Job Details
Nurse Practitioner

Job Description

The Nurse Practitioner (NP) having a specialty-based focus functions in an expanded role demonstrating a high level of autonomy and expert skill to formulate clinical decisions and appropriately manage patients in the Rapid Access Addiction Medicine (RAAM) clinic within the Mental Health & Addictions Program.  As a member of the Interprofessional Practice team at the Royal Victoria Hospital, the NP will work in partnership with the Mental Health & Addictions team with a primary function of completing assessments on individuals using patient centered and trauma informed care and treat symptoms of substance use.  The NP will also facilitate linkage with Primary Care Provider for continued care of clients once stabilized, refer clients to clinicians within the team for brief counselling, treatment referral, and community resources. The NP will apply knowledge of AUD/OUD concurrent disorders in treatment plans and participate in regional initiatives to develop/improve referral pathways from the Emergency Department to Primary Care.  The NP will attend to non-urgent medical needs of the clients under the Residential Withdrawal Management Services.  In addition, the NP will provide clinical leadership and promote a culture of excellence within the assigned program and across the organization. The NP will do this by providing expert clinical practice, education, consultation, participate in the development of policy and procedures, and research within a family centered nursing approach. 


Responsibilities include:
⦁ The NP working within the scope of practice of the RN (EC) will lead an interprofessional team which will assess, diagnose, treat and monitor clients who use substances; recognizing that 50% will likely present with co-occurring mental health and physical health issues.
⦁ Utilizing a comprehensive theoretical knowledge base and advanced level of clinical competence in caring for individuals using patient centered and trauma informed care and treats symptoms of substance use.
⦁ Performs a comprehensive health or symptom directed assessment of the client and synthesizes data from multiple sources to make diagnosis.
⦁ Sees clients with addictions and concurrent disorders in the RAAM Clinic with or without scheduled and urgent appointments, and in the community through home visits, during regular and extended hours.
⦁ Spends adequate time with the client to determine the presence of existing and potential health problems, with a major focus on substances used, related lifestyle, psychological, sociocultural, and environmental risk factors which may influence the client’s health status, deals with these personally or by referral to or in consultation with, other health care providers and agencies/services
⦁ Facilitates linkage with Primary Care Provider for continued care of clients once stabilized.
⦁ Collaborates with the physician when determining an acute or chronic diagnosis as appropriate and refers clients to clinicians on team for brief counselling, treatment referral, and community resources.
⦁ Applies knowledge of AUD/OUD concurrent disorders in treatment plans.
⦁ Provides advanced nursing care, treatment and monitoring (including pharmacological complementary therapies and/or counselling interventions for health problem) for clients with addictions, chronic mental and physical illness.
⦁ Participate in Regional initiatives to develop/improve referral pathways from the Emergency Department to Primary Care in addition to developing services across the LHIN
⦁ Uses community assessment data to identify community needs and resources and develops, implements and evaluates appropriate programming.
⦁ Attend to non-urgent medical needs for clients within the Residential Withdrawal Management Services
⦁ Maintain appropriate record-keeping/documentation and client files, statistical and outcome measurement tools as required by RVH MSAA agreement and participate in program evaluation and reporting requirements.
⦁ Provides formal and informal education to internal and external teams/partners
⦁ Participates in program evaluation, reporting requirements, committees and quality assurance initiatives
⦁ Travel is required to support clients in the various RAAM Clinic sties.
 

Job Requirements:

Education/Certification:
⦁ Current registered member with Extended Class (EC) in good standing with the College of Nurses of Ontario required
⦁ Master’s Degree program in Nursing/Master of Science in Nursing or recognized equivalent is required
⦁ Adult/Primary Care Nurse Practitioner Certificate required
⦁ Current certification in Basic Cardiac Life Support required
⦁ Successful completion of College of Nurses approved education to prescribe controlled substances required.
⦁ Membership in the Registered Nurses Association of Ontario (RNAO) and/or Nurse Practitioners Association of Ontario (NPAO).
⦁ Current certification in Advanced Cardiac Life Support preferred
⦁ Psychiatric Nursing Certification is an asset.  Must maintain certification once obtained.
⦁ Sound knowledge of the Mental Health Act, Health Care Consent Act and other related legislation in Ontario required.
⦁ Advanced knowledge of pharmacology in selecting, prescribing, monitoring and dispensing medications

Experience:
⦁ Demonstrates experience working in an advanced practice role (Clinical Nurse Specialist or NP), preferably as an NP in a hospital inpatient or outpatient program.
⦁ Minimum 5 years of experience working in an acute care environment required
⦁ Minimum 5 years of Mental Health/Addictions experience preferred.
⦁ Knowledge and experience working with individuals experiencing problematic substance misuse as well as concurrent mental health problems preferred
⦁ Advanced knowledge of the nursing process, the consultation process, program planning, nursing research methodology, discharge planning and community resources required.
⦁ Eligibility for cross-appointment to an academic institution preferred.

Competencies:
⦁ Ability to perform duties in a professional and courteous manner
⦁ Ability to produce high quality work while meeting deadlines in accordance with RVH standards
⦁ Demonstrate initiative and good judgment with the ability to multi-task
⦁ Compliance with confidentiality requirements
⦁ Effective organizational, interpersonal and communication skills
⦁ Patient centered service orientation with sensitivity to and appreciation for diversity
⦁ Excellent decision making and problem solving skills
⦁ Program planning and evaluation methodology skills required
⦁ Collaborative approach to clinical work
⦁ Ability to interpret, apply and communicate relevant policies and procedures
⦁ Knowledge and proficiency in current evidence-based methods and practices with an emphasis on health promotion and risk reduction
⦁ Demonstration commitment to continuous quality improvement
⦁ Understanding of trauma, social determinants of health and addictions
⦁ Flexibility to adapt to change and ability to work independently when necessary.
⦁ Ability to minimize risks adhering to established policies and procedures.

Other:
⦁ Computer literacy in Microsoft Word, Excel, and Outlook
⦁ Working within Meditech Systems Electronic Medical Record
⦁ Satisfactory criminal reference and vulnerable sector screening prior to hiring
⦁ Must have a valid Driver’s License and access to a reliable vehicle

Position Summary

The Nurse Practitioner (NP) having a specialty-based focus functions in an expanded role demonstrating a high level of autonomy and expert skill to formulate clinical decisions and appropriately manage patients in the Rapid Access Addiction Medicine (RAAM) clinic within the Mental Health & Addictions Program. As a member of the Interprofessional Practice team at the Royal Victoria Hospital, the NP will work in partnership with the Mental Health & Addictions team with a primary function of completing assessments on individuals using patient centered and trauma informed care and treat symptoms of substance use. The NP will also facilitate linkage with Primary Care Provider for continued care of clients once stabilized, refer clients to clinicians within the team for brief counselling, treatment referral, and community resources. The NP will apply knowledge of AUD/OUD concurrent disorders in treatment plans and participate in regional initiatives to develop/improve referral pathways from the Emergency Department to Primary Care. The NP will attend to non-urgent medical needs of the clients under the Residential Withdrawal Management Services. In addition, the NP will provide clinical leadership and promote a culture of excellence within the assigned program and across the organization. The NP will do this by providing expert clinical practice, education, consultation, participate in the development of policy and procedures, and research within a family centered nursing approach.

Posting Date: February 21, 2018

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