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Rpn General Internal Medicine
2 months ago
The RPN role in the Internal Medicine portfolio involves providing holistic, evidence-based, culturally appropriate, patient-centred quality care in accordance with the College of Nurses of Ontario standards and Unity Health Toronto's mission, vision, values, and policies. The RPN optimizes the patient's experience and care outcomes by:
- Being accountable for one's decisions and professional practice;
- Establishing a therapeutic relationship with the patient;
- Providing autonomous nursing care with patients considered stable and with predictable outcomes;
- Collaborating with other members of the patient's care team;
- Coordinating and communicating patient care activities to optimize the patient's experience and care outcomes;
- Collaborating and consulting with Registered Nurses and other members of the care team in the care of patients with increasing instability and unpredictability.
The RPN has a number of key areas of responsibility:
Patient Care:- Acquires information to assess patient care and learning needs;
- Engages patients and families to assess the level of involvement of the patient/family in their care and integrates into care planning;
- Develops a plan of care and integrates nursing activities with other inter-professional activities;
- Engages in critical inquiry and reflection to select evidence-based interventions;
- Organizes nursing care based on patient care needs and priorities;
- Continuously gathers and analyzes clinical and other relevant data to evaluate the effectiveness of the plan of care and adjusts the plan as needed;
- Anticipates and recognizes rapidly changing situations and takes immediate action to collaborate and consult with the Registered Nurse;
- Provides health education using effective teaching strategies that takes into account the patient/family's learning needs, readiness, and motivation to learn;
- Collaborates with appropriate team members on patient care needs;
- Processes orders and seeks verification of orders from prescribers;
- Documents observations, assessments, and care provision in a timely manner to facilitate a current and accurate record of the patient's status and enable effective inter-professional communication;
- Contributes to discharge and transition planning and other planning activities to facilitate care continuity and coordination;
- Advocates for care needs to be met in the most appropriate setting.
- Organizes patient care activities while working collaboratively with patients, families, and the inter-professional team to achieve agreed-upon outcomes and optimize resource utilization for individual patients;
- Establishes and maintains respectful, collaborative, therapeutic, and inter-professional relationships within and across the hospital units/programs;
- Coordinates and communicates patient care activities for a safe and seamless transition from one shift or setting/unit of care to another;
- Participates in hospital committees and other groups to represent the RPN perspective and serve as a bridge to the unit/program and patient needs.
- Is accountable for his/her actions and decisions and practices in accordance with professional, legal, and accreditation standards and evidence-based practice;
- Aligns behavior with Unity Health Toronto's vision, mission, and values and code of conduct;
- Engages in self-reflection, performance review, and ongoing learning;
- Participates in mentoring, teaching, and/or coaching students, co-workers, and other regulated and unregulated health professionals;
- Embraces change that leads to improved nursing practice and better patient outcomes;
- Advocates for a safe and healthy work environment.
- Participates in or supports research projects;
- Supports and participates in evidence-based practice implementation and quality improvement initiatives;
- Commitment to unit-specific education or other training identified as necessary to unit operations.
- Successful completion of a Practical Nursing Diploma Program;
- Current Registration with College of Nurses of Ontario;
- Current BLS Certification required;
- Must have worked as an RPN in an acute setting within the last year (Internal Medicine Experience preferred);
- Experience with telemetry preferred;
- Coronary Care 1 or equivalent required or completion within 1 year of hire;
- Certification (or equivalent experience) in Gentle Persuasive Approach, Managing Responsive Behaviours preferred;
- Experience working with the frail elderly population;
- Experience working with patients experiencing stroke;
- Experience and interest in working with patients experiencing homelessness;
- Experience and interest in working with patients with complex mental health and addiction issues;
- Ability to respond to all Emergency Code situations;
- Ability to work collaboratively with other professions/disciplines in a team environment;
- Excellent physical assessment skills, critical thinking, and problem-solving skills;
- Excellent interpersonal and communication skills, both written and verbal;
- Excellent computer skills;
- Ability to work in a fast-paced environment with a high turnover of patients;
- Ability to engage and educate patient and families;
- Proven planning, time management, organization, and coordination skills;
- Demonstrated commitment to continuing education and professional development;
- Must have an excellent attendance record.
Must be available for all shifts (days, nights, weekends, holidays) - 11.25 hour rotating shifts.
