Term (Maternity Leave- maximum 15 months), 35hrs/Week, 5 days a week
Reporting to the Community Health Directoy, the Community Health Nurse (CHN), in collaboration with the community and other members of the Health Department, will contribute to the overall health of the TWN community using a population health and community development framework. The CHN promotes traditional and cultural approaches to health practices. The CHN demonstrates knowledge and skills in assessing, planning, implementing and evaluating community health nursing programming based on local knowledge and information; morbidity, mortality and other statistics; population health, and current preferred practice as related to community health nursing practice. The CHN possesses an understanding of the social determinants of health and demonstrates values of community health promotion, commitment to the creation of health partnerships, community members as equal partners, and community development strategies. The CHN advocates for community members immediate and long-term health needs by working collaboratively with Health staff and external health partners and agencies to improve care offered and to ensure that all CHN programming is being delivered in a culturally safe and respectful manner. The department’s concept is one of Holistic Care within the parameters of the Medicine Wheel Wellness Model.
DUTIES AND RESPONSIBILITIES:
1) Communicable Disease Control (CDC) Programming
- Assures a comprehensive CDC program, including but not limited to a focus on influenza, HIV, Hepatitis A, B & C, Sexually Transmitted Infections (STIs), Tuberculosis (TB) and vaccine preventable diseases.
- Provides community awareness programming on immunizations and other communicable diseases (prevention, early detection, transmission and control strategies).
- Provides programming on prevention, early detection, and CDC response as outlined by Medical Health Officer (MHO), FNHA Health Protection Team, and BCCDC Guidelines.
- Plans, implements and evaluates immunization programs for infants, children, adults, elders and members of the community deemed to be at higher risk.
- Assesses needs/strengths/resources, plans, implements and evaluates the TB Programming for the community as per the BCCDC TB Manual (TB Services for Aboriginal Communities – TBSAC).
- Ensures that required training is completed and competency is maintained (including current immunization certification, transportation of dangerous goods (TDG), and CPR (including infant) certification.
- Ensures that the CDC references are kept up-to-date.
- Ensures that there is regular maintenance of CDC equipment and that BCCDC recommended CDC supplies are available.
- Ensures that cold chain principles are adhered to.
- Ensures that mandatory CDC reporting is completed in a timely fashion.
2) Maternal and Newborn Health
- Assesses needs/strengths/resources, plans, implements and evaluates prenatal, postnatal and newborn programming.
- Provides or supports mothers with prenatal programming (ie. So-Sah-Latch prenatal classes).
- Provides prenatal, postnatal and newborn education and support programming (ie. injury prevention, SIDS, nutrition, lifestyle and health practices, growth and development, prenatal care, newborn care, breast feeding, physical & emotional care, and when to seek medical attention).
- Provides referrals to other health professionals or programs as required.
3) Infant and Child Health
- Assesses needs/strengths/resources and plans, implements and evaluates child health programming.
- Provides assessments and screening aimed at early intervention for identified health and development concerns (vision and hearing screening, speech and language development, physical growth).
- Provides referrals to other health professionals and programming should a delay or health concern be identified.
- Works in collaboration with other health and education staff in the promotion of child health programming.
- Provides information and education for parents, other care givers or staff (ie. injury prevention, growth and development, parenting, anticipatory guidance, nutrition, oral health, environmental risks such as sun exposure, wood ticks and water safety).
- Works towards ensuring community-based family preservation and the integrity of kinship and biologic parenting systems, while ensuring child safety and following mandatory First Nations child protection protocols.
4) Youth Health
- In collaboration with community youth, youth coordinator, youth workers, teachers, health staff, and others delivering youth programming, assesses needs/strengths/resources, plans, implements and evaluates youth health programming (ie. healthy relationships, healthy communication, injury prevention, healthy lifestyle, emotional well-being, puberty, and healthy sexuality).
- Provides a referral to other health professionals or programs as required.
5) Chronic Disease
- Assesses needs/strengths/resources, plans, implements and evaluates programming around chronic disease (ie. prevention, early detection of illness, understanding the illness and how to maintain a healthy state with the disease, and when to seek medical attention)
- Refers to other health professionals or agencies as appropriate
6) Environmental Health and Emergency Preparedness
- Works in collaboration with the environmental health officer (EHO), health staff, and other staff members in planning prevention awareness programs
- Is informed about current surveillance programming and supports EHO when addressing any environmental challenges such as mold in home, boil water advisories, rodents, or CDC outbreak that relates to the environment
- Collaborates with the FNHA Pandemic and CD Emergency nurse specialist around the nursing role within the emergency preparedness plan
7) Addictions and Harm Reduction
- In collaboration with other health care workers, assures addictions prevention, intervention and treatment service
- In collaboration with other health care workers, assists with outreach to community members deemed to be at high risk to offer prevention and harm reduction services
8) Injury Prevention
- Understands the major sources of injury in the community, and predisposing factors
- Assesses needs/strengths and resources, plans, implements and evaluates injury prevention programming
- Offers injury prevention education as appropriate
9) Reports, Documents, Data Bases and Client Records
- Ensures that required TB month end and annual reports are completed in a timely fashion
- Ensures data bases are maintained in all core programs, including prenatal, chronic disease and immunization recall systems, for use in annual reporting, programming evaluation/planning and emergency preparedness
- Ensures all client care is documented in the client record according to agency policy and College of Registered Nurses of British Columbia (CRNBC) standards
- Ensure that confidential information is securely stored and information released according to agency policy, CRNBC Standards and current legislation
10) Perform other duties as required.
- Bachelor’s Degree in Nursing or Registered Nurse with Community Health Diploma.
- Licensed to practice under College of Registered Nurses of British Columbia.
- Three to five years of relevant work experience.
- Current Occupational First Aid and Level C CPR Certification, BC Immunization Competency Program Certificate. Foot Care Certification is an asset.
- Previous work experience in Home and Community Care and Community Health Nursing with First Nations is an asset.
- Must be able to work occasional evening and weekend shifts.
- Experience working respectfully with clients and health department staff in a culturally safe, relational and inclusive manner.
- Interest in critical self-reflection and continual cultural competency development and training.
- Commitment to continuing professional development. Willing to participate in job-related workshops, courses or training to further skills, knowledge and competencies as required.
- Respectful of individual, family, community and Nation, and the right to self-determined approaches to health and well-being.
- BC Driver’s License and operating vehicle
- Must successfully pass a Criminal Records Check.
SKILLS AND ABILITIES:
- Computer skills and willingness to learn new programming as appropriate.
- Excellent interpersonal and communication skills to facilitate a connection with community members.
- Punctual and ability to work independently or as part of a team.
- Understanding of the current and historical culture of the Tsleil-Waututh Nation an asset.
- Knowledge of local community resources and agencies.
- Seeks guidance from First Nations leadership in order to validate and integrate First Nations knowledge into all aspects of health and well-being.
- Knowledge of strategies for health promotion, disease and injury prevention, determinants of health and illness, and health protection.
- Alignment with the ethical obligation of nursing to recognize the primacy of First Nations sovereignty – which includes the recognition that First Nations people control land, water, health and wellness.
a) Physical Demands
- Intermittent physical activity including walking, standing, sitting, lifting and supporting clients.
- May be exposed to occupational hazards such as infectious waste, diseases and chemicals and may be susceptible to back injuries and muscle strains from lifting/moving clients.
- Manual dexterity required to use desktop computer and peripherals.
b) Mental Focus
- Community health nurses advise clients over the telephone and may travel to see clients in their homes.
- May deal with individuals who can, from time to time, be demanding and challenging. Must be able to remain patient and calm, and may have to engage in conflict resolution.
c) Environmental Conditions
- Consists of three main components of office, community member homes and/or community buildings and in the car. The noise level in all areas is generally quiet, but at times noise could escalate.
- Must be able to work relatively independently and deal with issues of personal safety because this position is outside the controlled environment of a hospital.
WHY WORK FOR TSLEIL-WAUTUTH NATION?
Training and career development
Business casual office
Community fitness & gym access
Modern and new office building