The Hospital at Home program, based at St. Paul’s Hospital (SPH), is a provincial initiative that delivers acute-level care to eligible patients within a 15-minute driving radius of SPH. It serves patients with acute medical conditions who are clinically stable enough to be safely cared for at home.

Within the context of a client- and family-centered model of care, and guided by Providence Health Care’s Mission, Vision, Values, and strategic directions, the Registered Nurse, Hospital at Home:

• Promotes a safe, respectful, and inclusive environment for patients, families, visitors, and staff

• Assesses, plans, implements, and evaluates nursing care for patients with acute health needs in the home and/or hospital setting

• Develops and revises individualized care plans, incorporating patient and family teaching and referrals to community resources as needed

• Provides direct nursing interventions and documents care according to professional standards and PHC protocols

• Collaborates with and supports colleagues by sharing clinical knowledge and demonstrating best practices

• Works within an interdisciplinary clinical framework in alignment with BCCNM Standards of Practice and PHC values

Education

• Current practicing registration as a Registered Nurse with the British Columbia College of Nurses and Midwives

• Minimum of one year of acute care nursing experience

• Valid BC driver’s license and access to a personal vehicle for local travel

Skills and Abilities

• Ability to communicate effectively both verbally and in writing.
• Demonstrated knowledge and ability to perform Cardiopulmonary Resuscitation (CPR) procedures appropriate for the area of service.
• Ability to work as a member in an interdisciplinary team.
• Ability to apply decision-making and analytical skills.
• Ability to deal with others effectively.
• Ability to role model conflict resolution strategies.
• Physical ability to carry out the duties of the position.
• Ability to prioritize and organize work.
• Ability to operate related equipment.
• Ability to teach and identify patient/client learning needs.
• Ability to lead patient/family group sessions.

• A competitive salary: The salary range for this position is $41.42 - $55.91 per hour, depending on experience.
• Growth opportunities: We welcome individuals at all stages of their career, offering opportunities for professional development and growth.
• State-of-the-art facilities: The new St. Paul’s Hospital and health campus will represent the most innovative approach to integrated care delivery in B.C. and Canada, designed to meet the future health needs of patients, families, and communities. From hospital care to primary and community health solutions, the new St. Paul’s Hospital and health campus will continue to lead innovations in care, research, and teaching, with an expected opening in 2027.
• Inclusive culture: We respect the diversity, dignity, and interdependence of all individuals. We value the cultural richness that our diverse workforce brings to the care of our equally diverse patient and resident population.
• Meaningful impact: As a nurse in the Hospital at Home program, you can significantly enhance patient care by providing high-quality, personalized support that fosters recovery and promotes independence in the comfort of their own homes.
• Comprehensive health benefits package: This includes dental, vision, and life insurance, as well as a pension.

Your Day to Day 

• Prevents facility hospital admission by providing nursing care to patients who require acute level care in their homes, or who are transferred home early from an acute care facility to complete their admission at home, or who are seen in emergency departments, and complete their entire acute care admission at home.
• Reviews patient status through methods such as reviewing the patient/client chart and other written information, patient observation, interviewing patient/client and family members, completion of questionnaires, collateral information and consultation with peers and other members of the health care team.
• Assesses patient problems and needs, plans, implements, evaluates and prioritizes nursing care and nursing interventions and develops the plan of care for patients/clients using clinical judgement and evidence-based practice.
• Provides nursing care according to identified policies and procedures, technology and PHC standards. Teaches self/home care skills to patient and/or family members.
• Monitors patient/client progress, evaluates outcomes, reassesses if goals are not met, and modifies plan of care based on evaluation.
• Provides virtual care and Home Health Monitoring in accordance with plan of care.
• Records observations and reports problems and/or changes in patient/client condition to designated staff.
• Provides direct nursing interventions for management of crisis and life-threatening situations.
• Documents information including assessments, plan of care, patient/client status and progress and discharge plans in a manual and/or computerized environment.
• Collaborates with other members of the nursing team, multi-disciplinary team, community care partners, patient, and family.
• Accompanies patients in medical transport vehicles as required by the employer.
• Identifies and responds to patient and family learning needs, provides patient educational and reference materials, incorporates individual and/or group teaching activities into the care plan and nursing interventions, and/or makes referrals to other identified resources. Leads group patient/family sessions as required and coaches patient/family to develop and maintain health-promoting behaviors within the context of the care issue.
• Provides direction to other staff such as Care Attendants and Licensed Practical Nurses with regard to patient/client care and facilitates effective teamwork. Responsibilities include but are not limited to collegial sharing of information, demonstrating and/or providing guidance on related tasks, providing incidental or ad hoc input into staff performance, ensuring staff are aware of assignments and reassigning clinical/health-related tasks.
• Participates in nursing orientation and shares clinical knowledge with other nursing staff, nursing students and other members of the interdisciplinary team. Participates in and attends in-service presentations and other educational programs as required.
• Participates in planning, implementation and evaluation of patient care policies, procedures, education materials, and best practices through methods such as taking part in program and quality improvement activities including nursing practice council, clinical pathway development, research, and education and other committees.
• Supports nursing research through methods such as identifying areas for possible clinical nursing research projects, adapting research to practice and participating in research activities to enhance nursing practice.
• Advocates for the patients/clients, to protect and promote their rights to dignity, respect, privacy, confidentiality, autonomy and access to information.
• Performs other related duties as assigned.

We acknowledge that Providence Health Care and the new St. Paul’s Hospital site is located on the traditional, ancestral, and unceded territory of the Coast Salish Peoples, including the territories of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) Nations.