Nurse Clinician – Pediatric Diabetes - Surrey Memorial Hospital (SMH)

Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka’pamux Nations, and is home to six Métis Chartered Communities.

Our team of 45,000 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. Learn more.

We have a positive and compassionate work environment where you can bring your dedication for neonatal nursing to the role and be part of our fast-growing team. Fraser Health is experiencing unprecedented growth and now you can be a part of a busy and exciting unit providing care to high risk newborns and their families, collaborating with a multi-disciplinary team, and utilizing your comprehensive nursing skill set.

We invite you to apply today and find out why more than 95% of new employees recommend Fraser Health to their friends as an exceptional place to work. As a BC Top Employer, we value diversity in the work force and seek to maintain an environment of Respect, Caring & Trust.

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. 

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In accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice and the Mission and Values of Fraser Health, the Nurse Clinician utilizes evidence-informed practice to provide consultation and clinical expertise related to children and youth with diabetes. Function as a clinical resource, providing consultation and in-service to nurses, physicians, other program teams, community nurses, and other health care team staff regarding the care and treatment of patients/clients. Role models direct care skills to staff and students, performs nursing assessments and ongoing evaluation of children and youth with diabetes with complex care needs, and provides information and education to staff and/or patients/families. Participates in research, policy, quality improvement, and risk management activities. The Nurse Clinician performs their duties with a unit, hospital, program and/or regional focus and may be required to work at multiple sites across Fraser Health.

1. Demonstrates expertise and provides clinical leadership in evidence-informed nursing practice related to children and youth with diabetes; reviews literature, consults with experts, collaborates with members of the inter-professional team, evaluates clinical practice, recommends changes to existing standards/policies/procedures/guidelines to the Manager, and participates on regional and provincial committees related to patient care.
2. Role models direct patient care skills to staff and students and provides just in time education at the point of care required to ensure optimal care to children and youth with diabetes. Coaches, mentors and provides information utilizing clinical evidence, policy (e.g. clinical decision support tools), literature and resources, and education theory. Ensures compliance with standards of practice and supports nursing to provide excellence in quality patient/client/family care.
3. Performs a comprehensive pediatric nursing assessment on patients who present or who are admitted with complex care needs. Collaborates with the inter-professional team to develop/support development of individualized care plans, ongoing evaluation of the care plan, the appropriate and timely discharge and/or transfer of care, rapid referral to medical specialists, and the coordination of referrals and linkages to appropriate community resources.
4. Determines education requirements that meet clinical and learner needs, in collaboration with the Manager/Director/Clinical Nurse Educator/Clinical Nurse Specialist; completes learning needs assessments of individuals or groups to assist in the determination of the learning requirements and their objectives.
5. Arranges and/or provides preceptorships and mentorships for staff and students regarding pediatric diabetes care, as appropriate.
6. Develops and revises education tools/plans on the basis of identified learner needs, chart audits, patient outcomes, and introduction of new/revised clinical decision support tools or scope(s) of practice/roles/functions.
7. Plans and schedules education activities and maintains a system for tracking attendance; maintains related statistics.
8. Delivers learner-centered education to individuals or groups of staff and patient/families through methods such as coaching, conducting presentations, facilitating groups and providing lectures. Certifies staff in specialized skills and competencies.
9. Evaluates effectiveness of education programs and consultations to ensure patient care/learning needs are met and to determine opportunities for improvement; maintains related reports.
10. Collaborates with other practice leaders to provide leadership, consultation and performance support to clinical staff, employed student nurses and students to assess, plan, implement and evaluate care.
11. Supports staff to plan and carry out patient/family education on discharge planning, illness prevention and health promotion.
12. Participates in quality improvement and risk management activities by methods such as evaluating effect of changes in nursing practice, making recommendations to improve current nursing practices, and conducting quality and safety audits.
13. Participates in research and special projects; promotes staff awareness and involvement in research activities.
14. Assists the Manager/Director by attending panel interviews, providing recommendations on the selection of new staff, and providing feedback on optimal use of budgetary resources as requested, including recommending use of related products that help meet patient goals.
15. Assists the Manager/Director in assessing and supporting clinical skill and performance, as related to pediatric diabetes care, by providing related input and coaching staff to help them achieve established clinical performance goals.
16. Participates in the review, development, implementation and evaluation of evidence-informed clinical decision support tools/policies.
17. Performs other related duties as assigned.

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

Three (3) years of recent related clinical experience in the designated clinical area including one (1) year of education and/or leadership experience, or an equivalent combination of education, training and experience. Current Certified Diabetes Educator (CDE) designation and competency for Insulin Dose Adjustment (IDA) pediatrics, or ability to attain within one (1) year of position start date.

Skills and Abilities

• Clinical proficiency/expertise in the designated clinical area.
• Ability to role model direct care skills, coach, mentor and teach nursing skills that are compliant with current standards of practice and that ensure quality of care.
• Ability to apply educational theories and evidence to teaching practices.
• Ability to identify learning needs of individual or groups of staff.
• Ability to foster effective teaching and learning relationships.
• Ability to facilitate learning and create effective learning environments.
• Ability to collaborate with a variety of stakeholders in preparing appropriate learner environments.
• Ability to develop and utilize appropriate practice assessment tools.
• Ability to communicate effectively both verbally and in writing.
• Ability to work independently in an organized and self directed manner.
• Ability to problem-solve and effectively deal with conflict situations.
• Ability to conceptualize teaching from a unit to regional focus.
• Knowledge of research processes and methodology.
• Ability to operate related equipment.
• Physical ability to perform the duties of the position.
• Ability to work independently with diabetes related technology.
• Ability to implement emerging trends in pediatric diabetes management.