The Missing Middle Program aims to improve the experiences and outcomes of young people and their families accessing mental health & substance use services through collaborative partnerships, training and education and systems transformation.  Many transition-aged youth (16-24) experience the ‘Missing Middle’: when they are “too well” for hospital-based mental health care, but “too unwell” to be supported through community-based and primary mental health care services alone. Individuals in this age range often struggle to connect to appropriate care between the child and adolescent, and adult mental health and substance use systems. The program is focused on identifying and addressing system-level barriers that impact young people’s (16 – 24) ability to access appropriate and timely mental health & substance use care.

 

This position is part of an interdisciplinary team that collaborates with Regional Health Authority (RHA) partners, including community hospitals and community-based MHSU programs in providing in-person education and skills development, complex case consultations and mentorship support to healthcare providers working with young people in the missing middle. This team also collaborates with these program areas to identify and implement special projects to address local needs.  This position will report directly to the Senior Project Manager, Missing Middle Program, BC Children’s Hospital.

Job Summary:

In accordance with the Purpose, Vision, Values and Coast Salish Teachings, and strategic direction of PHSA, safety, including both patient and employee safety, is a priority and a responsibility shared by everyone at PHSA. As such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.

Working collaboratively as part of an inter-professional team within an evidence based trauma informed model of care , the Consultation/Liaison Nurse (CLN) coordinates referrals to the Consult Liaison Service and provides consultation in Mental Health nursing practice and activities to Children’s & Women’s Health Centre of BC.  The CLN provides clinical education services to patients and their families, to nurses/physicians and other health care providers, develops educational materials, and conducts educational sessions using advanced theory and knowledge. Provides continuing education for the nursing staff including formally advising nursing staff in nursing practice, providing clinical instruction, supporting staff training and development. The CLN facilitates and participates in patient conferences, and provides patient care according to established policies, standards, procedures and philosophy at Children’s & Women’s Health Centre of BC.  Using advanced theory and knowledge, the CLN acts as an educational resource to BCCH and the community, and promotes quality of service delivery, supports program development and research.

 

A first in Canada: minimum Nurse‑to‑Patient Ratios (mNPRs) are being introduced in B.C.! The Provincial Health Services Authority (PHSA), alongside B.C.'s other regional health authorities, is implementing mNPRs as a transformative staffing initiative that aims to improve the working environment of nurses in order to provide better quality care to our patients.

Duties/Accountabilities:

1.    Responding to the needs of the Consult Liaison Service the CLN supports a model of collaborative care through coordination of referrals to the Consult Liaison service and providing case management, clinical consultation to nursing and medical staff, liaison with other involved professionals (i.e. medical Psychology), psychiatric care, discharge planning, follow-up and liaising with community care providers.

2.    Initiates assessments by gathering information, evaluating information, consults in creating/planning and implementing care plan. Evaluates the effectiveness of individualized care plans for each patient using a relevant nursing model at an advanced level, and liaising with other support diagnostic/health services staff. Participates as a member of the health care team in patient case conferences for patient reviews, treatment and discharges.  Collaborates with Child and Family Services and/or the Child and Adolescent Mental Health System to gather information and plan outcome disposition.

3.    Develops teaching plans for patients, and families and health care providers in the hospital and community settings about Mental Health Disorders and provides self-harm consultation to other disciplines (i.e. social work, medicine, nursing).  Provides continuing education for the nursing staff including formally advising nursing staff in nursing practice, providing clinical instruction, supporting staff training and development.

4.     Actively participates in quality of care measures, and supports pediatric somatization research and other research opportunities (e.g. epilepsy). Participates in nursing research and other interdisciplinary projects through reviewing current research, collecting data, analysing information and identifying issues/practices which require research, and evaluating the implementation of current theory into practise.

5.    Acts as an educational resource for leading and best practices, and is actively involved in provincial knowledge translation initiatives.  Identifies, plans and develops educational resources such as pamphlets, web pages for patients and healthcare professionals, teaching videos for patient and family health education, reference care plans, and specialized learning packages for nurses by compiling relevant information, utilizing best practices, determining appropriate form for education resources and material, collaborating with others, and reviewing material to ensure the content is current and cost effective.

6.    Facilitates and participates in ongoing education and in-services to maintain high level of knowledge in the area of Child and Youth Mental Health by methods such as assessing individual/group learning needs; determining resources and learning environment required, developing educational/course material, and delivering educational sessions to staff.

7.    Facilitates and enhances communications and team work through methods such as providing information based upon theory/practice and continuing professional education, developing communication linkages, fostering collaborative partnerships and strengthening existing working relationships, resolving clinical issues and advocates for the patients on behalf of the program in collaboration with team members.  

8.    Provides input to the Program Director, or delegate, regarding policies, procedures and operational requirements within the program and provides information which addresses patient and family needs and promotes effective use of resources (proposal writing).

9.    Provides direction and participates in quality management activities related to the nursing practice within the designated program through assessment, planning, implementation, and evaluation of strategic interventions to improve nursing practice.

10.    Provides consultation and/or supervision to student nurses.

11.    Performs other related duties as required.

Qualifications:

Education, Training and Experience
• Graduation from an approved School of Nursing with current practicing registration as an RN or RPN with the British Columbia College of Nurses & Midwives (BCCNM).
• Three (3) years recent related experience with working children, adolescents and families with mental health disorders, or an equivalent combination of education, training and experience.

Skills and Abilities
• Broad knowledge of British Columbia College of Nurses & Midwives (BCCNM) standards for nursing/psychiatric nursing practice.
• In depth specific knowledge and experience in specific areas of clinical practice related to child and adolescent mental health
• Demonstrated experience in multiple clinical areas and an ability to apply this knowledge across clinical populations.
• Broad knowledge of trauma informed care and attachment theory.
• Knowledge of models of mentorship and clinical leadership with the health care professions and demonstrated ability to successfully support the clinical learning of others.
• Ability to articulate understanding of concepts related to inter-professional competency, family integrated care, role clarification, team functioning, collaborative leadership, trauma informed care, conflict resolution and systems change.
• Broad knowledge of evidence based practice and research process and methodology.
• Demonstrated ability to establish and maintain effective working relationships with co-workers and external agencies and groups.
• Comprehensive knowledge and demonstrated skills in individual, family and group therapy.
• Demonstrated organizational ability.
• Demonstrated ability to communicate effectively, both orally and in writing.
• Demonstrated ability to make decisions in an independent manner in a clinical setting.
• Demonstrated ability to relate effectively to adolescents, children and their families.
• Demonstrated ability to participate as a member of a multidisciplinary care team, function as a nursing resource team member, and provide effective consultation, leadership and work direction.
• Demonstrated ability to develop, implement and evaluate educational programs, material and strategies.
• Demonstrated ability to teach, demonstrate, facilitate and coach.
• Demonstrated ability to adjust to unexpected events, problem-solve, set priorities and deal with and/or guide others in resolution of conflict issues.
• Ability to demonstrate effective CPR techniques.
• Physical Ability to demonstrate Mandt training techniques
• Ability to operate related equipment including a personnel computer, computerized client care information system and education tools and equipment.
• Physical ability to perform the duties and responsibilities of the position.

 

**IMPORTANT INFORMATION**

• NBA internal positions are posted on Tuesdays and Thursdays for a period of 72 hours.
• A selection decision will be made within 7 business days of the posting closing date.
• If an interview is required, you must be available. Interviews are scheduled for Wednesday March 25 - 8:30am - 9:30am, 1:00pm - 2:00pm, 2:30pm - 3:30pm and Thursday March 26 - 10:00am - 11:00am.
• The successful applicant has 48 hours to accept or decline the position.
• If you will not be available to accept or decline the job offer during the selection process, you must assign a designate that the Hiring Leader may contact during your absence. Please ensure you have clearly identified your designate on your resume or cover letter.
• If you have any questions regarding this new process, please contact the Internal Jobs Help Desk by email at internaljobshelpu@phsa.ca.