RN, Organ Transplant Clinic (Post-Assessment) - SMH

Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional territories of the Coast Salish and Nlaka’pamux Nations.

Our team of 43,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.

Effective October 26, 2021 all new hires to Fraser Health will need to 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.

Assesses clients post solid organ transplantation requiring/requesting admission to the Organ Transplant Clinic and coordinates interdisciplinary assessment and follow-up treatment throughout their lifespan.

Plans, implements and reviews client education using experience and knowledge of content area and adult education principles. Consults, confers and collaborates with team members and other health care givers in addressing health issues of client group. Participates on various internal and external multidisciplinary committees as a representative of transplant services. Reviews literature, analyses trends and recommends changes to modify current nursing practices for this client group.

1. Receives client referrals from a variety of internal/external sources by gathering information from the referral source/client/other applicable persons to identify, in collaboration with other members on the interdisciplinary team, the relevant individual client needs for entry to the  clinic.
2. Provides on-going support and education to the client, either directly or indirectly, in consultation with interdisciplinary team members, by reviewing client/family needs or a specific client's progress.  Support can include referrals to appropriate health care professionals and providing guidance/knowledge in the management of this client group.
3. Provides nursing care through education, counselling and treatment for this client group by assessing client's knowledge base and clinical progress, providing information, evaluating clinical outcomes and giving support using a strong knowledge base of all aspects of transplant treatment and modalities.
4. Attends clinical/case conferences as a member of the interdisciplinary team for client reviews, admissions, discharges and ongoing service assessments by providing input on care issues, clinic effectiveness and administrative decisions pursuant to nursing care and clinic standards.
5. Facilitates and enhances inter-agency/community communications/relationships by sharing information about the designated client-group and building communication linkages and resolving clinical issues for clients in collaboration with other team members.
6. Documents client/family perspectives, nursing observations and activities that support client/family priorities. Maintains complete and accurate computerized and paper records by inputting data and documentation in accordance with established procedures and policies.
7. Liaises with education resources and management to assist in coordinating the introduction of new procedures; reviews and provides input on updates to learning resources for clients/families and/or staff using established education standards and adult learning principles.
8. Participates in the review of client education activities and resources by reviewing outcomes, learner behaviours and client feedback to identify opportunities for improvement and to formulate recommendations for change. Participates in quality improvement and risk management initiatives/activities related to the Clinic and provides input into the development of procedures, standards and criteria for the clinic in conjunction with the interdisciplinary team and client/family.
9. Uses appropriate supplies and equipment for clients in accordance with departmental standards regarding cost effectiveness, availability 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. Identifies systems for improving resource utilization within the Clinic including providing input regarding space/equipment needs as required.
10. Carries out responsibilities in accordance with established health and safety requirements.  In the event of emergencies or disruptive  behaviour pertaining to facilities, clients, staff or visitors, immediately reports unsafe situations by notifying manager/appropriate personnel to ensure appropriate support is accessed.  Informs designated staff of occurrences; completes Incident Report forms in accordance with established procedures and policies.
11. Participates on designated clinic-based and professional committees or team by attending meetings, providing input into client care documentation, methods and forms for review by committee/team and providing written/verbal input to promote improvements to client and family care and the efficient and safe operation of the Clinic.
12. Guides clinical experience of assigned new nursing staff and students; provides input to the Manager as requested on individual's progress in achieving established standards of nursing care.
13. Contributes to setting measurable goals and objectives within a clinic/team as well as setting  individual goals consistent with Fraser Health's standards, incorporating the organization's vision and values, goals and corporate plan.  Maintains and updates own knowledge of clinical and professional development within area of practice and develops plan in collaboration with designated personnel/team for professional development. Reviews progress to ensure that goals are achieved within established time frames.
14. Reviews relevant literature/resources and applies research finding and best practices within established procedures in collaboration with the Manager and/or other designated individual or group(s).
15. Participates in approved nursing research and interdisciplinary special projects in collaboration with other health care professionals by collecting data, integrating and interpreting data, summarizing information and/or providing verbal updates for review and further analysis.
16. Performs other related duties as assigned.

Education and Experience

Graduation from an approved School of Nursing. Two (2) years recent related transplant experience, including experience in adult patient education; or an equivalent combination of education, training and experience.

Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

Skills and Abilities

• Knowledge of nursing theory and practice within a client and family centred model of care.
• Knowledge of adult education principles and methods including  demonstrated ability to teach, demonstrate techniques and facilitate learning with clients. 
• Knowledge of evidence-based clinical practice related to solid organ transplantation.
• Knowledge of research process and methodology.
• Knowledge of other health care disciplines and their role in client care.
• Demonstrated ability to communicate effectively with interdisciplinary team members, clients and their families, both one-on-one and in groups.
• Demonstrated listening and information seeking skills that promote communication and lead to a co-operative approach to problem solving within a multidisciplinary setting.
• Demonstrated ability to work independently and in collaboration with others.
• Demonstrated ability to provide effective consultation.
• Demonstrated ability to organize, establish workload priorities in collaboration with others and meet deadlines.
• Demonstrated skill in CPR techniques.
• Physical ability to perform the duties of the position.
• Demonstrated skill in the use of equipment, and in techniques appropriate to the education and treatment of clients post transplantation.
• Computer literacy with word processing and patient information systems skills.