CITY OF KAWARTHA LAKES FAMILY HEALTH TEAM

Transcription

1 CITY OF KAWARTHA LAKES FAMILY HEALTH TEAM POSITION DESCRIPTION NURSE PRACTITIONER - REGISTERED NURSE (Extended Care) POSITION: NURSE PRACTITIONER STATUS: FULL TIME PART TIME DEPARTMENT: PRIMARY CARE REPORTING TO: EXECUTIVE DIRECTOR APPROVAL SIGNATURES APPROVED BY BOARD CHAIR DATE PURPOSE The Nurse Practitioner (RN(EC)) provides primary health care with a strong emphasis on health promotion and disease prevention within the scope of practice and standards of care outlined in the documents below. The NP diagnoses and manages common health problems and diseases both independently and in collaboration with the client and the physicians. The NP works as part of an interdisciplinary team to address issues in the community that affect health. ACCOUNTABLITY: The NP is to practice within the scope and according to the standards of practice as outlined in the following documents: College of Nurses of Ontario s ~ Practice Standards Nurse Practitioners ( Expanded Nursing Services for Patients Act (1998) Nursing Act (1991) Regulated Health Professions Act (1991) Health Protection and Promotion Act (1990)

2 DUTIES AND RESPONSIBILITIES Provisions of Primary Care Provides primary care within the scope of practice of Nurse Practitioner as outlined in the College of Nurses of Ontario s - Standards of Practice for Registered Nurses in the Extended Class. The provision of primary care includes: assessments, diagnosis, counselling, screening, referral, education, treatment and follow-up. Provides care to well individuals of all ages and their families, placing an emphasis on health promotion and risk reduction. Collaborates effectively with physicians to facilitate appropriate provision of primary care outside of scope of practice. Supports clients and families to take increased responsibility for their health by involving them in risk factor and health problem identification, goal setting and the choice of interventions for disease treatment, prevention and health promotion. Determines the need for, orders and interprets screening and diagnostic laboratory tests chest and limb X-Rays and diagnostic ultrasounds. Maintains complete, accurate and timely records of client visits, which will facilitate the appropriate provision of care by other health professionals. Refers clients appropriately to comprehensive health programs of FHT as well as other Community Partners. Community Development Monitors demographic and health trends within our community and develop plans to address community health needs. Partners and link with community organizations and groups to enhance access to primary care for clients. Possesses knowledge of special health needs, risk factors and barriers to health of population groups in our region. Possesses knowledge of health and social services available to clients of the Family Health Team either within the FHT or through other services/agencies within and outside our region. Synthesizes information from individual clients to identify broader implications for health within the family and the community. Health Promotion and Disease Prevention Participates in planning, implementation, and evaluation of community health programming for target populations. Implements strategies in partnership, to promote health and prevent disease with individuals, families and groups. Reporting Prepares statistical reports for the CKLFHT and Ministry of Health and Long-Term Care.

3 Team Development Works effectively within an interdisciplinary team, in varied practice settings, to improve access to primary care for the residents of the City of Kawartha Lakes. The client may be an individual, a family, a target group or a community. Promotes awareness of the FHTs services and programs Actively participates in staff, team and committee meetings as appropriate. Provides consultation as requested to community groups, partners and team members. Provides leadership and mentorship to nurse practitioner and nursing students that enter the FHT on a placement. Participates in the education of other health professional students. Participates in the development, planning and evaluation of treatment, education, counselling and health promotion activities of the FHT. Professional Development Maintains and develops professional competence through ongoing professional development. Fully participates in the Reflective Practice of the College of Nurses of Ontario. Stays current and aware of opportunities to implement new, evidence-based methods of client assessment and treatment. Participates in self-directed learning to ensure that practice remains relevant by attending professional conferences, e-learning and journal reviews. Participates on interdisciplinary committees to promote professional / interpersonal development. Participates in clinical projects / studies as required. Communication Communicates effectively with health care team members to create a cohesive team and seamless services to the community. Communicates effectively with all clients, families, peers, other health care professionals and community partners. Participates in interdisciplinary meetings as required. Related Responsibilities Models the values and philosophy of the Corporation. Exhibits a commitment to life-long learning. Maintains confidentiality of team, personnel and client information. Facilitates appropriate in-house and external education sessions. Assists with planning and attend special events. Performs other associated duties as required.

4 EDUCATION / EXPERIENCE: SPECIFICATIONS Baccalaureate or Masters in Nursing. Successful completion of post-graduate Primary Care Nurse Practitioner program. Current extended class registration with the College of Nurses of Ontario. Current membership with RNAO, including professional liability insurance program Basic CPR certification. Current Ontario Drivers License. Demonstrated experience in Community and/or Primary Care Setting. Demonstrated experience in the area of chronic disease management and prevention. SKILLS / ABILITIES: Knowledge and understanding of: Canadian and Ontario Health care system. The role of the NP within an interdisciplinary team, how to optimize collaborative relationships. The patient as an individual, a family member and a member of the community. Issues specific to the residents of the City of Kawartha Lakes and resources available. Knowledge and proficiency in current, evidence-based methods and practices of primary care, with an emphasis on heath promotion and risk reduction. Superior leadership, organization, research, evaluation, time management, communication and interpersonal skills. Proficiency in the use of the computer hardware and software, particularly in Microsoft Word, Excel, Outlook. Desire and ability to update knowledge and skills through various means including technology-based opportunities, courses, workshops and conferences. Multi-tasking skills related to the delivery of efficient primary care including the ability to share information and teach while treating a patient. Excellent verbal and written communication skills. Exhibit an ability to be open and non-judgmental. Knowledge of the goals and structure of the organization, the policies and procedures and the programmes. EQUIPMENT USED: Diagnostic equipment, including, but not limited to: stethoscope, otoscope, ophthalmoscope, thermometer; computer, printer/scanner/fax, photocopier, telephone, AV equipment including multi-media projection unit.

5 CONTACTS: Executive Director INTERNAL Collaborative Physician Family Health Team Physicians and administrators of the FHT Contracted Professional Staff Employees, including interdisciplinary health professionals and clerical staff Contracted administrative support Clients / Families Board of Directors Patients/Clients EXTERNAL Ministry of Health & Long-Term Care Central East Local Health Integration Network Community health and social services agencies Non-Government Organizations Professional Association College of Nurses of Ontario Peers, Other FHT RN(EC) s, Service Providers and Vendors General Public PHYSICAL DEMANDS: Moderate: The position requires minimal physical effort and the workday comprises roughly of equal amounts of standing and sitting, with frequent position changes. This position may involve routine exposure to persons with contagious or infectious illnesses and requires constant attention to infection control procedures. MENTAL DEMANDS: The RN(EC) must be able to make decisions based on the best information and evidence that is available. An ability to exhibit critical thinking and deductive reasoning is vital. The RN(EC) will have competing priorities and must be able to prioritize and balance many tasks and responsibilities. The position may involve occasional exposure to highly emotional or violent patients. The RN(EC) may occasionally need to relay upsetting health news to patients or to deal with those who are terminally ill. FINANCIAL RESPONSIBILTY: Participates in planning of a set budget. May participate in the expenditure of resources as planned.

6 IMPACT OF ERRORS IN JUDGEMENT: Poor decisions and/or omissions can impact harmfully on client health. The level of impact could range from very low to extremely high. Poor interpersonal skills could impact negatively on relations with staff, community partners, clients and public. The level of impact could range from very low to moderate. WORK ENVIRONMENT: FHT Clinic City of Kawartha Lakes The work environment will primarily be in well-lit, well-ventilated clinic areas that are furnished ergonomically. Exam rooms are spacious, well equipped and supplied. Personal office space may or may not be shared. FHT Satellite or outreach sites Environment may vary depending on location. Ergonomics, health and safety of the RN(EC) will be an important consideration in how the location is furnished and equipped. It may be required to bring some requisite equipment and supplies when reporting to work in these environments. Other Travel may be required between sites and client homes. Travel related to the fulfillment of this position description will be reimbursed. REPORTING RELATIONSHIPS: The Nurse Practitioner reports to the Executive Director. In clinical matters, the Nurse Practitioner collaborates with the primary collaborating physician, family physicians and other FHT members to provide the most efficient, appropriate primary care to a client of the FHT. APPROVAL SIGNATURES: Employee Employer Date Date