Nurse Clinician, Critical Care​/Emergency

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, the Nurse Clinician utilizes evidence-informed practice to provide consultation and clinical expertise related to critical care patients who present to Emergency, who are admitted to critical care areas, or who are referred to other programs. Role models direct care skills to staff and students, performs critical care/emergency nursing assessments and ongoing evaluation of critical care/emergency patients with complex care needs, and provides information and education to staff and/or patients/families.

Participates in research, policy, quality improvement, and risk management activities. The Nurse Clinician performs their duties with a unit, hospital, program and/or regional focus and may be required to work at multiple sites across Fraser Health. Responsibilities Demonstrates expertise and provides clinical leadership in evidence-informed practice related to critical care/emergency patients; reviews literature, consults with experts, collaborates with members of the interprofessional team, evaluates clinical practice, recommends changes to existing standards to the Manager, and participates on regional and provincial committees related to care for critical care/emergency patients.

Role models direct patient care skills to staff and students related to critical care/emergency patients and provides just in time education at the point of care required to ensure optimal care. Coaches, mentors and provides information utilizing clinical evidence, policy (e.g. clinical decision support tools), literature and resources, and education theory. Performs comprehensive critical care/emergency nursing assessment to patients who present or who are admitted and/or present to emergency with complex care needs;

intervenes as needed, and evaluates outcomes of these interventions. Collaborates with the interprofessional team to develop/support development of individualized care plans, ongoing evaluation of the care plan, the appropriate and timely discharge and/or transfer of patients home or to alternate care settings, and the coordination of referrals and linkages to appropriate community resources. Determines education requirements that meet clinical and learner needs, in collaboration with the Manager/Director/Clinical Nurse Educator/Clinical Nurse Specialist;

completes learning needs assessments of individuals or groups to assist in the determination of the learning requirements and their objectives. Arranges and/or provides preceptorships and mentorships for staff and students regarding care of critical care patients, as appropriate. Develops and revises education tools/plans on the basis of identified learner needs, chart audits, patient outcomes, and introduction of new/revised clinical decision support tools or scope(s) of practice/roles/functions.

Plans and schedules education activities and maintains a system for tracking attendance; maintains related statistics. Delivers learner-centered education to individuals or groups of staff and patient/families through methods such as coaching, conducting presentations, facilitating groups, and providing lectures. Evaluates effectiveness of education programs and consultations to ensure older adult care/learning needs are met and to determine opportunities for improvement; maintains related reports.

Collaborates with other practice leaders to provide leadership, consultation and performance support to clinical staff, employed student nurses and students to assess, plan, implement and evaluate care. Supports staff to plan and carry out patient/family education about discharge planning, illness prevention and health promotion. Participates in quality improvement and risk management activities by methods such as evaluating effect of changes in practice, making recommendations to improve current practices, and conducting quality and safety audits.

Participates in research and special projects; promotes staff awareness and involvement in research activities. Assists the Manager/Director by attending panel interviews, providing recommendations on the selection of new staff, and providing feedback on optimal use of budgetary resources as requested, including recommending use of related products that help meet patient goals. Assists the Manager/Director in assessing and supporting clinical skill and performance, as related to older adult care, by providing related input and coaching staff to help them achieve established clinical performance goals.

Participates in the review, development, implementation and evaluation of evidence-informed clinical decision support tools/policies. Performs other related duties as assigned. Qualifications

Education and Experience Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM). Three years of recent related clinical…