Registered Nurse, Surgical Services - Post Anaesthetic Care Unit (PACU) - Royal Columbian Hospital - New Redevelopment Opportunities

Join our team at Royal Columbian Hospital (RCH) in New Westminster as we build for the future of health care!

We’re hiring for a variety of new nursing positions in our expanded Post Anaesthetic Care Unit (PACU) that might just be your next career move!

The Royal Columbian Hospital redevelopment project is well underway with phase two slated to open in 2025, and phase three in 2026.

Highlights for the three-phase redevelopment project include:

• A new and larger Emergency Department will have more treatment spaces and a satellite medical imaging unit
• More operating rooms and interventional radiology and cardiac suites on a surgical and interventional ‘superfloor’
• More beds for intensive care, cardiac intensive care, obstetrical, and medical/ surgical patients
• Larger maternity unit joined to the Neonatal Intensive Care Unit
• Advanced technologies and equipment
• 350+ underground parkade, new main entrance, and rooftop heliport

RCH provides a number of highly specialized acute care services such as tertiary trauma, cardiac surgery, neurosurgery, interventional cardiology and thoracic surgery that often require the care of multiple medical specialists, multidisciplinary care teams and the use of specialized equipment and technology.

In addition, RCH provides referral services in a variety of medical and surgical specialties such as mental health and substance use, internal medicine, cardiology, gastroenterology, nephrology, orthopedics, otolaryngology, gynecology, urology, ophthalmology, plastic surgeries.

Come work with us!

Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care - learn more.

Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (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 there are no exceptions.

Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner.

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1. Assesses post anaesthetic patients by collecting and evaluating information from a variety of sources using skills of observation, communication, data review and physical assessment. Makes a nursing diagnosis of the patient''s condition and determines whether improvement or resolution can be determined by an appropriate nursing intervention. Plans, performs, evaluates and documents nursing interventions and care.
2. Provides nursing care to address critical care needs of patients according to physicians' and anaesthetists' orders, and in conformance with established standards and hospital policies. Initiates immediate treatment if required; modifies care as needs change.
3. Communicates and shares information with interdisciplinary health care team members; collaborates with members of the interprofessional care team including Physicians, Licensed Practical Nurses, Patient Care Coordinator, Clinical Nurse Educators, and other health care professionals / providers in the identification and resolution of issues, adjustments to care plans as required, and in regard to changes in patient condition
4. Coordinates nursing care for the patient; sets priorities, assigns and delegates tasks to support staff, and makes referrals to the interprofessional care team according to established protocols and practice standards
5. Maintains a safe and therapeutic environment for patients and staff by following sound bacteriological and preventative medicine principles. Maintains familiarity with fire and other emergency procedures.
6. Establishes a therapeutic relationship by demonstrating empathy, trust and respect, advocating for the patient's rights to privacy, dignity and access to information, and by ensuring the patient's choice and autonomy in decision making and care planning.
7. Documents assessments, nursing diagnosis, observations, interventions, patient/family responses, outcomes/evaluations, and referrals according to practice standards and Fraser Health procedures.
8. Participates on nursing committees, care conferences and councils as assigned or as agreed to with the Manager.
9. Participates in research and quality improvement activities by identifying patient care issues, collecting data, and identifying needs and recommendations for corrective action and changes to practices, procedures or protocols.
10. Participates in and attends in-services and other educational programs. Identifies own learning goals and maintains and updates current clinical competence and knowledge within area of practice.
11. Acts as a preceptor or mentor to assigned new nursing staff and students; shares information, demonstrates care activities, participates in orientation.
12. Provides feedback to the Manager/delegate regarding the effectiveness of patient care programs, policy/clinical decision support tools (e.g. clinical pathways, standards, order sets and procedures), and equipment.
13. Performs other related duties as required.

Graduation from an approved School of Nursing. Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).

One (1) year's recent relevant clinical nursing experience in the designated clinical area and completion of post graduate course work and/or certification applicable to the designated clinical area, or an equivalent combination of education, training and experience.

• Clinical proficiency in the designated clinical area.
• Proficiency in initiating and maintaining Intravenous Therapy.
• Ability to complete initial and ongoing patient assessment (clinical and diagnostic reasoning) and apply nursing theory and expertise to provide nursing care to patients  through appropriate/prescribed technical, therapeutic and safety interventions. 
• Ability to recognize acuity changes. 
• Ability to determine and deal with emergency situations, patients and families.
• Ability to establish and maintain effective working relationships with physicians and other personnel.
• Ability to communicate effectively with patients, families/care givers, the public, medical staff and members of the interprofessional care team using verbal, written and electronic communication means.
• Ability to promote person-centered care that demonstrates empathy for patients and families/care givers, sensitivity to diverse cultures and preferences, and patient advocacy.
• Ability to integrate and evaluate data from multiple sources to problem-solve effectively.
• Ability to teach and instruct patients and families/care givers about topics essential to their health care and well-being.
• Ability to organize and prioritize work.
• Ability to collaborate with and promote cooperation among members of the interprofessional care team.
• Ability to use factual information, prior learning and basic principles and procedures to support nursing decisions and actions with relevant research-based evidence/evidence-informed practice.
• Ability to operate related equipment including relevant computer applications.
• Physical ability to perform the duties of the position.