Registered Nurse, Cardiac Access & Assessment - Triage - Royal Columbian Hospital

1. Performs direct patient case management including:

• Pre-admission screening of all referred patients by interviewing patients, reviewing patient histories, conducting nursing assessment, uses clinical decision making to identify potential problems and working with physicians to optimize clinical condition and ensure required diagnostic tests are booked and completed.
• Full nursing review including review of diagnostic testing and identifies abnormalities; reports these to the Physicians as appropriate.
• Ensuring that patient/family centered support and educational information is provided to cardiovascular patients in a timely manner using principles of health literacy and involving translation services as needed. Providing education both in person and virtually. Serves as point of contact and provides on-going telephone support to wait list patients and their families.
• Nursing assessment and patient teaching both in person and through virtual strategies.

2. Performs indirect patient case management including:

• Communicating potential problems with patients to clinical areas, physicians and physician offices as required.
• Participating in daily patient reviews and triage, ensuring the procedure slates reflect patient demand and acuity, priority principles, and ensuring ready, willing, and able to attend appointment for procedure.
• May attend and participate in weekly Heart Team rounds and in the discussion of patients. As required/appropriate, provides information and assessment findings regarding high-risk patients, focused on optimum decision making and collaboration between disciplines.
• Collegial sharing of expertise with other health care professionals.

3. Performs triage activities, including:

• Utilizing established systems to notify cardiac and referring physicians of changes in patients' conditions. Coordinating with physicians to develop alternative options to facilitate patients having procedures completed within recommended waiting time guidelines.
• Providing and communicating relevant information to a range of clinical partners to facilitate decision-making and timely access to care.
• Ensuring tracking of patients awaiting cardiac procedures/interventions by monitoring patient wait times and patient condition, including proactive patient assessment.

4. Performs administrative duties, including:

• Data entry of the Fraser Health and Cardiac Services BC database systems.
• Assisting the coordinator in the timely update, recording and completion of the Fraser Health and Cardiac Service BC database systems.
• Assisting the Cardiovascular Coordinator to integrate tracking of quality indicators and outcomes; provides input into the development of indicators, standards, practices, and procedures; contributes to quality improvement projects to optimize program effectiveness and efficiency.

5. Performs other related duties as required.

Qualifications

Education, Training and Experience

Graduation from a recognized program in Nursing. Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

Two (2) years' recent related clinical experience in the designated clinical area, or an equivalent combination of education, training and experience.

Skills and Abilities

• Clinical proficiency/expertise in the designated clinical nursing area.
• 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 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.

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, 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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