Salary

The salary range for this position is CAD $59.56 - $85.62 / hour

Job Summary

Bring your clinical expertise, dedication, and passion for providing quality, compassionate care to a challenging and rewarding role as a Nurse Practitioner(NP) in Orthopaedic Surgery at Royal Columbian Hospital(RCH). We are currently seeking two NPs to join our dynamic Orthopaedic Surgery team, delivering comprehensive care to patients with complex medical needs across the continuum of elective and non‑elective orthopedic surgical care.

Practicing within a collaborative, team‑based model, the Nurse Practitioner (NP) will work closely with orthopaedic surgeons who remain the Most Responsible Provider (MRP) for surgical care and interprofessional colleagues to deliver seamless, patient‑centered care from admission through to discharge or transfer. The NP plays a key role in assessing, diagnosing, treating, and managing patients across the continuum of elective and non‑elective orthopaedic care. Responsibilities include participating in daily rounds, coordinating discharge planning and transitions of care, consulting with medical subspecialties, and supporting community reintegration. The NP also contributes to quality improvement, education, and research initiatives, while ensuring accurate documentation using Fraser Health’s Meditech Expanse system.

Responsibilities

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.

Residency Opportunity

Our Nurse Practitioner Residency Program offers a unique postgraduate experience that will elevate your skills and strengthen your transition into independent practice.

During your residency, you’ll receive:

1. Advanced Training: Dive deep into a clinical area relevant to your role. Our in‑house experts will provide specialized training that sets you up for success.
2. Team Collaboration: Build connections as you work alongside experienced professionals who value teamwork and shared goals.
3. Patient‑Centered Care: Develop a model of care that puts patients at the heart of everything you do. Make a real impact on their lives.
4. Mentorship: Benefit from mentorship across multiple clinical areas. Learn from the best and grow exponentially.
5. Clinical Supervision: During your clinical placements, enjoy dedicated supervision that ensures you’re on the right track.
6. Self‑Directed Learning: We believe in your growth. You will set aside protected time for self‑directed learning tailored to your clinical practice and needs.
7. Experienced Coaching: Get personalized guidance and support with weekly check‑ins from an experienced nurse practitioner throughout your residency.

Be part of our clinical enhancement program with regular in‑house skills development such as 12‑lead ECG interpretation, Point of Care ultrasound (POCUS), suturing and x‑ray interpretation in addition to receiving centralized NP orientation. You will be welcomed into a New Graduate NP Community of Practice team helping to support your successful transition into independent practice.

Experience

• Current practicing registration as a Nurse Practitioner with the British Columbia College of Nurses and Midwives (BCCNM).
• Recent relevant clinical nursing experience.

Competencies

• Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.

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.

Benefits

• Comprehensive, 100% Employer‑Paid Benefits: Enjoy peace of mind with full coverage.
• Generous Vacation Time: eligible employees can earn up to four weeks of vacation to recharge and relax.
• Benefit Portability: Seamlessly transfer your benefits from another HEABC employer.
• Immediate Pension Enrollment: Secure your future with a defined municipal pension plan from day one.
• Maternity Top‑Up: Receive an 87% top‑up during maternity leave.
• TransLink Pass Subsidy: Save on commuting costs with a 50% subsidy on TransLink passes.
• Additional employee discounts and perks available.

Other Details

• Royal Columbian Hospital is located in New Westminster, B.C., Canada.
• The position is part of Fraser Health’s regional hospital network.
• The job posting includes a YouTube video introduction and links to Fraser Health Careers and social media.