RN/RPN, MH&SUS Mobile Integrated Crisis Response (MICR)

at  Fraser Health

Salary range: The salary range for this position is CAD $41.42 - $59.52 / hour Why Fraser Health?:
Fraser Health continues to be recognized as one of BC’s Top Employers, are you someone who is passionate about making a difference in the lives of others?
Fraser Health is the second largest health system in Canada with over 45,000 staff, medical staff and volunteers, and is the largest of five regional health authorities in British Columbia, providing hospital and community-based health services to nearly 2 million people in Metro Vancouver and the Fraser Valley.

EDUCATION AND EXPERIENCE

Graduation from approved School of Nursing or Psychiatric Nursing. Two (2) years recent related experience providing treatment services to individuals with mental health and/or concurrent disorders, or an equivalent combination of education, training and experience. Current practicing registration as a Registered Nurse and/or Registered Psychiatric Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Valid Class 5 BC Driver’’s License and access to personal vehicle with appropriate insurance coverage.
Successful completion of Enhanced Security Police Clearance required.

SKILLS AND ABILITIES

• Ability to complete initial and ongoing mental health and substance use assessment and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions including crisis intervention.
• Knowledge of mental illness and substance use treatment.
• Knowledge of psychopharmacology (indications and side-effects).
• Counselling and group facilitation skills.
• Knowledge of legislation and government policies and procedures that relate to mental health and substance use services.
• Ability to communicate effectively verbally and in writing with clients, families/care givers, the public, medical staff and members of the interprofessional care team.
• Ability to promote person-centered care that demonstrates empathy for clients/families/care givers, sensitivity to diverse cultures and preferences, including advocacy for special populations.
• Ability to educate clients 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 and basic principles and procedures to support nursing decisions and actions with relevant evidence-informed practice.
• Ability to operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.

• Responds to crisis situations by methods such as obtaining collateral information, determining when a response is necessary, and coordinating a response with the police and other emergency providers, providing outreach, short term treatment, crisis intervention, stabilization, and referrals.
• Assesses for lethality, threats of violence, suicide risk, and urgency of intervention by methods such as conducting mental health and risk assessments in coordination with the police officer.
• Assesses clients’ needs and available services by methods such as developing treatment options, ensuring client input, and refers to appropriate community treatment alternatives. Facilitates treatment by sharing care plans with community resources and appropriate mental health professionals and family as required.
• Screens and intervenes in urgent response situations by methods such as acquiring background information, making initial assessments, ensuring completion of appropriate forms, contacting appropriate parties and arranging transportation as required, in accordance with established protocols.
• Provides medication management by methods such as maintaining a medication kit, administering medications in accordance with physician orders, monitoring effects of medications, and providing information to clients about medications.
• Consults and collaborates with members of the interprofessional care team including MH&SUS Physicians, Primary Care Providers (GP/NP), Team 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 client condition.
• Documents assessments, care plan, observations, interventions, client/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures, and to meet regulatory requirements and documenting for future reference.
• Participates in research and quality improvement activities by identifying client care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.
• Provides health education to clients, families, and consumer groups by methods such as providing information regarding illness prevention, early intervention, crisis management, suicide prevention, critical incident stress debriefing, medication management, community resources and coping with illness.
• Provides advocacy for clients by informing consumers about appeal processes, access to information, and the availability of consumer advocacy. As part of crisis stabilization, ensures basic needs are met through accessing available programs.
• Promotes the Mobile Integrated Crisis Response Program and participates in meetings and on committees as required.
• Participates with other stakeholders in case conferences in the development of the community care plan for high users of crisis and emergency services.
• Identifies own learning needs/goals, reviews these with the Team Coordinator and engages in a variety of activities to meet these needs/goals.
• Performs other related duties as assigned