PARKDALE QUEEN WEST COMMUNITY HEALTH CENTRE
Registered Nurse (RN) – Internal/External Posting
1.0 FTE – Permanent and Relief Nurse
Parkdale Queen West CHC is a non-profit registered charity, community-based health organization committed to improving the health of community members, particularly those at risk for poverty and discrimination. Our multi-disciplinary approach includes the provision of primary health/dental care, counselling, harm reduction, community development, advocacy, and innovative partnerships with other organizations. Parkdale Queen West is a leader in the development of inner-city health services focusing on the needs of homeless and street involved adults and youth, families, children and individuals living in the catchment area. Parkdale Queen West is a pro-choice and LGBTTQ and 2-Spirit -positive organization committed to employment equity and anti-discrimination. Our facilities are fully accessible.
Parkdale Queen West Community Health Centre (PQWCHC) has a demonstration supervised consumption health service, integrated into the continuum of health promotion, primary care and harm reduction services at the PQWCHC - Queen West site.
The Registered Nurse works as part of the multi-disciplinary integrated Supervised Consumption Service (SCS) staff team. Working within the context of a client-centered care model, the vision/values of PQWCHC, in accordance with the Ontario Nurses’ Association (ONA) and the Registered Nurses' Association of Ontario (RNAO) Standards of Practice and working within a harm reduction framework, the Nurse supervises participants administering their own consumptions with a variety of acute and chronic illnesses/diseases, including communicable diseases, substance use and general health issues.
The SCS RN works collaboratively with interdisciplinary SCS team members, other health care professionals/providers, clients, and communities in the identification and resolution of health and social issues and integration of care, make referrals to other service providers and strives for excellence in client-centered care and education.
The RN provides health care and treatment for clients who use consumption drugs within the SCS, many of whom have soft tissue damage and injuries, chronic illnesses as well as complex health and social needs. This care may be carried out independently, under the guidance of Medical Directives, or in consultation with PQWCHC primary care physicians or other relevant providers as appropriate. The RN works in the SCS within the health centre.
The SCS Registered Nurse reports to the Supervised Consumption Service Manager. In addition, the SCS RN will have access to the Primary Care Clinical Team to ensure access to clinical supervision.
- Greets and engages clients, assesses eligibility for the SCS, initiates intake into the service, and orients them to the service, space and SCS client agreements
- Supports a welcoming, non-judgmental, relaxed and safe space for clients
- Establishes a therapeutic relationship and develops rapport with clients
- Works independently, under the guidance of Medical Directives, or in consultation with other PQWCHC primary care providers or other relevant inter-professional team members as appropriate
- Completes intakes and assessments, when required, and acts as an entry point into the SCS and other health or social services at PQWCHC and beyond including:
- History taking regarding medical/health background, psychosocial, economic, functional and family status for individuals wishing to access the SCS who may require more intensive assessment and support
- Assesses client knowledge of consumption process and works to achieve the best possible health outcomes for each client
- Physical examinations and nursing assessments including basic wound care related to consumption drug use, basic primary care, routine diagnostic tests and referrals
- Consultation with other health professionals as required to establish a diagnosis and plan of care
- Discussion of health issue/diagnosis with the client and implementation of an appropriate plan of care
- Ongoing evaluation and modification of the plan of care
- Supervises SCS clients to administer their own consumptions, who may present with a variety of acute and chronic illnesses/diseases
- Provides education and counseling using a harm reduction approach to clients regarding safer consumption techniques and in such matters as sexual health
- Assesses, responds to and manages overdose events. Provides overdose prevention education
- Initiates emergency response if necessary, as per established protocols
- Works with other SCS staff to maintain flow of clients into and out of each client area of the SCS
- Dispenses medications such as antibiotics to clients without access to medication as delegated by a Health Centre physician and Medical Directives
- Provides health-related equipment or supplies to clients, including harm reduction supplies, and advises on proper use
- Provides brief counselling support to clients
- De-escalates conflict with or among clients in accordance with established policies and protocols
- Provides referrals to health, social services and substance use treatment services for SCS clients
- Helps to ensure operations of the SCS comply with all exemption requirements and guidelines, and PQWCHC SCS policies and procedures
- Follows established documentation protocols and maintains clear, accurate and timely written documentation in accordance with established procedures and policies of their respective regulatory bodies, the MOH and PQWCHC; prepares/ maintains statistical data, correspondence reports and other documentation, as required
- Participates in SCS program planning, in collaboration with staff, management
- Works collaboratively with other staff team members, participates in inter-disciplinary case conferences and team meetings, and supervision as required by the employer, and collegially shares information, and demonstrates and/or provides guidance on clinical/health related tasks
- Attend regular clinical team supervision with an outside practitioner and participates in regular internal supervision with manager. And participate in organizational training and development aligned with the roles and responsibilities for the position.
- Contributes to PQWCHC’s activities to collect, analyze and report on data, and participates in research and knowledge/exchange/transfer activities as applicable as applicable
- Identifies trends or issues related to the health and well-being of priority groups and uses this information in service planning and advocacy work
- Maintains a hygienic working environment, conducts infection control tasks in accordance with related policies and procedures
- Performs other related duties, as required
- Ability to work weekends as required
SKILLS AND QUALIFICATIONS:
- Undergraduate degree in nursing from a recognized university and/or combination of nursing diploma and additional relevant courses/training
- Current registration as a Registered Nurse with the College of Nurses of Ontario and RNAO membership
- Experience in a community setting or combination of community and hospital or public health settings; experience in primary care or street/outreach nursing setting is an asset
- Significant front line and harm reduction experience; values aligned with a harm reduction approach to service delivery
- Experience working with people who use drugs, racialized populations, indigenous peoples, women who engage in sex work, prisoners/ex-prisoners, people with mental health challenges, and people who have experience trauma, would be an asset
- Experience in emergency response
- Experience in program development, implementation monitoring and evaluation
- Proficiency in the use of computers and various software applications
- Excellent written and verbal communication skills
- Proficiency in language (s) other than English considered an asset
- The successful candidate will demonstrate a willingness to participate in Parkdale Queen West’s commitment to becoming a discrimination-free health centre and an ability to work interdependently and respectfully in a multi-disciplinary team. Languages other than English are an asset. To better represent the communities we serve, applications from members of Aboriginal peoples, racial or cultural minority groups, people with disabilities and LGBTTQ and 2 spirit communities are encouraged to apply. Parkdale Queen West is committed to providing accommodations for people with disabilities. If you require an accommodation, we will work with you to meet your needs.
Compensation: $60,547 to $71,925 per annum with benefits including HOOPP
Please note this is a contract bargaining unit position within the Ontario Nurse’s Association (ONA).
Please forward your cover letter and resume by 12:00 noon Sunday, October 28th 2018 for the permanent role to:
Subject Line: CTCHC Job # SCS 08
Parkdale Queen West Community Health Centres
168 Bathurst Street, Toronto ON M5V 2R4
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