Posting Period: 26-Aug-2024 to 21-Oct-2024

Location and Shift Information:

The City’s Seniors Services and Long-Term Care Division supports residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services, enabling people to live with support and age with dignity. The Division believes in the values of Compassion, Accountability, Respect, and Excellence. CareTO is our brand for the culture change we are investing in for the City’s directly operated long-term care homes (https://www.toronto.ca/community-people/housing-shelter/rental-housing-tenant-information/finding-housing/long-term-care-homes/careto/). Based on evidence-informed research, our goal is to improve the experiences of all those who live, work, volunteer, and visit.

To autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures for residents in the Long-Term Care Homes and Services Division within their legislated scope of practice.

Major Responsibilities:

• Delivers primary health care to residents in the Long-Term Care Home in the management of acute and chronic medical conditions, therapeutic management, health promotion and disease/injury prevention in order to deliver comprehensive health services.
• Conducts focused health assessment using and adapting assessment tools and techniques based on resident needs.
• Completes health history into resident's situation, including physical, psychosocial, emotional, cultural and ethnic dimensions of health.
• Performs physical examination and identifies and interprets normal and abnormal findings.
• Orders diagnostic investigations, and interprets results using evidence-based clinical reasoning.
• Synthesizes health information using critical inquiry and clinical reasoning to formulate a diagnosis, health risks and states of health/illness.
• Communicates with residents about the health assessment findings and/or diagnosis, including outcomes and prognosis through the application of knowledge of pathophysiology, psychopathology, epidemiology, infectious diseases, behavioural sciences and family processes when making diagnoses and providing overall therapeutic management.
• Selects appropriate interventions from a range of non-pharmacological and pharmacological interventions to restore or maintain resident functional, physiological and mental stability to achieve optimal health.
• Promotes safe resident care by mitigating harm and addressing immediate risks for residents and others affected by adverse events and near misses.
• Participates with the Medical Director and other senior management staff in the development and implementation of evaluation processes and the identification of strategies to continually improve clinical outcomes and effectively manage risks.
• Collaborates with senior management in the Division and other community health services in initiatives for the development, implementation and evaluation of systems to promote continuity of resident care across the continuum.
• Ensures Accreditation Canada standards are evident in daily practice.
• Ensures resident files and health care records are properly maintained in compliance with applicable legislation and divisional expectations.
• Identifies, and collaborates with the Medical Director on, educational programs for the care team.

Key Qualifications:

1. Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class (Primary Health Care or Adult) and entitled to practise.
2. Experience as a Nurse Practitioner in long-term care, acute care, rehabilitation, continuing care or primary care.
3. Experience in long-term care, with providing empathetic/relational care for the elderly and those living in long-term care, and clinical work experience with frail older adults, critical care, and mental health as a Nurse Practitioner.
4. Certification in Geriatric Nursing from the Canadian Nursing Association or equivalent experience.

Must also have:

• Ability to incorporate knowledge of diversity, cultural safety and the determinants of health in the assessment, diagnosis and therapeutic management of residents and the evaluation of outcomes
• Ability to exercise independent judgment and to assess situations and problems efficiently and effectively
• Leadership skills, working well within an inter-professional team and ability to foster effective working relationships
• Ability to provide clinical supervision, education and mentoring for nursing students, medical students, and other learners, including residents/families
• Ability to develop and implement evaluation processes and identify strategies to improve clinical outcomes and manage risks
• Strong and effective verbal and written communication skills
• Ability to use computer software such as MS Office applications, email and web applications
• Ability to build and maintain effective relationships and partnerships with a diverse range of stakeholders as well as work effectively within multidisciplinary teams
• Ability to support the Toronto Public Service Values to ensure a culture that champions equity, diversity and respectful workplaces
• Ability to work shifts, evenings, weekends and holidays, as required
• Knowledge of relevant legislation and statutes, including, but not limited to, the Occupational Health and Safety Act and the Fixing Long-Term Care Act
• Good verbal and written communication skills with strong attention to detail
• Ability and willingness to provide a service that enhances the dignity and reflects the diversity of residents

Note: As a condition of employment with the Long-Term Care Homes & Services Division, selected candidates will be required to provide a satisfactory Police Reference Check (PRC) with vulnerable sector screening, tuberculosis screening and proof of immunization in accordance with the Fixing Long-Term Care Act, 2021 (O.Reg. 246/22)

The City’s Seniors Services and Long-Term Care Division supports Toronto seniors and residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services. Vulnerable individuals who reside in the community are supported through adult day programs, supportive housing services, tenancy support and homemakers and nurses services. CareTO is our brand for the culture change we are investing in for the City’s 10 directly operated long-term care homes ( https://www.toronto.ca/community-people/housing-shelter/rental-housing-tenant-information/finding-housing/long-term-care-homes/careto/). The division values Compassion, Accountability, Respect and Excellence which shape our organizational culture, our priorities, and the experiences of all those who live, work, volunteer, and visit.

Reporting to the Nurse Manager, the Registered Practical Nurse plays an integral role in the day-to-day operations of the homes.

Major Responsibilities:

• Provides nursing care and develops and modifies care plans for residents. Observes, monitors, and evaluates condition of residents.
• Provides leadership/direction to Care Team during the shift in collaboration with the RN.
• Reports vital signs, injuries, and general physical and emotional condition. Reports resident critical incidents as per policy.  Attends to critical incidents involving residents.
• Attends team meetings.
• Evaluates the residents' plan of care and revises as indicated by residents' health status.
• Measures and records blood pressure, temperature, respirations, pulse, and weight using equipment, such as blood pressure cuff.
• Prepares and administers prescribed medications and treatments (i.e. eye drops and application of ointments & creams).
• Administers insulin injections and records quantities administered. Assesses condition and administers complex skin and wound treatments. Informs residents about medications and side effects.
• Ensures that medication supplies meet designated inventories. Orders medication and medical/nursing supplies.
• Checks orders, packages, labels, and stores medication and medical supplies. Prepares and applies clean dressings and bandages.
• Cleans wounds and lesions, replaces bandages, and removes stitches and clips. Administers first aid including C.P.R.
• Orients new residents and staff and familiarizes them with surroundings. Notifies departments and individuals of admittance.
• Provides orientation and ongoing coaching for new staff.
• Provides orientation for new residents and their families and introduces them to other residents, staff, etc.
• Records and secures personal valuables.
• Prepares resident for transfer or departure, including organization of personal belongings, contacting of appropriate organization (hospital, coroner's office, etc.), and completion of required documentation.
• Schedules appointments with hospitals, clinics, diagnostic services, and health specialist, arranging for transportation and/or escort.
• Ensures results/hospital records are available to residents. Feeds residents or assists with adaptive eating devices.
• Provides support and leadership during meal service (ie: offering beverages, etc).
• Administers enteral feeds ensuring resident safety and maintains appropriate documentation.
• Provides personal care for residents (i.e. feeding, hygiene, bathing, dressing and undressing, toileting, ambulation, and transferring using applicable electric/hydraulic/manual equipment and lifting devices).
• Assists residents with proper exercise and ambulation techniques to support rehabilitative and activation programs.
• Prepares and maintains documentation (i.e. charts, records, and incident reports).
• Resident and family planning care; offers emotional support; answers questions from resident and family. Works collaboratively with resident and family/chosen family in planning care. 
• Maintains personal care records.
• Changes linens, makes beds and sorts and bags soiled linen as necessary. Orders office supplies, checks orders and stocks shelves.
• Obtains admission history regarding medical history, immunizations, etc. Educates clients and emphasizes important health and medical information.
• Refers and advocates with community agencies regarding health and social services.
• Administers medication and monitors for side effects.
• Assists in coaching and training students.
• Ensures proper storage and handling of all vaccinations ensuring adherence to cold chain procedures.

Key Qualifications:

Your application must describe your qualifications as they relate to:

1. Current registration from the College of Nurses of Ontario.
2. Experience working as an RPN within a community-based setting, including working with the elderly population.
3. Experience working in acute care, complex continuing care, rehabilitation, mental health and/or long-term care.

You must also have:

• Ability to provide resident-centered care in a fast-paced environment.
• Excellent interpersonal, communication and problem-solving skills.
• Knowledge of the Long-Term Care Homes Act and its regulations.
• Ability to complete the annual RAI-MDS certification as per Ministry of Health requirements for Assessment and Intelligence System Inc. (AIS).
• Ability to build and maintain effective relationships with a diverse range of people including residents, families and the interdisciplinary care team.
• Ability to obtain Current Basic Cardiac Life Support (BCLS) certification. 
• Ability to document utilizing electronic software applications.
• Ability to work in a highly demanding work environment with many competing priorities and deadlines.
• Ability to support the Toronto Public Service values to ensure a culture that champions equity, diversity and respectful workplaces.

Additional Information:

Hours of Work can be up to 75 hours bi-weekly, however, Hours of Work will be decided based on operational needs.

Please Note:

As a condition of employment with the Seniors Services & Long-Term Care Division, selected candidates will be required to provide a satisfactory Police Reference Check (PRC) with vulnerable sector screening, tuberculosis screening and proof of immunization in accordance with the Fixing Long-Term Care Act, 2021 (O.Reg.246/22).

• Posting Period: Aug-2024 to 26-Aug-2024

Major Responsibilities:

• Implements detailed plans and recommends policies/procedures regarding program specific requirements
• Gathers evidence impacting assigned area ensuring that such research takes into account developments within the field, division/corporate policies and practices, legislation and initiatives by other levels of government
• Provides input into and administers assigned budget, ensuring that expenditures are controlled and maintained within approved budget limitations.
• Coordinates logistics that supports the assigned Program including enforcement and service delivery by monitoring staff workload, completion of tasks, relevant information systems such as Toronto Healthy Environments Information System (THEIS), Panorama, Integrated Public Health Information System (iPHIS) and Check Market data integrity
• Develops and implements quality assurance processes to monitor and support programs to achieve and maintain standards and to comply with Ministry or program mandates
• Provides frequent direction to staff offering advice, guidance and coaching to meet program procedures, standards and legislative requirements
• Investigate concerns and complaints related to enforcement implementation, investigations and outbreaks relating to the Health Protection mandate
• Assists with the coordination of high profile or complex investigations, possibly including potential rabies exposure, outbreaks and clusters of diseases of public significance including working closely with and guiding activities of investigators, epidemiologists and management
• Evaluates divisional compliance with the Ministry of Health program requirements and associated legislation
• Ensures proper and consistent internal controls, quality assurance system standards and policies are maintained and that requirements are met
• Initiates, determines the design, coordinates and implements program evaluations and operational reviews and audits to provide strategic advice to the divisional management team on quality assurance issues and strategies for improving the efficiency and effectiveness of programs and services
• Accesses and deals with confidential and sensitive information regarding operations, assets and resources, proposed or new management initiatives, strategies or programs and investigations of a confidential nature
• Prepares reports for management, supporting recommendations on changes in business methods and processes, including appropriate staffing levels, resource allocation, etc.
• Conducts periodic review of records/reports to determine timeliness, completeness and adherence to standards for confidentiality and security of records
• Coordinates legal processes by collaborating and liaising with relevant internal and external partners and the Ministry of Health in strategic and operational planning with respect to enforcement and legal actions
• Participates in local and provincial relevant Program committees and creates effective communication linkages with other key partners
• Develops material and content for Toronto Public Health internet and intranet sites, and reviews and updated relevant material on other Division web pages/literature
• Creates and maintains resource information for partners
• Coordinates training for Health Environments Enforcement Officers by identifying needs, preparing and delivering training and maintaining existing database of training sessions
• Prepares and delivers presentations to partners, and other City divisions
• Assists in preparing reports for Toronto Public Health and the Board of Health
• Evaluates and makes recommendations relating to equipment and other resources required to improve monitoring and service delivery

Key Qualifications:

1. Post-secondary education in relevant Public Health specialty or an approved equivalent combination of education and experience.
2. Considerable experience in public health investigations of Diseases of Public Health Significance, including the application and/or enforcement of provincial legislation, standards, protocols and/or municipal By-Laws.
3. Considerable experience conducting and/or coordinating the collection of and analysis of data through investigations, surveys, evaluations and operational reviews including skills in data analysis to support public health decision making.
4. Considerable experience in developing, implementing and evaluating policies and procedures as well as programs and services.
5. Experience coaching and mentoring others.
6. Experience applying relevant Ontario Public Health Standards, Protocols, Guidelines and legislation.
7. Possession of a valid Ontario Class "G" Driver's Licence and access to a vehicle.
8. Ability to communicate both orally and in writing including presentation skills.
9. Ability to organize and supervise field work and exercise initiative and independent judgement.
10. Ability to establish, coordinate and maintain effective working relationships with other levels of government, public, community stakeholders and staff.
11. Excellent interpersonal skills, conflict management, problem solving and consultation skills.
12. Ability and sound judgement to handle matters involving public trust.
13. Ability to effectively manage and meet timelines for concurrent projects and diverse activities.
14. Proficiency with relevant software, including specifically Microsoft Office (Word, Excel and PowerPoint), Microsoft Visio, and Adobe Acrobat PRO.

• Posting Period: 12-Aug-2024 to 26-Aug-2024
•  

Major Responsibilities:

• Implements detailed plans and recommends policies/procedures regarding program specific requirements
• Gathers evidence impacting assigned area ensuring that such research takes into account developments within the field, division/corporate policies and practices, legislation and initiatives by other levels of government
• Provides input into and administers assigned budget, ensuring that expenditures are controlled and maintained within approved budget limitations.
• Coordinates logistics that supports the assigned Program including enforcement and service delivery by monitoring staff workload, completion of tasks, relevant information systems such as Toronto Healthy Environments Information System (THEIS), Panorama, Integrated Public Health Information System (iPHIS) and Check Market data integrity
• Develops and implements quality assurance processes to monitor and support programs to achieve and maintain standards and to comply with Ministry or program mandates
• Provides frequent direction to staff offering advice, guidance and coaching to meet program procedures, standards and legislative requirements
• Investigate concerns and complaints related to enforcement implementation, investigations and outbreaks relating to the Health Protection mandate
• Assists with the coordination of high profile or complex investigations, possibly including potential rabies exposure, outbreaks and clusters of diseases of public significance including working closely with and guiding activities of investigators, epidemiologists and management
• Evaluates divisional compliance with the Ministry of Health program requirements and associated legislation
• Ensures proper and consistent internal controls, quality assurance system standards and policies are maintained and that requirements are met
• Initiates, determines the design, coordinates and implements program evaluations and operational reviews and audits to provide strategic advice to the divisional management team on quality assurance issues and strategies for improving the efficiency and effectiveness of programs and services
• Accesses and deals with confidential and sensitive information regarding operations, assets and resources, proposed or new management initiatives, strategies or programs and investigations of a confidential nature
• Prepares reports for management, supporting recommendations on changes in business methods and processes, including appropriate staffing levels, resource allocation, etc.
• Conducts periodic review of records/reports to determine timeliness, completeness and adherence to standards for confidentiality and security of records
• Coordinates legal processes by collaborating and liaising with relevant internal and external partners and the Ministry of Health in strategic and operational planning with respect to enforcement and legal actions
• Participates in local and provincial relevant Program committees and creates effective communication linkages with other key partners
• Develops material and content for Toronto Public Health internet and intranet sites, and reviews and updated relevant material on other Division web pages/literature
• Creates and maintains resource information for partners
• Coordinates training for Health Environments Enforcement Officers by identifying needs, preparing and delivering training and maintaining existing database of training sessions
• Prepares and delivers presentations to partners, and other City divisions
• Assists in preparing reports for Toronto Public Health and the Board of Health
• Evaluates and makes recommendations relating to equipment and other resources required to improve monitoring and service delivery

Key Qualifications:

1. Post-secondary education in relevant Public Health specialty or an approved equivalent combination of education and experience.
2. Considerable experience in public health investigations of Diseases of Public Health Significance, including the application and/or enforcement of provincial legislation, standards, protocols and/or municipal By-Laws.
3. Considerable experience conducting and/or coordinating the collection of and analysis of data through investigations, surveys, evaluations and operational reviews including skills in data analysis to support public health decision making.
4. Considerable experience in developing, implementing and evaluating policies and procedures as well as programs and services.
5. Experience coaching and mentoring others.
6. Experience applying relevant Ontario Public Health Standards, Protocols, Guidelines and legislation.
7. Possession of a valid Ontario Class "G" Driver's Licence and access to a vehicle.
8. Ability to communicate both orally and in writing including presentation skills.
9. Ability to organize and supervise field work and exercise initiative and independent judgement.
10. Ability to establish, coordinate and maintain effective working relationships with other levels of government, public, community stakeholders and staff.
11. Excellent interpersonal skills, conflict management, problem solving and consultation skills.
12. Ability and sound judgement to handle matters involving public trust.
13. Ability to effectively manage and meet timelines for concurrent projects and diverse activities.
14. Proficiency with relevant software, including specifically Microsoft Office (Word, Excel and PowerPoint), Microsoft Visio, and Adobe Acrobat PRO.

Medcan is recruiting for a Nurse Consultant to join the team. The ideal candidate is a Registered Nurse with experience in a similar nursing role and exceptional communication and client service skills.

The Nurse Consultant acts as the main point of contact for our patients providing guidance, education and support to our client population. The role works closely with a small multi-disciplinary team of physicians and coordinators to provide timely communication of results and follow up care to the client.

The Nurse Consultant role also involves facilitating specialist appointments and diagnostic imaging within North America (Case Management). The majority of this role involves telephone and e-mail communication with clients; there is little face-to-face patient interaction in the role.

The Accountabilities:

• Primary point of contact for clients which may include providing clients with education and guidance regarding healthy lifestyle, navigation of the health care system, and support and counseling regarding new diagnoses.
• Arrange and coordinate appointments with specialists and diagnostic facilities.
• Coordinate follow up care for clients including scheduling appointments and providing follow up care such as results and prescription renewals.
• Communication and explanation of results
• Case Management
• Triage prospective client calls
• Rotational weekend/evening pager coverage
• Coordinate with others team to ensure exceptional delivery of service for all clients

The Requirements:

• Registered Nurse in good standing with Ontario College of Nurses
• Current CPR-Healthcare certificate
• 1-5 years nursing experience
• Excellent written and verbal communication skills
• Great organization and time management skills
• Intermediate level in MS Word, Excel and Outlook

This is a short-term contract role with full-time hours scheduled primarily Sunday through Thursday until end of March 2025. This position is primarily remote with occasional visits to 150 York St. for meetings and trainings.

Our Benefits:

Medcan’s philosophy of Live Well, For Life applies not only to our clients, but also our valued staff members. We provide paid Wellness Days along with a variety of programs to help our employees manage their mental and physical well-being. We offer special employee rates on fitness sessions, in-house specialty services, and a complimentary membership to our clinic to name a few.

Job ID: 30445

Job Category: Health Care

Division & Section: Seniors Services & Long Term Care, LTC Regional Services

Job Type & Duration:  Permanent, Full-Time Vacancy

Hourly Rate and Wage Grade: $63.16 - $68.34, Wage Grade 16

Shift Information: Monday to Sunday, 35 hours per week

Number of Positions Open: 4

Posting Period: 06-Aug-2024 to 20-Aug-2024

Location and Shift Information:

The City’s Seniors Services and Long-Term Care Division supports residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services, enabling people to live with support and age with dignity. The Division believes in the values of Compassion, Accountability, Respect, and Excellence. CareTO is our brand for the culture change we are investing in for the City’s directly operated long-term care homes (https://www.toronto.ca/community-people/housing-shelter/rental-housing-tenant-information/finding-housing/long-term-care-homes/careto/). Based on evidence-informed research, our goal is to improve the experiences of all those who live, work, volunteer, and visit.

To autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures for residents in the Long-Term Care Homes and Services Division within their legislated scope of practice.

Major Responsibilities:

• Delivers primary health care to residents in the Long-Term Care Home in the management of acute and chronic medical conditions, therapeutic management, health promotion and disease/injury prevention in order to deliver comprehensive health services.
• Conducts focused health assessment using and adapting assessment tools and techniques based on resident needs.
• Completes health history into resident's situation, including physical, psychosocial, emotional, cultural and ethnic dimensions of health.
• Performs physical examination and identifies and interprets normal and abnormal findings.
• Orders diagnostic investigations, and interprets results using evidence-based clinical reasoning.
• Synthesizes health information using critical inquiry and clinical reasoning to formulate a diagnosis, health risks and states of health/illness.
• Communicates with residents about the health assessment findings and/or diagnosis, including outcomes and prognosis through the application of knowledge of pathophysiology, psychopathology, epidemiology, infectious diseases, behavioural sciences and family processes when making diagnoses and providing overall therapeutic management.
• Selects appropriate interventions from a range of non-pharmacological and pharmacological interventions to restore or maintain resident functional, physiological and mental stability to achieve optimal health.
• Promotes safe resident care by mitigating harm and addressing immediate risks for residents and others affected by adverse events and near misses.
• Participates with the Medical Director and other senior management staff in the development and implementation of evaluation processes and the identification of strategies to continually improve clinical outcomes and effectively manage risks.
• Collaborates with senior management in the Division and other community health services in initiatives for the development, implementation and evaluation of systems to promote continuity of resident care across the continuum.
• Ensures Accreditation Canada standards are evident in daily practice.
• Ensures resident files and health care records are properly maintained in compliance with applicable legislation and divisional expectations.
• Identifies, and collaborates with the Medical Director on, educational programs for the care team.

Key Qualifications:

1. Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class (Primary Health Care or Adult) and entitled to practise.
2. Experience as a Nurse Practitioner in long-term care, acute care, rehabilitation, continuing care or primary care.
3. Experience in long-term care, with providing empathetic/relational care for the elderly and those living in long-term care, and clinical work experience with frail older adults, critical care, and mental health as a Nurse Practitioner.
4. Certification in Geriatric Nursing from the Canadian Nursing Association or equivalent experience.

Must also have:

• Ability to incorporate knowledge of diversity, cultural safety and the determinants of health in the assessment, diagnosis and therapeutic management of residents and the evaluation of outcomes
• Ability to exercise independent judgment and to assess situations and problems efficiently and effectively
• Leadership skills, working well within an inter-professional team and ability to foster effective working relationships
• Ability to provide clinical supervision, education and mentoring for nursing students, medical students, and other learners, including residents/families
• Ability to develop and implement evaluation processes and identify strategies to improve clinical outcomes and manage risks
• Strong and effective verbal and written communication skills
• Ability to use computer software such as MS Office applications, email and web applications
• Ability to build and maintain effective relationships and partnerships with a diverse range of stakeholders as well as work effectively within multidisciplinary teams
• Ability to support the Toronto Public Service Values to ensure a culture that champions equity, diversity and respectful workplaces
• Ability to work shifts, evenings, weekends and holidays, as required
• Knowledge of relevant legislation and statutes, including, but not limited to, the Occupational Health and Safety Act and the Fixing Long-Term Care Act
• Good verbal and written communication skills with strong attention to detail
• Ability and willingness to provide a service that enhances the dignity and reflects the diversity of residents

Note: As a condition of employment with the Long-Term Care Homes & Services Division, selected candidates will be required to provide a satisfactory Police Reference Check (PRC) with vulnerable sector screening, tuberculosis screening and proof of immunization in accordance with the Fixing Long-Term Care Act, 2021 (O.Reg. 246/22).

Job ID: 42086

Job Category: Health Services

Division & Section: Seniors Services & Long-Term Care, LTC Regional Services

Work Location:  Fudger House, 439 Sherbourne St.

Job Type & Duration:  Part-Time, Indefinite

Hourly Rate:  $33.34 - $36.55 per hour

Shift Information:  Various Shifts - Days, Evenings, Nights and Weekends

Affiliation: L79 PT LTCH&S

Number of Positions Open: Multiple

Posting Period: 01-Aug-2024 to 30-Aug-2024

An information session will be offered on the afternoon of Wednesday August 21, 2024 from 2 p.m. - 4 p.m. for those applicants that are interested in learning more about the role and responsibilities of the Registered Practical Nurse Long-Term Care at Fudger House, as well as the hiring process. There will be a Virtual Information Session at a later date for applicants’ whom are unable to attend the in-person session.

If applicants’ are interested in attending either the in-person or virtual Information Sessions, kindly email [email protected] no later than Thursday August 16, 2024 by 9 a.m. and you will be sent the session details. 

The City’s Seniors Services and Long-Term Care Division supports Toronto seniors and residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services. Vulnerable individuals who reside in the community are supported through adult day programs, supportive housing services, tenancy support and homemakers and nurses services. CareTO is our brand for the culture change we are investing in for the City’s 10 directly operated long-term care homes ( https://www.toronto.ca/community-people/housing-shelter/rental-housing-tenant-information/finding-housing/long-term-care-homes/careto/). The division values Compassion, Accountability, Respect and Excellence which shape our organizational culture, our priorities, and the experiences of all those who live, work, volunteer, and visit.

Reporting to the Nurse Manager, the Registered Practical Nurse plays an integral role in the day-to-day operations of the homes.

Major Responsibilities:

• Provides nursing care and develops and modifies care plans for residents. Observes, monitors, and evaluates condition of residents.
• Provides leadership/direction to Care Team during the shift in collaboration with the RN.
• Reports vital signs, injuries, and general physical and emotional condition. Reports resident critical incidents as per policy.  Attends to critical incidents involving residents.
• Attends team meetings.
• Evaluates the residents' plan of care and revises as indicated by residents' health status.
• Measures and records blood pressure, temperature, respirations, pulse, and weight using equipment, such as blood pressure cuff.
• Prepares and administers prescribed medications and treatments (i.e. eye drops and application of ointments & creams).
• Administers insulin injections and records quantities administered. Assesses condition and administers complex skin and wound treatments. Informs residents about medications and side effects.
• Ensures that medication supplies meet designated inventories. Orders medication and medical/nursing supplies.
• Checks orders, packages, labels, and stores medication and medical supplies. Prepares and applies clean dressings and bandages.
• Cleans wounds and lesions, replaces bandages, and removes stitches and clips. Administers first aid including C.P.R.
• Orients new residents and staff and familiarizes them with surroundings. Notifies departments and individuals of admittance.
• Provides orientation and ongoing coaching for new staff.
• Provides orientation for new residents and their families and introduces them to other residents, staff, etc.
• Records and secures personal valuables.
• Prepares resident for transfer or departure, including organization of personal belongings, contacting of appropriate organization (hospital, coroner's office, etc.), and completion of required documentation.
• Schedules appointments with hospitals, clinics, diagnostic services, and health specialist, arranging for transportation and/or escort.
• Ensures results/hospital records are available to residents. Feeds residents or assists with adaptive eating devices.
• Provides support and leadership during meal service (ie: offering beverages, etc).
• Administers enteral feeds ensuring resident safety and maintains appropriate documentation.
• Provides personal care for residents (i.e. feeding, hygiene, bathing, dressing and undressing, toileting, ambulation, and transferring using applicable electric/hydraulic/manual equipment and lifting devices).
• Assists residents with proper exercise and ambulation techniques to support rehabilitative and activation programs.
• Prepares and maintains documentation (i.e. charts, records, and incident reports).
• Resident and family planning care; offers emotional support; answers questions from resident and family. Works collaboratively with resident and family/chosen family in planning care. 
• Maintains personal care records.
• Changes linens, makes beds and sorts and bags soiled linen as necessary. Orders office supplies, checks orders and stocks shelves.
• Obtains admission history regarding medical history, immunizations, etc. Educates clients and emphasizes important health and medical information.
• Refers and advocates with community agencies regarding health and social services.
• Administers medication and monitors for side effects.
• Assists in coaching and training students.
• Ensures proper storage and handling of all vaccinations ensuring adherence to cold chain procedures.

Key Qualifications:

Your application must describe your qualifications as they relate to:

1. Current registration from the College of Nurses of Ontario.
2. Experience working as an RPN within a community-based setting, including working with the elderly population.
3. Experience working in acute care, complex continuing care, rehabilitation, mental health and/or long-term care.

You must also have:

• Ability to provide resident-centered care in a fast-paced environment.
• Excellent interpersonal, communication and problem-solving skills.
• Knowledge of the Long-Term Care Homes Act and its regulations.
• Ability to complete the annual RAI-MDS certification as per Ministry of Health requirements for Assessment and Intelligence System Inc. (AIS).
• Ability to build and maintain effective relationships with a diverse range of people including residents, families and the interdisciplinary care team.
• Ability to obtain Current Basic Cardiac Life Support (BCLS) certification. 
• Ability to document utilizing electronic software applications.
• Ability to work in a highly demanding work environment with many competing priorities and deadlines.
• Ability to support the Toronto Public Service values to ensure a culture that champions equity, diversity and respectful workplaces.

Additional Information:

Hours of Work can be up to 75 hours bi-weekly, however, Hours of Work will be decided based on operational needs.

Please Note:

As a condition of employment with the Seniors Services & Long-Term Care Division, selected candidates will be required to provide a satisfactory Police Reference Check (PRC) with vulnerable sector screening, tuberculosis screening and proof of immunization in accordance with the Fixing Long-Term Care Act, 2021 (O.Reg.246/22).

• Posting Period: 1-Aug- 2024 to 15- Aug-2024

Reporting to the Manager, Mental Health, this Nurse Practitioner (NP) will be part of the Downtown CORE Team. The NP will be responsible for coordinating care for individuals by conducting substance use and mental health assessments. In addition, they will be developing, implementing, maintaining, and adjusting comprehensive care plans based on complex needs identified. The NP will be working alongside Public Health Nurses.

Major Responsibilities:

• Delivers primary health care to clients (as identified by Public Health Nurses on the team) in the management of acute medical conditions, therapeutic management, health promotion and disease/injury prevention
• Conducts focused health assessments, including physical, psychosocial, emotional, cultural, and ethnic dimensions of health, using and adapting assessment tools and techniques based on client needs
• Performs physical examinations and identifies and interprets normal and abnormal findings. Orders diagnostic investigations and interprets results using evidence-based clinical reasoning. Orders diagnostic investigations and interprets results using evidence-based clinical reasoning
• Synthesizes health information using critical inquiry and clinical reasoning to formulate a diagnosis, health risks and states of health/illness
• Communicates with clients about the health assessment findings and/or diagnosis, including outcomes and prognosis through the application of knowledge of pathophysiology, psychopathology, epidemiology, infectious diseases, behavioral sciences, when making diagnoses and providing overall therapeutic management
• Selects appropriate interventions from a range of non-pharmacological and pharmacological interventions to restore or maintain clients functional, physiological, and mental stability to achieve stable health
• Promotes safe care by mitigating harm and addressing immediate risks for clients

• Participates with the Manager, Mental Health in the development and implementation of evaluation processes and the identification of strategies to continually improve clinical outcomes and effectively manage risks, to contribute toward program success

• Communicates regularly and works collaboratively with program partners and stakeholders to build and maintain positive working relationships and ensures all program staff work toward goal of community building
• Initiates, analyzes, and utilizes research to identify issues, trends, gaps, best practices, and innovative approaches to service delivery. Analyzes health status, socio-demographic and epidemiological data, and health research for use in strategic planning, operational planning and to make recommendations to the Manager, Mental Health
• Supports the development of policies and procedures that ensure the programs and services implemented in the community meet professional standards (e.g., College of Nurses) and protect the city from potential liability and negative public image (e.g., in relation to the provision of services in both universal and high-risk-focused programs.)
• Ensures Accreditation Canada standards are evident in daily practice
• Ensures health care records are properly maintained in compliance with applicable legislation and divisional expectations
• Ensures compliance with all corporate policies and provincial legislation (e.g., Personal Health Information Protection Act (PHIPA), Freedom of Information and Protection of Privacy Act (FIPPA), Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), Ontario Human Rights Code, Workplace Harassment, Confidentiality, Occupational Health and Safety, Professional Standards of Practice
• Adheres to the standards of practice established by the College of Nurses of Ontario (CNO)

Key Qualifications:

Your application must describe your qualifications as they relate to:

1. Current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class of Nurse Practitioner Specialty (in either Primary Care (NP-PHC) or Adult (NP-Adult)) and entitled to practice.
2. Experience as a Nurse Practitioner in long-term care, acute care, rehabilitation, continuing care, or primary care.
3. Experience in the provision of harm reduction, drug treatment/addiction counselling, methadone, social, health, housing, and HIV/AIDS related services.
4. Experience working in an outreach capacity with people who use drugs, people experiencing mental health issues and/or people who are homeless or underhoused.
5. Experience in providing empathetic/relational care for vulnerable clients and those living with substance use, mental health, and housing challenges.
6. Experience within a community mental health program, hospital setting, or the approved equivalent professional development in mental health, counselling, or mental health promotion.
7. Must possess a valid Ontario Driver's License Class "G" with the ability to qualify for a City Equipment Operator's License, and able and willing to drive within the Greater Toronto area.

You must also have:

• Thorough knowledge of HIV/AIDS and Hepatitis prevention and treatment issues.
• Thorough knowledge of harm reduction practice, drug use including safer drug use practices, safer supply, opioid substitution.
• Ability to conduct work in a non-judgmental way, using a harm reduction approach. Excellent assessment skills.
• Knowledge of drug treatment, social, housing, health, HIV/AIDS related programs and services.
• Awareness of issues relating to sex works, addictions, mental health, and homelessness. Thorough knowledge of Hepatitis including transmission, prevention, and treatment options.
• Ability to work as a member of a multidisciplinary team.
• Excellent interpersonal skills and excellent oral and written communication skills.
• Willingness and ability to work flexible hours including evenings and weekends.

• Number of Positions Open: 3

• Mentors dental students from universities and colleges
• Ensures that the clinic is properly equipped and maintained, and meets safety requirements for staff and patients
• Ensures medical emergency kits and oxygen are available and in a state of readiness, and that staff is prepared to implement lifesaving procedures as necessary (i.e. administer emergency medication, provide oxygen, perform CPR)
• Ensures proper x-ray quality assurance and safety and the proper disposal of biohazardous waste
• Provides liaison between the Public Health Dental Unit, school staff (principals and teachers) and parents of patients regarding policies and goals of treatment (i.e. letters from both the department and individual schools.

Key Qualifications:

Your application must describe your qualifications as they relate to:

1. Graduate Degree in Dentistry from a recognized university and have, or be eligible for a license from the Royal College of Dental Surgeons of Ontario.
2. Considerable experience working as a Dentist in a dental office.
3. Experience in the field of removable prosthetics and paediatric and geriatric dentistry.
4. Strong interpersonal and communication skills and the ability to work cooperatively with staff and clients, including children and parents in a community clinic.
5. Excellent customer service skills and commitment to the Toronto Public Service. 
6. Post-graduate training or experience working in a Public Health environment would be an asset.
7. Fluency in one or more of the following languages is an asset: Chinese, Tamil, Hindi, Urdu, Korean, Russian or Spanish (please indicate language skills on resume).
8. Familiarity with Public Health dental programs.
9. Ability to support the Toronto Public Service values to ensure a culture that champions equity, diversity and respectful workplaces.
10. Familiarity with government legislation in the area of Occupational Health and Safety.
11. Willingness to travel to other clinics.
12. Ability to work evenings and weekends.
13. A valid Ontario Class "G" Driver's License is an asset.

Posting Period: 17-JULY-2024 to 31-AUGUST-2024

At Extendicare, we believe that working as a team and celebrating achievements creates an environment that allows us to reach our potential. As a valued member of our RPN team, you will provide care to residents in accordance with the standards of practice and offer leadership and guidance to the personal care staff. Extendicare offers rewarding and meaningful work where you can enrich your life and the lives of others.  

This position is for our Lakefield Home, located in Lakefield, ON.

Part-Time and Casual positions available.

What you’ll be doing: 

·         Develop, implement, review and evaluate resident care plans  

·         Provide leadership to personal care staff by planning, directing, supervising and evaluating their work  

·         Assist in orienting and training new team members  

What you bring: 

·         Current registration with provincial College of Nurses  

·         Compassion, professionalism, and respect 

·         Ability to read, write and communicate effectively in English 

What you’ll get: 

·         Continuous mentorship, support for life-long learning and growth opportunities 

·         Employee Perks  

·         Recognition Programs 

·         Robust benefits package 

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