Registered Nurse

KEY FUNCTION: 

Provide specialized comprehensive geriatric assessment, analysis and mental health treatment for older adults living with complex mental health needs and geriatric syndromes in the community. Provide outreach visits to individuals in their home environment, including community, retirement, and other community facilities.

REPORTING:    

Under the general direction of the Clinical Manager, North East Specialized Geriatric Centre.

DUTIES:

1. Travel to provide outreach to assess and treat individuals in their homes.
2. Administer and perform comprehensive geriatric cognitive, functional, home safety, and environmental assessments in the community setting and in patients’ homes.
3. Assess and treat patients with late onset mental health disorders (e.g. anxiety, depression, grief/bereavement, social isolation, risk of harm to self or others, caregiver stress, substance misuse).
4. Provide a range of treatment services including mental health education, therapeutic intervention, counselling, caregiver support, and service navigation.  
5. Complete home visits.
6. Develop, implement, evaluate, and modify negotiated treatment plans to assist patients in achieving maximal functional, perceptual, and cognitive ability.
7. Work with clients on behavioral activation for treatment of depression,anxiety, and social isolation.
8. Implement strategies to address client safety issues and mitigate risk for critical injury and death.
9. Educate client and family in coping strategies, decision-making, and utilization of personal and community resources, and make referrals to community resources as required.
10. Collaborate with clients, families, interprofessional team members, and community partners throughout the therapy process and advocate to ensure client needs are met.
11. Participate in the discharge planning process to ensure safe, effective, and efficient discharges.
12. Perform controlled acts, subject to area of practice.
13. Manage and prioritize outreach referrals.
14. Document assessment findings, analysis, treatment plans, client goals, client’s ongoing progress,  effectiveness of treatment plan, and government/insurance/legal forms according to the applicable regulatory standards and HSN policy.  
15. Research and incorporate best evidence into clinical practice, and conduct or collaborate in research.
16. Educate and provide internships to students and other members of an interprofessional health care team and their students, external health care professionals, and school/community staff/agencies.
17. Ensure the privacy and confidentiality of personal health information is maintained.
18. Follow service-specific, Occupational Health and Safety (OH&S) and Infection Prevention and Control practices, including monthly workplace inspections.
19. Determine and align iprovement projects with HSN’s Strategic Plan; monitor and adjust to achieve goal outcomes.
20. Evaluate patient care and satisfaction on an ongoing basis and formulate solutions for improvement.
21. Educate and promote health, safety and wellness in the work place.
22. Participate in education and training specific to current, relevant federal and provincial health and safety and Occupational Therapy practice legislation, standards and guidelines.
23. Represent the department or program on various committees and in meetings as required. 
24. Perform other duties as required.

QUALIFICATIONS

EDUCATION AND TRAINING: 

1. Current Certificate of Registration in good standing with the applicable regulatory college (e.g. College of Nurses of Ontario (CNO), College of Occupational Therapists of Ontario (COTO), Ontario College of Social Workers and Social Service Workers in conjunction with a Master of Social Work degree (MSW) (OCSWSSW), College of Psychologists of Ontario at the Psychological Associate level (CPO), or College of Registered Psychotherapists of Ontario (CRPO).
2. Successful completion of the Geriatric Assessor training course or equivalent is required.
3. Successful completion of the Core Indigenous Cultural Competency Training Program is required.
4. Successful completion of the PIECES Learning and Development Program is preferred.
5. Cognitive Behavioural Therapy  (CBT) Certification is preferred.
6. Ministry of Labour “Worker Health and Safety Awareness in 4 Steps” training certificate is required.

EXPERIENCE: 

1. Minimum of three (3) years of recent clinical experience working with the mental health needs of geriatric patients in a community setting.

KNOWLEDGE/SKILLS/ABILITIES: 

1. Demonstrated ability to provide outreach services to assess and treat older adults in their homes.
2. Demonstrated knowledge of geriatric mental health best practice tools and interventions, including Comprehensive Geriatric Assessment (CGA), CBT, Rapid Assessment Interface Discharge (RAID), Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Confusion Assessment Method (CAM), Mini-cog, Trails Making Test, Geriatric Depression Scale, and the Cornell Scale for Depression in Dementia.
3. Demonstrated skills in the management of geriatric mental health syndromes, including depression, anxiety, delirium, substance misuse, risk of harm to self or others, and social isolation.
4. Demonstrated knowledge and application of client and family-centred models of care.
5. Demonstrated knowledge of professional standards of practice, privacy legislation and guidelines.
6. Demonstrated knowledge of current health care, community services, and available resources.
7. Demonstrated knowledge of community services and available resources.
8. Demonstrated ability to exercise professional judgment, clinical reasoning, and critical thinking with the ability to apply ethical frameworks and choose the optimal assessment and treatment intervention.
9. Demonstrated training, experience or utilization of lean methodology for process improvement.
10. Demonstrated ability to independently identify issues, plan improvements, measure success and continue improvement.
11. Demonstrated excellent computer skills with proficiency in Microsoft Office software (e.g. Word, Excel, Power Point and Outlook) and patient information systems.
12. Demonstrated superior interpersonal and communication skills, both written and verbal.
13. Demonstrated ability to manage routine correspondence, multiple tasks/projects, diversified workload and rapidly changing priorities and challenging deadlines.
14. Demonstrated discretion and maturity when handling confidential information.
15. Demonstrated commitment to the safety of co-workers and patients.

PERSONAL SUITABILITY: 

1. Successful Vulnerable Sector Check is required.
2. Demonstrated commitment to ongoing professional development.
3. Demonstrated professionalism in dealing with confidential and sensitive issues.
4. Demonstrated positive work record and good attendance record.
5. Ability to meet the physical and sensory demands of the job.
6. Willingness to travel within Northern Ontario.
7. Ability to use tact and discretion in dealing with health care providers and patients.
8. Proven ability to work independently and in a team environment.
9. Demonstrated ability to perform with minimal supervision; to prioritize duties.
10. Valid driver’s license with access to reliable vehicle.
11. Demonstrated ability to work flexible hours as required.

Selection Process:  Candidates will be selected for this position on the basis of their skill, ability, experience and qualifications as identified in the resume and completed Application Form submitted. The Hospital reserves the right to conduct a formal interview where required.
 

HSN THANKS ALL APPLICANTS.
ONLY THOSE SELECTED FOR INTERVIEWS WILL BE CONTACTED.
WE WILL NOT ACCEPT APPLICATIONS AFTER THE CLOSING DATE AND TIME.