Nurse Practitioner- Integrated Care​/Alternate Health Facility

The Nurse Practitioner (NP) (Extended Class) uses advanced clinical skills to provide direct clinical care, education, consultation and treatment in the area of medicine, surgery, geriatrics and kidney care to support the care needs of patients in Medical, Surgical, ALC, Couchiching Health at Home, and Kidney Care. The NP is responsible for selected inpatients and participates as an active member of the multi-disciplinary care team.

The NP will network to establish relationships with both internal and external partners including Long Term Care Homes, community organizations, physicians and acute care hospitalists, to enhance the circle of care for patients and their families. The NP is responsible for identifying their care parameters, not exceeding scope of practice established by the College of Nurses of Ontario, and for referring patients outside their scope of practice to the most appropriate practitioner.

Responsibilities will include: program planning, implementation and evaluation, project management, planning and management of resources, utilization management, safety and risk management, and creating a supportive and healthy working environment.

PRIMARY RESPONSIBILITIES:

The assignment in this role will/may include Alternate Health Facility NP coverage at Champlain Manor and Lake Simcoe Retirement Home as well as inpatient coverage.

• Consult as needed with the Hospitalists, Specialists, Community Primary Care Practitioners and all members of the Interdisciplinary Team

• Within a model of collaborative practice, the NP) uses advanced theoretical knowledge base and clinical competence and skill to assess, plan, provide and facilitate care across a continuum of care as assigned

• Functions in the role as Most Responsible Provider (MRP) for select patient groups

• Assess patients/families through multiple strategies, including comprehensive admission history and interview, advanced physical examination, interval assessments, and the interpretation of diagnostic testing to determine need for medical, nursing, or other care

• Utilizes diagnostic reasoning and decision-making process to formulate a list of hypotheses, determine the need for, order, and interpret diagnostic testing, and formulation of a medical diagnosis within the specialty scope of practice and consistent with practice guidelines

• Communicates significant clinical findings to consulting physicians and facilitates ongoing communication of patient progress and plan of care to the health care team

• Initiates/orders, tailors and evaluates/discontinues selected medical and nursing therapy (including pharmacologic therapy) within the specialty scope of practice and consistent with practice guidelines and established medical directives if needed for NP to optimize the plan of care

• Performs specialty-specific diagnostic and therapeutic interventions in accordance with scope of practice, approved medical directives for controlled acts and established practice guidelines

• Facilitates patient care by consulting with the patient/family and inter-professional patient care team to formulate, initiate, co-ordinate and evaluate a comprehensive and collaborative patient centered plan of care, ensuring effective and efficient use of resources

• Writes/dictates consultations, progress notes, and discharge summary reports

• Evaluates patient care outcomes and nursing practice issues to ensure the highest possible quality of care.

• Supports palliative care, Medical Assistance in Dying (MAID) for inpatients

• Supervises/Precepts Nurse Practitioner students and other interdisciplinary students as required in their clinical experience and evaluates their performance

• Provides clinical nursing leadership to promote professional development to assist nursing staff in the application of knowledge/theory to practice through role-modelling and coaching, and by participating in formal staff education programs in collaboration with the program leadership team

• Provides leadership in the critical analysis and review of literature and the application of research findings to practice through the development and implementation of clinical…