Houses of Providence is home to 288 people of different backgrounds and life experiences. We strive to create an environment that meets the physical, emotional and spiritual needs of all our residents in a dignified and safe community. Quality of life is our primary focus, with care centered on residents in a way that recognizes and respects their privacy and independence.

POSITION SUMMARY:

The RN in the Houses of Providence is a Regulated Healthcare Professional under the Regulated Healthcare Professionals Act (Ontario) and is responsible for assessing, planning, implementing and evaluating nursing care to meet the physical, psychological, emotional, spiritual, cultural and social needs of the resident.
The RN practices in collaboration with other members of the health care team and is accountable and responsible for her/his professional actions and ongoing professional development.
The RN uses her/his knowledge, communication, leadership and decision making skills to meet the health needs of residents, and families in the Cardinal Ambrozic Houses of Providence at Providence Healthcare.

QUALIFICATIONS/SKILLS REQUIRED:

• Must be a member in good standing with the College of Nurses of Ontario. An undergraduate degree in Nursing is an asset. Nursing experience with the elderly population and persons with long term needs is desirable. Current BCLS certification is mandatory. Canadian Nurses Association (CNA) certificate in specialty area preferred.
• The RN requires a good understanding of Providence Healthcare’s Mission, Philosophy, Vision and Values as well as a good understanding of Nursing’s Philosophy, Goals and Objectives.
• Nursing experience with the elderly population and persons with long term needs is desirable.
• The RN requires a good knowledge of nursing science including gerontological nursing and the ability to understand, analyze and use the following: The four universal concepts in Nursing’s theoretical framework: nursing, person, health and environment;
• The principles of resident centered care e.g., self-determinations, autonomy;
• The nurses professional role and responsibilities;
• The phases of the nursing process including the principles underlying nursing interventions and knowledge of the normal aging process;
• Common and less common symptoms and health conditions related to the areas she/he will be working in;
• Categories of individual functioning and transitions during: crisis, acute illness, day-to-day living, restoration, rehabilitation and dying;
• Physical assessment, health maintenance, improvement and promotion;
• Major nursing and health issues including the delivery of health care resource management and the ethical and legislative framework that influence the situations within which RNs and RPNs function;
• Good and effective communication skills with resident’s, families and co-workers with right to privacy and confidentiality.
• Leadership concepts and approaches including coaching, facilitation and mentoring;
• The use of research findings and new knowledge in practice
• Very good attendance record;
• Good performance record.

Resident and family care provision
The RN establishes a relationship in which the resident and family feels safe and respected. She/he advocates on behalf of the resident & family ensuring consideration of their perspective in all health care planning.

The RN, in collaboration with the resident & family and other staff:

• Practices from a perspective that is based on resident centered principles of choice, self-determination, privacy, dignity and self-worth, autonomy and independent, self-expression, freedom and stimulation;
• Respect’s the residents right to privacy and confidentiality;
• Supports the resident & families right to direct the care provided;
• Systematically collects and analyzes data about the health of the resident for initial screening, for ongoing assessment, and selectively collaborates with the care team, for in-depth assessment in order to determine issues requiring intervention;
• Identifies priorities, target dates and strategies of interventions in order to contribute to the individualized care plan that achieves the best possible outcomes for each resident.
• Safely and competently implements relevant strategies and interventions as identified in the care plan;
• Systematically evaluates the resident’s response to interventions and the extent to which outcomes have been achieved.
• Is aware of the medical history, needs, medications (effects and adverse effects) and plan of care for every resident in their care.
• Manages unstable and unpredictable residents and situations using critical thinking and the resources at hand to identify early the need to conference with the interdisciplinary team for evolving resident instability or for support in determining next steps in a situation
• Recognizes that families and visitors are vital to the quality of life of the residents and timely and appropriate communication is critical

Clinical Documentation:

• Documents in a timely and concise manner according to the current College of Nurses of Ontario standards and Providence Healthcare policies
• Reports changes and concerns in a patient/client’s status or progress appropriately and in a timely way to the Physician and/or the Care team.

Clinical Leadership/professional service

The RN demonstrates critical thinking, clinical leadership, clinical proficiency and professional service by:

• Promoting resident independence;
• Promoting resident autonomy by involving them and, where appropriate, their families in care planning, respecting their preferences and decisions regarding their care and lifestyle;
• Collaborating with the care team in the assessment/planning/implementation and evaluation of care;
• Assigning work and providing effective support and supervision to the Registered Practical Nurse (RPN), unregulated staff & students;
• Participating in house and program activities: e.g. Safety Program, Continuous Quality Improvement, Palliative Care Resource Nurses, and Skin Care Resource Nurses;
• Demonstrating the characteristics of values-based leadership such as dignity, trust, and respect ;
• Coaching and role modeling for colleagues, RPN, unregulated staff & students.

Care Coordination

The RN coordinates patient/client unit activities by:

• Working with the care team to identify the need for interventions/ consultations with internal and external care providers/services
• Working collaboratively within their scope of practice with Registered Practical Nurses (RPNs)and other health professionals as determined by the College of Nurses of Ontario (CNO) guidelines, RNAO, RPNAO and endorsed by the NAC
• Coordinating and/or actively participating in the care planning activities regarding resident & family needs;
• Facilitating and coordinating the availability of staffing, and supplies/equipment for resident care.