REGISTERED PRACTICAL NURSE LTC (COMMUNITY PROGRAMS)

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. 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.

• Provides nursing care and develops and modifies care plans for clients.
• Collaborates with client to promote client independence and self-determination in life skills and performance of ADLs.
• Observes, monitors and evaluates condition of clients on a regular basis, using both InterRAI Community Health Assessment and other program specific assessment tools.
• Reports injuries, and general physical and emotional condition.
• Attends to critical incidents involving clients.
• Monitors clients functional/mental and emotional health status, and documents changes in health.
• Assists clients to maintain independence with medication administration.
• Informs residents/clients about medications and side effects.
• Orients new clients and staff to the program.
• Assists client as appropriate for transfer or departure, communicating with appropriate organization (hospital, clinic, family, etc.), and providing required documentation.
• Coordinates discharge planning with client and family.
• Assists clients to schedule appointments with hospitals, clinics, diagnostic services, and healthcare providers, arranging for transportation and/or escort.
• Ensures results/hospital records are available to client.
• Assists clients with proper exercise and ambulation techniques to support rehabilitative and activation programs.
• Prepares and maintains documentation i.e. charts, records, and incident reports.
• Maintains personal care records for all clients as per policy and College of Nurses Standards, ensuring accuracy and completeness.
• Reports and documents outcomes of interventions as addressed on Care Plan in progress notes.
• Instructs client and family in planning care; offers emotional support; answers questions from client and family.
• Orders office supplies, checks orders and stocks shelves.
• Obtains admission history with clients regarding medical history, immunizations, etc.
• Educates clients and emphasizes important health and medical information.
• Provides regular wellness programming and education for clients, utilizing community resources where available.
• Refers and advocates with community agencies regarding health and social services.
• Refers clients to appropriate community services and follows up on status of referrals.
• Attends meetings with housing, contracted providers and community partners, and advocates on clients’ behalf.
• Orients and trains students. Provides work direction to PSWs.
• Attends team meetings, case reviews and case conferences as required.
• Participates in orientation, in-service, relevant committees and workgroups as required.
• Liaises with contracted agency supervisor to exchange information.
• Communicates with appropriate personnel, including PSW, Supervisor Community Programs, doctor, family, nurses, and others within the clients circle of care.
• Establishes and maintains good relationships with community partners such as housing provider, Care Services, community support agencies.
• Supports and practices workplace health and safety in day-to-day work.
• Responsible to organize and oversee the day-to-day operations of the program at the site.
• Conducts activities related to the admission of new clients, including: screening and assessment of the applicant, preparing the documentation for presentation to the Admission Committee, notifying the applicant of decision, preparing the service plan, and meeting with the applicant to sign the Admission Agreement and provide orientation.
• Conducts outreach and promotes the Supportive Housing program. Educates tenants and service providers on Supportive Housing services available on site.
• Reconciles and monitors clients' medication compliance in collaboration with the client, pharmacy, doctor, and personal support workers.
• Investigates clients’ complaints in collaboration with Supervisor, Community Programs.
• Responds to and follows up on high-risk incidents and reports incidents to Supervisor, Community Programs.

• Current registration and in good standing as a Registered Practical Nurse (RPN) with the College of Nurses of Ontario (CNO).
• Considerable community based Registered Practical Nurse experience working with the elderly population.
• Diploma graduate of a recognized college or school of nursing or equivalent (i.e. certificate RPN with added courses in medication administration).
• Ability to obtain Current Basic Cardiac Life Support (BCLS) certification.
• Ability to travel within the community.
• Ability to provide nursing care to less complex ambulant clients with predictable outcomes and a focus on health and wellness interventions.
• Ability to organize and complete daily work activities and provide work direction to staff members, as assigned in order to complete assignments.
• Sensitivity, empathy, and understanding of client needs.
• Excellent verbal and written communication skills.
• Ability to work in a cooperative manner with other staff members as a member of a multidisciplinary team.
• Knowledge of health and wellness interventions.
• Knowledge of dementia and mental health issues in order to provide care and direction that supports the Seniors Service & Long Term Care philosophy of client centered care and standards of nursing practices.
• Must be willing to participate in team meetings and educational in-services.
• Ability to use office equipment and to utilize a variety of computer software programs such as Microsoft Word & Excel.
• Ability to deliver nursing care consistent with the standards of the College of Nurses, Ministry of Health and Long Term Care, Program and applicable legislation and regulations.
• Ability to support the Toronto Public Service values to ensure a culture that champions equity, diversity and respectful workplaces.

Please 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 is an equal opportunity employer, dedicated to creating a workplace culture of inclusiveness that reflects the diverse residents that we serve.