Registered Nurse – RainCity Housing First ACT (Vancouver) and ICM (Maple Ridge) teams

Schedule: On call / casual relief to start. Works a rotation of day (0830-1630) and evening (1230-2030) shifts and works a share of weekends. Some On-call work may be required. Schedules are subject to change to meet operational requirements and client needs.

Union: BCNU

The Nurse assesses, identifies, plans, implements and evaluates the nursing care required to assist ACT/ICM team clients in meeting their physical, social, spiritual and psychological needs. The Nurse works within the team’s interdisciplinary clinical framework to provide client centered and strengths based care in accordance with the CRNBC/CRPNBC Standards of Practice and consistent with the mission, vision and values and established policy and protocols of RainCity Housing and the ACT/ICM teams. The Nurse provides treatment services that are both inclusionary and flexible for individuals with mental illness, addictions and/or chronic medical conditions and ensures integration and continuity across the care continuum. The Nurse establishes and maintains relationships with, and consults with, service and housing providers, clients, their families and colleagues to provide appropriate treatment services based on best practices and client need. The Nurse performs duties such as, intake, mental and physical health and addictions assessment, treatment planning, crisis intervention, consultation, and individual counseling.

The Nurse also performs Service Coordination duties for a group of clients, maintaining oversight to ensure that client’s self identified goals for recovery and community integration are supported by appropriate services and practices, consistent with the values of self-determination/choice and harm reduction. Working in collaboration with the other members of the team, the Nurse coordinates the provision of ACT services for clients served by the team members in their area of specialization. Services are provided in any environment including: the streets, shelters, hospitals, apartments, office.

ACT/ICM are evidence-based trans-disciplinary mental health teams, with 80% of the work occurring in the community. Crisis support is available seven days a week, 24 hours a day. Program staff are closely involved in hospital admissions and discharges. The RainCity ACT team also provides housing opportunities for clients using a ‘housing first’ scattered site approach. Clients are offered immediate access to rent supplements so they have the opportunity to live in the same kinds of permanent independent apartments that are typically available to people without mental illness, and the rent supplements are provided without requiring participation in psychiatric or substance use treatment. Self-determination, choice and harm reduction are at the centre of all considerations with respect to the provision of housing and support services. Diversity: RainCity Housing serves a diverse group of people and we need a staff group that reflects the diversity. People of diverse backgrounds and cultures are encouraged to apply.

Duties
1. Assesses, plans, implements and evaluates mental and physical health nursing care for patients/residents using a framework for nursing practice.

2. Develops, implements, evaluates and revises individual mental and physical health nursing care plans through methods such as assessing clients problems and needs, planning and prioritizing nursing interventions, implementing interventions and reassessing if goals are not met and modifying plan of care based on evaluation.

3. Reviews client’s mental and physical health status through methods such as reviewing the client’s chart and other written information, client observation, collateral information and consultation with the client, ACT team members and other members of the client’s formal and informal support network.

4. Provides nursing care according to identified policies and procedures, technology and ACT program standards and evaluates outcomes, records observations and reports problems and/or changes to designated staff. Administer medications to clients.

5. Identifies client and family learning needs and incorporates teaching and counseling into the care plan and nursing interventions and/or makes referrals to other identified resources.

6. Provides direct nursing interventions for management of crisis and life threatening situations.

7. Documents information including assessments, nursing care plans, patient/resident status and progress and discharge plans in a manual and/or computerized environment.

8. Participates in nursing orientation and shares clinical knowledge with other nursing staff, nursing students and other members of the team.

9. Under the supervision of the ACT Team Leader, Psychiatrist and program pharmacy, provides input into the development of medication program, and oversee medication administration program including daily procedures with pharmacy, in-service training for ACT team members, and daily operations.

10. Performs Service co-ordination duties to support clients.

11. Performs other related duties as assigned.

QUALIFICATIONS:
Education and Experience
- Baccalaureate in Nursing or Health Sciences (Psychiatric Nursing).
- Current practicing registration with the College of Registered Nurses of British Columbia (CRNBC) or the College of Registered Psychiatric Nurses of British Columbia (CRPNBC).
- Three (3) years’ recent related experience providing treatment services to individuals with mental health, addiction and chronic medical concerns,
- Or an equivalent combination of education, training and experience.
- Valid class 5 BC Drivers License and acceptable drivers abstract. Will require the use of a personal vehicle.

Knowledge and Abilities
Broad knowledge of nursing theory and practice within a client and family centred model
Broad knowledge of RNABC or CRPNBC standards for nursing/psychiatric nursing practice.
Broad knowledge of diagnoses, treatment and support resources in the areas of mental illness, substance use, physical health, including HIV and Hepatitis C.
Broad knowledge of psychopharmacology
Broad knowledge of the principles of recovery in mental illness and problematic substance use.
Knowledge of harm reduction principles and activities
Knowledge of counseling skills, including motivational interviewing
Knowledge of other health care disciplines and their role in client care.
Basic knowledge of legislation and government policies and procedures that relate to client, including the Residential Tenancy ACT and the BC Mental Health Act.
Demonstrated understanding of oppression and marginalization, specifically as related to people with experience of a mental illness, addiction, or homelessness.
Ability to work with individuals from diverse backgrounds in a downtown environment and be flexible and creative in providing services
Ability to identify and work to increase client strengths, including the use of hope inducing strategies and assisting the client in self-managing their illness and other aspects of their life.
Ability to commit to service partnerships and build relationships by providing assistance and support.
Ability to effectively and safely resolve crisis situations
Ability to apply knowledge of theory and practice to a case management process.
Ability to communicate effectively, both orally and in writing.
Listening and information seeking skills that promotes communication and lead to a co-operative approach to problematic client actions and choices, and problem solving within a multidisciplinary setting.
Ability to work both independently and collaboratively as a member of a multidisciplinary team.
Ability to establish workload priorities, adjust to new or unexpected events, problem solve, and deal effectively with conflict situations.
Ability to provide consultation and leadership to other ACT team members.
Computer literacy – ability to operate a computerized client care information system and word processing, spreadsheet, Internet and e-mail software.
Ability to operate related equipment.
Physical ability to perform the duties of the position.

 

Resumes and Questions to:

Dawn Slykhuis, ICM Maple Ridge Team Lead dslykhuis@raincityhousing.org

Chelsea Bromley, ACT Clinical Coordinator cbromley@raincityhousing.org

 

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