Health Careers For SOUTH EAST

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South East Local Health Integration Network

If you’re a qualified Nurse Practitioner with front-line palliative care experience, bring your skills and expertise to the role of Hospice Palliative Care Nurse Practitioner as part of the South East LHIN team.

The Hospice Palliative Care Nurse Practitioner (HPC NP) will contribute to excellence in the delivery of care for people of all ages and their families requiring hospice palliative care in the South East LHIN. The HPC NP will collaborate with inter-professional care teams across the health care continuum including (but not limited to) home care, primary care, specialized hospice palliative care, acute care and community supportive care organizations/agencies.

The HPC NP may provide direct care for individuals with hospice palliative care needs when this service would not otherwise be available. Strong collaborative relationships will be built with providers of palliative care in the South East LHIN. The HPC NP will collaborate with these partners to promote integration of inter-professional care across the continuum of health care services, and to advance hospice palliative care support.


Position:  Nurse Practitioner (NP)

Description:  

More specifically, as a Hospice Palliative Care Nurse Practitioner, you will:
  • Ensure rapid response capacity to provide expert clinical care to complex palliative care patients which will include the management of pain and other symptoms, provision of psychosocial support and therapeutic interventions. A rapid response may require the ability and capacity to respond to urgent patient issues beyond regular working hours.
  • Provide expert clinical advice to primary care physicians and community nurses.
  • Provide “home” visits to this specific population of patients and their families, for the purpose of conducting comprehensive clinical assessments, contributing to the development of comprehensive shared care plans, taking into consideration any psychosocial, cultural or ethnic factors that may impact on patient care needs.
  • Contribute to shared care planning which involves communication, collaboration and consultation with the identified LHIN care coordinator, frontline service providers, primary care providers and other physicians involved in the patient’s care, as necessary.
  • Understand and utilize 1)standard palliative care assessment tools, such as ESAS, PPS, MMSE, MOCHA; 2) disease specific classification systems, such as NYHA classification (HF), MRCdyspnea score (COPD, ILD) and dementia functionality scales (FAST [Functional Assessment Staging Tool]).
  • Be knowledgeable about the implementation of the Symptom Response Kits (SRKs) in patient “homes”.
  • Coordinate an interdisciplinary plan of care and facilitate efficient navigation of the patient through the healthcare system.
  • Facilitate ethical decision making consistent with the patient/family goals of care and communicate the plan of care to patients/families and members of the healthcare team.
  • Act as a resource to the care coordinator in terms of clinical expertise in the development of palliative care plans for complex patients (shared care plans) and chronic care patients (coordinated care plans), which appropriately balances clinical, family and system needs.
  • Assess, monitor, evaluate and document the patient’s response to recommended therapies, interventions and decisions and determine whether care plans need to be modified to ensure achievement of best possible outcomes.
  • Develop a shared care partnership with primary care (if mutually agreeable) and support primary care providers in caring for palliative care patients on their roster, in a model that is mutually beneficial for patients and the involved health care providers.
  • Coordinate access to specialized/expert palliative care, and when necessary and appropriate to acute care services, including providing advice and support to ensure safe and seamless transitions between care settings.
  • Become integral members of designated Health Links within their geographical area and participate in patient-related rounds/ discussions, and participate in an “on-call roster” with family physicians.
  • Work in collaboration with Palliative Pain & Symptom Management Consultants to mentor, educate and coach other primary care providers.
  • Provide leadership in quality improvement initiatives and program planning for this specified population of patients.
  • Identify opportunities to develop medical directives, participate in their development, implementation and evaluation and directly implement aspects of care based on medical directives.
  • Educate and recommend interventions in consultation with primary care providers and the care team, to influence the plan of care for the patient and family.
  • Participate in South East LHIN/Regional Palliative Care business meetings as requested, to assist in program development and ongoing monitoring and evaluation of services.
  • Participate in systems planning and integration with the overarching goal of ensuring a comprehensive and quality system of care for patients and their families that is available on a 24/7 basis.
  • Perform shared responsibilities on a rotational basis, as requested by South East LHIN, related to committee involvement or palliative care initiatives.
  • Participate and provide leadership on intra-and inter-disciplinary committees related to development of policies, protocols, procedures, guidelines, standards, clinical pathways, education and research.
  • Provide consultation to nursing service agencies, managers, community practicing physicians and other team members regarding clinical and professional practice issues.
  • Ensure policies, protocols, procedures, standards, and pathways are effectively communicated to all individuals involved in the care of the patient/family.
  • Deliver, coordinate and participate in education and professional development activities/programs
  • Collaborate and works closely with the Palliative Pain & Symptom Management Consultants and South East Palliative Care Educators in: identifying the learning needs of various populations of care providers; planning, implementing and evaluating needs-based continuing education for staff and clinical partners to promote quality palliative and end-of-life care for patients and families
  • Serve as an educator and clinical preceptor for nursing students, medical students and other members of the inter-disciplinary care team
  • Participate in Queen’s Palliative Medicine Academic regional rounds on a monthly basis
  • Interpret, communicate and disseminate research findings to support clinical care and recommend policy change
  • Participate in clinical investigations to monitor and improve nursing and patient care practices
  • Enhance the scientific base of nursing practice by utilizing and supporting research in nursing and other health care disciplines.
The Nurse Practitioner we seek will have a profile that includes:
  • Must hold current registration with the College of Nurses of Ontario in the Extended Class Nurse Practitioner Program with a minimum Baccalaureate in Nursing (Masters level degree in Nursing preferred)
  • Must have continuing education in Palliative Care; Hospice Palliative Care Nursing Certification preferred
  • Minimum 2 yrs. of experience in Palliative Care Nursing (previous work in the community setting an asset)
  • Hold current CPR- Level C & AED certification
  • Valid Ontario driver’s license and access to a vehicle
  • Demonstrated knowledge of the theory and evidence to support advanced clinical practice and appropriate patient care outcomes
  • Demonstrated advanced knowledge in palliative and end-of-life care concepts, consultation skills and ethical decision making
  • Advanced knowledge of comprehensive and problem based health assessment and diagnosis
  • Advanced knowledge to order appropriate screening and diagnostic investigations and interpret reports, or to ensure follow-up on these investigations
  • Advanced knowledge of health care management needs and therapeutic intervention for complex palliative care patients, based on the full range of issues categorized in the 8 Domains of Issues Associated with Illness and Bereavement, including Disease Management; Physical;
  • Psychological; Social; Spiritual; Practical (activities of daily living, dependents, pets, telephone access, transportation); End of Life Care/Death Management; and Loss and Grief
  • Advanced knowledge of the management of pain and other symptoms, including a range of therapeutic interventions
  • Advanced knowledge of pharmacology in selecting, prescribing, monitoring and dispensing drugs
  • Awareness of cultural, ethnic and religious diversity
  • Understanding of the health care system and complexities of the Hospice Palliative Care Team
  • Effective organizational and planning skills
  • Proficiency with computerized information systems


Salary:  $47.90 - $60.30 per hour

Terms of Employment:  Permanent Full Time

Deadline for Application:  Wednesday, November 01, 2017

How to Apply:  

Applicants should submit a resume and cover letter, indicating Posting #97-2017 in the subject line, no later than November 1, 2017, to: careers.se@lhins.on.ca

For more information, please contact Amanda Worden, Recruitment Specialist, at 1-888-871-8868 ext. 5675.

We thank all applicants for their interest; however only those selected for an interview will be contacted.

If you require a disability-related accommodation in order to participate in the recruitment process, please notify Human Resources. Accommodation will be provided in accordance with Ontario’s Human Rights Code and the Accessibility for Ontarians with Disabilities Act. The South East LHIN is an equal opportunity employer.

La version française de cette annonce est disponible sur demande.


Profession Type:  Nurses (NP, RN and RPN)

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