CLASSIFICATION: Nurse Practitioner - Community Palliative
CATEGORY: Regular Full-time
UNION: CUPE Local 966
DEPARTMENT: Home and Community Care
RESPONSIBLE TO: Director, Home and Community Care
HOURS OF WORK: Days, evenings and weekends
As an integral member of the palliative care team, the Nurse Practitioner – Community Palliative (NP) will provide direct care to complex palliative clients (shared care) and contribute to the development of the care plan for chronic but stable palliative clients (coordinated care). The NP will provide care connections across the health care sectors for all clients requiring palliative care in the community. Working collaboratively across the health care system, including home care, primary care, specialized palliative care, acute care and community services, the NP will provide expert clinical palliative leadership to support seamless, integrated care delivery. The NP will have the opportunity to engage in all domains of advanced practice nursing, including mentoring and professional development through coaching for case managers, service providers, nursing and physician colleagues, and participating in educational initiatives to advance evidence-based practice in palliative care. This position will perform shared responsibilities on a rotational basis to include but not limited to: program development, attendance at palliative care rounds and committee involvement.
The NP will engage in health promotion, treatment and management of health conditions. In addition, the NP will perform other duties as assigned within their legislated scope of practice including but not limited to diagnosing, ordering and interpreting diagnostic test, prescribing pharmaceuticals.
POSITION RESPONSIBILITIES include:
Expert Clinical Practice
- As part of a team of NPs and palliative advanced practice nurses, ensure urgent response capacity to provide expert clinical care to complex palliative clients and expert clinical advice to primary care physicians, community nurses on the management of pain and symptoms, psychosocial support and therapeutic interventions (The urgent response may require the capacity to respond to client issues beyond regular working hours)
- Complete home visits to complex palliative clients and their families for the purpose of conducting comprehensive clinical assessments and contribute to the development of comprehensive shared care plans in consultation with LHIN care coordinators, service providers, primary care physicians and others.
- Act as a resource to the case manager in terms of clinical expertise in the development of palliative care plans for complex clients (shared care plans) and chronic clients (coordinated care plans) which appropriately balances clinical, system and family needs.
- Provide clinical advice and support for chronic palliative clients for their families as the clients interact with home and community care, primary care, acute care, and specialist care.
- Perform other duties as assigned within the NP legislated scope of practice including but not limited to diagnosing, ordering and interpreting diagnostic tests, and prescribing pharmaceuticals.
- Participate in regular business meetings with the CW LHIN to assist in program development and ongoing monitoring and evaluation.
- Educate and recommend courses of action in consultation with primary care providers and the care team to influence the plan of care for the client and family.
- Evaluate the effectiveness of the care provided to the client and family and make recommendations to ensure high quality care.
- Participate in systems planning and system integration with the overall goal of ensuring a comprehensive and quality system of care for clients and their families.
- Identify, assess and meet the educational needs of clients, their families and other informal caregivers.
- Participate in the identification of the educational needs of the interdisciplinary care team and facilitate or participate in the provision of education to meet those needs.
- Provide mentorship and role modeling in critical thinking, problem solving, ethical decision making and the use of evidence to inform service planning and system design.
- Other duties as assigned.
- Current registration with the College of Nurses of Ontario in the Extended Class
- Nurse Practitioner Program with BScN (Masters level degree in Nursing)
- Continuing education in palliative care
- Minimum of two (2) years of experience preferably in a community setting and in Palliative Care Nursing.
- Demonstrated experience with proven team building abilities and experience in advancing the clinical practice of multiple health disciplines.
- Demonstrated advanced knowledge in consultation and ethical decision making.
- Demonstrated use of theory and evidence to advance clinical practice and outcomes.
- Effective interpersonal and communication skills
- Effective organizational and planning skills
- Proficiency with computerized information systems
- French language is an asset
- Must have a valid driver’s license and access to a vehicle
- Demonstrates commitment to the LHIN’s mission and values.
- 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.
Who we are
Local Health Integration Networks (LHINs) play a key role in Ontario’s health care system. Working in partnership with patients, families, providers and community organizations, LHINs ensure people have access to the health care they need — at home and in the community.
A mosaic of geographic and cultural diversity, and home to 922,000+ residents, the Central West LHIN plans, integrates, funds and monitors the local health care system for the regions of Brampton, Caledon, Dufferin, Malton, North Etobicoke and West Woodbridge. Our focus is on creating a better experience for paitients and those who care for them.
All applications will be reviewed; however, only those selected for an interview will be contacted.
We are committed to a culture that values diversity and inclusion.
We welcome and encourage applications from people with disabilities, and are committed to providing accommodation as part of our hiring process. If you have special requirements, please advise Human Resources during the recruitment process.
We are governed by the requirements of the French Language Services Act and, therefore, encourage applications from bilingual candidates.