Job Summary:

In accordance with the Purpose, Vision, Values and Coast Salish Teachings, and strategic direction of PHSA, safety, including both patient and employee safety, is a priority and a responsibility shared by everyone at PHSA. As such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.

The Nurse Clinician, Interventional Psychiatry Program plans, coordinates, and delivers advanced mental health treatments including repetitive transcranial magnetic stimulation (rTMS/TMS), electroconvulsive therapy (ECT), and IV ketamine infusions. The Nurse Clinician plans and coordinates comprehensive nursing care, patient and family teaching, health promotion, and case management, and acts as a clinical resource to the Mental Health Program to staff and the community in the defined area of Interventional Psychiatry according to established policies, standards, procedures and philosophy at Children’s & Women’s Health Centre of BC.

Duties/Accountabilities:

1. Coordinates referrals, intakes, and assessments by reviewing documentation, obtaining additional information as needed, triaging priority and suitability of service, communicating with clients/families, and liaising with diagnostic and support services. Develops linkages/partnerships with other facilities, agencies, and community resources to best meet patient needs and expected outcomes upon discharge.

2. Acts as a clinical resource, providing consultation and mentorship to staff on complex cases, assisting with nursing interventions and problem solving, providing clinical guidance and revising practice as needed to ensure patient safety, and skill development of nursing staff.

3. Provides leadership and oversight of interventional psychiatry services, coordinating care delivery, optimizing patient flow and staffing, and ensuring accountability for clinic operations and patient outcomes.

4. Leads weekly patient rounds and daily huddles, evaluating outcomes for reflective practice and adjusting care plans as necessary

5. Performs direct nursing care as appropriate, organizing and monitoring infusion schedules for patients undergoing rTMS/TMS, ECT and low dose Ketamine infusions, collaborating with anesthesia, psychiatry, and other members of the interprofessional team to support safe delivery of rTMS/TMS, ECT and ketamine treatments

6. Provides client and family education and emotional support regarding treatment purpose, risks, benefits, and post-treatment expectations using trauma-informed approaches, coordinating and scheduling community supports post treatment.

7. Collaborates with interdisciplinary team to develop, implement and assess the effectiveness of individualized care plans. Leads and participates in case conferences and supports discharge planning and continuity of care with community/inpatient care team including the development and delivery of educational materials for clients and families based on education theories, principles, and best practices.

8. Leads and participates in interdisciplinary team initiatives, quality improvement activities and program operations. Assists with the Quality Assurance Program by conducting audits, completing appropriate reports, providing feedback, identifying and assessing risk factors to enhance service delivery.

9. Participates in nursing research; reviews current research and evaluates the implementation of current theory into practice. Involved in ongoing education and in-services to maintain high level of knowledge in Child/Adolescent Mental Health

10. Provides leadership in the development of policies, procedures and standards, and shares in the accountability for their effectiveness by methods such as drafting new or revising existing policies/procedures/standards, recommending changes to the Clinical Nurse Coordinator. Implements approved changes

11. Performs other related duties as required

Qualifications:

Education, Training and Experience

• Current practicing registration as a Registered Nurse or Registered Psychiatric Nurse with the British Columbia College of Nurses & Midwives (BCCNM).
• Three years recent related experience working with children, adolescents and families on an inpatient child/adolescent mental health unit or an equivalent combination of education, training and experience.
• Pediatric Advanced Life Support (PALS) Certification

Skills and Abilities

• Comprehensive knowledge in nursing practice related to clients with severe and persistent psychiatric illness, concurrent disorders, substance use and abuse, harm reduction strategies, assessment and intervention, management and administration of IV medications, and knowledge of community resources.
• Ability to assess, mitigate, and respond to clinical risks associated with interventional psychiatric procedures and medication administration.
• Demonstrated ability in intravenous infusion, including initiation and monitoring of IV therapy.
• Demonstrated ability to participate as a member of a multidisciplinary care team, and function as a nursing resource team member.
• Experience in program development and evaluation preferred.
• Demonstrated ability to communicate effectively, both orally and in writing
• Demonstrated ability to operate related equipment (e.g. personal computer).
• Ability to relate effectively and establish rapport with adolescents, children and their families.
• Demonstrated leadership skills.
• Demonstrated organizational ability.
• Physical ability to carry out the duties of the position.