Registered Nurse in Primary Care Practice-Hope​/Agassiz​/Harrison Springs​/Kent

Position: Registered Nurse in Primary Care Practice-Hope / Agassiz / Harrison Hot Springs / Kent
Location: Agassiz

Detailed Overview

In accordance with the British Columbia College of Nurses and Midwives (BCCNM) scope of practice, standards of practice and the Mission and Values of Fraser Health, works collaboratively as a member of an interprofessional team to provide direct patient care to clients of family practice clinics within the Primary Care Network. The role of the Registered Nurse in Primary Care Practice is to partner with and complement that of the family physician.

Provides initial client consultation, assessment, triage, coaching and teaching, health promotion and intervention, client care services and follow-up based on the client's needs, urgency of request and best practices, to ensure clients, families and caregivers are provided with ease of access to timely, person-centred, continuous and culturally safe quality health services. Care may be provided in the clinic setting, over the phone, or in the community setting.

Facilitates and manages client transitions across the healthcare continuum to optimize health and well-being and adapts to changes in the client's condition to minimize avoidable admission to healthcare facilities; collaborates with the client and ensures linkages with acute, primary and community care healthcare providers including the client's primary care provider (Nurse Practitioner, Physician), other specialists and family supports with respect to client care planning to facilitate the flow of information through a variety of settings including FH and non-FH community services.

Provides client and family-centered care through a trauma-informed approach and evidence-informed practice. Establishes a dignifying, purposeful and trusting relationship with clients, promoting self-determination and independence. Encourages knowledge exchange in day-to day activities, and empowers clients to engage and connect within their communities. Ensures clients and their family members are supported in navigating the health care system. Responsibilities Provides direct nursing care to clients receiving scheduled or urgent/timely primary care.

Assesses clients and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Triages and makes a nursing diagnosis of the client's condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention or through interventions and collaboration with other clinical staff and primary care provider. Assists the Physician/NP and other team members with urgent and emergent care as necessary.

Performs a comprehensive and focused health assessment that includes health history and complete physical evaluation; considers the patient's psychosocial, emotional, ethnic, cultural and spiritual dimension of health, the client's goals for health, including a thorough medication assessment and best possible medication history, and his or her understanding of their health/illness experience and how their daily life is affected. Processes physician or nurse practitioner orders through methods such as initiating unit standing orders, administering medications, carrying out treatments and monitoring and documenting the effects.

Performs nursing procedures within their scope of practice and their own level of competency both independently and in an assisting role with the Physician/NP. Establishes a therapeutic relationship with the client through the use of interpersonal and interviewing techniques, in person and/or over the telephone, to ensure the client's choice and autonomy in decision-making and care planning including the client's right to dignity and privacy.

Establishes longitudinal relationships to support client and family care across the continuum and spanning all settings. Screens referrals, provides individualized client assessments, and contributes to interprofessional care planning and clinical interventions. When appropriate collaborates and refers to specialized services for clients with multiple complex conditions; assists clients to achieve an optimal level of function by facilitating timely and appropriate health services (e.g. public health, social services) and utilizing a variety of resources and services;

collaborates with the primary care provider, client, the family/supports/caregivers, other health care professionals, clinics, hospitals and other community resources to identify and resolve client care issues and coordinate the integration of care and services. Develops a comprehensive shared client care plan, in collaboration with the interprofessional team, client and/or family, other healthcare providers and/or referring clinics which includes health promotion, sexual health, illness prevention, rehabilitation, chronic disease management, and/or palliative approaches;

facilitates and supports the transition of the client care plan to the primary/community care provider and/or community agencies. Provides direct planned and unplanned client…