Position: Registered Nurse
Program/Service: REACH Urgent & Primary Care Centre
Established in 1969, REACH is a non-profit, community-governed organization with a history of primary care innovation and a commitment to equality and social justice in East Vancouver. We have a multidisciplinary approach to care within our medical, dental, pharmacy, multi-cultural family centre and Urgent Primary Care Centre (UPCC). We are committed to providing inclusive, accessible and sustainable programs and services to support the physical and mental health and well-being of our community and individuals within it.
The REACH UPCC will provide triage and delivery of urgent primary care services to any patient who presents themselves during the hours of operation. This program to provides urgent primary care to any individual who need it 8am-10pm Monday to Saturday and 9am-5pm on Sundays regardless of whether they are attached to another primary care provider for longitudinal care. While the emphasis is on urgent primary care, REACH UPCC strengthens our existing commitment to the social determinants of health as a foundation for patient care. We are also developing ways of connecting patients to care in the evolving Primary Care Network surrounding the REACH UPCC so that it functions as a hub and integrator in the network.
This position is for a Registered Nurse working at the full extent of their scope of practice in a primary care setting with a focus on urgent care. The RN performs a critical role in an interdisciplinary team triaging all patients and directing to appropriate care, whether that is within the REACH UPCC, or elsewhere. There are opportunities for managing a patients presenting issue independently or via protocols or in consultation with other team members such as physicians or nurse practitioners.
The RN will have the required skills to assist other team members in the event of a medical emergency requiring stabilization while awaiting transfer to higher levels of care.
The primary care nurse performs job duties through a trauma informed care framework and culturally sensitive and safe lens for families and individuals across the lifespan. It is important that the primary care nurse be willing and interested in working collaboratively as part of the interdisciplinary team at REACH; be committed to the goal of improving the health of people living in the community; and aligned with REACH values and mission. The nurse reports to the REACH UPCC Manager and is to follow protocols and procedures as set out by the UPCC manager.
Will have the opportunity to work flexible hours, on evenings and weekends.
- Triage patients and direct patients to appropriate care, whether that is within the REACH UPCC, within REACH or elsewhere
- Provide prompt assessment of patients, collect data from a range of sources and use astute observation skills, physical assessment, communication and data-reviewing capabilities
- Plan and implement a full evaluation of nursing interventions and care
- Provide effective coordination of nursing care for the patient. Outlining priority actions, the apportioning and directing care to the appropriate provider to support the team effort and making referrals where appropriate within the scope of the practice procedures and standards
- Assess, diagnose and treat specific acute and minor illnesses in adults and children in accordance with BCCNP guidelines and decision support tools for Remote or First Call practice, provided BCCNP certification is held.
- Assess, diagnose and treat sexual transmitted infections and provide contraceptive management as per BCCNP guidelines and relevant decision support tools provided BCCNP certification is held.
- Engage in opportunistic provision of adult and childhood immunizations as appropriate in an urgent care setting in coordination with public health advice and guidance.
- In collaboration with the team, screen and manage substance abuse and addiction, including support for Opioid Agonist Therapy, and harm reduction strategies such as Take Home Naloxone.
- Provide limited supportive counseling for patients in crisis; referrals as needed to appropriate community resources
- Work closely with other team members to ensure seamless delivery and transition of care
- Highlight and discuss any issues which may arise which could affect either the care or the discharge of the patient
- Document any observations, assessments, diagnostics, interventions, outcomes, communications, along with information about referrals according to our practice procedures and standards
- Assist with developing clinical and operational workflows within the REACH UPCC
- Participate in care conferences with the team
Team and centre activities:
- Participate actively in staff meetings and board committees.
- Participate in the overall activities of the health centre, e.g. in service training, committees, special events and shared staff responsibilities.
- Communicate clearly, listen accurately, be open to feedback, handle conflict appropriately, and display sensitivity to others.
- Collaborate well with others, promote cooperation and teamwork.
- Participate in REACH’s commitment to becoming discrimination free and an inclusive health centre and promotes a healthy lifestyle.
- Maintain the reputation and confidentiality of the health centre and its clients at all times.
- Adhere to all applicable REACH policies and procedures.
- Completion of a recognized Registered Nurse education program
- Current practicing registration as a Registered Nurse with the British Columbia College of Nursing Professionals (BCCNP)
- Significant nursing experience (minimum five years) with recent and related work in a variety of settings including primary care and/or ER
- Current CPR-HCP Certification essential.
- BCCNP Certified Practice (First Call, Remote Practice preferred in conjunction with Contraceptive Management and Sexually Transmitted Infections) with experience working independently desirable.
- Completion of BCCDC Immunization Competency Course for Registered Nurses or willingness to obtain the same shortly after starting the position
- Ability to work both independently and collaboratively within an interdisciplinary team.
- Experience working with marginalized populations (mental health and addictions, poverty, vulnerable youth, LGBTQ2I+, and other community members) desirable
- Demonstrates a commitment to the social determinants of health being the foundation for providing care.
- Demonstrated skill in provision of evidence based, ethical, culturally safe and appropriate care to all patients
- Knowledge of community and mental health resources an asset
- Ability to communicate effectively with patients, co-workers and community.
- A second language is an asset