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/or frail adults and seniors with medically 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, shortly after 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?
Once the patient is home, confirm scheduling of outstanding medical tests, availability of transportation, etc.Either directly or in partnership with a pharmacist, ensure new prescriptions are filled and there are no drug interactions or contraindications.
Review medication protocol with the patient and caregiver, and answer any questionsEither directly or through a HCCSS Care Coordinator, contact the primary care physician and provide an update on the patient’s acute care event and post-discharge regimeFacilitate the patient’s one-week follow-up visit with the primary care physicianProvide direct care to patients in collaboration/consultation with a HCCSS Care Coordinator or Service Provider(s), as assignedIdentify patients requiring an accelerated assessment and home care services, and facilitate the home assessment visitSupport the HCCSS Care Coordinator in developing the HCCSS patient care plan and ensuring a smooth transition to the ongoing care teamParticipate in establishing, maintaining and monitoring case management standardsWhat must you have?
Membership, in good standing, with the College of Nurses of OntarioBScN or diploma in Nursing5+ years of relevant experience as a Registered NurseEmergency/critical care, medicine/surgical, community nursing, rehab and Paeds experience an assetWorking knowledge of community resources and roles of health care professionalsKnowledge of direct care/case management models used in community health care organizationsSolid knowledge of health care-related legislation and practicesWorking knowledge of the nursing process, the consultation process, program planning and crisis managementAdvanced assessment and diagnostic reasoning skillsEffective interpersonal, organizational and planning skillsAbility to communicate effectively with patients, their families and other individuals involved in the circle of care, to follow through with care plan directivesDemonstrated awareness of cultural diversity and ability to handle confidential issues discreetly and sensitivelyA valid driver’s licence and access to a reliable vehicleAbility to use a computer in a Windows environmentWhat would give you the edge?
Case Management CertificateEmergency/critical care, community nursing, medicine/surgical, rehab and Paeds experienceAbility to speak French or another second language
Who we are
Home and Community Care Support Services (formerly Local Health Integration Network) play a key role in Ontario’s health care system. Working in partnership with patients, families, providers and community organizations, we ensure people have access to the health care they need — at home and in the community.
Home and Community Care Support Services Mississauga Halton employs over 500 employees to serve the second fastest growing population of seniors in Canada, and one of the most culturally diverse populations in the province. As a result, services are often requested in languages such as Italian, Portuguese, Tagalog and Cantonese.
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.