Description Position at VON Canada (Ontario)
Employment Status: Permanent, Part Time (0.4 FTE)
Program Name: Chronic Pain Program
Number of Hours Bi-Weekly: 30
Work Schedule: Days
On Call: No
The Nurse Practitioner (NP) is responsible for the provision and management of cost effective care to individuals and/or families in the clinic and/or home setting. Care is provided within the framework of quality & risk management and the standards and scope of practice set by VON and the provincial regulatory body. NPs provide services to chronic pain, mental health and addiction clients throughout the lifespan, the family, and the community, with a strong emphasis on harm reduction. The NP functions as a member of the health care team in the provision of health care services.
Advanced Health Assessment and Diagnosis:
- Performs a comprehensive assessments of chronic pain conditions in addition to mental health and addiction issues in order to provide a holistic approach to manage chronic pain and addiction based on the client's readiness and engagement.
- In accordance with the philosophy of primary healthcare, encourages clients and their families to take responsibility of their own health by involving them in risk factor and health problem identification, goal setting, and the choices of interventions for disease treatment and prevention, and health promotion.
- Spends adequate time with the client to determine the presence of existing and potential health problems, with a major focus on related lifestyle, psychological, sociocultural, and environmental risk factors which may influence the client's health status, deals with these personally or by referral to or in consultation with the other centre of community specialists, programs, or agencies.
- Determines client's existing and potential health problems, with a major focus on related lifestyle, psychological, sociocultural, and environmental risk factors which may influence the client's health status, deals with these personally or by referral to or in consultation with the other center of community specialists, programs, or agencies.
- Encourages clients and their families to take responsibility of their own health by involving them in risk factor and health problem identification, goal setting, and the choices of interventions for disease treatment and prevention, and health promotion.
- Determines the need, orders from (according to provincial regulations), and interprets the results of screening and diagnostic tests.
- Keeps complete, accurate, legible and timely records of client visits, using the SOAP format and standard for documentation as per Provincial College of Nurses which will provide information to assist other practitioners in continuing the client's care.
- Sees clients at the clinic with scheduled and urgent appointments, and in the Community through outreach and home visits, during regular and extended hours as required.
- In collaboration with the client's primary care provider, the NP provides leadership in chronic pain and addiction management. Where appropriate, can initiate and stabilize the care of clients with opioid use disorder within the NP scope of practice and/or monitors the ongoing therapy of clients by providing effective pharmacological, complementary, or counseling interventions. Provides education re opioid use disorder and safe opioid prescribing practices to health care providers.
- Prescribes drugs to treat diseases or disorders within the NP scope of practice (according to provincial standards of practice).
- Implements strategies to promote health and prevent disease with individuals, families and communities. Provides education regarding harm reduction and safe practices for any illicit drug use, including Naloxone.
- Synthesizes information from individual clients to identify broader implications within the family.
- Utilizes adult learning principles and established teaching materials to provide health teaching to clients and families.
- Utilizes established infection prevention & control techniques to limit the spread of infection in the clinic and home setting.
- Synthesizes information from individual clients to identify broader implications for health with the community. Collaborates with PCP, addiction clinics, detox centers in order to provide seamless pathways for client with MH&A.
- Uses community assessment data to identify community needs and resources and develops implements and evaluates appropriate programming.
- Provides cost-effective, organized, outcome directed care on an ongoing basis.
- Identifies and utilizes tools and resources for work and manages these resources through regular maintenance of equipment etc.
- Demonstrates effective time management, planning, and organizing of work activities.
- Delegates care appropriately.
- Refers clients to appropriate levels of providers, support providers and to other disciplines utilizing established guidelines.
- Promotes client-directed care, self-care and independence through teaching.
- Ensures efficient functioning of the office clerical support staff.
- Provides leadership in the organization about the NP role.
- Works collaboratively within a multidisciplinary team and acts as a clinical resource and mentor for other care providers, staff and students.
- Shares knowledge, enabling clients, family, caregivers and community to make informed choices in determining health and service needs.
- Promotes involvement of client/family/caregiver in determining health and service needs.
- Influences policy review and development in health care and standards of nursing practice through involvement in VON, professional organizations and/or community organizations.
- Participates in the hiring and orientation and evaluation of clinic staff.
- Supervises and precepts NP students and participates in the education of other students placed within the clinic and other care settings.
- Practices in accordance with the quality and risk management framework of VON Canada and Occupational Health and Safety legislation.
- Articulates knowledge of components of quality and risk management.
- Plans, implements, evaluates and adjusts care in accordance with customer focused expectations.
- Seeks input from clients to assure that service meets expectations.
- Functions as an effective team member.
- Participates in decision-making and follows up to promote continuous quality improvement.
- Functions as a primary care provider to the clients by maintaining confidentiality and acting in an ethical and professional manner, in accordance with the professional code of ethics.
- Establishes and maintains collaborative relationships.
- Obtains appropriate physician consultation according to provincial regulatory standards of practice.
- Functions in accordance with the VON policies, procedures and strategic direction of VON Canada and the branch.
- Functions in accordance with applicable legislation and governing body standards of practice.
- Maintains competence through on-going continuing education.
- Collaborates with management staff and colleagues in performance development evaluations.
- Functions as an employee of VON, to the organization, VON's mission, vision, philosophy, standards and policies and procedures.
- Engage regularly with clients, their families and if applicable caregivers.
- Participate actively with other members of the health care team and the community to promote best practices
- Bachelor degree in Nursing (BScN) or equivalent with a clinical focus. Master degree preferred.
- Completion of an accredited Nurse Practitioner program.
- Must have a Certificate of Competence or be licensed as a Nurse Practitioner in the province of operation.
- Minimum of 3 years' experience as a Nurse Practitioner in primary health care an asset.
- Experience working with seniors, low income families, multicultural populations and youth an asset.
- Thorough familiarity with therapeutic methods and practices based upon a health promotion/disease prevention model
- Prior work/ experience with chronic pain, mental health and addictions
- Independent assessment
- Health teaching facilitation and development
- Interpersonal relationship building and strong verbal/written communication
- Ability to problem solve and to adapt nursing to independent practice
- Ability to work collaboratively as a member of an interdisciplinary team and independently
- Computer literacy including proficiency in Word, online searches, webex/teleconferences. Experience in Electronic Medical Records use preferred.
- Excellent organizational and time management skills
- Excellent decision making, problem recognition and problem solving skills
- Negotiation and conflict resolution skills
- Program planning and evaluation methodology skills
- Must be able to wear Personal Protective Equipment (PPE)
- A current and original copy of a satisfactory Criminal Records Check
- A Vulnerable Sector Search and/or a Child Abuse Registry Check may be required
- Available to work flexible hours
Work Conditions and Physical Capabilities: Attention to detail; Lift and carry using appropriate lifting techniques; Bend, push, pull, grip, reach, kneel, crouch using good body mechanics; Walk, sit, stand, climb stairs; Hand movements
VON Canada is committed to meeting the needs of persons with disabilities and to providing accessibility accommodations for candidates who require them. If you are in need of accessibility support, please visit our website at http://www.von.ca/en/accessibility for further details.
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