Under the guidance of the Clinical Nurse Manager, the nurse works within a clinical multidisciplinary team that follows a person-centered model of care for individuals with complex developmental, physical and emotional care needs. The Nurse works alongside the Support Services Worker, Support Service Specialists and other frontline workers to support fulfilling the lives of the supported individuals.
Duties and responsibilities
Performs the nursing process for the supported individuals, their families and the community, in a manner that ensures supported individuals' dignity, respect and confidentiality:
Assessment
Provides initial and ongoing assessment and interpretation of supported individual within the framework of holistic professional nursing practice, and in accordance with the principles of person-centered care.
Assesses and interprets information and data regarding the supported individuals' culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes.
Identifies and communicates individual needs to the interdisciplinary care team and other providers of care as required.
Provides ongoing monitoring of individuals response to intervention; identifies deviations from expected outcomes and assesses change in supported individuals' status.
Assess the educational needs of their coworkers.
Planning
Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient or client and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum.
Prioritize nursing interventions to achieve patient or client outcomes and goals.
Develops and coordinates a comprehensive education plan to meet the supported individuals and their families' needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum.
Plan training plan and educational sessions for their coworkers based on the need.
Intervention
Establishes and maintains a therapeutic relationship with supported individuals and families.
Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence.
Implements prescribed interventions and performs independent nursing interventions.
Ensures the implementation, coordination and ongoing evaluation of the supported individual's care plan.
Consults with the interdisciplinary team and other care providers (including Behaviour Therapist, Doctor's, Dentists etc.) to discuss changes related to individual's status, and modifies interventions as needed.
Interprets and provides medical information including diagnosis and treatment plans to support individuals and their family and responds to their questions and concerns.
Provides information and instruction to assist supported individuals and families to understand health care practices and processes.
Utilizes educational material, appropriate to the capacity of the supported individual, to assist the individuals understanding of their health care, health promotion, and/or health maintenance, and the enhancement of their individual well-being.
Care is provided alongside Behavioural Support Workers to ensure a consistent and coordinated approach.
Responsible for implementing instructions as directed by specialists and consultants, including medical professionals and behavioural therapists.
+ Updates supported individuals' charts/forms, monitors vital signs, performs venipuncture, administers feeding and personal care plans, and all necessary Hopewell documentation etc;
+ Checks medication profile and dispenses medications to assigned residents and documents medications on the profile as given.
+ Monitors supported individuals' behaviour, reaction to treatment and responses, reporting any unusual incidents or concerns to the Clinical Nurse Manager.
+ Perform health acts with appropriate training, as assigned by nursing staff including but not limited to medication administration, working with G-Tubes, trach tubes, wound care, etc; Demonstrates competence (knowledge/skills/attitude) in the use of non-violent physical crisis interventions, trauma-informed care and other best practices available to promote healing and recovery.
Maintain awareness of advances in client services, government regulations:
+ Possess and demonstrate knowledge of First Aid, CPR, CPI, WHMIS, Occupational Health and Safety Act, fire prevention and safety procedures and other areas as deemed necessary by the Hopewell.
+ Ensure that Health and Safety, Serious Incidents/Occurrences and Behaviour Support Plans are understood, followed and reported.
+ Provide hands-on training for medication administration, personal care, etc. to other team members as required. Immediately advise the Clinical Nurse Manager and/or management team of issues, problems, concerns regarding client care issues, staff, buildings, equipment and vehicles.
Attend to inventory needs whether it is pharmacy supplies or medical equipment supplies.
Provide training within and outside of Hopewell to facilitate educational seminars and training sessions as assigned.
Attending medical/specialist's appointments alongside supported individuals when required.
Coordinate with any medical entity when in need of appointments and inform the team.
Use critical thinking to determine any emergency and act proactively to prevent similar situations.
Call 911 in case of emergency and facilitate any transfer needs.
Evaluation
Utilizes data obtained from the patient or client and their family and other health care providers to evaluate the plan of care including the patient or client's responses to interventions and achievement of expected outcomes.
Supervises and evaluates care provided by direct care assistive and support staff.
Uses data and evidence based on best practice to evaluate nursing activities and interventions.
Documents complete accurate and relevant data for every patient or client according to Capital Health policies.
Evaluate if educational goals are met post-training sessions
Advocacy
Provides a supportive environment for communications and decision making by patients or clients and their families.
Advocates for and supports the principles of patient and family centered care, and the patient or client's rights and well being.
Assists patient or client and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system.
Recognizes trends in health care needs within patient or client groups served and involves the patient or client in planning mutually expected outcomes where possible and appropriate.
Demonstrates knowledge and understanding of legislation dealing with patient or clients' rights and responsibilities in health care.
Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals.
Professional Development and Accountability
Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times.
Demonstrates professionalism in attitude, dress and behavior.
Contributes to positive team functioning and supporting one another.
Develops cultural competence in order to provide culturally competent care.
Actively participates in developing and evaluating professional goals and performance at regular intervals
Role models the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and manager.
Accountable for reporting professional practice issues according to the CNO legislation and standards of practice to the appropriate person, agency or professional body.
Professional Leadership, Education and Research
Supports the mission, vision and values of Hopewell support services
Participates in the development and revision of standards of care, policies and procedures.
Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety.
Promotes a safe work environment by identifying and resolving potential risk issues.
Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs.
Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change.
Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures.
Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students to the service by sharing his or her nursing knowledge and contributing to a supportive learning environment.
Participates in developing and utilizing research-based strategies to improve the outcomes of practice
Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs.
Accepts administrative responsibilities as assigned and accepts responsibility for resource management within all areas of responsibility.
Accountability
Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times.
Develops cultural competence in order to provide culturally competent care.
Actively participates in developing and evaluating professional goals and performance at regular intervals (e.g. performance management process);
Role models the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, supported individuals and family/guardians and managers.
Maintain your registration and remain in good standing with the College of Nurses of Ontario.
Maintain knowledge of current best practices in the field of nursing, including accessing educational opportunities.
Accountable for reporting professional practice issues according to legislation and standards of practice to the appropriate person, agency or professional body.
Core Competencies
At Hopewell, we recognize that core organization specific employee behaviours are fundamental to the success of our organization. Through actions, all employees support the Mission, Vision, Values, and Principles, of Hopewell. Thus, the following responsibilities are core to all jobs at Hopewell, including this one. All employees in all jobs are expected to:
Be reliable, this includes:
Being prepared to start your shift as scheduled.
Completing required tasks at appropriate times (during shift).
Following through on the directions given by the Manager.
Adhere to the guidelines and regulations established in the workplace, this includes:
Adhering to Hopewell's Policy and Procedures (e.g. Health and Safety Guidelines, Confidentiality etc.).
Recognize, identify and report problems, contentious issues and serious incidents, including recommending solutions to the manager where appropriate.
Always behaving in professional, legally and ethically compliant manner.
Demonstrating a strong commitment to continuously improving the Quality of Life of individuals so that they may live with dignity and respect.
Complete documentation and training, this includes:
Completing necessary paperwork on shift, with high levels of data accuracy and attention to detail.
Participating in ongoing training and development and ensuring all mandatory training requirements are met and maintained.
Maintain healthy internal relationships, this includes:
Recognizing and responding to vocalized and implied needs of residents in a timely, nurturing and professional manner, as well as working well with workplace peers/colleagues.
Maintaining a positive attitude about the workplace is critical to maintain a pleasant relationship with residents and peers.
Directly reporting potential/actual areas of concern about residents/peers to their team leader or manager.
Special circumstances
Work flexible hours within a variety of settings as required by the changing needs of the program and the people we support.
When required, must be able to undertake lifting of people following guidelines for proper back care, lifting and transferring as required by the program.
Diploma in Practical Nursing or Bachelor of Science, Nursing.
Be in good standing with the College of Nurses of Ontario.
Must have a valid Full G class driver's license.
This job description should not be construed to imply that these requirements are the exclusive standards of the position. Incumbents may be required to follow any other instructions and to perform any other related duties that may be required by the agency.
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Experience
Preferred1 year(s): Social and Community Services, Developmental Sector Experience
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Education
PreferredCollege Certificate (1 year or less) or better
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Licenses & Certifications
RequiredValid Driver's License
Driver's Abstract
Vulnerable Sector Screen
NVCI Certification
* First Aid & CPR Cert
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