Quinte Health Care (QHC) is a progressive and integrated system of four hospitals working with partners to provide exceptional care to their local communities.
Care is provided through four hospitals – Belleville General Hospital, North Hastings Hospital, Prince Edward County Memorial Hospital, and Trenton Memorial Hospital – and includes four emergency departments, operating rooms at three hospitals, a rehabilitation day hospital, children’s treatment centre, ambulatory care clinics, community mental health programs, and a range of diagnostic services. There are inpatient beds for acute medical patients, intensive care, obstetrics, paediatrics, mental health, complex continuing care, rehabilitation, and surgery.
With fantastic restaurants, a thriving arts and culture scene, and more than 40 wineries, the Quinte region is an excellent place to live. The array of parks, picturesque beaches, golf courses, and waterfront trails, provide plenty of opportunity for outdoor adventure. This dynamic, growing community offers affordable housing in both urban and rural settings and is an easy commute to larger centres such as Toronto, Kingston, Ottawa and Montreal. Visit www.bayofquinte.ca to learn more about the region.
The Nurse Practitioner (RN-EC) is a self-directed advance practice prepared nurse who functions in an expanded nursing role within a collaborative interprofessional practice model. The nurse practitioner demonstrates a comprehensive knowledge base in patient care across the continuum, exhibiting a high degree of clinical competence in caring for a select patient population in a community hospital setting. The nurse practitioner scope of practice incorporates the knowledge, skills and judgment legislated by the College of Nurses of Ontario and required by role. The nurse practitioner provides comprehensive patient care to appropriately manage illness along with health promotion and disease prevention in the specific population.
- Current registration in the Extended Class (RN-EC) with the College of Nurses of Ontario in required area of practice
- Current certification in BCLS
- Current membership in the Registered Nurses Association of Ontario
- Minimum of five years recent experience in Emergency Department with demonstrated progressive expertise
- Bachelor of Science in Nursing Degree (BScN)
- Masters Degree in Nursing (MSN) as required by regulatory and professional practice authorities
- Demonstrated ability to work both autonomously and function effectively in an interdisciplinary setting
- Demonstrated ability for independent action, initiative, problem-solving, organization & prioritization
- Demonstrated leadership, critical thinking, interpersonal and communication skills
- Demonstrated commitment to patient and family-centred care
Areas of Responsibility:
The responsibilities of the NP in this role are program-specific and can include, but not be limited to, daily clinical management of a defined group of patients and collaboration with interprofessional team to promote quality patient care and patient safety.
Practice - (60 - 80 %)
Nurse Practitioner (NP) practice will include primary responsibility for directing patient care through appropriate use of health care resources, co-coordinating and liaising with the interprofessional team throughout the continuum of care.
The NP will:
1. provide direct care to selected patients based on the needs of the identified population and the NP’s specialty knowledge and skills. Direct care will include clinical assessment, ordering and monitoring treatments, enhancing quality and continuity, demonstrating specialty skills and/or to taking action in emergency situations as required.
2. determine patient health care needs (in consultation with physician when required) through advanced history taking, psychosocial assessment, risk assessments, physical examinations/interval assessments, and interpretation of diagnostic tests.
3. promote understanding of medical diagnosis and related diagnostic tests, procedures, and treatment plan with patient and family.
4. in collaboration with the patient and family, develop/initiate/modify health care plans, determines and implements required diagnostic testing and initiates (adjust and/or discontinue) pharmacological and non-pharmacological therapies as defined by the College of Nurses of Ontario (Practice Standard – Nurse Practitioners, 2008) or using medical directives when indicated (care outside of legislated scope of practice).
5. provide patient care by leveraging technology and utilizing innovative modalities including, but not limited to, telephone nursing practice and electronic communication when appropriate in accordance with QHC policies, procedures and standards of practice.
6. initiate and/or participates with interventions for the purpose of stabilizing the patient in urgent and emergent situations.
7. direct referrals to the appropriate health care professional agency or service.
8. accurately document assessment, plans, interventions and evaluations of patient and/or family responses in the patient record (paper and/or electronic) as per QHC policies, procedures and standards of practice.
9. provide consultation to nursing, medicine, and other members of the interprofessional team.
10. demonstrate sound clinical reasoning and employ evidence-based clinical practice guidelines to guide screening, assessment, diagnosis, treatment, and transition of care planning.
11. lead communication between patients and interprofessional team members in anticipating, discussing, and resolving moral, ethical, and legal issues relevant to patient care at the individual and organizational level.
12. develop and implement innovative approaches for complex practice issues and outcomes evaluation.
13. participate in the development, implementation and evaluation of best practices within a community hospital setting and broader regional/provincial context.
14. lead the development and integration of health teaching information for the patient/family/significant others.
Education - (10-15%)
In collaboration with the patient/family/significant other and interprofessinal team the NP takes the initiative to identify educational opportunities and works with the patient and team to develop and implement teaching and learning strategies and resources.
The NP will:
1. develop and deliver teaching programs with the patient/family/significant others that focus on health promotion, disease prevention and impact of illness. Teaching programs will be appropriate to the patient’s developmental level, learning needs, readiness to learn, and cultural values and beliefs.
2. work collaboratively with members of the internal interprofessional team and external networks to advance professional practice within the program and community hospital setting. The NP will mentor other health professionals in applying the principles of evidence-based practice.
3. advance the process of knowledge transfer for the interprofessional team by being an expert role model in the integration of best practices through regular case reviews with members of the clinical care team.
4. engage in reflective practice to identify and participate in professional development opportunities that will enhance clinical specialty, educational and leadership knowledge and skills.
Research (5 - 15%)
supports development and exchange of knowledge.
The NP will:
1. be an active participant in reviewing literature and conducting critical analysis of current research to facilitate practice decisions that are evidence based.
2. contribute to knowledge exchange through presentations as opportunities arise.
3. develop and/or utilize appropriate assessment instruments to measure clinical outcomes and/or other components of clinical programs.
4. initiates and participates in research projects as appropriate.
Leadership & Program Development (5 – 15%)
Leadership & Program Development:
manages change to improve clinical practice & patient outcomes through the development and implementation of the NP role at QHC.
The NP will:
1. use effective strategies for influencing team behaviour to encourage adoption of a new NP roles in the community hospital setting.
2. provide leadership in promoting and sustaining effective interprofessional collaboration to enhance outcomes-focused patient care.
3. develop medical directives to broaden areas of patient care management and provide care, in collaboration with team members, which is beyond the independent scope of practice for the NP(RN-EC).
4. participate in the ongoing development of NP roles and job descriptions and identify strategies for role sustainability within the corporation.
5. collaborates with internal professional practice networks to advance nursing practice and enhance patient outcomes.
6. represent QHC on external networks and committees specific to the specialty area and NP practice as requested/required
Quinte Health Care is an equal opportunity employer. We thank all interested candidates for their response, however, only those chosen for an interview will be contacted.
Quinte Health Care is an equal opportunity employer committed to meeting needs under the Canadian Charter of Rights and Freedom and the Ontario Human Rights Code. Our Recruitment process follows the Accessibility for Ontarians with Disabilities Act in order to provide a fair and equitable process for all candidates. Applicants requiring accommodation through the recruitment/interview process are encouraged to contact the Human Resources Department at 613-969-7400 x2577 for assistance.