Nurse Practitioner – Internal Medicine – Residency Opportunity

Fraser Health Authority; Chilliwack; On-site; CAD 84,000 - 120,000; Full time

Job summary

Fraser Health Authority in Chilliwack is seeking a Nurse Practitioner to join the Internal Medicine program at Chilliwack General Hospital. You will work with Internal Medicine physicians and an interdisciplinary care team to provide inpatient, patient-centred care with a focus on Telemetry.

As one of the early NPs in this role, you will help shape NP practice within the program under the physician-MRP model, with residency pathways and ongoing professional development.

Qualifications

• Current practicing registration as a Nurse Practitioner with BCCNM.
• Recent relevant clinical nursing experience.

Responsibilities

• Diagnoses and treats patients within NP scope; writes orders.
• Monitors care and orders investigations.
• Establishes priorities and follow-up; supports family communication.
• Collaborates with physicians and other providers; develops treatment plans.
• Prescribes drugs within regulatory standards.

Skills

Clinical expertise

Team collaboration

Interdisciplinary care

Education

BCCNM registration

Job description

Salary

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

Job Summary

Bring your clinical expertise and passion for providing high-quality, patient-centred care to an exciting new Nurse Practitioner role within the Internal Medicine program at Chilliwack General Hospital (CGH).

Working alongside Internal Medicine physicians and an interdisciplinary care team, you will provide comprehensive care to medically complex patients, with an initial clinical focus on the Telemetry Unit. You will have the opportunity to assess and manage patients throughout their hospital stay, develop and implement treatment plans, coordinate care with specialty and allied health services, and support safe and timely transitions of care. This is an exciting opportunity to be part of a developing Internal Medicine NP program at CGH.

As one of the first NPs in this role, you will have the opportunity to help shape NP practice within the program while working within a collaborative physician‑NP model. The Internal Medicine physician will remain the Most Responsible Physician (MRP), with the NP providing day‑to‑day clinical management within their scope of practice. The initial focus will be inpatient Internal Medicine and Telemetry. As the program becomes established, there may be opportunities for the NP role to expand into other areas of Internal Medicine practice based on patient and program needs. The role will have a strong focus on continuity of care, patient flow, access and timely discharge, while supporting high‑quality care for a complex medical population.

Supported Transition to Practice

Whether you are a new graduate NP or an experienced NP, transitioning into Internal Medicine, your orientation will be tailored to your previous experience and learning needs. Experienced NPs will receive an individualized enhanced orientation, with clinical experiences and learning opportunities tailored to their existing competencies and areas for development. New graduate NPs will participate in Fraser Health’s 6‑month Acute Care NP Residency Program, providing an extended period of supernumerary practice prior to independent practice.

Our Nurse Practitioner Residency Program offers a unique postgraduate experience that will elevate your skills and strengthen your transition into independent practice.

During your residency, you’ll receive:

1. Advanced Training: Dive deep into a clinical area relevant to your role. Our in‑house experts will provide specialized training that sets you up for success.
2. Team Collaboration: Build connections as you work alongside experienced professionals who value teamwork and shared goals.
3. Patient‑Centered Care: Develop a model of care that puts patients at the heart of everything you do. Make a real impact on their lives.
4. Mentorship: Benefit from mentorship across multiple clinical areas. Learn from the best and grow exponentially.
5. Clinical Supervision: During your clinical placements, enjoy dedicated supervision that ensures you’re on the right track.
6. Self‑Directed Learning: We believe in your growth. You will set aside protected time for self‑directed learning tailored to your clinical practice and needs.
7. Experienced Coaching: Get personalized guidance and support with weekly check‑ins from an experienced nurse practitioner throughout your residency.

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 imaging review, including X‑ray, CT Scan and echocardiogram, in addition to receiving centralized NP orientation.

Chilliwack General Hospital

Chilliwack General Hospital (CGH) is a University of British Columbia affiliated community hospital, whose role is to provide primary, core secondary, and some specialty services. These include services such as 24/7 emergency and acute care, general and internal medicine, cardiac care, obstetrics, general surgery and certain surgical subspecialties, inpatient, and outpatient care. Chilliwack General Hospital provides inpatient psychiatric care for adults along with outpatient detox for adults with substance use issues.

Chilliwack

Chilliwack is well known for a wide range of outdoor recreation activities, like hiking, water sports, camping, mountain‑biking, and fishing. With natural surroundings, rural setting and thriving economy it is a prosperous community with an outstanding quality of life.

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

1. 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.
2. Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.
3. 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.
4. 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.
5. Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures.
6. Assigns work to other nursing and health care personnel; evaluates work and provides education and supervision as necessary; hires staff, and evaluates staff performance.
7. Participates in research contributing to improved patient/client/resident care and advances in nursing, health policy development and population health.
8. Maintains population health focus by implementing screening and health promotion activities for populations at risk.
9. 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.
10. Develops, implements and evaluates policies and procedures related to nursing, interdisciplinary care, and health system practices.
11. 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

• 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.