Health

at  Vancouver Coastal Health

EDUCATION & EXPERIENCE

• Current practicing registration as a Registered Nurse or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Two years’ recent case management or home care nursing experience, including experience working with the complex medically frail population or an equivalent combination of education, training and experience.
• Local area travel requires the use of personal vehicle. Valid BC Driver’s License.

KNOWLEDGE & ABILITIES

• Demonstrated knowledge and ability in nursing practice related to designated client group – Home Health Preventative Complex Care clients:
• Demonstrated proficiency in performing comprehensive, evidence informed and strength-based holistic health assessment and evaluating health promotion activities, using multiple sources and methods to identify needs, assets, inequities and resources.
• Knowledge of appropriate assessment and screening tools used to support decision making in management of complex client’s care needs (e .g. risk assessment tools, Inter-RAI, ethical decision tools, Zarit tool, MMSE etc.).
• Demonstrated proficiency in performing focused assessments, elicit, synthesize and integrate all relevant information from a variety of sources and develop client-centered plan of care using evidence-informed and best practice in the provision of safe, quality care.
• Demonstrated ability to use critical thinking and clinical judgement to take action and prioritize care when unexpected changes occur (e.g. changes in acuity and stability, emergent health needs and functional decline).
• Ability to engage clients and individuals involved in client’s circle of care to actively participate as equal partners in care planning, decision making and care delivery evaluation.
• Demonstrated competency in ongoing monitoring, evaluating and adjusting client’s care plan based on effectiveness of interventions and/or changes in condition or environment. Modifies client’s care plan in collaboration with the medical provider, the client and the individuals involved in client’s circle of care.
• Knowledge of effective strategies for connecting with clients and individuals involved in client’s circle of care to promote collaborative, active and informed shared decision-making while taking into account the determinants of health.
• Demonstrated ability to organize and facilitate meetings and collaboration with clients and individuals involved in client’s circle of care to enhance client-centered care (i.e. leads case conference with most responsible provider).
• Demonstrated competencies in basic and advanced nursing skills to deliver nursing interventions as per entry- level competencies and home health competencies for registered nurses and registered psychiatric nurses (e.g. medication administration, wound care, vital signs, pain management, setting up home support or delegation of tasks etc.).
• Demonstrated knowledge of acute and chronic disease management, life limiting diseases, palliative care, mental health and substance use and appropriate assessment tools and interventions to support self-management to optimize mental and physical health.
• Demonstrated skill in conducting goals of care conversations and in understanding the care goals and what is most important to the client.
• Demonstrated ability to provide culturally safe care to diverse populations, including Indigenous People in accordance with BCCNM practice standards for Indigenous Cultural Safety, Cultural Humility, and Anti-Racism.
• Demonstrated understanding of Trauma Informed Practice and Harm Reduction.
• Knowledge of provincial acts, regulations, and program policies and guidelines related to home, community and primary care.
• Demonstrated skill in performing RN/RPN autonomous scope of practice and standards of care relevant to designated patient/client population.
• Demonstrated skill in CPR techniques.
  Closing Statement:
  The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes.
  As per Ministry of Health policy, all health care workers working in publicly-funded health care facilities are required to report their past receipt of certain vaccines or history of certain infections. Collecting these records will allow for offering of any missing vaccines, and for appropriate actions to be taken in the event of any future exposure to a communicable disease or during outbreaks. For all new hires and appointments to Vancouver Coastal Health, you will be asked to provide this information as part of the onboarding process.

Please refer the Job description for details