Delivers primary health care to residents in the Long-Term Care Home in the management of acute and chronic medical conditions, therapeutic management, health promotion and disease / injury prevention in order to deliver comprehensive health services.
Conducts focused health assessment using and adapting assessment tools and techniques based on resident needs.
Completes health history into resident's situation, including physical, psychosocial, emotional, cultural and ethnic dimensions of health.
Performs physical examination and identifies and interprets normal and abnormal findings.
Orders diagnostic investigations, and interprets results using evidence-based clinical reasoning.
Synthesizes health information using critical inquiry and clinical reasoning to formulate a diagnosis, health risks and states of health / illness.
Communicates with residents about the health assessment findings and / or diagnosis, including outcomes and prognosis through the application of knowledge of pathophysiology, psychopathology, epidemiology, infectious diseases, behavioural sciences and family processes when making diagnoses and providing overall therapeutic management.
Selects appropriate interventions from a range of non-pharmacological and pharmacological interventions to restore or maintain resident functional, physiological and mental stability to achieve optimal health.
Promotes safe resident care by mitigating harm and addressing immediate risks for residents and others affected by adverse events and near misses.
Participates with the Medical Director and other senior management staff in the development and implementation of evaluation processes and the identification of strategies to continually improve clinical outcomes and effectively manage risks.
Collaborates with senior management in the Division and other community health services in initiatives for the development, implementation and evaluation of systems to promote continuity of resident care across the continuum.
Ensures Accreditation Canada standards are evident in daily practice.
Ensures resident files and health care records are properly maintained in compliance with applicable legislation and divisional expectations.
Identifies, and collaborates with the Medical Director on, educational programs for the care team.
Key Qualifications :
Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class (Primary Health Care or Adult) and entitled to practise.
Experience as a Nurse Practitioner in long-term care, acute care, rehabilitation, continuing care or primary care.
Experience in long-term care, with providing empathetic / relational care for the elderly and those living in long-term care, and clinical work experience with frail older adults, critical care, and mental health as a Nurse Practitioner.
Certification in Geriatric Nursing from the Canadian Nursing Association or equivalent experience.
Must also have :
Ability to incorporate knowledge of diversity, cultural safety and the determinants of health in the assessment, diagnosis and therapeutic management of residents and the evaluation of outcomes
Ability to exercise independent judgment and to assess situations and problems efficiently and effectively
Leadership skills, working well within an inter-professional team and ability to foster effective working relationships
Ability to provide clinical supervision, education and mentoring for nursing students, medical students, and other learners, including residents / families
Ability to develop and implement evaluation processes and identify strategies to improve clinical outcomes and manage risks
Strong and effective verbal and written communication skills
Ability to use computer software such as MS Office applications, email and web applications
Ability to build and maintain effective relationships and partnerships with a diverse range of stakeholders as well as work effectively within multidisciplinary teams
Ability to support the Toronto Public Service Values to ensure a culture that champions equity, diversity and respectful workplaces
Ability to work shifts, evenings, weekends and holidays, as required
Knowledge of relevant legislation and statutes, including, but not limited to, the Occupational Health and Safety Act and the Fixing Long-Term Care Act
Good verbal and written communication skills with strong attention to detail
Ability and willingness to provide a service that enhances the dignity and reflects the diversity of residents