Registered Nurse, Cardiac Services – Cardiac Stepdown Unit - Royal Columbia

at  Fraser Health

Salary range: The salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?:
Join our team as a registered nurse (RN) and you may be eligible for a signing bonus up to $15,000! Apply now to speak to a recruiter about this incentive or click here to learn more.
Are you a Nurse with demonstrated experience in cardiac intervention and patient care? If so, apply now to join our dedicated team at Royal Columbian Hospital’s Day Cardiac Intervention Unit (DCIU), where we focus on delivering exceptional cardiac health services.
This position involves providing direct patient care in an outpatient setting. Care is provided to both outpatients and regional inpatients of varying complexity of illness requiring trans catheter cardiac procedures (cardiac catheterization lab and electrophysiology lab), cardiac device implantation, or trans esophageal echocardiograms. Care includes patient preparation, recovery, and discharge (and in some cases assisting with the procedure itself); and all associated nursing assessments, interventions, and patient/family education.

EXPERIENCE THE EXCEPTIONAL BENEFITS OF WORKING WITH US INCLUDING:

• Comprehensive, 100% Employer-Paid Benefits: Enjoy peace of mind with full coverage.
• Generous Vacation Time: eligible employees can earn up to four weeks of vacation to recharge and relax.
• Benefit Portability: Seamlessly transfer your benefits from another HEABC employer.
• Immediate Pension Enrollment: Secure your future with a defined municipal pension plan from day one.
• Maternity Top-Up: Receive an 87% top-up during maternity leave.
• TransLink Pass Subsidy: Save on commuting costs with a 50% subsidy on TransLink passes
• Additional employee discounts and perks available
• Eligibility based on employment status
  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, and working collaboratively and in partnership with the interprofessional care team in the provision of person-centered care, the Registered Nurse provides direct patient care by assessing, planning, providing and evaluating nursing care to patients in an acute medical unit.

Responsibilities:

• Assesses patients and collects information from a variety of 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.
• Collaborates with patients and their families/care givers in developing the care plan and 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 on admission by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan.
• 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.
• Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.
• Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.
• Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.
• Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
• 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 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.
• Performs other related duties as required.

Qualifications:

EDUCATION AND EXPERIENCE

Graduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
Completion of Cardiology component of Post Basic Critical Care course, or post basic High Acuity Course, approved Arrhythmia interpretation course plus one (1) year’s recent experience in cardiac monitoring or telemetry unit, or an equivalent combination of education, training and experience. Current Basic Rescuer Certificate.

SKILLS AND ABILITIES

• Clinical proficiency in the designated clinical area.
• Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.
• Ability to communicate effectively with patients, families/care givers, 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/care givers, sensitivity to diverse cultures and preferences, and patient advocacy.
• Ability to integrate and evaluate data from multiple sources to problem-solve effectively.
• Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being.
• Ability to organize and prioritize work.
• Ability to collaborate with and promote cooperation among members of the interprofessional care team.
• 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 operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.

• Assesses patients and collects information from a variety of 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.
• Collaborates with patients and their families/care givers in developing the care plan and 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 on admission by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the interprofessional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator on issues that will affect the care/discharge plan.
• 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.
• Collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.
• Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.
• Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the interprofessional care team, initiates referrals to appropriate health care/community agencies.
• Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
• 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 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.
• Performs other related duties as required