CLASSIFICATION: Nurse Practitioner - Community Geriatrics
CATEGORY: Regular Part-time (0.8 FTE)
UNION: CUPE Local 966
DEPARTMENT: Home and Community Care
RESPONSIBLE TO: BSO Director, Home and Community Care
HOURS OF WORK: Days, evenings and weekends
As an integral member of the Behaviour Supports Network, the Nurse Practitioner (NP) – Behaviour Support Community Resource (BSCR) NP, will provide direct care to complex behavioural patients (shared care) and contribute to the development of a behavioural care plan.
The BSCRNP will function in a specialty role providing behavioural support expertise to older adults presenting with, or at risk for, responsive behaviours/ personal expressions that may be associated with (BPSD) Behavioural and Psychological Symptoms of Dementia, Dementia, complex mental health, substance use and/or other neurological conditions.
The BSCRNP will provide direct care to patients and clinical oversight to the regional Behaviour Support Community Resource (BSCR) Nurses. The BSCR-NP will facilitate care connections with providers across the health care sectors for older patients requiring behavioural supports in the community. Working collaboratively across the health care system, including home care, primary care physicians, specialized geriatric services, acute care and community services, the BSCR-NP will provide expert clinical behavioural leadership to support seamless, integrated care delivery. The BSCR-NP will have the opportunity to engage in all domains of advanced practice nursing, including mentoring and professional development through coaching for care coordinators, service providers, nursing and physician colleagues, and participating in educational initiatives to advance evidence-based practice in behavioural care. This position will support program development, attendance/ educational presentation at Behavioural Support Network Meetings, care conferencing and committee involvement.
The BSCR-NP will engage in health promotion, treatment and management of health conditions. In addition, the BSCR-NP will perform other duties as assigned within their legislated scope of practice including, but not limited to, diagnosing, ordering and interpreting diagnostic tests and prescribing pharmaceuticals.
The position is a Regular Part-time role working four days per week (equivalent to 0.8 FTE). Based on operational needs the successful candidate may at times be required to work full-time hours (5 days per week).
POSITION RESPONSIBILITIES include:
Expert Clinical Practice
- As part of a Community of Practice the BSCR-NP and BSCR Nurses, ensure timely and appropriate response with capacity to provide expert clinical care to complex behavioural patients and expert clinical advice to primary care physicians, community nurses on the management of pain and neurobehavioural symptoms, psychosocial support and therapeutic interventions (The urgent response may require the capacity to respond to patient issues beyond regular working hours).
- Complete home visits with complex behavioural patients and their families for the purpose of conducting comprehensive clinical assessments and contribute to the development of comprehensive shared behavioural care plans in consultation with LHIN care coordinators, service providers, primary care physicians, pharmacists and specialists i.e. geriatricians and psychiatry
- Act as a resource to care coordinators in terms of clinical expertise in the development of person-centred behavioural care plans for complex patients (shared care plans) and chronic behavioural patients (coordinated care plans) which appropriately balances clinical, system and family needs.
- Provide clinical advice and support for families living with a person exhibiting responsive behaviours/ personal expressions due to a dementia or neurobehavioural symptoms; 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 Central West LHIN to assist in program development and ongoing monitoring and evaluation.
- Educate and recommend courses of action in consultation with the BSO Network, primary care providers and the care team to influence the plan of care for the patient and family.
- Evaluate the effectiveness of the care provided to the patient 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 older adult patients and their families.
- Identify, assess and meet the educational needs of patients, their families and other informal care partners.
- Participate in the identification of the educational needs of the multi-disciplinary 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 behavioral management.
- Minimum of two (2) years of experience preferably in a community setting and in Geriatric 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 patients, 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 patients 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.