Wound, Ostomy, Continence

**Company Bio**

Home and Community Care Support Services South East is one of 14 Home and Community Care Support Services organizations in Ontario with a focused mandate to deliver local health care services such as home and community care and long-term care home placement.

These organizations were previously known as Local Health Integration Networks (or "LHINs") at a time when they also led local health care planning and funding, and those functions are now part of Ontario Health.

Home and Community Care Support Services South East is dedicated to ensuring the ongoing delivery of local services while Ontario makes changes to improve the health care system to give patients better-connected care with health care providers working as one coordinated team in Ontario Health Teams.
The south east region extends from Brighton on the west, to Prescott and Cardinal on the east, north to Perth and Smiths Falls, and back to Bancroft. The boundaries are for funding and planning purposes only. Residents of the Home and Community Care Support Services South East can seek health care services wherever they prefer, inside or outside these boundaries.

**Position Summary**

CARE AND BE CARED FOR - THIS IS YOUR HOME

Are you an experienced registered practical nurse seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.

As a Wound, Ostomy, Continence (WOC) Facilitator, you will coordinate wound, ostomy and continence referral requests, facilitate and authorize referrals to the APN (Advanced Practice Nurse) -WOC team, review and manage lower limb assessment (LLA) waitlists and facilitate patient care documents to and from internal/external partners as required for patient flow. You will also act as an information resource to internal and external stakeholders.

Whether you work in our office, in the community, or a health care facility - you will play a lead role in providing connected, accessible, patient-centred care - and be supported by our collaborative team that includes over 8,000 regulated health care and other professionals.

As a valued team member, your mission will be to help our patients be healthier at home, while you benefit from our supports for professional growth, personal wellness and work-life balance.

**What will you do?**
- Receive and monitor referrals for the APN-WOC team within the HCCSS South East geography through the Health Partner Gateway and CHRIS system
- Ensure that information regarding waitlists is current for WOC- APN team intervention
- Receive and monitor referrals from service providers, community partners, and HCCSS Care Coordinators for escalation to the APN-WOC direct care team.
- Contact patients/families/primary care partners and service providers as required to coordinate referrals and information related to APN-WOC intervention.
- Facilitate navigation with system partners by organizing documents and submissions from APN-WOC team and/or specific external reports-e.g. Vascular testing, ABPI reports, lab results etc.
- Liaise with APN-WOC team, Care Coordinators, Team Assistants, and other internal staff to help facilitate urgent/complex patient situations.
- Attend and participate in APN-WOC team meetings, the regional Wound Community of Practice (COP) and all other relevant team meetings as required.
- Support the APN-WOC team through consultation and advocacy in the creation of standards and policy and procedures for the delivery of evidence informed wound care assessment, treatment, and reporting, within scope as part of a collaborative team.
- Support the APN-WOC team in the implementation of wound care data sets that are consistent between Contracted Service Providers Organizations and Home and Community Care Support Services both on a local and provincial level.
- Support the delivery of offloading devices to Diabetic Foot Ulcer patients within Home and Community Care Support Services South East
- Support the APN-WOC team in the development and facilitation of a South East Wound Care Community of Practice network.
- Provide support for system navigation for wound related Ontario Health projects.
- Support data review by collecting and organizing data, as part of the WOC team activities to inform quality improvement plan development with a collaborative goal to improve clinical outcomes and targets.
- Monitor and report on data related to ministry-defined priorities, including but not limited to; total contact casting, diabetic offloading devices, negative pressure wound therapy

What must you have?
- Registered Practical Nurse (RPN)
- Current unrestricted registration with the College of Nurses of Ontario as an RPN in the general class
- Experience in wound care service delivery, community nursing practice, or other equivalent experience is preferred
- Standardized Core competencies and skills will be identified and taught related to: management of intake, assessment, care and referral of wou