TB Nurse Clinical Prevention Services, Chest Clinic - BC Centre for Disease Control

• Provide nursing care, education and counselling using a health promotion, harm reduction and trauma informed approach.
• Provide nursing services related to the assessment of clients presenting with or at risk for TB by methods such as interviewing clients and taking history, gathering data appropriate to clinical assessment and diagnosis, involving client in a risk assessment for TB, determining appropriate timing of tests to produce valid test results, and assessing client’s anxiety related to their risks and their ability to deal with positive test results.
• Perform nursing procedures to assist physician in diagnosis including tuberculin skin testing and reading, obtaining specimens and preparing requisitions for laboratory testing such as sputum, serology, urine, cytology and visual acuity; assisting physician with physical examination and dressing change; examines clients for signs and symptoms of infection, lymph node and skin exam and chest auscultation; uses aseptic technique and accepted safety measures to collect specimens required for diagnostic confirmation which may include venipuncture.
• Administering appropriate treatment according to appropriate clinical guidelines and Decision Support Tools by methods such as assessing the information gathered to determine action required regarding treatment and client follow-up, interpreting test results to clients. Arrange for referral of clients to private physicians, clinics, support services or specialists as necessary which may require clinic physician consultation, assisting clients to locate community resources appropriate to their needs, and ensuring client is aware of and understands any need for follow-up.
• Provide education and counseling using a health promotion approach to clients and their families regarding topics such as risk behaviours with a goal of reducing risk behaviours, the transmission and treatment of tuberculosis both at home and/or admission to hospital.
• Administer prescribed medications and perform medication reconciliation by methods such as ensuring doctor’s orders are met in regard to medication, return examinations and follow-up; distributing anti-tuberculous medications as ordered, and monitoring for compliance and counselling for side-effects.
• Prepare and maintain client records by methods such as documenting client assessments, interventions, evaluations, modifications and client goals, charting client information, documenting significant events/unusual occurrences, noting referrals, recording contact with client/family and health care staff, preparing progress notes and reports in accordance with established standards, policies and procedures to regulatory requirements and provide evidence and rationale that support findings and intervention plan.
• Carry out contact tracing duties for all clients with TB to ensure contact notification and document adequate treatment or arranging follow up by Interviewing clients in person or by telephone to collect all available information regarding contacts for a specific period of time, using information collected and investigative skills when information is limited to find named contacts, and informing named contacts by telephone or visit what infection they may have been exposed to and what action is required of them, ensuring that confidentiality is maintained at all times. Follow up with contacts to document required testing and treatment, and contacting healthcare providers of clients with lab reported TB to document adequate treatment and offer assistance with contact tracing as necessary and or arrange follow up.

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives (BCCNM).
• Graduation from a certified School of Nursing program.
• One (1) year of recent related experience in Public Health, Communicable Disease or Tuberculosis.
• Valid Class 5 driver’s license to operate a vehicle within the Province of British Columbia. Ability to access fleet vehicles or access to a vehicle for local area travel to Chilliwack, and Abbotsford.

• Broad knowledge in the field of tuberculosis or respiratory diseases or out-patient clinic setting.
• Good working knowledge of infection control concepts to prevent risk to self and others of exposure to infection.
• Expert communication and interpersonal skills.
• Demonstrated ability to manage difficult clients who may be upset, angry, uncooperative, intoxicated, or mentally or physically impaired.
• Sensitivity to the implications and potential stigma of a TB diagnosis to clients with a variety of ethnic origins and beliefs.
• Ability to work with an interpreter.
• Demonstrated ability in making decisions based on independent judgment.
• Demonstrated ability to plan, problem solve, and adjust to new or unexpected events.
• Demonstrated ability to operate related equipment.
• Commitment to upholding the shared responsibility of creating lasting and meaningful reconciliation in Canada as per TRC (2015) and BC's Declaration on the Rights of Indigenous Peoples Act (2019).
• Knowledge of social, economic, political and historical realities impacting indigenous communities and familiarity with Indigenous Cultural Safety and anti-racism and accompanying reports (BC DRIPA, TRC, etc.).

• Join one of BC’s largest employers with province-wide programs, services and operations – offering vast opportunities for growth, development, and recognition programs that honour the commitment and contribution of all employees.
• Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San’yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
• Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
• Annual statutory holidays (13) with generous vacation entitlement and accruement.
• PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
• Access to WorkPerks, a premium discount program offering a wide range of local and national discounts on electronics, entertainment, dining, travel, wellness, apparel, and more.

Provincial Health Services Authority