- Review the discharge care plan and confirm that outstanding investigations have been scheduled and transportation is available
- Directly or in partnership with a pharmacist, ensure new prescriptions are filled and conduct a medication review and/or reconciliation to confirm no drug interactions or contraindications. Review the medication protocol with the patients and/or caregiver and answer questions
- Ensure contact with primary care physician and provide an update on the patient's acute care event and post discharge regime. Recommend and facilitate, as appropriate, a follow up visit with the physician
- Refer the patient to Health Care connect if the patient has no primary care provider
- Identify patients requiring an accelerated assessment and home care services and coordinate with the care coordinator and/or nurse practitioner to facilitate the assessment
- Collaborate with the care coordinator to develop the patient's care plan and ensure a smooth transfer of the primary care physician and pharmacist to the ongoing care team
- Provide health teaching and information about management of chronic disease to the patient/caregiver and ensure they have HCCSS contact information
- Ensure the patient and/or caregiver understand when to seek medical attention for their disease or condition and how to use resources appropriately (e.g 911 vs calling primary care)
- Act as a spokesperson as required and interpret the role of the HCCSS to patients, healthcare professionals and to the public. Ensure positive public relations and effective coordination of services through ongoing liaison and participation in internal and external committees. Assess for and promote a safe environment for patients, caregivers, family members and staff. Adhere to health and safety policies and practices developed and implemented by the HCCSS
- Participate in establishing; maintaining and monitoring standards for HNHB direct nursing providers, including committee work and active participation and contribution to quality initiatives
- Leads and/or participates in and demonstrates an understanding of quality, risk and patient safety principles and practices
- Follows all safe work practices and procedures and immediately communicates any activity or action which may constitute a risk to quality, and patient safety
- Perform other duties as assigned
- Registered Nurse (good standing with CNO)
- Advanced education in pediatrics
- Minimum of 5 years of relevant experience as a registered nurse (experience in pediatric Medical/surgical units, Pediatric ICU, Community specialty pediatric clinics, community pediatric nursing)
- Recent pediatric clinical/acute experience within 2 years
- Working knowledge of community resources and roles of health care professionals
- Solid knowledge of health care related legislation and practices
- Knowledge of direct care/case management models used in community health care organizations
- Satisfactory Police Records Check and Vulnerable Sector Search
- Access to a motor vehicle
- Valid driver's license
- We have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.
- Excellent Assessment skills
- Problem-solving and decision making skills
- Interpersonal communication skills (written and verbal)
- Negotiation skills
- Multi-tasking skills
- Accessing community resources
- Team Building
- Ability to work independently as well as in a team setting
- Collaboration with Internal and External stakeholders
- Organization, goal setting, planning, coordination and evaluation skills
- Computer experience and keyboarding skills on a lap top and desk top computers
- Flexibility during transition
- Current CPR certification
- Knowledge of HCCSS priorities, policies, practices and service standards.
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Registered Nurse - Burlington, Canada - Home and Community Care Support Services
Description
Are you an experienced pediatric 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.
Position Description: The Rapid Response Nurse supports effective transitions from acute to home care for the following target population: medically complex / fragile children, to ensure communication and linkages with
primary care, and provide timely and effective rapid response homecare. The Rapid Response nurse provides an in-home nursing visit within 24 hours from hospital discharge for high needs children. During this visit, the RN will confirm the patient hospital discharge care plan, complete a nursing physical assessment, and communicate the importance of connection to primary care to avoid re-hospitalization. Part of the assessment includes performing medication reconciliation and assessing medication management for the patient and family. The nurse will also complete teaching with the patient, family and caregivers related to their disease and/or chronic illness regarding how to manage their symptoms and when to seek medical attention. The nurse will collaborate with other members of the interdisciplinary team including care coordinators; hospital based nurse practitioners, pharmacists and contracted service providers.
This role will primarily cover Hamilton, Brant and HN, however coverage may be required in Niagara and Burlington also.
What will you do?
What you must have?
What would give you the edge?
Who are we?
We are Home and Community Care Support Services, ready to serve every person in Ontario. We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.
If you're interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.
Equity, Inclusion, Diversity and Anti-Racism Commitment
Home and Community Care Support Services is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.
We thank all applicants for their interest; however, only those selected for an interview will be contacted.