Community Health Nurse

Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.

Fraser Health values diversity in the workforce and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner.

In accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Community Health Nurse (CHN) - Registered Nurse works independently in the community setting. Works collaboratively and as a member of an interprofessional team in the management of an assigned client caseload including assessments, coaching, interventions, client care services and follow up to enable clients and their families to live confidently and safely at home and/or community; emphasizes the promotion, maintenance and restoration of health such as the treatment of chronic diseases through teaching, counselling and direct client care.

Responsibilities:

• 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.
• Screens referrals, provides individualized client assessments, interprofessional care planning and interventions including clinical care, when appropriate and referral services for clients with multiple complex chronic conditions.
• Develops a comprehensive shared patient/client care plan, in collaboration with the interprofessional team, primary care provider, client and/or family, other healthcare providers and/or referring clinics.
• Provides direct client care and identifies other care services required in accordance with applicable guidelines, policies and evidence-based best practice.
• Facilitates care conferencing to review client care plans, in collaboration with the interprofessional team and primary care provider.
• Discusses clinical findings with client/family, in collaboration with the interprofessional team to develop action plans and set goals directed at clinical needs.
• Supports clients and their families before, during and after interprofessional conferences and clinic visits by providing information through their decision-making process regarding treatment options.
• Arranges and participates in joint home visits to clients and/or families with other healthcare professionals, as required.
• Provides health counseling to clients including education, self-management, self-monitoring and wellness/health promotion/prevention.
• Maintains clinical records such as intake screens, client assessments, clinical interventions, treatment formulations, care plans and progress notes.
• Maintains professional practice growth, knowledge and expertise to reflect current standards of practice.
• Participates in department quality improvement and risk management activities by identifying client care issues and collecting data.
• Participates in the orientation and ongoing education of nursing staff and students.
• Provides input in the development and revision of standards of care, policies and procedures.

Qualifications:

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• One (1) year recent related clinical experience assessing and treating complex geriatric and/or adult patients with chronic health conditions.
• Valid BC Driver's license and access to a personal vehicle for business-related purposes.

Skills and Abilities:

• Demonstrated knowledge, skills and competence in the areas such as gerontology and adults living with complex frailty and chronic illnesses.
• Demonstrated ability to complete initial and ongoing client assessments and provide nursing care through therapeutic interventions.
• Demonstrated ability to communicate effectively, both verbally and in writing.
• Ability to promote client-focused care including sensitivity to diverse cultures and preferences.
• Ability to independently manage and prioritize clients with diverse healthcare issues.
• Ability to teach clients and others about topics essential to health care, health promotion and care self-management.
• Ability to work effectively in a dynamic environment with changing priorities.
• Ability to work independently and as a member of an interprofessional team.

About Fraser Health:

Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada. Our hospital and community-based services are delivered by a team of 50,000+ staff, medical staff and volunteers. We are committed to planetary health and value diversity in the workforce.