RN/Registered Nurse /RPN, Addictions Assessment

Fraser Health is the second largest health system in Canada with over 45,000 staff, medical staff and volunteers, and is the largest of five regional health authorities in British Columbia, providing hospital and community-based health services to nearly 2 million people in Metro Vancouver and the Fraser Valley.

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All new hires to Fraser Health must have full COVID 19 vaccination (have received a full series of a World Health Organization 'WHO' approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).
Please note this applies to all postings, and individual medical exemptions must be approved by the Provincial Health Officer.

1. Plans and provides direct nursing care to patients in compliance with standards of practice by reviewing patient status, performing activities such as reviewing client/family history, patient chart and other written information, patient observation, conducting physical/psychosocial assessments, interviewing patient and natural supports, completing questionnaires, and consulting with colleagues and other members of the health team.
   
2. Assesses patient needs, and plans, implements, evaluates and prioritizes nursing care and nursing interventions to develop a care plan specific for the patient using clinical judgement and evidence-based practice, in collaboration with other members of the health care team.
   Makes referrals to other identified resources as required.
   
3. Provides general and crisis counselling to patients who present to the Emergency Department, including short-term follow-up in accordance with approved treatment plans authorized by the Emergency Room Physician or consulting physician.
   
4. Collegially shares information with Emergency Nurses regarding the processing of physician's orders such as initiating unit standing orders, administering medications, carrying out treatments and monitoring and documenting the effects; processes physician orders as assigned.
   
5. Manages emergencies including drug overdose, heart attack, assaultive behaviour and seizures through methods such as providing direct nursing interventions, responding in a manner appropriate to the emergency and in accordance with established policies and procedures such as initiating CPR and/or alerting ambulance and/or police.
   
6. Establishes and maintains effective relationships with Emergency, Addictions Medicine, and other interdisciplinary team members in order to facilitate communication and decision making around client care, identify and resolve patient/family issues, identify gaps in services, and improve services to individuals with substance use issues.
   Consults and collaborates with interdisciplinary team members by participating in patient care conferences, rounds and staff meetings and contributing information.
   
7. Assesses the learning needs of patients and their families in order to determine what instruction they require, such as providing and explaining information, demonstrating procedures and use of equipment, checking the learner's use of procedures, techniques and equipment, or planning, coordinating and delivering educational sessions.
   Facilitates education sessions for patients, family members, service providers, and community agencies on topics such as withdrawal management, relapse prevention, stress management, illness prevention, health maintenance and health promotion strategies, self care, problem solving and coping skills.
   Evaluates the overall effectiveness of the selected teaching methods and outcomes of learning.
   
8. Acts as a clinical resource/support person to patient and family as required, and nursing and health care professionals by explaining the theoretical rationale for nursing decisions and providing clinical consultation to Mental Health Care Workers.
   Participates in training, orientation and continuing education of nursing staff and students through mentoring, preceptoring and role-modelling.
   
9. Maintains clinical records through methods such as collecting and documenting information including electronic health care information in systems such as Meditech regarding patients and their families, nursing observations, telephone communications, progress notes, interventions, themes worked on during interventions, teaching, care evaluations, patient outcomes and discharge summaries to ensure that patient/family records are current and complete.
   
10. Advocates for patients to protect and promote their rights to dignity, respect, privacy, confidentiality, autonomy and access to information.
    
11. Participates in quality improvement and risk management activities such as identifying and reporting high risk situations, evaluating effect of changes in nursing practice, generating recommendations for alternative approaches to nursing practice, conducting safety audits and identifying needs for corrective action and changes to selected practices, procedures or protocols.
    
12. Maintains a safe environment for patients, visitors and employees by adhering to established safety and emergency practices and procedures and reporting any risks and anomalies to the Patient Care Coordinator.
    
13. Participates in program development and in the delivery of clinical services through methods such as actively participating in internal conferences and by participating in the development, implem.