Clinician Wound & Skin Care/ivt & Picc Insertions- Fraser Canyon Hospital-hope

Clinician Wound & Skin Care:

1. Demonstrates expertise and provides clinical leadership in evidence-based practice related to wound and skin care to staff and/or clients/families by reviewing literature in specialty area, consulting with experts, collaborating with members of the interdisciplinary team, evaluating clinical practice and recommending changes to existing standards.
2. Role models direct client care skills to staff and students, provides information based on application of theories, concepts and principles, ensures compliance with current standards of practice and supports nursing to provide excellence in quality client/family care based on specialized theory and practice regarding wound and skin care.
3. Delivers educational activities to staff, students and/or clients/families by teaching, facilitating groups, mentoring, conducting formal presentations, demonstrations and lectures related to wound and skin care; arranges sessions in collaboration with staff and/or clients/families to determine time, frequency and duration to ensure effective use of resources; maintains staff education records.
4. Develops and implements education programs, orientation and professional development programs for wound and skin staff and/or clients/families by responding to requests, completing learning needs assessments and determining educational requirements related to wound and skin care knowledge; revises programs on the basis of pre-identified learning needs, client outcomes, internal/community standards of practice, introduction of new skills/procedures and current theory/research; evaluates effectiveness of programs to ensure wound and skin care learning objectives are met and to determine opportunities for quality improvement.
5. Performs advanced nursing skills within areas of expertise in skin and wound care practice; arranges preceptorships and mentorship for students and new staff regarding wound and skin care, as required.
6. Provides leadership and consultation to clinical staff and students to assess, plan, implement and evaluate wound and skin care of clients by reviewing client/family needs and progress, promoting staff collaboration with health care professionals, reviewing available health care professional/community agencies and discussing referral options. 7
7. Promotes staff to teach clients/families about illness prevention, health maintenance and health promotion strategies by developing health teaching strategies, assessing the learning needs of clients/families, teaching and evaluating outcomes of learning and maintaining current reference material regarding wound and skin care.
8. Participates in quality improvement and risk management activities for wound and skin care by evaluating effect of changes in wound and skin care practice, generating recommendations for alternative approaches to practice and taking corrective action; recommends changes to selected policies, procedures and protocols and provides feedback.
9. Consults and collaborates with interdisciplinary team and other health care professionals/providers in the identification and resolution of a variety of client/family issues by encouraging staff to communicate in a confidential/professional manner ensuring relevant information is documented; identifies available resources to assist in the management and/or coordination of these issues and makes recommendations for alternative approaches and/or solutions.
10. Participates in research and special projects in wound and skin care by collaborating with members of the interdisciplinary team, promoting staff awareness and involvement in research activities, identifying practices/issues that require research, collecting and interpreting data and providing input for further analysis as required.
11. Participates on local, regional program and professional committees regarding to wound and skin care by attending meetings, providing input, facilitating the resolution of issues and advocating the goals and objectives of the wound and skin care services.
12. Contributes as a team member to the selection of new staff and in the performance evaluation of staff by attending panel interviews, making recommendations, assessing clinical skills and providing input. 1
13. Assists the Manager or designate with determining the optimal use of budgetary resources for wound and skin care by providing input and making recommendations.
14. Sets measurable performance goals and objectives by maintaining and updating own knowledge of clinical professional development in wound and skin care, developing plans in collaboration with the Manager or designate for professional development and ensuring goal and objective plans are achievable.
15. Performs other related duties as assigned.

RN, IVT/PICC Insertions:

1. Performs peripherally inserted central catheter (PICC) insertions in order to establish and/or maintain intravenous therapy. Performs venipuncture and initiates IV infusion devices as required. Provides PICC maintenance and cares for PICC lines; monitors line status and troubleshoots line issues. Performs thrombolysis to clear clogged lines. Shares information and knowledge with members of health care.
2. Assesses patients referred for wound care or receiving IV therapy and collects information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient's condition and determines whether the condition can be improved or resolved by an appropriate nursing intervention. Plans, performs and evaluates nursing interventions and care teams with respect to difficult IV starts.
3. Performs IV therapy care and related duties such as inserting and maintaining IV lines, initiating IV infusion devices, administering antibiotics/medications ordered by the physician, caring for and monitoring line status, dealing with clotting issues, performing blood draws through already peripherally inserted central catheters, coordinating intake of patients into the relevant IV program, identifying patient's suitability for referral to a community-based IV program, and teaching patients about IV care and self-management.
4. Provides wound and skin care to clients and provides education to clients and family/care givers related to wound care.
5. 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.
6. Participates in the care and discharge planning process for patients by ensuring the care plan is established and implemented effectively, updating care plan and intervening as appropriate, collaborating with the inter-professional care team to ensure comprehensive care planning and delivery, and collaborating and communicating with the Patient Care Coordinator, Manager or health care team on issues that will affect the care/discharge plan.
7. Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the inter-professional care team according to established protocols and practice standards.
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. 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.
10. 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.
11. Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
12. Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.
13. 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.
14. 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.
15. Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation.
16. 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.
17. Performs other related duties as assigned.

QUALIFICATIONS:

Education, Training & Experience

Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

Three (3) years' recent related clinical experience in skin and wound care, including one (1) year’s recent experience in a leadership/education role in a community health environment and one (1) year’s recent experience with peripheral intravenous (IV)/central venous catheter management, as well as completion of a recognized course in wound ostomy and continence, or an equivalent combination of education, training and experience. Advanced proficiencies in peripherally inserted central catheters (PICC) insertions.

Valid BC Driver's license and access to a personal vehicle for business-related purposes.

Skills & Abilities

• Comprehensive knowledge of Skin and Wound Care theory and evidence-based practice.
• Demonstrated ability to teach and facilitate learning of staff and/or clients/families.
• Demonstrated ability to develop, implement, design and revise education programs utilizing adult education principles.
• Demonstrated ability to provide leadership and work direction in a coaching/mentoring role.
• Demonstrated ability to role model.
• Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and provide nursing care through appropriate/prescribed technical, therapeutic, safety type interventions.
• Clinical proficiency with wound care best practices.
• Clinical proficiency with peripheral IV and central venous catheter management.
• Clinical proficiency in peripherally inserted central catheters (PICC) insertions.
• Demonstrated ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the inter-professional care team using verbal, written and electronic communication means.
• Demonstrated ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy. •
• Demonstrated ability to integrate and evaluate data from multiple sources to problem-solve effectively.
• Demonstrated 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.
• Demonstrated ability to work independently and as a member of an interdisciplinary team.
• Demonstrated ability to problem solve and effectively deal with conflict situations.
• Demonstrated ability to plan, organize and prioritize work in a continuously changing environment.
• Knowledge of other health care disciplines and their role in health care.
• Knowledge of research processes and methodology.
• Demonstrated ability to operate related equipment including related software 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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