Registered Nurse, Cardiac Services - Cardiac Cath Lab - Royal Columbian Hospital

1. Assesses, plans, implements and evaluates nursing care of assigned patients. Identifies actual or potential problems, plans interventions, performs planned interventions and evaluates outcomes. Collects information from a variety of sources using skills of observation, communication, data review and physical assessment.
2. Coordinates and provides nursing care to assigned patients according to physician and anaesthetist orders and in conformance with established standards and hospital policies. Sets priorities, assigns and delegates tasks to appropriate staff.
3. Modifies care as needs change. Initiates immediate treatment, such as applying non-invasive monitoring devices if required.
4. Explains procedures to the patient and/or teaches the patient how to deal with the result of the procedure.
5. Obtains, checks, sets up and positions supplies, instruments and equipment required for interventional procedure ensuring that instruments and equipment are in working order. Reports instruments/equipment in need of repair.
6. Performs circulation duties including passing instruments and supplies, medications and other materials to the team.
7. Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
8. Collaborates with members of the inter professional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals/providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition.
9. Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the inte professional care team according to established protocols and practice standards.
10. Collaborates with patients and their families/care givers in developing the care plan and encourages family participation in the development, implementation and ongoing modification of the care plan. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient''s rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning.
11. Teaches patients and families/care givers about illness prevention, health restoration and health maintenance to help patients accomplish their health care goals. Assesses learning needs of the patient and family/care giver; provides information and demonstration of care activities to support self-care and the discharge plan.
12. Plans and discusses referral information with patient and their families/care givers and, in collaboration with members of the inter professional care team, initiates referrals to appropriate health care/community agencies.
13. Dismantles tables in accordance with care and handling instructions of special instruments and Occupational Health and Safety regulations. Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.
14. Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.
15. Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice.
16. Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation.
17. Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures), and equipment.
18. Acts as an advocate to protect and promote the patient’s right to autonomy, respect, privacy, dignity and access to information.
19. Participates as an active member on nursing and hospital committees and councils for improvement of patient care and/or work environment.
20. Participates in the orientation and ongoing education of nursing staff and students by providing information and acting as a preceptor and mentor as appropriate.
21. Participates in the evaluation of patient care programs, techniques, standards and procedures by providing feedback about effectiveness and patient care outcomes.
22. Maintains a safe environment for patients, families and staff by adhering to established safety and emergency practices and procedures. Performs other related duties as assigned.
23. Performs other related duties as required.

Education, Training and Experience

Graduation from an approved School of Nursing with current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

Completion of Cardiology component of Post Basic Critical Care course, or post basic High Acuity Course, approved Arrhythmia interpretation course plus one (1) year's recent experience in cardiac monitoring or telemetry unit, or an equivalent combination of education, training and experience. Current CPR (Level C) Basic Rescuer Certificate.

Skills and Abilities

• Clinical proficiency in the designated clinical area(s).
• Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.
• Ability to determine and deal with emergency situations.
• Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means.
• Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy.
• Ability to integrate and evaluate data from multiple sources to problem-solve effectively.
• Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being.
• Ability to organize and prioritize work.
• Ability to collaborate with and promote cooperation among members of the interprofessional care team.
• Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.
• Ability to operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.

Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada, on the traditional, ancestral and unceded lands of the Coast Salish and Nlaka’pamux Nations and is home to 32 First Nations within the Fraser Salish region.

People - those we care for and those who care for them - are at the heart of everything we do. Our hospital and community-based services are delivered by a team of 48,000+ staff, medical staff and volunteers.

We are committed to planetary health and value diversity in the work force. We strive 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.

Together, we are the heart of health care.

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