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.
PHSA has a responsibility to deliver care to individuals in the provincial correctional system, and a responsibility to ensure that programs and services are free of Indigenous-specific racism. BCMHSUS is committed to the eradication of Indigenous-specific racism, embedding Indigenous Cultural safety and humility, and improving Indigenous health and wellness for those we serve.
The Direct Care Nurse provides care and support for individuals with concurrent psychiatric and/or substance use disorder (SUD), housing and physical health needs directly or in conjunction with an interdisciplinary team or direct supervisor. Provides direct health care services to clients presenting with a wide variety and complexity of acute and chronic illnesses/diseases including communicable diseases, addictions, mental health, and general health issues. Performs physical, addiction and psychiatric assessments, refers clients to the physician for further examination, and administers prescribed treatments and medications. Observes, monitors, evaluates, and documents client progress, symptoms, and behavioral changes and performs a variety of health care interventions. Provides counselling, education and support to clients/groups using a trauma informed, motivational and health promotion approach. Works collaboratively with other members of the interdisciplinary team, the client, family, and community. Initiates and facilitates discharge and transition planning of mental health clients. Performs job duties through a Trauma Informed Care Framework and Indigenous Cultural Safety lens.

Duties/Accountabilities:

1. Provides direct care to clients presenting with a wide variety and complexity of illnesses/diseases including communicable diseases, acute and chronic health conditions, addictions, mental health, and general health issues. Performs physical, addiction and psychiatric assessments, collects specimens, refers clients to the physician for further examination, administers prescribed treatments and medications according to protocols and makes appropriate adjustments.
2. Observes, monitors, evaluates, assesses, and documents client progress, symptoms, and behavioral changes and performs a variety of mental health, physical health, and substance use interventions utilizing nursing skills and medical equipment including therapeutic interventions using a variety of modalities. Initiates and facilitates intake and discharge planning; identifies referrals to other health professionals.
3. Provides counselling, education and group programming support to clients using a trauma informed, motivational and health promotion approach regarding mental health and substance use issues and concerns.
4. Works collaboratively with other health care professionals, client, family and community in the identification and resolution of mental health and substance use issues, cultural and language barriers, ethical dilemmas and coordination and integration of care, and makes referrals to other service providers as appropriate.
5. Maintains accurate computerized and paper records in accordance with established procedures and policies; prepares and maintains statistical information, correspondence, reports, and other documentation. Documents client/family perspectives and nursing observations.
6. Uses appropriate supplies and equipment in accordance with departmental standards and safe care requirements. Problem-solves equipment malfunctions with technical staff. Handles, stores, and disposes of workplace hazardous materials and sharps in accordance with established procedures.
7. Maintains an awareness of current Occupation Health & Safety guidelines and standards. Responds to incidents such as injuries to staff or visitors, Code Blue or white emergencies, hazardous and/or minor spills, aggressive and/or disruptive behaviors; completes incident reporting forms such as the Patient Safety Learning System (PSLS).
8. Participates in Centre/team/program activities to enhance and optimize the delivery of care and facilitate evidence-based nursing practice. Promotes quality management principles. Identifies and reports unsafe practice/professional conduct in accordance with professional standards and organizational policies.
9. Applies an evidence-based approach to clinical problem solving through methods such as reviewing relevant literature/resources and applying approved research findings in clinical practice to support the research culture of the organization. Evaluates results in collaboration with interdisciplinary team.
10. Participates on committees as directed to promote optimal support for clients, to facilitate the resolution of issues, and to advocate for the goals and objectives of the Centre/team/program.
11. Demonstrates and/or provides guidance on clinical tasks to designated care givers and guides the clinical experience of assigned students and new staff; provides input to the Manager and/or designated as requested on individual's progress in achieving established standards of nursing care.
12. Maintains standards of nursing practice and develops professional competence through in service, inter-disciplinary case conferences, team meetings and other educational means, as required by the employer.
13. Identifies own learning needs, reviews these with the Clinical Nurse Leader or Clinical Services Manager, and engages in a variety of activities to meet these needs. Maintains and updates own clinical knowledge within area of practice and develops a plan in collaboration with designated personnel/team for professional development. Reviews progress to ensure that goals are achieved within established time frames.
14. Performs medication administration, wound dressing, or other foundational nursing responsibilities as required.
15. Performs other related duties as assigned.

Qualifications:

Education, Training and Experience
• Current practicing registration as a Registered Psychiatric Nurse or a Registered Nurse with the British Columbia College of Nurses & Midwives (BCCNM).
• Two 2 years’ recent experience providing acute or direct care nursing care/services to clients who have concurrent psychiatric and/or mental health and substance use disorders or an equivalent combination of education, training, and experience.
Skills and Abilities
• A Commitment to develop knowledge and understanding of legislative obligations and provincial commitments found in the foundational documents – including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study – and how they intersect across the health care system.
• Working knowledge of direct care nursing theory including mental health and addictions, communicable diseases, and practice within a client/family-centered approach.
• Knowledge of Trauma-Informed Practice and its application to the defined population of clients. Working knowledge of BCCNM's Standards for Nursing Practice.
• Knowledge of the BC Mental Health Act, criminal code of Canada, other facilities, and community resources.
• Broad knowledge of the diagnosis and treatment of behavioural, social emotional and mental health/psychiatric issues in adults.
• Broad knowledge and the ability to recognize and respond appropriately to medical emergencies and conditions such as sepsis, substance use withdrawal, diabetic ketoacidosis, and other acute physical health conditions.
• Working knowledge of facilitation, mediation, and conflict resolution techniques. Demonstrated ability to adjust to new or unexpected events.
• Demonstrated case management, teaching/training, clinical support, and consultation skills.
• Demonstrated ability to communicate effectively, both verbally and in writing.
• Demonstrated ability to work both independently and collaboratively as a member of a multidisciplinary team.
• Demonstrated skill in CPR techniques.
• Ability to carry out the physical demands of the job.
• Skilled in the use of equipment, and in the techniques appropriate for treatment.
• Basic computer literacy to operate a computerized client care information system and word processing, spreadsheet, Internet and e-mail software.
• Physical ability to carry out the duties of the position.