One (1) full time contract (1 year) Rapid Response Nurse position is currently available in the Rapid Response Team at the Toronto Central Local Health Integration Network.
As an integral part of this interdisciplinary team, the Rapid Response Nurse will ensure effective transitions from acute to home care for two target populations: medically complex children and frail adults and seniors with complex needs and/or high risk characteristics e.g. congestive heart failure. To ensure communication and linkage with primary care; and provide timely and effective rapid response home care. The Rapid Response Nurse provides the first in-home nursing visit within 24 hours from hospital discharge for high needs seniors and children. During this visit, the nurse will confirm the patient hospital discharge care plan, communicate the importance of primary care to avoid re-hospitalization, and perform medication reconciliation for the client.
- Reviewing the discharge care plan and confirming outstanding medical tests have been scheduled and transportation etc. is available.
- Either directly or in partnership with a pharmacist, ensures new prescriptions are filled and conducts a medication reconciliation to confirm no drug interactions or contradictions. Review medication protocol with client and caregiver and answer any questions.
- Either directly or through the LHIN Care Coordinator, initiates contact with primary care physician and provides update on client acute care event and post-discharge regime. Recommends and facilitates, as appropriate, a one-week client follow-up visit with the primary care physician.
- Assessment, consultation, and treatment, as indicated; triage client priorities between new referrals and existing caseloads.
- Identifies clients requiring an accelerated assessment and home care services and works with the Care Coordinator to facilitate the home assessment visit.
- Works collaboratively with team members to provide timely triage of referred clients from the ED and in-patient units using standardized tools and processes
- Informs and supports the Care Coordinator in developing the client’s care plan and ensuring a smooth transfer of the primary care physician and pharmacist to the ongoing care team.
- Registered Nurse in good standing with the College of Nurses of Ontario
- Minimum of five 3-5 years of relevant experience as a Registered Nurse
- Working knowledge of community resources and roles of health care professionals
- Working knowledge of the nursing process, the consultation process, program planning and crisis management.
- Emergency/critical care and community nursing experience an asset
- Case Management Certificate is an asset
- Completion of Critical Care Course in area of specialty an asset
- CNA certification in an area of specialty: GNC (C) or CNCCP (C) an asset
- Solid knowledge of health care related legislation and practices
- Knowledge of direct care/case management models used in community health care organizations.
- Knowledge of LHIN priorities, policies, practices and service standards
- Effective interpersonal and communication skills
- Effective organizational and planning skills
- Basic proficiency with computerized information systems
- French language is an asset
- Must have a valid driver’s license and access to a vehicle.
- Able to communicate with clients’, their families, and other relevant individuals in order to follow through with care plan directives
- Demonstrated awareness of cultural diversity, as well as ability to behave discreetly and sensitively to confidential issues.
We offer competitive salaries and a comprehensive benefits package including the Healthcare of Ontario Pension Plan (HOOPP).
Most LHINs of Ontario are governed by the requirements of the French Language Services Act. We provide services in French and encourage applications from French-speaking candidates.
Toronto Central LHIN is committed to accommodating people with disabilities as part of our hiring process. If you have special requirements, please advise Human Resources during the recruitment process.