Primary Care Nurse

JOB SUMMARY
Primary Care Nurses (PCNs) are responsible for the provision of primary health care services to members of the care delivery units (CDUs) within the CF Health Services Centres. Primary Care nurses provide patient assessment, screening, healthy lifestyle support, education, and chronic disease management with a goal of improving health outcomes and facilitating access to health services. The PCN oversees the patient flow in the Care Delivery Unit. Primary Care Nurses work within an assigned CDU and function as a member of a multi-disciplinary health care team to develop and implement care plans and to provide patient follow-up. The PCN works collaboratively with multidisciplinary team such as doctors, nurse practitioners and physician assistants by managing results and communicating with patients. Their work includes walk-in and scheduled appointments with acute or chronic physical, mental, and occupational health needs.
Language of work may be English and/or French, depending on geographic location.
DUTIES AND RESPONSIBILITIES
•Follow all applicable Health Information and Records Management documentation standards andpolices using forms provided
•Complete all in-clearance activities within first two weeks of work (may include acquiring access toinformation systems and reviewing department specific information
•May be required to travel or perform some tasks via tele-health , audio or video conferencing ie) diagnosis,consultation, treatment or transfer of medical data
•May be required to participate in or present at a working group, committee, board or attend courtproceedings
•Must operate within a collaborative practice and interdisciplinary care environment that supportscontinuity of care
•May be required, on occasion, to provide clinical preceptorship to approved trainees and or ClinicalSupervision of Unlicensed HCPs
•Will participate in quality assurance and quality improvement activities as members of the clinicalcommunity including, but not limited to, clinical audits, peer review, chart audits, morbidity andmortality rounds, utilization reviews
•May be required, on occasion, to deliver instruction in an area of expertise to support teachingactivities that the Department has initiated or agreed to support
•May be required, on occasion, to support research activities that the Department has initiated oragreed to support
•Participate in ongoing internal and/or external continuing education activities
•Adhere to Bayshore Policies and Procedures.
•Participate in quality activities and continuous improvement initiatives in keeping with the company'sQuality Management System
•Participates in proactive Health & Safety activities while performing all duties. Is responsible to notifyimmediate Supervisor of any Health & Safety risks or concerns. Responsible for completing AccidentReports for all direct reports who injure themselves on the job, within 24 hours of the incident.
•Maintains confidentiality of client and corporate information and discusses same only with appropriateBayshore personnel
•Complete other tasks as requested
TASKS
The required tasks for this occupational group include the following:
a.perform patient triage within the CDU using the principles of the Canadian Triage and Acuity Scale (CTAS);
b.manage patient flow through the CDU to ensure patients are being seen in a timely manner based on the healthcare providers’ scope of practice;
c.provide clinical guidance to CDU Medical Technicians related to direct patient care and nursing interventions;
d.perform nursing clinical procedures such as health history and physical assessments, IV therapy, medicationadministration, dressing changes, blood pressure monitoring, specimen collection, and immunizations;
e.oversee CDU schedules including each practitioner’s schedule within the CDU to ensure efficiency and patientaccess;
f.provide input on staffing requirements to Task Manager;
g.provide administrative guidance to CDU clerks such as patient tracking and managing patient inquiries;
h.initiate collaborative practice meetings for patient care coordination within the CDU;
i.refer patients to other direct access health care providers to increase access to health services and improve patientoutcomes;
j.initiate the short term home care requirements for members with an expected return to work date of less thanninety days;
k.address patient complaints within CDU and forward any unresolved patient complaints to appropriate resource;
l.identify population health trends within the CDU such as infectious disease outbreaks;
m.provide patient counselling and teaching such as chronic disease management and post-operative management;
n.organize and provide annual Infection Prevention and Control (IPAC) education for CF Health Services Centrestaff to promote compliance with unit IPAC policies and Standard Operating Procedures (SOPs). The educationtopics include:
(1)use of routine practices, chain of infection transmission, and additional precautions;
(2)procedures for the proper donning and removal of personal protective equipment (PPE);
(3)Hand Hygiene; and
(4)Biomedical waste management.
o.conduct annual hand hygiene audit and housekeeping audit IAW the current CF Health Services Group policy,Infection Prevention and Control in Canadian Forces Health Services Centres, provided by Task Manager;
p.implement, when warranted, CF Health Services Centre IPAC Standard Operating Procedures (SOPs), IAW thecurrent CF Health Services Group policy, Infection Prevention and Control in Canadian Forces Health ServicesCentres, provided by Task Manager;
q.resolve any local CF Health Services Centre and detachment IPAC issues such as local risk of infectious diseaseoutbreaks within the clinic through early identification, investigation, contact tracing, preventive measures, andactivities to promote safe behaviours;
r.develop and distribute local IPAC and Community Health educational program for patients and staff such asinformation sessions, posters, pamphlets, and educational signage;
s.make IPAC clinical and technical recommendations on the required environmental cleaning requirements to theTask Manager;
t.ensure local alignment with changes or improvements in the national IPAC program or communicate local IPACissues by participating as a team member in activities such as CF Health Services IPAC workshops, educationsessions, teleconferences, and other communications;
u.generate health surveillance data and trends by identifying the infections and infectious agents most common atthe local level, conducting investigations of suspected healthcare acquired infections or disease outbreaks within theCF Health Services Centre, tracking infection rates and surgical site infection rates where applicable, and analyzingthe data;
v.organize N95 mask fit-testing sessions with the Preventative Medicine Technician (P Med Tech) for clinic staff.Generate an annual status report to the Task Manager;
w.monitor, provide guidance and support clinic central sterilization processing staff on IPAC practices and maintainrelated records;
x.complete the clinic accreditation IPAC self-assessment survey as per direction from Task Manager;
y.provide IPAC guidance and input on the clinic pandemic planning and outbreaks to the Task Manager whenwarranted; and
z.other associated tasks relevant to this occupational group.
REPORTING RELATIONSHIPS
Reports directly to the Bayshore Medical Personnel Regional Liaison.
QUALIFICATIONS

Education
All Primary Care Nurses must, as a minimum, have:
a.a Baccalaureate Degree in Nursing from a recognized university or Diploma entry Registered Nurse;
b.a Registered Nurse licence from the provincial or territorial professional college or association in the province ofpractice; and
c.a Certificate of Basic Life Support (BLS) for Healthcare Provider or equivalent such as Cardio-pulmonaryResuscitation/Automated External Defibrillator (CPR/AED) Level C.
Experience
The Primary Care Nurse shall possess, as a minimum, 1 year full time equivalent of experience, in family practice or ambulatory care environment or in a health care settings, such as tertiary care and community health centre.
Other Skills and Abilities:
•Current N95 mask fit certificate CSA Standards Z94.4 (testing q 2 yrs)
•Workplace Hazardous Material Information System (WHMIS) Certification (every two (2) years);