Are you an experienced registered nurse (BScN or diploma) looking for a different kind of practice environment, and comfortable practising both independently and as part of a team? This could be what you’ve been looking for.
As an integral part of our Rapid Response Nursing (RRN) team, you will work with medically complex children, and frail adults and seniors with complex needs and/or high-risk characteristics such as congestive heart failure, to ensure a smooth transition from acute care to home care. You will achieve this in two ways: by connecting with primary care and by providing hands-on rapid response home care.
In fact, you’ll make the first in-home nursing visit to high-needs patients within 24 hours of their discharge from hospital, during which you’ll confirm the hospital discharge care plan, emphasize the importance of primary care to avoid re-hospitalization, and reconcile medications. You will also provide support to patients for up to 30 days post-discharge.
What will you do?
- Review the discharge care plan and confirm outstanding medical tests have been scheduled and transportation etc. is available
- Either directly or in partnership with a pharmacist, ensure new prescriptions are filled and conduct a medication reconciliation to confirm no drug interactions or contraindications exist
- Review medication protocol with client and/or caregiver; answering any questions
- Contact the primary care physician and provide an update on the recent hospitalization and post-discharge regime
- Recommend and facilitate, as appropriate, a one-week client follow-up visit with the primary care physician
- Identify clients requiring an accelerated LHIN in home assessment and home care services; working with the Care Coordinator to facilitate the home assessment visit
- Inform and support 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
- Answer any questions or concerns of the client and/or caregiver; providing LHIN phone number for support
- Act as a spokesperson as required; interpreting the role of the LHIN to clients, health care professionals and to the public
- Ensure positive public relations and effective co-ordination of services through ongoing liaison and participation on internal and external committees
- Participate in establishing, maintaining, and monitoring standards of care for the client, including committee work and active participation and contribution to quality initiatives
- Other duties as assigned.
What must you have?
- Membership, in good standing, with the College of Nurses of Ontario
- BScN or diploma in Nursing
- 5+ years of relevant experience as a Registered Nurse
- Working knowledge of community resources and roles of health care professionals
- Knowledge of direct care/case management models used in community health care organizations
- Solid knowledge of health care-related legislation and practices
- Ability to provide best practice care in management of skills, including wounds, drains, catheters, chest tubes, injections, IV medication administration and line maintenance
- Working knowledge of the nursing process, the consultation process, program planning and crisis management
- Advanced assessment and diagnostic reasoning skills
- Effective interpersonal, organizational and planning skills
- Ability to communicate effectively with patients, their families and other individuals involved in the circle of care, to follow through with care plan directives
- Demonstrated awareness of cultural diversity and ability to handle confidential issues discreetly and sensitively
- A valid driver’s licence and access to a reliable vehicle
- Ability to use a computer in a Windows environment
What would give you the edge?
- Case Management Certificate
- Emergency/critical care, community nursing, medicine/surgical and rehab experience
- Ability to speak French or another second language
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.
Through a dedicated team of 400+ employees, the Waterloo Wellington LHIN provides care to almost 39,000 patients each year, including more than 5,800 children. Our work ranges from providing information and referral services, to supporting transitions between hospital, adult day programs, long-term care, and respite or convalescent care.
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.