RPN Emergency - Staffing

Overview

St. Michael's Hospital provides specialized care in Trauma, Critical Care, Neurosurgery, Stroke, and Cardiac Care, with harm reduction supports for people who use drugs.

We are renovating to create a Best in Class Emergency Department. The new acute zone comprises 36 rooms; the brand-new trauma bay opened in January 2020. Safety and staff wellness are top priorities.

The RPN works within inter-professional teams to advocate for wellness while ensuring the delivery of safe, effective and ethical nursing care. The RPN shares knowledge and contributes to nursing practice excellence. The RN continually enhances practice and competencies through ongoing learning, education, experience and reflective practice.

• Provide holistic, evidence-based, culturally appropriate, patient-centred quality care in accordance with the College of Nurses of Ontario standards and Unity Health Toronto's mission, vision, values and policies.
• Be accountable for one's decisions and professional practice.
• Establish therapeutic relationships with the patient.
• Provide autonomous nursing care with patients considered stable and with predictable outcomes.
• Collaborate with other members of the patient's care team.
• Coordinate and communicate patient care activities to optimize the patient's experience and care outcomes.
• Collaborate and consult with Registered Nurses and other members of the care team in the care of patients with increasing instability and, when necessary, safely transferring care to the Registered Nurse.

• Acquires information to assess patient care and learning needs;
• Engages patients and families to assess the level of involvement in their care and integrates into care planning;
• Develops a plan of care and integrates nursing activities with other inter-professional activities;
• Engages in critical inquiry and reflection to select evidence-based interventions;
• Organizes nursing care based on patient care needs and priorities;
• Continuously gathers and analyzes clinical and other relevant data to evaluate the effectiveness of the plan of care and adjusts the plan as needed;
• Anticipates and recognizes rapidly changing situations and patient transitions from stable to unstable, establishes priorities, and takes immediate appropriate action in collaboration with the Registered Nurse;
• Provides health education using effective teaching strategies that account for the patient/family's learning needs, readiness, and motivation to learn;
• Collaborates with appropriate team members on patient care needs;
• Processes orders and seeks verification of orders from prescribers;
• Documents observations, assessments and care provision in a timely manner to facilitate an accurate record of the patient's status and enable effective inter-professional communication;
• Contributes to discharge and transition planning and other planning activities to facilitate care continuity and coordination; advocates for care needs to be met in the most appropriate setting.

• Organizes patient care activities while working collaboratively with patients, families and the inter-professional team to achieve agreed-upon outcomes and optimize resource utilization for individual patients
• Establishes and maintains respectful, collaborative, therapeutic and inter-professional relationships within and across the hospital units/programs (and externally where appropriate for the patient population)
• Coordinates and communicates patient care activities for a safe and seamless transition from one shift or setting/unit of care to another; ensures appropriate transfer of accountability from one care provider to another
• Participates in hospital committees and other groups to represent the RPN perspective and serve as a bridge to the unit/program and patient needs

• Is accountable for actions and decisions and practices in accordance with professional, legal and accreditation standards and evidence-based practice
• Aligns behavior with Unity Health Toronto's vision, mission and values and code of conduct; promotes nursing as a knowledge-based profession; supports the advancement of professional…