Nurse Practitioner - General Surgery

We have an exciting opportunity for a Nurse Practitioner to join our General Surgery Team at Royal Columbian Hospital (RCH) in New Westminster, BC. As part of this rewarding role the NP works collaboratively within a multidisciplinary team with a coordinated approach to ensure safe, quality, effective, and timely care for patients.

Bring your clinical expertise and passion for providing quality, compassionate care to a challenging and rewarding role as a Nurse Practitioner (NP). The Royal Columbian Hospital General Surgery Team is a collaborative group that focuses on the longitudinal care of the complex hepatobiliary patients. The inclusion of the NP into the team is of great benefit for managing this population due to their needs for integration of care across disciplines and continuity of care. The Nurse Practitioner is one of the main points of contact that builds the plan with the physicians, patients and allied team members. The NP is also integral for the family in providing consistency, empathic support and education.

These patients have complex medical needs and will require in-patient monitoring, co-ordination of care needs, education and optimization of therapy. The NP will be working with the team which comprises of hepatobiliary specialists, including surgeons, medical oncologists, radiation oncologists, interventional radiology and other medical specialists. Registered nurses, social workers, Dietitian, Pharmacist are some of the other integral team members the NP will be working with for the coordinated care of these patients.

In addition, the general surgery population is quite diverse and while this position is for the HPB team, there is opportunity to expand and to collaborate with partner NPs towards fulsome care of the entire general surgery population.

Come be a part of our innovative and unique team at Royal Columbian Hospital, where NPs are an essential part of our team! New Westminster is located on the north side of the Fraser River with several bordering municipalities in each direction (Burnaby, Coquitlam, Surrey and Delta), making it the centre of the Greater Vancouver region. The city is only about 30 minutes (20 km) from Vancouver’s city centre and 30 minutes to Washington state, USA. RCH is also on the skytrain line with a stop directly across from the hospital!

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 nearly 40,000 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 26th 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.

Fraser Health values diversity in the work force and strive to maintain an environment of Respect, Caring & Trust.

Find out what it’s like to work here. Like us on Facebook(@fraserhealthcareers), follow us on Twitter & Instagram(@FHCareer), or connect with us on LinkedIn (fraserhealthcareers) for first-hand employee insights!

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families:

The Nurse Practitioner is responsible and accountable for the comprehensive assessment of patients/clients/residents including diagnosing diseases, disorders, and conditions. The Nurse Practitioner initiates treatment including health care management, therapeutic interventions and prescribes medications in accordance with the statutory and regulatory standards, limits, and conditions, and employer policies and procedures. The Nurse Practitioner provides professional guidance to other health professionals and practices autonomously and interdependently within the context of an interdisciplinary health care team, making referrals to specialist physicians and others as appropriate.

The position collaborates with patients/clients/residents and other health professionals to identify and assess trends and patterns that have implications for patients/clients/residents, families and communities; develops and implements population and evidence based strategies to improve health and participates in policy-making activities that influence health services and practices. The position participates in peer review and self review to evaluate the outcome of services at the patient/client/resident, community and population level.

1. Diagnoses and treats previously undiagnosed patients/clients/residents for undifferentiated diseases, disorders, and conditions within the Nurse Practitioner's scope of practice; writes orders for treatment and medications; provides first line care in emergencies.
2. Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.
3. Establishes priorities for management of health, diseases, disorders, and conditions; provides follow-up treatment; communicates with patients/clients/residents and families about health findings, diagnoses and priorities, outcomes and prognoses; supports and counsels patients/clients/residents in their responses to diseases, disorders and conditions.
4. Collaborates and consults with physicians or other health care and social service providers as appropriate to assess and diagnose patient/client/resident status.  Develops and implements treatment plans. May admit and discharge patients/clients/residents to facilities according to organizational policies.
5. Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures. 
6. Assigns work to other nursing and health care personnel; evaluates work and provides education and supervision as necessary; hires staff, and evaluates staff performance.
7. Participates in research contributing to improved patient/client/resident care and advances in nursing, health policy development and population health.
8. Maintains population health focus by implementing screening and health promotion activities for populations at risk.
9. Participates in interdisciplinary staff and nursing education through case presentations, mentoring, role modeling and facilitating the exchange of knowledge in the classroom, the clinical setting and the community; fosters health care partnerships.
10. Develops, implements and evaluates policies and procedures related to nursing, interdisciplinary care, and health system practices.
11. Performs other duties as required.

Education and Experience

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

Recent relevant clinical nursing experience.

Skills and Abilities

Demonstrates the LEADS capabilities of Leads Self, Engages Others, Achieves Results, Develops Coalitions and supports Systems Transformation.

Professional/Technical Capabilities

• Ability to communicate and collaborate with patients/clients/residents and families about health findings, diagnosis, treatment, self care and prognosis.
• Ability to collaborate, consult with and formally refer patients/clients/residents to physicians and other health professionals when appropriate.
• Ability to critically assess and evaluate health research literature to determine best practices; ability to introduce education and evidence based research.
• Ability to assess and recognize population health trends; ability to plan and implement strategies for population based prevention and health promotion.
• Ability to implement and evaluate planned change.
• Ability to supervise others and evaluate the care they deliver.
• Ability to lead a team and work within a team.
• Ability to self-direct, interact and adapt effectively with other professionals in complex, dynamic situations.
• Ability to transfer knowledge, teach, coach and mentor others.
• Ability to identify and respond appropriately to legal and ethical issues that may arise in patient/resident/client care.
• Ability to self-assess performance and assume responsibility and accountability for own professional development, educational or consultative assistance when appropriate.