Registered Nurse - Hospital at Home

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Vancouver Coastal Health invites applications for a temporary Registered Nurse in the Hospital at Home program, part of the Acute Medicine team at Vancouver General Hospital. The RN will deliver hospital-level care in patients’ homes with a multidisciplinary team, daily in-person visits, and remote monitoring around the clock for a short-term assignment. Requirements include current BCCNM registration, at least three years of nursing experience with two in acute medical/surgical care, a valid BC driver’s license, and ability to travel locally. Expect competencies in IV therapy, respiratory and wound care, medication safety, documentation, and home-environment risk assessment, plus commitment to Indigenous Cultural Safety and equity. Late internal applications are accepted; NBA duration commitment applies.

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As per Article 17.02 (c) of the NBA collective agreement, an employee that accepts this Temporary position shall commit to remain in the appointment for the entire duration of this position.

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JOB SUMMARY:Practices within the context of a patient and family-centred care model and in accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice for registered nurses, Code of Ethics and the established mission, vision, values, objectives and policies of the organization, including commitments to our pillars of Indigenous Cultural Safety, Anti-Racism, Equity, Diversity and Inclusion, and Planetary Health. The Registered Nurse (RN) collaborates within an interprofessional team and consults with physicians, other health care professionals, and the patient/family/caregiver, while providing nursing care to patients who require acute level care in their homes. The RN assesses, identifies, plans, implements and evaluates the nursing care required to assist patients/clients with acute health care needs in the home and/or hospital setting using an established framework for nursing practice. The RN develops, implements, evaluates and revises care plans, participates in discharge planning, functions as a patient advocate, and teaches patients and their caregivers about illness/injury and overall health promotion and wellness, and/or makes referrals to other identified resources. The RN promotes the best quality of life from the perspective of the patient/family. Documents care provided according to College and organizational standards. Responds and addresses incidents in accordance with established policies and procedures. The RN maintains and advances their own clinical competence, and participates on designated hospital committees/teams and approved research projects as assigned.QUALIFICATIONS:Education & Experience Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).Three (3) years’ experience, including two (2) years’ recent, related acute medical/surgical experience or an equivalent combination of education, training and experience. Valid BC Driver’s License required. Local area travel may require the use of a vehicle.

We are actively seeking Registered Nurses interested in becoming part of a ground-breaking new department associated with the Acute Medicine Program at Vancouver General Hospital.The Hospital at Home program caters to patients who meet specific medical stability criteria, providing them with hospital-level care within their residences rather than within the traditional hospital setting. Despite receiving care at home, these patients are considered inpatients. They receive daily in-person care from a dedicated, multidisciplinary team of hospital clinicians, supplemented by virtual visits and remote patient monitoring. The Hospital at Home care is short-term and accessible around the clock, every day of the year.A healthcare team, including a doctor, nurse, and other specialists, delivers care to the patient through a combination of in-person home visits and virtual visits (via phone and/or video). If you are passionate about offering patient-centered care and looking for a new professional challenge, this opportunity might be for you.

Knowledge, Skills & AbilitiesDemonstrated ability in nursing practice related to designated client group - acute medical/surgical; including but not limited to patients with complex diseases, respiratory therapies, IV therapies, and nutritional therapies.1. Demonstrated knowledge of pathophysiology, treatment protocols, and nursing interventions related to common diagnosis/surgeries and specific clinical situations related to area of practice (e.g. Sepsis; Chronic Heart Failure; Acute Respiratory illness/disease; Cellulitis).2. Demonstrated ability to provide nursing assessments & interventions related to common diagnosis and anticipate and respond to potential complications and care issues relevant to the designated patient group (e.g. Pain (Acute/Chronic/Neuropathic); Cardiac/Respiratory arrest; Shock; Seizures).3. Demonstrated ability to perform focused secondary assessments and integrate information from a variety of sources including diagnostics to develop plan of care relevant to the designated patient group.4. Demonstrated ability in correct usage of equipment and maintains competency in working with vascular access devices including phlebotomy, peripheral IVs, peripherally inserted central venous catheters, and advanced vascular access devices such as tunneled central lines. 5. Demonstrated ability to document patient care on appropriate systems/forms in accordance with organizational and unit standards in a timely and accurate manner.6. Demonstrated skill in safe medication practices, including obtaining best possible medication history (BPMH), order verification, and medication preparation and administration. Accesses appropriate resources to support safe medication administration such as the program clinical pharmacist, parenteral drug therapy manual (PDTM), Lexicomp, and policies and decision support tools (DST). 7. Demonstrated skill in safe care & management of patients with respiratory therapies; IV medications and fluids; nutritional therapies; wound care; drainage systems. 8. Demonstrated skill in CPR techniques.9. Demonstrated ability to assess risk and limitations in relation to care and interventions in the home environment and to integrate and evaluate pertinent data (from multiple sources) to problem-solve effectively. Ability to escalate as required.10. Ability to operate a variety of technologies, including devices such as cell phone and laptop computers. Ability to teach and communicate with patients/ family with the use of remote nurse call systems. 11. General of knowledge Trauma Informed Practice and Harm Reduction approaches and Strengths-based care.12. Demonstrated ability to promote Indigenous Cultural Safety. 13. Demonstrated ability to provide competent and culturally safety care in a variety of settings and with diverse populations.14. Physical ability to perform the duties of the position.The hours of work including days off and work area may be subject to change consistent with operational requirements and the provision of the Collective Agreement and applicable statutes.

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At Vancouver Coastal Health, our vision of healthy lives in healthy communities inspires us and our values and pillars guide us. We support equitable practices, diverse teams and inclusive environments, which are vital to creating welcoming spaces where everyone can bring their whole selves to work and feel supported. We encourage applications from equity-deserving communities, including Indigenous Peoples and members of racialized groups, people with disabilities and people of all gender identities and expressions and sexual orientation.Vancouver Coastal Health is proud to be recognized as one of BC’s Top Employers, Canada’s Best Diversity Employers and Canada's Top Employers for Young People in 2025.Unless otherwise noted on the posting, internal job postings close at 8:00 AM Pacific Time on the listed Closing Date. Please submit your digital application via the Internal Career Portal prior to the Closing Date & Time.Nursing & LPN successful applicants will be notified by email.We regret that only short listed candidates will be acknowledged.This is an internal job posting for Vancouver Coastal Health employees only.