Job Description

POSITION SUMMARY:
St. Joseph's Healthcare renal program is seeking a highly dedicated and skilled Nurse practitioner (NP) to join our multi-disciplinary renal care team. Our team of renal NPs collaborate with physicians, other members of the allied health team, patients and families to provide evidence-informed care that is grounded in professional, ethical and legal standards. This role is ideal for an NP who thrives in a fast-paced clinical environment, values collaborative practice and is passionate about improving the quality of life for people living with chronic kidney disease.
The NP integrates his/her in-depth knowledge of advanced nursing practice and theory, health management, health promotion, disease/injury prevention and other relevant biomedical and psychosocial theories to provide comprehensive and patient/family centered care. NP practice is characterized by the simultaneous integration and blending of competencies at a level of complexity that reflects the NP's highly developed critical thinking skills, clinical nursing experience, and advanced education.
QUALIFICATIONS:

• Current registration in good standing as a Nurse Practitioner (Primary Health Care or Adult) with the College of Nurses of Ontario
• Master's degree in nursing or completion of NP-PHC program (Baccalaureate level ) prior to 2000 from an accredited university program
• Minimum 2 years of experience in nephrology, dialysis, renal transplant, or acute care preferred
• Strong clinical assessment and critical?thinking skills
• Demonstrated ability to work collaboratively in an interdisciplinary environment
• Excellent communication, patient?teaching, and leadership abilities
• Canadian Nurses Association Certification in Nephrology preferred
• Additional expertise of wound care best practice and implementation of advanced Wound Care prevention and management strategies preferred
• Appointment or eligible for appointment with a School of Nursing in an academic institution
• Mandatory Liability Insurance that meets CNO requirements for NPs -Regulated health professional registered with the College of Nurses of Ontario registration in the RN

(EC) class with no restrictions on registration or professional practice hearings pending * Current BCLS/HCP certification required

• Successful completion of a CNO-approved course to legally enable prescribing of controlled substances required
• Demonstrated leadership, self-directed, decision-making and problem-solving skills
• Demonstrated knowledge of legislative and ethical responsibilities relating to scope of practice and healthcare
• Demonstrated effective conflict management/ resolution skills

KEY RESPONSIBILITIES:

• The Renal Support NP is assigned to an area in the renal program as needed, for longer term vacancies. This may include hemodialysis, renal transplant or inpatient nephrology. Orientation is provided accordingly.
• Provide comprehensive assessment, diagnosis, and management for patients receiving hemodialysis
• Develop, implement, and evaluate individualized care plans in collaboration with nephrologists and the allied health care team
• Monitor and manage acute and chronic complications related to dialysis treatment
• Order and interpret diagnostic tests within the NP scope of practice
• Prescribe medications and adjust treatment therapies as appropriate
• Support patient education, vascular access care, medications, and lifestyle management
• Participate in quality improvement initiatives and evidence?based practice development
• Serve as a clinical resource for nursing staff and allied health professionals
• Contribute to care coordination across inpatient, outpatient, and community settings
• Practices in accordance with federal and provincial/territorial legislation, CNO standards of practice and guidelines, and SJHH's policies
• Incorporates knowledge of diversity, cultural safety and determinants of health in the assessment, diagnosis and therapeutic management of patients/families/clients and in the evaluation of outcomes
• Treats and manages illness within a holistic and client/family-centred model of care
• Anticipates and diagnoses emergent, urgent and life-threatening situations within the NP legislated scope of practice
• Consults with and/or refers clients to other healthcare providers at any point in the care continuum when the client's condition is not within the nurse practitioner scope of practice or the individual nurse practitioner's competence
• Engages in evidence-informed practice by critically appraising and applying relevant research, best practice guidelines and theory when providing health-care services
• Identifies patient and family knowledge gaps and leads educational initiatives designed to address these gaps
• For dialysis related coverage, assignment will be primarily one dialysis unit, but incumbent must have the ability to travel and work at all SJHH dialysis units

HOURS OF WORK:
Monday to Friday, primarily days with some evening responsibilities; excluding holidays
Regular and extended tours
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Skills Required