Registered Nurse Home Dialysis Program - Peritoneal Dialysis

Position Profile

Humber River Health. Lighting New Ways In Healthcare.

Since opening our doors in 2015 as North America’s first fully digital hospital, we remain unwavering in our belief that we can change the hospital where we work, the community where we live, and the world of healthcare beyond our borders. Serving a community of 850,000 residents in North West Toronto, Equity Inclusivity and active participation in the North West Toronto Ontario Health Team are key initiatives important to our Team. At Humber River Health, we use a custom combination of technology and clinical expertise to rebuild elements of care. We make technology work for staff and physicians; giving them more time to spend with patients, to eliminate inefficiencies, and to reduce the chance of errors. Humber River Health is formally affiliated with both the University of Toronto and Queen’s University and committed to becoming a community academic hospital. Clinical Excellence, Optimizing Care through Technology and Community Connection frame our Research Strategy.

At Humber River Health, we’re not hoping for a renaissance, we are making it happen. As part of our dynamic team, you can lead the way, as we continue our journey towards high reliability care!

Currently we have an exciting opportunity for a Registered Nurse to work in our Home Hemodialysis Unit, Nephrology Program. The Registered Nurse is responsible for addressing the needs of a unique patient population.

Using a Case Managed approach, the Registered Nurse coordinates clinical activities, acts as a clinical resource/role model for other staff members, and works directly with patients and members of the team to ensure timely and appropriate treatment and necessary follow up. The Nurse will autonomously assess and educate patients/family members/PSWs on home therapies ensuring that they have the necessary knowledge and skills to perform dialysis independently within their home. The nurse will also participate in a rotational on-call support for the program. This individual will closely liaise with the multidisciplinary team.

The Nurse working in the Home Hemodialysis Program will take a comprehensive approach to providing care for patients who are chronic kidney disease wishing to dialyze independently or with assistance at home. The role will include assessment of patients being referred, visiting and assessing the home environment, training and ongoing primary case management.

As an integral team member of the Nephrology Program, there is an opportunity to participate within the Program by utilizing a chronic disease prevention and management (CDPM) and self-care philosophy, as the Program continues to achieve the deliverables under the Ontario Renal Network (ORN) strategic plan. This includes championing initiatives such as Person Centered Decision Making (PCD), Access to Kidney Transplantation (AKT) and other relevant and patient centered priorities.

Employment Status: Permanent Full-time

Reporting Relationship: Manager, Home Dialysis and Transitional Care Unit, Nephrology Program

Hourly Rate: $41.15-$58.98

Union Group: ONA

Hours of work: Days, Monday to Friday day

Location: Church Site with travel required

Responsibilities:

• Performing all aspects of patient care including care paths, patient education, home and community visits, annual patient recertification, transplant workup, and monitoring quality indicators to ensure treatment adequacy and patient safety is maintained for all primary patients and as assigned
• Demonstrating a commitment to ongoing professional development within an evolving field
• Providing assessment, education, training and decision support for patients/family as it relates to independent dialysis
• Coordinating/facilitating patient appointments including clinic visits in collaboration with clerical team members
• Engaging the interdisciplinary team in a collaborative approach to professional practice issues and acts in the role of Liaison between all members who participate in the care of the patient and their family
• Applying relevant research to clinical practice using critical thinking and decision making; utilizing research/evidence based information to recommend nursing interventions
• Participating in and supporting CQI initiatives
• Providing a framework /smooth transition for patients who are involved in transitioning to home-based therapies
• Candidates will be required to visit the patients in their homes as part of the training and support
• Meeting “on call” requirements both weekdays and weekends
• Required to work shifts as scheduled
• Participating in Nephrology Program projects as assigned
• Participating in rotational Home Support Nurse assignment
• Communicating and collaborating with home dialysis vendor
• Collecting, documenting, and reporting clinical and non-clinical data into Meditech for the purpose of ORRS submission.

Requirements:

• Registered and in good standing with the College of Nurses of Ontario
• BLS Provider certified required
• CNeph Certification preferred. Required to complete CNeph certification or equivalent within 28 months from the hiring date.
• Baccalaureate degree preferred
• Minimum of 2 years recent nephrology experience with at least 18 months in hemodialysis required
• Previous experience in pre-dialysis, transplantation, or home hemodialysis is an advantage
• Experience with ORN data collection preferred
• Proficiency in using Microsoft office (Word, Outlook, Power Point and Excel) and Meditech
• Demonstrated strong ability to assess a patient’s readiness to learn and apply the principles of adult learning while teaching patients and families
• Demonstrated leadership skills in workload planning
• Experience in developing/implementing patient care algorithms and patient education tools
• Demonstrated excellent patient assessment skills
• Demonstrates competency in chosen profession; consistently demonstrates knowledge and expertise in professional practice and hospital-based standards
• Engages in continues learning and reflective practice
• Demonstrates being patient and consumer focused; makes a commitment to meet or exceed the needs of all internal and external customers
• Excellent communication and interpersonal skills required
• Demonstrated excellent organizational and planning skills
• Ability to be flexible and effectively work in busy environment with changing priorities and deadlines
• Demonstrated initiative and engagement in quality improvement
• Demonstrated ability to be self-directed and work independently
• Demonstrates fiscal responsibility
• Must be able to complete the physical duties of the position, the “Registered Nurse” role description, and the task and duties listed in the “Home Dialysis” standard of care
• Demonstrated understanding of and commitment to Humber’s comprehensive safety programs and practices, including staff patient, and environmental safety, and participation in regular in-service education in this area; and
• Valid driver’s license required and access to a personal vehicles for on call and home visits
• Excellent attendance and discipline free record required

Why choose Humber River Health?

At Humber River Health, our staff, physicians, and volunteers are lighting new ways in healthcare. We are proud to be recognized as a part of Greater Toronto’s Top Employers by Mediacorp Canada Inc. We support employees by providing evidence-based leadership and cultivating a culture that consistently wows with our unwavering commitment to Staff, Physician and Volunteer engagement. We are a member of the Toronto Academic Health Science Network (TAHSN) and are deeply involved in research and academic collaboration. We are dedicated to high-quality patient care and demonstrate our values of compassion, professionalism, and respect.

Humber River Health is committed to creating an inclusive, equitable and accessible workplace that reflects the diversity of our communities. Guided by our strategic direction to embed equity, diversity and inclusion in everything we do – and to address systemic barriers – we foster a culture where everyone feels respected, valued and empowered to contribute.

We welcome applications from individuals of all equity‑deserving groups, including Indigenous peoples, racialized communities, persons living with disabilities, women, 2SLGBTQ+ individuals and seniors. We recognize that diverse identities and perspectives strengthen our ability to deliver safe, innovative and compassionate care.

As an equal opportunity employer, Humber River Health complies with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act. We do not discriminate on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity or expression, age, marital status, family status, disability, or any other protected ground.

Accommodations are available throughout the recruitment process and employment. Please contact our recruitment team to discuss your needs confidentially.

This position is being posted in response to an existing vacancy at Humber River Health.

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