Registered Nurse (Med/Surg) - Hospitalist Medicine
On-siteVancouver, British Columbia, Canada
Job Summary
Provide nursing care to assigned patients in hospitalist acute medicine using a best practices approach, assessing, planning, implementing, and evaluating client care for those with acute medical illnesses. Collaborate with interdisciplinary teams to participate in discharge planning, advocate for clients, and educate families on illness, injury, and health promotion. Document care provided and respond to incidents per established policies while maintaining clinical competence. Manage complex patient needs including oxygenation, IV therapy, chest tubes, and transfusions, and differentiate symptoms of dementia and delirium. This temporary internal position requires current BCCNM registration and specific skills in pathophysiology and intervention for designated diagnoses.
Required Qualifications
- Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM)
- Demonstrated ability in nursing practice related to designated patient/client group – Hospitalist Acute Medicine
- Demonstrated knowledge of pathophysiology related to common diagnosis/surgeries and specific clinical situations related to area of practice (e.g. Dementia; Delirium; Diabetes; Liver disease (including cirrhosis); Renal disease; Failure to thrive; CHF; COPD; UTI; Pneumonia; Alcohol and drug dependency)
- Demonstrated ability to provide nursing assessments & interventions related to common diagnosis/surgeries and specific clinical situations relevant to the designated patient/client group (e.g. Oxygenation and airway maintenance; IV Therapy; Dysphagia; Continuous Bladder Irrigation (CBI); Dementia and delirium management; Sepsis; Complex wound care; Ulcer management; Palliative care (including pain management); Hemodialysis and peritoneal dialysis.)
- Demonstrated ability to perform focused secondary assessments and integrate information from a variety of sources including diagnostics and develop plan of care relevant to the designated patient/client group
- Demonstrated ability to anticipate and respond to potential complications and care issues relevant to the designated patient/client group
- Demonstrated ability in correct usage of equipment and maintains competency in working with Oxygen delivery equipment; other care related pumps, bladder scanner and catheters
- Demonstrated ability to document client care on appropriate systems/forms in accordance with organizational and unit standards in a timely and accurate manner
- Demonstrated skill in the management of patients with dementia and/or delirium. Differentiates between symptoms of dementia and/or delirium; Utilizes appropriate tool to determine and addresses underlying causes
- Demonstrated skill in safe care & management of: Chest tubes; Cytotoxic agents; Complex wounds; Catheters including CVCs; Feeding tubes; Medication assessment and administration relevant to patient population (e.g. insulin, anticoagulants, primary/secondary IV infusions, narcotics)
- Demonstrated skill in assessing, maintaining, troubleshooting CVC; CVC/PICC maintenance; Administering blood and blood product transfusions; TPN/Enteral Nutrition
- Demonstrated skill in performing RN autonomous scope of practice and standards of care relevant to designated patient/client population including IV, infection control, isolation protocols etc
- Commit to remain in the appointment for the entire duration of this position
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