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Rural Nursing

AT

Amy Talbot

Transcript

Rural Nursing

Background

  • Recruiting nurses to rural areas is on going challenge
  • The nurse is sometimes the sole health care provider

Nurse to Population Ratio

Urban

72: 10,000

Rural

62.3: 10,000

Background

Interior Health Map

Interior Health Map

Vancouver Coastal Health Map

Vancouver Coastal Health Map

Northern Health Authority

Northern Health Authority

Financial Incentives

A large portion of BSN graduates have a debt over $25,000 (Stats Canada)

Depending on the health authority and unit budget, you may be provided with relocation and living expence reimbursments

Possibility for temporary housing in rural communities

Federal Loan Forgivness

Eligibility

Federal Loan Forgivness

  • RN
  • Have started your current employment
  • Are located in an under-served rural or remote community
  • Have been employed for a full year
  • Have provided in-person services for a minimum of 400 hours in that community
  • Have a Canada Student Loan that is in good standing

How Much?

  • Up to $4,000 per year for 5 years

  • Max. $20,000

What is Considered Rural?

  • Under-served rural or remote community: (as determined by Statistics Canada)

Core population under 50,000

Postal Code Lookup Tool

Provincial Loan Forgiveness

B.C. Edibility

Provincial Loan Forgiveness

  • outstanding B.C. student loan
  • graduated from accredited post-secondary educational institution
  • working at a publicly funded health care facility
  • underserved community in B.C.
  • not enrolled in full-time post-secondary studies

https://studentaidbc.ca/repay/repayment-help/bc-loan-forgiveness-program

http://tools.hhr-rhs.ca/index.php?option=com_mtree&task=att_

download&link_id=11097&cf_id=68&lang=en

How much?

Maximum of 20% per year for up to five years.

How much?

Total Annual Hours of In-Person Service Annual to Percentage of BC Student Loan Debt Forgiveness

0 to 99 = 0%

100 to 249 = 10%

250 to 399 = 15%

400+ = 20%

Different Provinces

Alberta

https://www.benorth.ca/nadc-bursary.asp

http://www.benorth.ca/nurse-practitioner-bursary.asp

Saskatchewan

http://www.health.gov.sk.ca/bursaries

http://ae.gov.sk.ca/loan-forgiveness-nurses

Manitoba

http://www.gov.mb.ca/health/nurses/grants.html

Ontario

http://www.health.gov.on.ca/english/providers/program/nursing_sec/

http://www.health.gov.on.ca/en/pro/programs/northernhealth/

Quebec

http://www.frsq.gouv.qc.ca/fr/index.shtml

Novia Scotia

http://www.healthteamnovascotia.ca/files/nursing/bursaries/

Prince Edward Island

http://www.healthjobspei.ca/index.php?number=1024788&lang=E

Newfoundland and Labrador

http://www.health.gov.nl.ca/health/grantsfunding/Bursaries_and_

Northwest Territories

http://www.practicenorth.ca/uploads/Post%20Graduate%20

http://www.practicenorth.ca/uploads/docs/pdf/bursaries/Rural%20

Nunavut

http://www.arcticcollege.ca/health-programs

Living Cost

http://www.costofliving.welcomebc.ca/

Living Cost

Average Household Expenses in B.C.

(Source: Statistics Canada, Average Household Expenditure, B.C., 2011)

Food $8,073

Shelter $16,495

Household operation $4,377

Household furnishings and equipment $1,963

Clothing and accessories $3,158

Personal insurance payments and pension contributions $3,758

Transportation $10,980

Health care $2,511

Personal care $1,113

Recreation $3,987

Education $1,411

Income taxes $11,486

Housing

Lower Mainland BC:

A single-family home in the City of Vancouver can cost between $400,000 and $4 million.

Interior BC:

South Okanagan Real Estate Board reported that the average selling price of a single-family home in the Interior, Kootenays and Thompson Okanagan, sold for $287,520.

Other

Compared to Vancouver, the cost of living is considerably less as you move eastward, especially when it comes to housing. Other costs such as food and fuel vary depending on community, but aren’t drastically different from the Lower Mainland.

Other

http://canadianimmigrant.ca/settling-in-canada/relocating-compare-

cost-of-living-and-industries-across-canada

Employment Opportunities

  • More available positions

  • Choice between full time/part time/casual lines

  • Ability to work within varying care settings at once (float opportunities)

  • Build seniorty and port over ESN hours

Current Job Postings

Current Job Postings

12 RN positions at KGH

7 Casual postions

3 Permanent full time

2 Relif full time

26 RN positions in Prince George

5 Casual postings

7 Permanent part time

14 Permanent full time

Resources

Find out more about health authority specific job postings:

  • Interior Health

https://jobs.interiorhealth.ca/nursing-employment

  • Norther Health - ExpectMore

http://expectmore.northernhealth.ca/

  • Vancouver Coastal Health

http://careers.vch.ca/search-jobs/

Specialization

  • Improves resume and clinical experience

  • Future travel opportunities

  • Ability to work in a wider variety of settings

  • More diverse patient care senarios

Continuing Education

  • In-house training opportunites for critical care, OR, maternity, NICU, etc

  • Less competition for financial reimbursments for additional courses

(eg: BCIT courses and specialties )

Comparison

Comparison

Kelowna General Hospital ER Nurse Requirements

BScN, ACLS, TNCC, PALS and CTAS along with 3 years minimu previous experience

Fort St. John ER/ICU Nurse Requirements

BScN and relvent education or experience

Challenges

  • Remote/isolated living

  • Decreased access to resources and interdisciplinary staff

  • Increased workloads due to limited staffing

  • Higher patient to nurse ratios

  • Increased patient variability

  • Increased scope of practice

Autonomy

  • Ability to work independently and have complete control over own practice

  • Use full scope of practice with no political constraints

  • More opportunity/incentive to gain additional training
  • Emergency
  • ACLS/PALS
  • CTAS

Autonomy

Lifestyle

  • Close relationships built with those you work with; comradery

  • Get to explore the outdoors

  • More affordable housing/property

  • Greater sense of community

  • Reduced number of people/traffic

Adventure Opportunities - Vancouver Coastal

Adventure Opportunities - Vancouver Coastal

Northern BC

"The best education I received was through travel"

https://www.brainyquote.com/topics/travel

\

To Travel is to Live

https://media.licdn.com/mpr/mpr/AAEAAQAAAAAAAAORAAAAJGVmNWYzMWJiLTA5NzItNDRmYy05NGRhLTU1YjBjNGVlZWU1Nw.jpg

Interior BC

ESN OPPORTUNITIES

  • Don't have to commit to moving far away to get rural experience

  • Allows you the opportunity to see if you like working in smaller settings

  • Looks good on resume that you had ESN experience in a rural community

  • Chance to work with patients you would not see on a typical medical/surgical floor

Vancouver Coastal

  • Powell River
  • Whistler
  • Pemberton
  • Squamish
  • Sunshine Coast
  • Bella Bella
  • Bella Coola

One thing to note with VCH: ESN's are not allowed to practice skills such as IV push mediations and placing IV catherters

Northern Health

Trauma Centers

  • Prince George
  • Fort St. John
  • Terrace
  • Dawson Creek

Smaller Facilities

  • Quesnel
  • Prince Rupert
  • Chetwynd
  • Mackenzie
  • Tumbler Ridge
  • Smithers

Interior Health

  • Penticton
  • Vernon
  • Oliver
  • Merritt
  • Grand Forks
  • Creston
  • Cranbrook
  • Nelson
  • 100 mile
  • Keremeos
  • Williams Lake