Are you an experienced registered nurse (RN) seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.
Reporting to the Senior Manager, the Rapid Response Nurse is responsible to ensure that improved transitions from hospital to home are optimized and that linkages to primary care teams are established. This position focuses on frail adults and seniors with complex needs and/or high-risk characteristics and medically complex children.
Important Facts About Care Transitions:
Increasingly, effective transitions between hospital and home are recognized as critical to achieving good outcomes for individuals and avoiding re-hospitalization.
Research into care transition demonstrates that the risk of readmission to hospital when people receive their first homecare nursing visit within 24 hours of discharge is significantly lower. Similarly, findings indicate post-discharge individuals who have a Primary Care visit within seven days from discharge have a significantly lower probability of readmission back to hospital.
What will you do?
Provides the first in-home nursing visit within twenty-four (24) hours of hospital discharge for complex/chronic patientsReviews the discharge care plan and confirm outstanding medical tests have been scheduled and transportation etc. is availableEnsures new prescriptions are filled and conduct a medication reconciliation to confirm no drug interactions or contraindications. Review medication protocol with replace and caregiverTriage patient priorities between new referrals and existing caseloadsInitiates contact with primary care physician and provides update on replace acute care event and post-discharge regimeRecommends and facilitates, as appropriate, a one-week replace follow-up visit with the primary care physicianAssessment, consultation, and treatment, as requiredIdentifies patients requiring an accelerated assessment and home care services and works with the Care Coordinator to facilitate home assessment visitsInforms and supports the Care Coordinators in developing the patient’s care plan and ensuring a smooth transfer of the primary care physician and pharmacist to the on-going care teamActs as a spokesperson as required, and interpret the role of Ontario Health atHome to patients, health care professionals and to the publicWorks collaboratively with team members to provide timely triage of referred patients from in-patient units using standardized tools and processesParticipates in the orientation of new staff and studentsAssesses for and promotes a safe environment for caregivers, family members, and staff by adhering to health and safety policies/practices developed and implemented by Ontario Health atHome Central EastParticipates in establishing, maintaining, and monitoring standards for the Care Coordinators including committee work and active participation and contribution to quality initiativesMay be required to perform other duties as assigned.
What must you have?
University degree in Registered Nursing.Registered Nurse in good standing with the College of Nurses of Ontario.Working knowledge of community resources and roles of health care professionals.Knowledge of Ontario Health atHome priorities, policies, practices and service standards an asset.Minimum of 2 years of relevant experience (pediatrics or geriatrics) as a Registered Nurse.Proficiency with computerized information systems.Excellent knowledge of health care related legislation and practices.Working knowledge of the nursing process, the consultation process, program planning and crisis management.What would give you the edge?
Emergency/critical care experience an asset.Community nursing an asset.Completion of Critical Care Course in area of specialty an asset.CNA certification in an area of specialty an asset.Fluency in a second language an asset.Hours of work:
Staff will work extended hours shifts: 0800 - 1900, 7 shifts in a two week period including weekends (70 hours per bi weekly pay period). Candidates must be flexible to adjust to shifts within the hours of operation.
Position location and travel:
Hybrid work model, subject to change.
The position involves travel throughout the geographical region of Ontario Health atHome Central East. A valid Ontario driver's license and access to a reliable vehicle are required.
What do we offer?
We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer:
Attractive comprehensive compensation packages and benefitsValuable development opportunitiesMembership in a world class defined benefit pension planWho we are
We are Ontario Health atHome, ready to serve every person in Ontario. Ontario Health atHome We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.
If you’re interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.
Equity, Inclusion, Diversity and Anti-Racism Commitment
Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.
We thank all applicants for their interest; however, only those selected for an interview will be contacted.
Date Posted: February 19, 2025
Closing Date: February 26, 2025
Job Type: Full-time
Start Date: April 2, 2025
Program: Rapid Response Nursing (Clinical Care Programs)
Branch: Port Hope
Salary: $41.92-$51.91/hour
Group: ONA
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