Registered Practical Nurse

The RPN/RN on site is responsible for the delivery of client-centered nursing services by providing assigned
patients with a high degree of individualized, effective, and ethical practical nursing care. This position
works collaboratively within a multidisciplinary team to assess patient health problems and needs,
implement nursing care plans, and educate patients and their stakeholders on their illness and condition.
Reports to: Patient Flow Supervisor – Alternate Health Facility
Qualifications

Education & Training:

  • A graduate from an approved School of Nursing (Registered Practical Nursing Program) or Registered Nursing Program, with a current certificate of competence with the College of Nurses of Ontario.
  • Current certification in Basic Cardiac Life Support BCLS
  • Theoretical and applied knowledge of the Practice Standards set out by the Ontario College of Nurses.
  • Must have relevant experience working within full scope of practice, including medication administration, within the last two (2) years.
  • Completion of RPN standardization (all modules) required. (HSN requirement)
  • Ministry of Labour “Worker Health and Safety Awareness in 4 Steps” training certificate is required.

Knowledge/Skills/Ability:

  • Computer skills including Microsoft Office software, Meditech Client Service OE, and GRASP software.
  • Demonstrated ability to practice within full scope of an RPN/RN, including medication administration.
  • Demonstrated knowledge of community support services, home and community care, rehabilitative services, adult day programs and other social services.
  • Demonstrated ability to work effectively and efficiently as a team member.
  • Demonstrated ability to deal effectively and co-operatively with all levels of staff, patients, physicians, volunteers and the public.
  • Demonstrated professional working knowledge of all equipment used in the delivery of patient care.
  • Demonstrated knowledge and understanding of the Ontario Hospital Association/Ontario Medical Association Communicable Disease Surveillance Protocols.
  • Demonstrated interpersonal and communication skills.
  • Demonstrated ability to prioritize tasks.
  • Demonstrated compliance with HSN’s privacy policy.
  • Demonstrated commitment to the safety of co-workers and patients.
  • Demonstrated ability to work well independently and under pressure.
  • Demonstrated ability to relate to all levels of staff, the residents and their families with a high degree ofpatience, tolerance and confidentiality.
  • Demonstrated positive work record and good attendance record.
  • Ability to use tact and discretion in dealing with health care providers and employees.
  • Demonstrated commitment to ongoing professional development.
  • Demonstrated professionalism in dealing with confidential and sensitive issues.
  • Ability to meet the physical and sensory demands of the job.
  • Empathy for and understanding of the needs of the elderly and disabled.
  • Satisfactory Criminal Record Check with Vulnerable Sector Screening is required (dated within 6 months of employment start date).
  • TB testing is required.
  •  Bilingualism (English/French) is considered an asset.

Tasks & Responsibilities

  • Implement therapeutic and rehabilitative nursing care of assigned patients.
  • Maintain the standards and principles of geriatric patient care as outlined for the unit.
  • Complete the RN/RPN Dayshift and Nightshift checklists during shifts.
  • Perform delegated independent nursing functions using established procedures, policies, guidelines, and standards as outlined by the College of Nurses of Ontario.
  • Complete all required documentation including but not limited to Public Health Forms and Health Assessment Forms.
  • Contribute to the development of the patient’s plan of care and discharge plans based on the identified patient problems/needs.
  • Establish and maintain a therapeutic relationship with the patient and family.
  •  Maintain and coordinate communication between patient/significant other, staff, and physician as evidenced within medical record, client, and health care team feedback.
  • Assist in the evaluation of the effectiveness of the nursing care administered relative to the patient/significant other identified problem/needs.
  • Document pertinent observation and intervention on appropriate records.
  • Provide care during transition from acute care to the Reactivation Care and additional car destination outside of HSN, including partnership with internal and community resources to maximize successful transitions.
  • Administer medication accurately, observing patient response, as evidenced by documentation in the medical record.
  • Document health teaching including patient/significant other response to and their understanding of health teaching.
  • Record and report the need for maintenance or repair of equipment and remove any faulty equipment from use.
  • Recognize changes in patient condition, review/assess, and manage or consult appropriately with the Registered Nurses or other health care team members.
  • Prepare patients for treatment, as required.
  • Work in consultation with the health care team to meet care needs of more complex patients.
  • Participate in education and training specific to current, relevant federal and provincial health and safety legislation, standards and guidelines.
  • Participate in hospital training as required.
  • Assist with improvement initiatives as required.
  • Respond to all emergency calls during work hours. Ensure that emergency medical care is provided when necessary.
  • Update patient emergency list as required.
  • Follow up on all incident reports and ensure appropriate completion of all incident reports.
  • Complete post fall assessments and reports on residents/tenants. Document in care plan when necessary.
  • Ensure that safe medication and treatment administration practices are maintained and conduct and record regular audits of these practices with RSS.
  • Provide direction on daily tasks to PSWs as needed.
  • Ensure that appropriate documentation is maintained relating to the administration of medications and treatment.
  • Advise the PSW regarding medical interventions, treatment requirements and all other aspects thatare within their scope of resident/tenant care as unregulated care providers.
  • Review 24-hour shift report DAILY and follow up in writing on any incidents or notations in the patient chart of shift and that clear, concise report is given to oncoming staff at completion of shift.
  • Update day to day medication changes, transcribe new orders and adjust medication pouches to coincide with orders received following the standards and decision tree set out by the Ontario College of Nurses for the delegation of medication administration to an Unregulated Care Provider (UCP).
  • Receive and verify pouches and blister packs to MAR sheets and doctors orders to ensure the accuracy of the administration process in conjunction the Administrator.
  • Check monthly incoming MARs against doctor’s orders for accuracy.
  • Ensure that all policies and procedures listed in the Autumnwood Operations Manual and Pharmacy Manual are followed.
  • Ensure that all operational records are maintained as per policy and can be quickly referenced upon compliance inspection.
  • Immediately report to the Nursing Supervisor or Administrator any PSW’s who do not follow proper policy and procedure. The Nursing Supervisor and/or Administrator will be responsible for addressing any performance issues directly with the PSW and /or delegate this task once reported.
  • Coordinate coverage for staff who are unable to attend their shifts by following the call-in process.
  • Perform other duties as required.


Dress Requirements:

  • Clean scrubs.
  • Clean closed toe and closed heel black or white shoes.
  • Minimum amount of jewellery.
  • Long hair (hair touching shoulders) will be kept securely tied back.
  • Wearing of scented products and perfumes is not permitted.
  • Name tag will be worn at all times.
  • Must present with a neat and tidy professional appearance.
  • Dress Code as laid out in the Employee Handbook.