RN​/RPN, CRESST

Detailed Overview

Job Classification for CRESST (South Fraser): CH1, Bargaining Unit: HSA Job Classification for CRESST (Fraser Valley): CH1, Bargaining Unit: BCNU 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 and recovery oriented care, the Registered Nurse/Registered Psychiatric Nurse provides and coordinates the delivery of psychiatric nursing care services to clients.

that are in an acute psychiatric crisis or situational crisis that could lead to psychiatric de-compensation. The RN/RPN sets priorities, and assigns and delegates tasks to support staff through direct care activities including assessments, crisis intervention, client and family education and health promotion activities. Responsibilities Intervenes to stabilize clients, who are in acute psychiatric or situational crisis, by utilizing supportive counselling, therapeutic interventions and providing a safe and supportive environment.

Screens potential admissions for appropriateness as required, by using screening tool and admission criteria policy and procedure to ensure clients fit the CRESST mandate and that the facility can provide safe care for them. Provides assessment, planning, implementation and evaluation of nursing care of assigned clients by performing activities such as reviewing client/family history, conducting physical/psycho-social/mental status assessments, monitoring of medical and psychiatric conditions, providing psycho-education, performing planned interventions, and evaluating outcomes.

Completes admission process by interviewing client and documenting information in clients'' chart including clients' history, current status and identification of potential safety risks. Collaborates with Program Coordinator and Psychiatrist regarding clients' mental/medical status, response to treatment, including medication and readiness for discharge, by communication through scheduled and unscheduled meetings/phone calls. Communicates with primary therapist/case manager by faxing confirmation of admission and discharge summaries.

Obtains collateral information from, and provides status and progress reports to, primary therapist/case managers, doctors and other related agencies through meetings or telephone contacts. Identifies clients' mental/medical needs on an ongoing basis by methods such as observing, interviewing and completing a physical assessment. Makes clinical decisions and takes action based on these assessments. Makes necessary arrangements and facilitates hospital admission, as required, for psychiatric or medical emergencies that can not be dealt with s methods such as obtaining directions from an authorized prescriber, phoning the hospital to advise emergency room staff of pending arrival, conveying proper collateral information, calling ambulance, police or family to transport client, and completing transfer records.

For medical client concerns of a less urgent nature, facilitates a doctor's appointment. Empowers clients in their illness or life stressors by educating clients in group, one on one counselling and family meetings, alternate ways of coping, life skills and education, regarding illness and medications. Ensures consistent safe care by completing and reviewing client focussed care plans. Ensures that legal documentation requirements are met by reviewing the client's chart, kardex and medication administration record (MAR) for accuracy and completion.

Provides necessary documentation for charts by photocopying necessary paperwork. Provides discharge support to client by providing them with community resource information and assisting them in the decision making process, relative to appropriate support. Ensures that client gets the necessary medication or treatment by obtaining, clarifying and following prescriber's orders and communicates same with pharmacy. Ensures appropriate client treatment interventions by consulting with primary therapist/case manager and/or doctors regarding client history and treatment modes.

Ensures that steps are taken to keep at risk clients safe, and ensure compliance with the Community Care Facility Act and Adult Care Regulations, by reporting, as required, AWOL clients to police, Program Coordinator, primary therapist/case manager and family. Ensures that client concerns, especially safety issues and serious incidents, are addressed by taking appropriate clinical action such as completing serious incident reports and reporting same, and seeking direction from Program Coordinator or Manager.

Communicates facility concerns and client issues, with an emphasis on safety, by reporting same to the team, verbally and in writing in the chart, kardex, group book, serious incident report, MAR, and log book. Relays information to the next shift by providing a brief verbal…