Dietitian Multi Organ Transplant Program, Nephrology - BC Children’s and Women’s Hospital & Health Centre

Dietitian Multi Organ Transplant Program, Nephrology
BC Children’s and Women’s Hospital & Health Centre
Vancouver, BC

What you’ll do

• Conducts nutrition assessment of patients referred to the Multi-Organ Transplant (MOT) Program   utilizing standards and guidelines, physical nutrition assessment, identification of relevant laboratory and other data and advanced clinical techniques such as extensive knowledge of nutrition management of co-morbidities and multi-system organ failure, laboratory parameters, nutrient and drug interactions.
• Provides recommendations based upon assessment and treatment intervention to health care team regarding nutrition support regime (oral, enteral, parenteral) and route of feeding. Develops and implements age-appropriate nutritional goals and care plans appropriate to feeding regime. Prescribes multi-parameter modified diets, and calculating enteral and parenteral nutrition support, as appropriate.  
• Monitors patient for tolerance to nutrition support through methods such as reviewing metabolic parameters, nutrient intake records, anthropometrics, growth and gut/organ function. Adjusts care plans including enteral and parenteral nutrition orders, formula and diet orders including diet modifications related to acute and end-stage organ failure as required. Consults with physicians, health care professionals and family as appropriate regarding the patient’s response to the nutrition care plan and ability to meet goals both pre- and post-transplant. Makes recommendations to the team and/or family for changes or adjustments as required.
• Liaises with referring centre and/or hospital dietitians to ensure continuity of care and communicates with out of province transplant centre dietitians on patient specific nutrition care plans during the acute transplant phase of care. Collaborates with the adult MOT program to develop plans for transitioning teens to the new care.
• Considering factors such as quality of life, normal growth and development, and treatment modality provides comprehensive nutrition and self-care counseling to patients in the inpatient and clinic setting. Addresses post-transplant chronic nutrition related problems, such as obesity, hyperlipidemia, impaired glucose tolerance and steroid related osteoporosis. Prescribes modified diets as required and educates on prevention strategies.

What you bring

Qualifications

• Graduation from an academic program in dietetics approved by the College of Health and Care Professionals of BC.
• Three (3) years recent, related clinical experience in pediatric nutrition and nutrition support in an acute care setting plus Nutrition Support Certification for Clinicians (CNSC) from the American Society of Enteral and Parenteral Nutrition (ASPEN) or an equivalent combination of education, training and experience
• Current full registration as a Dietitian with the College of Health and Care Professionals of BC.
• Demonstrate comprehensive knowledge of the historic and ongoing impacts of settler colonialism and systemic racism on Indigenous Peoples within social and health contexts. This includes understanding how these factors contribute to current health disparities and barriers to care. Show a clear commitment to identifying, challenging, and eradicating Indigenous-specific racism and all forms of discrimination impacting equity-deserving groups within healthcare settings. This involves recognizing personal biases, institutional barriers, engaging in anti-racism education and training and advocating for systemic change.
• Demonstrated knowledge and understanding of legislative obligations and provincial commitments within BCCH contexts found in the foundational documents including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study, BC Human Rights Code, Anti-racism Data Act and how they intersect across the health care system.

Core Competencies

• Brings an understanding of the Indigenous specific racism and the broader systemic racism that exists in the colonial health care structure, and has demonstrated leadership in breaking down barriers and ensuring an environment of belonging. Embed Indigenous Cultural Safety and Humility into all aspects of work. This means creating an environment where Indigenous patients feel respected, valued, and understood. Foster trust through respectful communication, active listening, and honoring equity-deserving people's perspectives on health and wellness. Commit to ongoing education and training on Indigenous health issues, cultural safety, and DEI principles. Participate in workshops, cultural immersion experiences, and continuous professional development to stay informed and responsive to equity-deserving groups. Provide patient-centred care that respects Indigenous ways of knowing and healing, respects BIPOC experiences and world views ensuring that care plans are culturally relevant and holistic.
• Knowledge of social, economic, political and historical realities of settler colonialism on Indigenous Peoples and familiarity with addressing Indigenous-specific anti-racism, anti-racism and Indigenous Cultural Safety and foundational documents and legislative commitments (The Declaration Act, the Declaration Action Plan, TRC, IPS, Remembering Keegan, etc.).

Skills & Knowledge

• Broad knowledge of pediatric nutrition theory and feeding practices in health and disease.
• Broad knowledge of the standards of practice and guidelines for clinical practitioners established by the College of Health and Care Professionals of BC.
• Broad knowledge of ASPEN Standards of Care for Pediatric Nutrition Support and nutrition support practice guidelines.
• Comprehensive ability to design, implement and monitor pediatric therapeutic diets for single or multi-organ failure when delivered via oral, enteral and parenteral routes.
• Comprehensive knowledge and ability to plan and implement overall nutrition care plans to meet the needs of children requiring transplantation throughout the acute and chronic phase of care.
• Broad knowledge of research processes and methodology.
• Demonstrates a commitment to beginning and continuing their personal learning journey related to Indigenous-specific racism and dismantling systems of oppression, as well as addressing racism more broadly. Shows willingness to articulate and share their learning experiences to contribute to a culture of motivation and inspiration among peers.
• Demonstrates foundational knowledge of the social, economic, and political realities of settler-colonialism and its impacts on Indigenous peoples and equity-deserving groups within social and health contexts. Understands the impact of social determinants of health-on-health outcomes. Shows a commitment to learning about and upholding legislative obligations and provincial commitments outlined in foundational documents such as the Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place: Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan, Remembering Keegan: A First Nations Case Study, the BC Human Rights Code, Anti-Racism Data Act, and the Distinctions Based Approach.

What we bring

Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That’s why we’re focused on your care too – offering health, wellness, development programs to support you – at work and at home.

• 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.

Job Type: Regular, Full-Time
Wage: $40.75 to $50.87 per hour
Location: 4500 Oak Street, Vancouver BC, V6H 2N9

Hours of Work: Monday - Friday; 0800-1600
Requisition # 186668E

What we do

BC Children’s Hospital (BCCH) provides care for the most seriously ill or injured children and youth from across British Columbia.

BC Women's Hospital & Health Centre (BCW) is dedicated to improving the health of women, newborns and families through a comprehensive range of services, research and education. 

BCCH and BCW are part of the Provincial Health Services Authority (PHSA).

The Provincial Health Services Authority (PHSA) plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people – Be compassionate – Dare to innovate – Cultivate partnerships – Serve with purpose. Learn more about PHSA and our programs: jobs.phsa.ca/programs-and-services

PHSA, BCW and BCCH are committed to employment equity, encouraging all qualified individuals to apply. We recognize that our ability to provide the best care for our diverse patient populations relies on a rich diversity of skills, knowledge, background and experience, and value a safe, inclusive and welcoming environment.

PHSA is committed to equity in our hiring and employment practices. With learning and compassion, we are addressing existing inequities and barriers throughout our systems. PHSA is seeking to create a diverse workforce and to establish an inclusive and culturally safe environment. We invite applications and enquiries from all people, particularly those belonging to the historically, systemically, and/or persistently marginalized groups identified under the B.C. Human Rights Code.

One of PHSA’s North Star priorities is to eradicate Indigenous-specific racism, which includes dismantling barriers to health care employment at every level. We welcome Indigenous individuals to apply and/or contact the Sanya'kula Team (Indigenous Recruitment & Employee Experience) for support at indigenous.employment@phsa.ca.

Indigenous-specific anti-racism initiatives are rooted in addressing the unique forms of discrimination, historical and ongoing injustices, and marginalization faced by Indigenous peoples. These initiatives align with an Indigenous rights-based approach, recognizing the inherent rights and self-determination of Indigenous communities. PHSA must uphold legislative obligations and provincial commitments found in the foundational documents such as including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study.

Attention current employees of PHSA: 

To be considered as a PHSA employee (internal applicant) for this position, you must apply online via your internal profile at http://internaljobs.phsa.ca

Please note the internal job posting has expired. Please e-mail internaljobshelpu@phsa.ca with the six-digit job requisition number and your PHSA employee ID number to be considered as a late internal applicant. Please do not apply for the external job posting.

If you have not yet set up an internal profile, please e-mail internaljobshelpu@phsa.ca with your PHSA employee ID number to obtain your temporary password. Our business hours are Monday-Friday 8:30am-4:30pm, excluding Statutory Holidays and a Help Desk Representative will respond to you with 1-2 business days.