Enhanced Extern

**Holland Bloorview is an academic hospital, fully affiliated with the University of Toronto. All clinical staff are expected to contribute to the academic agenda through one or more of the following activities: supervising students, teaching, academic service, scholarship and research. All non-clinical staff are encouraged, when appropriate.**

Clinical Care Assistants are unregulated care providers who work under the direct/indirect supervision of the inpatient nursing unit team leader/delegate or Community Transitions, Recreation and Life skills Program clinicians. At Holland Bloorview Clinical Care Assistants are Bachelor of Science Nursing Students who have completed a minimum of one year (accelerated program) or two years of a 4 year program. Clinical Care Assistants work with clients who have a low complexity of care needs, high predictability of their condition, low technical requirements and low level and range of potential outcomes. The Regulated Health Professions Act and College of Nurses of Ontario direct the type of care they can provide based on the level of supervision. They may perform pre-identified Controlled Acts authorized to nursing within the Regulated Health Professions Act (RHPA) of Ontario delegated to them under the supervision of a nursing professional who is authorized to perform them.

**In addition to supporting the inpatient units the other programs are described below (Seasonal Summer)**:
**Community Transitions, Recreation, Life Skills Program Description**:Under the umbrella of participation and inclusion, transitions, recreation and life skills are designed to restore, remediate and rehabilitate a person's level of functioning. Our goals are to increase independence and life activities, promote health and wellness and reduce barriers to participation.

Programs offered throughout the year include a variety of recreation and life skills programs that are structured to support clients and families during important transition points, therapeutic recreation and life skills services are guided by developmental milestones, promoting life skills so that clients learn to function optimally within their home and community environments. Experience-based life skills activities teach skills using discussion, role playing, problem-solving, peer teaching and experiential learning techniques. Acquired skills are practiced in a simulated and/or real environment where calculated risk is encouraged. For the months of July and August we offer these services in the format of individual/multi-week day programs.

Externs will be hired on contract, during which the Extern will work part time hours to a maximum of full-time hours (37.5 hours per week). The scheduling of these hours will be determined based on program needs and may include day/evening/night and weekend shifts.

**KEY RESPONSIBILITIES**
- Performs the following under the direct/indirect supervision of the Registered Nurse/Registered Practical Nurse or Community therapeutic recreation and life skills Program clinicians
- Provides safe care that promotes and supports the physical, psychosocial and spiritual wellbeing of clients and families
- Demonstrates accountability for own client care by adhering to Holland Bloorview Kids Rehabilitation Hospital’s Policies and Procedures i.e. positioning, bathing, feeding, and toileting supporting client personal care needs.
- Support development of client independence in the practice of scheduling and directing their own care as related to self-care, productivity and recreation/ leisure participation.
- Assist clients in working towards their identified program goals as appropriate and under the direction of nurse/clinician
- Provide client care in both onsite hospital and offsite community settings as per shift assignment
- Provides direct care to clients/families with predictable outcomes under the guidance of the CNO practice guideline ”Working with Unregulated health care providers”
- Provides care in collaboration with the client and family, and communicates with members of the interdisciplinary care team and community providers as appropriate
- Participates in quality improvement activities to ensure delivery of efficient and effective health care and the maintenance of a safe and healthy work environment
- A CCA collaborates with the RN/RPN / Community Therapeutic Recreation and Life skills Program clinicians who is assigned to administer medications/treatments for their clients, to determine their respective responsibilities and duties. It is an expectation that the CCA has knowledge about the times medication/ treatments are due and an understanding of common side effects. As well, the CCA is expected to inform the RN/RPN/ Community Therapeutic Recreation and Life skills Program clinicians of the need to assess for PRN medication administration as appropriate
- With the direction of the nurse/clinician may provide informal education, to clients and families, colleagues and stude