Clinical Practice

In all Carefor programs, the RPN provides service consistent with the standards established by Carefor and provincial regulatory agencies/bodies. The nursing process is utilized: assessment, planning, implementation and evaluation.

• Provides complete, relevant assessment of the client
• Develops a care plan with the client based on the General and Diabetic Foot Assessment Tool
• Implements nursing strategies or interventions according to the established care plan
• Describes, evaluates and documents client’s/family’s responses to care plan utilizing established procedures
• Utilizes appropriate interviewing and communication skills to obtain information from the client/family
• Describes and documents nursing processes clearly, concisely, accurately and appropriately, according to Carefor documentation standards
• Evaluates client’s/family’s responses to care plan for the achievement of realistic client-centered outcomes and revises plan as required
• Demonstrates respect for client’s choices and decisions
• Utilizes adult learning principals and established teaching materials to provide health teaching to clients and families
• Analyses and incorporates current research findings into clinical practice (e.g.best practices, products & procedures)
• Sanitization of equipment and instruments according to established regulations, policies and procedures.

Resource Management

• Refers clients to appropriate levels of nursing providers, support providers and to other disciplines (e.g., ET, Leg Ulcer specialist, Physician, etc.)
• Documents rationale for referrals, for increase/decrease in visits
• Provides cost-effective, organized, outcome directed care on an ongoing basis (e.g., supplies, visit utilization)
• Demonstrates effective time management, planning and organizing of days’ work activities
• Promotes client-directed care, self-care and independence through teaching

Leadership

• 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, and community to make informed choices in determining health and service needs
• Promotes involvement of client/family in determining health and service needs

Quality & Risk Management

• Practices in accordance with the quality and risk management framework of the organization (e.g., universal precautions, ergonomics)
• Demonstrates knowledge of components of quality and risk management (e.g., infection control, client safety, medication, incident reports)
• Plans, implements, evaluates, and adjusts care in accordance with customer focused expectations
• Seeks input from clients to assure that service meets expectations (e.g., to ensure client satisfaction)
• Functions as an effective team member (e.g., Collaborating with members of interdisciplinary team).
• Participates in decision-making and follows up to promote continuous quality improvement.

Professional Accountability

• Functions in accordance with the Standards of Nursing Practice from the appropriate provincial regulatory body (College of Nurses)
• Functions in accordance with the Carefor policies, procedures and strategic directions (e.g. health care manual, new technology initiatives)
• Functions in accordance with applicable legislation (e.g. informed consent, client Bill of Rights)
• Maintains competence through continuing education (e.g. In services, CPR, seminars)
• Collaborates with management staff and colleagues in the evaluation of own practice (e.g. CNO Reflective practice)

Health and Safety Accountability

• Functions and reports in compliance with the Occupational Health and Safety legislation, regulations, and Carefor policies and procedures
• Demonstrates and applies knowledge of WHMIS in the workplace (e.g. biohazard)
• Wears or uses any/all protective equipment or clothing provided by Carefor as per guidelines.
• Reports the absence of or defect in any equipment or protective device of which he/she is aware and which may endanger him/herself or another worker
• Recognize and Reports any Health and Safety issue and / or hazards
• Does not use or operate any equipment, machine or device, or work in a manner that may endanger him/herself or any other worker
• Ensures all workplace incidents are reported in a timely manner in accordance with legislation, and Carefor policies and procedures for workplace injuries and incidents (e.g. WSIB injuries).

Core Competencies

Communication – Interacts effectively with clients, coworkers, physicians, public, volunteers, other Branches and Organizations by:

• Listening and striving to understand
• Communicating in a clear and effective manner, demonstrating respect, empathy and understanding.
• Using clear, factual, audience appropriate language, avoiding jargon
• Maintaining confidentiality
• Communicates effectively within the organization (e.g. call checks, voice mail, fax, supervisors)

Accountability – Accepts responsibility for achieving the expectations of the job/role by:

• Consistently focuses on the client/customer
• Approaches a task, carrying it out and taking responsibility of how it turns out
• Protects the safety and welfare of others (e.g. use of code 33 & 44)
• Performs in accordance with the mission, vision and values of the organization
• Uses sound knowledge and skill in work/role performance

Client Focus – Places the needs of clients / customers first by:

• Striving to anticipate and exceed the needs of clients / customers
• Involving clients in decision making
• Monitoring and evaluating results / outcomes
• Advocating for the needs of clients

Teamwork – Works cooperatively and respectfully with others to further the goals of the client and the organization by:

• Participates effectively as a team member
• Values and respects individual contributions
• Shares knowledge and experience
• Looking for ways to improve work or care process, based on results and/or evidence

Quality Improvement – Identifies client/customer needs and improves service by:

• On-going care delivery review and evaluation (e.g. verbal reports, care plan updates, caseload Management)
• Looks for ways to improve work or care process, based on results and / or evidence (e.g. sharing results of best practice)

Adaptability to Change – Recognizes and accepts change as a reality by:

• Asking questions until understanding is achieved
• Being receptive to new ideas and willing to try new methods and approaches
• Being able to adapt to change as the job requires
• Accepting the challenge of self-directed learning

Caring/Respect – Demonstrates a concern and caring for clients / colleagues / customers as individuals by:

• Respecting the values and opinions of others
• Demonstrating genuine regard and compassion for others
• Respecting the confidentiality and integrity of others
• Appreciating and celebrating the contributions and successes of other individuals and groups

Continuing Education & Learning

• Maintains Competence and skills required by Carefor
• Maintains the level of competencies and skills required to meet community needs
• Adapts to change in the role by acquiring the appropriate skills and abilities

• Licensed as a Registered Practical Nurse in the province of Ontario
• Advanced Foot Care Certificate, the applicant must be willing to obtain the certificate with support from Carefor
• Experience in foot care clinics preferred
• Previous community experience will be considered an asset
• Minimum of nine (9) months to one (1) year of related experience required
• Excellent skills in assessment, risk identification and management
• Collaboration, consultation and counseling to resolve issues
• Enhanced chronic disease monitoring and management
• Health teaching, increase access for clients for health-related information to support self-management
• Excellent verbal and written communication, ability to work collaboratively as a member of an interdisciplinary team, system navigation
• Interpersonal relationship building

• Defined Pension Plan with the Healthcare of Ontario Pension Plan (HOOPP)
• Paid mileage between clients
• Smartphone provided and Android Tablet
• 24/7 support from on-call Supervisors
• Paid orientation and training
• Flexible Shifts
• All necessary Personal Protective Equipment (PPE)
• Employee and Family Assistance Program
• Professional Development Opportunities
• Leadership team who values innovation, continuous improvement, quality and service excellence while appreciating work-life boundaries
• A collaborative, diverse and inclusive team culture

Job Types: Full-time, Part-time, Permanent

• Utilizes appropriate interviewing and communication skills to obtain information from the client/family
• Provides complete, relevant assessment of the client/family and their environment utilizing established procedures
• Describes and documents assessment findings utilizing established procedures
• In collaboration with the health care team, contributes to and updates the clients care plan as necessary
• Documents problem(s) identified using a specified framework and focuses care on appropriate problem areas utilizing established procedures
• Selects and implements strategies or interventions from established care plans in consultation with the client and/or caregiver and health care team
• Describes, evaluates and documents client’s/family’s responses to care utilizing established procedures
• Provides rationale for and documents modifications to the care plan (eg. visit schedule)
• Negotiates with client/family during delivery of care and respecting client’s choices and decisions
• Utilizes adult learning principals and established teaching materials to provide health teaching to clients and families
• Incorporates current research findings into clinical practice
• Documents clearly, concisely, accurately and appropriately according to Carefor standards

• Registered in good standing with the College of Nurses in Ontario (CNO)
• Excellent high tech skills (with IV restart) or a passion to be trained in these skills
• Valid driver’s license (G2 or G) and the use of a reliable vehicle
• Excellent documentation skills
• The ability to work collaboratively as a member of an interdisciplinary practice
• Excellent problem solving skills and the ability to adapt nursing to independent practice
• Wound care Experience Preferred

• Provides complete, relevant assessment of the client utilizing pre-set procedures
• Develops a care plan with the client and family based on the nursing assessment, incorporating discharge planning
• Implements nursing strategies or interventions according to the established care plan
• Performs technical nursing skills at a safe level in accordance with nursing principles and Carefor’s policies and procedures
• Describes, evaluates and documents client/family responses to care plan utilizing established procedures and
• the achievement of realistic client-centered outcomes, and revises the plan as required
• Describes and documents nursing processes clearly, concisely, accurately and appropriately, according to Carefor documentation standards
• Demonstrates respect for client’s choices and decisions
• Utilizes adult learning principals and established teaching materials to provide health teaching to clients and families
• Reports and discusses client’s status on a regular basis with other members of the health care team
• Acting as a wound champion to manage wounds based on best practices

• Registration with the College of Nurses in Ontario
• High tech skills required
• Experience with IV restart
• Palliative experience preferred
• LEAP training or willing to take as a requirement to palliative care provision
• Experience in community health care preferred
• Excellent documentation skills
• Ability to problem solve and to adapt nursing to independent practice
• Ability to work collaboratively as a member of an interdisciplinary practice
• Possession of a valid driver’s license, (G2 level)
• Use of a reliable vehicle that is insured for business use required
• Bilingualism (French/English) an asset

• Defined Pension Plan with the Healthcare of Ontario Pension Plan (HOOPP)
• Paid mileage between clients
• Smartphone provided
• 24/7 support from on-call Supervisors
• Paid orientation and training
• Flexible Shifts
• All necessary Personal Protective Equipment (PPE)
• Work-life balance
• Professional development opportunities
• A collaborative team culture that supports making a difference in the lives of our clients

Job Types: Full-time, Permanent

Rate of pay: $31.36 – $45.54 per hour

Work location: on the road

As a Registered Practical Nurse in Carefor’s Visit Nursing Program, you will make a difference in the lives of your clients in the community by utilizing your excellent communication skills to obtain relevant information from your clients and their families. You will implement nursing strategies or interventions according to the established care plan in consultation with the client and/or caregiver and the health care team. You will utilize adult learning principals and teaching materials to provide guidance to clients and their caregivers. You will incorporate your research findings into your daily clinical practice while demonstrating your exceptional time management and advance planning skills that will promote client-directed care, self-care and independence.

• You are registered in good standing with the College of Nurses in Ontario (CNO)
• You have excellent high tech skills (with IV restart) or a passion to be trained in these skills
• You possess a valid driver’s license and the use of a reliable vehicle
• You have excellent documentation skills
• You have the ability to work collaboratively as a member of an interdisciplinary practice
• You have excellent problem solving skills and the ability to adapt nursing to independent practice
• You take initiative and you are passionate about caring for your clients
• Ability to converse in both official languages (English/French)
• Experience in palliative care
• You have LEAP training or are willing to take part as a requirement to palliative care provision
• Experience in community health care
• Current skills in Foot Care

• Defined Pension Plan with the Healthcare of Ontario Pension Plan (HOOPP)
• Paid mileage between clients
• Smartphone provided and Android Tablet
• 24/7 support from on-call Supervisors
• Paid orientation and training
• Flexible Shifts
• All necessary Personal Protective Equipment (PPE)
• Employee and Family Assistance Program
• Professional Development Opportunities
• Leadership team who values innovation, continuous improvement, quality and service excellence while appreciating work-life boundaries
• A collaborative, diverse and inclusive team culture

• Provides complete, relevant assessment of the resident and describes and/or documents finding according to documentation procedures.
• In collaboration with the Manager or designate, prepares and updates the resident profile and care plan
• Effectively and safely administers medication according to Carefor procedures and CNO standards of practice
• Collaborates with other members of the health care team to ensure residents receive quality care
• Identifies problems using a specified framework and in consultation with the Manager or designate and resident, selects and implements individualized strategies or interventions in order to focus care on resolving or managing the problem
• Describes, evaluates and documents resident’s responses to care
• Describes rationale for referrals and changes in Service Plan
• 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 monitoring of equipment etc. and reporting unusable equipment to supervisor or designate.
• Delegates care appropriately
• Meets with resident and family to orient them to the residence.
• Seeks input from residents to assure that service meets expectations
• Plans, implements, evaluates and adjusts care in accordance with customer focused expectations
• Functions in accordance with the standards of nursing practice from the College of Nurses of Ontario
• Functions in accordance with the Carefor policies and procedures and the strategic direction of Carefor Pembroke-Renfrew County
• Functions and reports in compliance with the Occupational Health and Safety legislation, regulations, and Carefor policies and procedures
• Reports the absence of or defect in any equipment or protective device of which he/she is aware and which may endanger him/herself or another worker
• Reports any violations of the Health and Safety Act or the regulations, or the existence of any hazard
• Ensures all workplace incidents are reported in a timely manner in accordance with legislation, and Carefor policies and procedures for workplace injuries and incidents

• RPN Diploma from approved college
• Valid registration with the College of Nurses of Ontario
• Certificate in gerontology would be an asset.
• Current CPR and First Aid

• Employee and Family Assistance Program
• Professional Development Opportunities
• Leadership team who values innovation, continuous improvement, quality and service excellence while appreciating work-life boundaries
• A collaborative, diverse and inclusive team culture
• Wellness program
• Company events
• Work-life balance

Work Location: In-person

Starting rate of pay: $25.32 per hour

• Provides complete, relevant assessment of the client’s functional abilities, general condition and activities of daily living following pre-set procedures
• Implements the care plan based on the nursing assessment in collaboration with the physician, PSW’s and manager and review quarterly
• Implements nursing strategies or interventions according to the established care plan
• Performs technical nursing skills at a safe level in accordance with scope of practice, nursing principles and Carefor policies and procedures
• Utilizes appropriate interviewing and communication skills to obtain information from the client/family
• Describes and documents nursing processes clearly, concisely, accurately and appropriately, according to Carefor standards (by exception)
• Evaluates client’s responses to care plan for the achievement of realistic client-centered outcomes; revises plan as required
• Demonstrates respect for client’s choices and decisions
• Utilizes adult learning principles and established teaching materials to provide health teaching to clients, unregulated care providers and volunteers
• Reports and discusses client’s status on a regular basis with other members of the health care team, including physician when necessary
• Works closely with the care team (including psws, cooks, recreation/activity coordinator and/or volunteers), providing them with direction, teaching and support
• Orders and checks new medications from the pharmacy and lists the medications on the MAR sheets
• Admissions and Discharges of clients as required
• Keep up to date on changes in the field of dementia care
• Familiarity with the home’s fire, disaster and evacuation plans
• Participate in providing personal care, activities of daily living, preparing and serving meals & snacks, light housekeeping, recreational/personal interest activities as necessary.

• Registered Practical Nurse, or Registered Nurse
• Current registration with the College of Nurses of Ontario
• Current Standard First Aid Certificate
• Current CPR level C Certificate
• Three years experience working with elderly clients with dementia
• Demonstrated excellent communication (both written and verbal) and interpersonal skills with a proven effective customer service focus.