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Geriatric Behaviour Specialist
2 months ago
About the Role:
We are seeking a highly skilled Registered Nurse to join our team as a Hospital to Home specialist. In this role, you will work with patients and caregivers to develop and implement comprehensive behavioural care plans, ensuring a smooth transition from hospital to home.
Key Responsibilities:
- Conduct comprehensive geriatric behaviour assessments using the PIECES framework and supporting geriatric assessments.
- Liaise with care teams to develop and implement behavioural care plans, coordinating with hospital staff, LHIN staff, discharge planners, physicians, and other healthcare professionals.
- Conduct Best Possible Medication Histories and share with care teams, interacting with pharmacy teams to support medication changes and monitoring.
- Work collaboratively with primary care physicians, geriatricians, and geri-psychiatric specialists to provide updates on patient status post-discharge and recommend follow-up visits.
- Address client and caregiver questions and concerns, supporting the behavioural management care plan.
- Assess, consult, and treat as indicated, utilizing the ABOE approach and communicating observations to care teams and caregivers.
- Document assessments and care plans in CHRIS, OSLER, and HEADWATERS Hospital MEDITECH databases, participating in data entry to track program metrics.
- Act as a spokesperson, interpreting the role of the LHIN to clients, healthcare professionals, and the public, ensuring positive public relations and effective coordination of services.
- Participate in the orientation of new staff and students, providing refresher training as assigned, and assessing for and promoting a safe environment for clients, caregivers, family members, and staff.
- Participate in utilizing, maintaining, and monitoring Best Practice standards for the geriatric behaviour population, including committee work and quality initiatives.
Requirements:
- Ability to assist staff and family members in developing and implementing behavioural care strategies and monitoring patient responses over time.
- Demonstrated commitment to the LHIN's mission and values.
- Working knowledge of community resources and roles of healthcare professionals.
- Solid knowledge of healthcare-related legislation and practices.
- Knowledge of direct care/case management models used in community healthcare organizations.
- Knowledge of LHIN priorities, policies, practices, and service standards.
- Registered Nurse (BScN or diploma) in good standing with the College of Nurses of Ontario.
- Minimum of two years of experience as a Registered Nurse focused on providing or coordinating care for adults in a mental health setting and/or specialized geriatrics unit with experience in dementia care.
- Specialized skills in assessment of delirium, dementia, and mental health, with knowledge of multiple best practices in these areas.
What We Offer:
- Attractive comprehensive compensation packages and benefits.
- Valuable development opportunities.
- Membership in a world-class defined benefit pension plan.
About Us:
We are Home and Community Care Support Services, committed to delivering responsive, accessible, integrated, patient-centred care to every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers, and Ontario Health Teams to achieve this goal.
Why Join Us:
If you're interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.
Equity, Inclusion, Diversity, and Anti-Racism Commitment:
We are committed to a culture of equity, inclusion, diversity, and anti-racism, welcoming and encouraging applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.
