Nurse Practitioner - Acute Pain Services and Pre-Admission Clinic

Job Description

The Nurse Practitioner (NP) role in this service will report to the Director of Perioperative Services in collaboration with the Chief of Anesthesiology to assess and optimize patients scheduled for surgery. The successful candidate will promote clinical excellence, quality patient-centered care and high professional standards. At Milton District Hospital, surgical specialties include orthopedics, general surgery, gynecology, urology, ENT, plastics and obstetrics. The NP role is derived from blending clinical diagnostic and therapeutic knowledge, skills and abilities within a nursing framework that emphasizes holism, health promotion, and partnership with individuals and families, as well as communities. They provide leadership in the development, implementation and evaluation of strategies to promote health and prevent illness or injury, and they work with inter-professional teams, other health-care professional teams and community members. Nurse Practitioners collaborate in the development of policy to influence health services and health public policy, including relevant education for team members.

Key Responsibilities:

• Conducting clinical daily rounds including pain assessment and management of post-surgical patients and non-surgical acute pain consults abiding by the practice standards for a Nurse Practitioner set out by the College of Nurses of Ontario (2016)

• Work within a collaborative practice model with anesthesiologists and other physicians

• Manage the daily workload of the acute pain service in collaboration with the anesthesiologist

• Work with clinical nurse educators to provide orientation and ongoing educational support regarding all aspects of the acute pain service and post-operative pain management to the surgical services clinical staff

• The NP will assist the inter-professional teams in implementing a plan of care that will enable an overall reduction of length of stay on the inpatient unit, as well as engage in strategies to prevent or reduce admission/readmission to Hospital.

• Utilizes a comprehensive theoretical knowledge base and an advanced level of clinical competence to perform and complete history and physicals for preadmission screening and documenting in the medical record, including consultation regarding the risks and benefits of anesthetic techniques in collaboration with Anesthesiologists.

• The NP will order and collect data using appropriate assessment techniques, relevant supporting diagnostic information and may order diagnostic procedures and referrals to other specialists when indicated.

• The NP will be expected to work with the Anesthesiologists to provide a comprehensive and focused health assessment and implement a plan of care; provide health counseling, education and emotional support in preparation for surgery, including discussing potential complications and health promotion.

• The NP will assist the inter-professional teams in implementing a plan of care that will enable an overall reduction of length of stay on the inpatient unit, as well as engage in strategies to prevent or reduce admission/readmission to Hospital.

Additional Responsibilities may include:

Direct Comprehensive Care: Obtains and documents a focused health history, performs a physical examination on patients requiring pain assessment, under the direction of attending anesthesiologist. May be required to assist with pain procedures.

Leadership: Provides leadership in the development, implementation and monitoring and evaluation of quality management programs. Participates and provides leadership in the strategic planning process for the delivery of medical care. Assist with policy development and changes relative to the pain service. Supports educational initiatives directed at nursing and allied health to promote and provide medical care that meets best practice standards.

Education: Contributes to the development, implementation and evaluation of patient education programs. Conducts educational teaching sessions with patients and/or families with a focus on health promotion, disease prevention, and impact of illness experience on the patient and family.

Research: Encourages, supports, and facilitates the development of researchable questions in clinical practice. Participates in quality assurance projects related to pain management.

Consultation: Provides consultation internally and externally for clinical practice issues for review with attending anesthesiologist and as per NP scope of practice.

Qualifications

Halton Healthcare endeavors to hire individuals who exemplify our mission, vision and values of accountability, respect and compassion which guide our individual behaviours and attitudes. Current registration in the Extended Class, Nurse Practitioner with the College of Nurses of Ontario required (with no restrictions).

• Current registration in the Extended Class (Nurse Practitioner) with the College of Nurses of Ontario required (with no restrictions).

• Completion of a Master Degree in Nursing required.

• Recent experience with surgical patients or outpatient clinic preferred.

• Knowledge and clinical expertise in care of the acute post-surgical patients and pain management nursing

• Eligibility for cross-appointment to an academic institution preferred.

• Membership in specialty related organizations e.g. NPAO, RNAO required

• Demonstrated core competencies as described in the Canadian Nurse Practitioner Core Competency Framework

• Excellent interpersonal and communication skills. Demonstrated ability to communicate effectively with patients, families, colleagues, and other health professionals

• Identifies and creates a positive learning environment and creating resources, as needed for patients, families and staff

• Effectively manages sensitive issues with patients, families and the health care team

• Facilitates learning and acts as a mentor for inter-professional team members

• Current BCLS Required. ACLS is preferred

• Innovative, creative and professional role model

• Demonstrated ability to prioritize/organize multiple demands and meet strict deadlines

• Proven problem-solving and critical-thinking skills

• Ability to work in a collaborative inter-professional healthcare environment with all members of the health care team.

• Ability to work independently, with individuals and groups effectively

• Ability to work autonomously under the guidance of an anesthesiologist

• Advocates for and participates in creating an organizational environment that supports safe client care, collaborative practice and professional growth

• Program planning and evaluation methodology skills

• Participates in quality assurance audits of the acute pain service

• Proficient with Microsoft Office applications including Outlook, Word, Excel, PowerPoint and Visio required.

• Ability to meet the physical demands of the position.

• Demonstrated continual learner

• Fluent in English (comprehension, reading, writing, and speaking)

• Knowledge of another language is considered an asset

• Satisfactory employment and attendance record required

Additional Information

Hours: Monday to Friday, days, 0800-1600, 0900-1700, subject to change based on operational demands

Site: Milton (tri-site coverage based on operational demands)

Salary: $65.090- $76.140 per hour

Date Posted: July 30, 2026

Internal application deadline: August 6, 2026

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Halton Healthcare is an equal opportunity employer who is committed to integrating diversity, equity and inclusion throughout our operations, policies and culture. If you are passionate about what you do, motivated by a job well done, and as committed to excellence, quality and patient satisfaction as we are, we'd like to hear from you. Please attach your current resume directly to this posting.

Please note that while this job is posted on Halton Healthcare's career page, it may also appear on third-party job boards. These external platforms may use automated tools, including artificial intelligence, for candidate screening and matching. We do not control or influence these processes. To ensure your application is reviewed by our team, we recommend applying directly through our Halton Healthcare careers site.

We thank all those who apply but only those individuals selected for further consideration will be contacted.

Halton Healthcare is committed to providing accommodations for applicants with disabilities. In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation.

The Ontario Public Hospitals Act mandates that hospitals establish health surveillance programs for all individuals working within the hospital. This regulation requires proof of immunity for certain diseases and as a result, Halton Healthcare requires all new hires to receive pre-employment medical clearance by our Health, Safety & Wellness team, prior to their start date, as a condition of employment. This includes demonstrating compliance with Halton Healthcare’s Immunization Policies.

All new hires must be fully compliant with our Vaccination Policy as a condition of employment with Halton Healthcare. Successful applicants will be required to provide proof of vaccination or proof of a documented medical exemption as part of the hiring process.

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