Addictions Medicine Consult Team (AMCT) Nurse

Salary

The salary range for this position is CAD $41.42 - $59.52 / hour

Job Summary

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Detailed Overview

In accordance with the British Columbia College of Nurses and Midwives (BCCNM) standards of practice, and the Mission and Values of Fraser Health, and in collaboration and partnership with the interprofessional care team in the provision of person-centered and recovery oriented care, the Addictions Medicine Consult Team (AMCT) Nurse provides treatment and care management services that are both inclusionary and flexible for individuals with substance use concerns and substance use disorders that meet the needs of the client and provides integration across the care continuum.

The AMCT Nurse consults, confers and collaborates with other health care providers, family and/or natural supports to assess, develop, implement, evaluate and modify individualized strength-based treatment plans. Establishes, maintains and enhances therapeutic relationships based on respect. Monitors client response and provides ongoing information to the client, family and natural supports on activities of daily living, use of medication, side effects and integration of illness into their lifestyle.

Prepares and maintains client records according to established standards. Participates and engages in team meetings, team planning and quality improvement activities. Prescribes Opioid Agonist Therapy within the parameters developed for RN/RPN within Fraser Health Addictions Medicine Consult Team.

Responsibilities

Performs substance use screening, physical and psychosocial assessments as well as a substance use-focused pre-assessment for referrals to the Addiction Medicine Consult Team (AMCT).

Develops, implements, evaluates and modifies an individualized strength-based treatment and action plan in collaboration with the client, their family and/or natural supports, and the interdisciplinary team. Observes, monitors and evaluates client progress. Reorganizes priorities and revises treatment plan as required.

Provides individualized direct nursing care to designated clients and supports direct care staff in provision of care to client from a harm reduction lens, ensuring timely access to treatment, and engaging or reconnecting client to care in the community. Works with the AMCT to initiate measures that relieve crisis and emergent situations in managing aggressive and suicidal behaviours. Shares harm reduction practices and relevant resources to staff.

Administers prescribed medicines, monitors clients prescribed medications, response to medications and side effects. Consults with physician regarding pharmaceuticals needs.

In accordance with BCCNM standards, limits and conditions, demonstrates and articulates the responsibility of the authorized RN/RPN prescriber to the interprofessional team and when interacting with the client. Identifies when client needs exceed RN/RPN scope of practice.

Assesses client, develops understanding of client's goals, and provides education and counseling to clients on matters related to substance use, harm reduction and relapse prevention, as well as ongoing information to the client, their family and/or natural supports on activities of daily living, use of medications, side effects and coping strategies to assist with the integration of illness into their lifestyle. Provides motivational interviewing to support client through their journey through the continuum of care.

Initiates and or participates in discharge planning, coordination of specialized services, and referral to community services/resources specific to client's pertinent substance use disorders and related comorbidities that require urgent response and follow-up support, in collaboration with acute care team and liaising with community providers and substance use services staff. Determines resource priorities, consults and provides recommendations for case coordination services, shares relevant client information, discusses clients' assessments, and provides input and clinical support to relevant care team on care issues related to the client engaging stakeholders in treatment planning and evaluation to ensure continuity of care, communication of treatment concerns.

Provides follow-up planning support.

Establishes, maintains and enhances therapeutic relationships based on respect with the client, their family and/or natural supports, promoting and supporting client to manage self-care, encouraging informed decision making and empowering the client to improve the clients' quality of life. Advocates for and facilitates informed choices.

Documents client, family and/or natural supports perspectives, nursing assessment and interventions that support client, family and/or natural supports priorities. Maintains complete and accurate records by inputting data and documentation in accordance with established procedures and policies.

Acts as a preceptor and/or mentor to assigned new nursing staff and students. Shares information, demonstrates care activities and/or provides guidance on clinical and health related tasks, and participates in orientation. Provides input to the Manager and/or designate as requested regarding individual performance.

Engages in team planning, develo