Nurse practitioner – orthopedic surgery

Salary

The salary range for this position is CAD $60.75 - $87.33 / hour
Job Summary

Please note: The salary range displayed above reflects the broader compensation range associated with this position classification. The applicable salary range for this Nurse Practitioner position is CAD $76.31-$83.94 per hour, with placement within the range determined by relevant Nurse Practitioner experience.

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 an NP to join our dynamic Orthopaedic Surgery team, delivering comprehensive care to patients with complex medical needs across the continuum of elective and non-elective orthopaedic surgical care. This Relief position is available until June 18, 2028 or return of incumbent.

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.

RCH located in New Westminster, BC, is one of Fraser Health’s three regional hospitals and a leading tertiary care center in New Westminster, BC, and a key site within Fraser Health for specialized surgical services. As a regional referral hospital, RCH provides advanced orthopaedic surgical care, including both elective and emergency procedures, supported by a multidisciplinary team and state-of-the-art facilities. The hospital’s integrated approach ensures high-quality, patient-centered care across the full continuum - from acute intervention to rehabilitation and discharge planning.

New Westminster is known for its stunning waterfront views along the Fraser River, located on the north side of the Fraser River bordering several municipalities in each direction (Burnaby, Coquitlam, Surrey, and Delta), making it the centre of the Greater Vancouver region.

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.

Detailed Overview

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families:

The Nurse Practitioner is responsible and accountable for the comprehensive assessment of patients/clients/residents including diagnosing diseases, disorders, and conditions. The Nurse Practitioner initiates treatment including health care management, therapeutic interventions and prescribes medications in accordance with the statutory and regulatory standards, limits, and conditions, and employer policies and procedures. The Nurse Practitioner provides professional guidance to other health professionals and practices autonomously and interdependently within the context of an interdisciplinary health care team, making referrals to specialist physicians and others as appropriate.

The position collaborates with patients/clients/residents and other health professionals to identify and assess trends and patterns that have implications for patients/clients/residents, families and communities; develops and implements population and evidence based strategies to improve health and participates in policy-making activities that influence health services and practices. The position participates in peer review and self review to evaluate the outcome of services at the patient/client/resident, community and population level.

Responsibilities

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.

Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.

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.

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.

Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures. 

Assigns work to other nursing and health care personnel; evaluates work and provides education and supervision as necessary; hires staff, and evaluates staff performance.

Participates in research contributing to improved patient/client/resident care and advances in nursing, health policy development and population health.

Maintains population health focus by implementing screening and health promotion activities for populations at risk.

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.

Develops, implements and evaluates policies and procedures related to nursing, interdisciplinary care, and health system practices.

Performs other duties as required.

Qualifications

Education and 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.

About Fraser Health

Fraser Health is the heart of health care for over two million people in Metro Vancouver and the Fraser Valley in British Columbia, Canada, on the traditional, ancestral and unceded lands of the Coast Salish and Nlaka’pamux Nations and is home to 32 First Nations within the Fraser Salish region.

People - those we care for and those who care for them - are at the heart of everything we do. Our hospital and community-based services are delivered by a team of 50,000+ staff, medical staff and volunteers.

We are committed to planetary health and value diversity in the work force. We strive to maintain an environment of respect, caring and trust. Fraser Health’s hiring practices aspire to ensure all individuals are treated in an inclusive, equitable and culturally safe manner.

Together, we are the heart of health care.

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