Registered Nurse(s) & Nurse Practitioner - Enhanced Shelter Support Program & Encampment Outreach

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ICHA is looking to hire :

NP for ESSP (Physical distancing hotels) - Full Time and Part time shifts available (minimum 2 shifts/week for part-time)

RN for ESSP (Physical distancing hotels) - Full Time only

RN for Encampment Outreach – Part Time shifts available (2 positions)

 

BACKGROUND

Inner City Health Associates (ICHA) is a group of more than 100 physicians working in over 50 shelters and drop-ins across Toronto. ICHA provides transitional primary care and specialist (i.e. psychiatry, substance use, and palliative care) to those who do not otherwise have access to care. We serve people who are unsheltered and temporarily living in shelters as well as those who are precariously housed. ICHA is very pleased to be expanding its interprofessional team to include nursing to offer enhanced client supports. Many of ICHA’s clients have complex health needs including untreated chronic and complex multi-system diseases, an elevated risk of acute health emergencies, and serious and persistent mental illness and substance use.

ROLE DESCRIPTIONS

The ICHA RNs and NPs collaborates with ICHA Physicians and nurses (NP, RN and RPN), as well as the shelter agency case managers, community workers and other staff to provide primary care to clients experiencing homelessness respecting PHIPA and client consent. They will collaborate with city/shelter staff and others to provide social and emotional supports including crisis mitigation and case management. An ICHA Nurse Manager and Director of Clinical Services will provide indirect supervision and ongoing support

Nurse Practitioners (NPs) will provide clinical care to individuals and families experiencing homelessness using a holistic, client-centered model of care with an emphasis on harm reduction, psychosocial supports and crisis de-escalation. NPs will use their advanced knowledge, skill and judgment to treat clients who may present with complex health conditions such as unmanaged chronic diseases, infectious diseases, skin conditions and wounds, mental illness and substance use issues.

The NP will provide comprehensive and holistic ongoing advanced health assessment of clients’ physical and mental health through episodic primary care clinics to address urgent and chronic health concerns, escalating issues whenever necessary to the ICHA on-call physician or to Emergency Services. 

Registered Nurses (RNs) will provide clinical care to individuals and families experiencing homelessness using a holistic, client-centered model of care with an emphasis on harm reduction, psychosocial supports and crisis de-escalation. Nurses will use their knowledge, skill and judgment to assess and care for clients who may present with complex health conditions such as unmanaged chronic diseases, infectious diseases, skin conditions and wounds, mental illness and substance use issues.

The RN will complete a holistic assessment to address urgent and chronic health concerns, escalating issues whenever necessary to the ICHA physician or NP or Emergency Services. The RN will provide complete and holistic ongoing health assessment of clients’ physical and mental health through episodic primary care clinics to address urgent and chronic health concerns, escalating issues whenever necessary to the ICHA on-call NP or physician or to Emergency Services.

 

QUALIFICATIONS, SKILLS and EXPERIENCE

General Requirements

  • Current Registration and member in good standing with the College of Nurses of Ontario with no restrictions
  • Evidence of liability protection/malpractice insurance
  • Current CPR certification
  • Excellent verbal and written communication skills
  • Police check/clearance documentation (i.e. vulnerable sector screen) required
  • Willingness to work from a harm-reduction and anti-oppression, trauma-informed framework; experience working with homeless or marginalized service users preferred
  • Knowledge of and commitment to client–centered philosophy
  • Open minded, non-judgmental with a commitment to upholding the rights and dignity of all people and respecting their diversity
  • Knowledge and proficiency in current, evidenced-based methods and practices in health care delivery, with an emphasis on mental health, health promotion and risk management/reduction
  • Experience working with clients who use substances and who have serious and persistent mental illness
  • Ability to work flexible hours and in multiple locations throughout Toronto

Requirements specific to Nurse Practitioners

  • Baccalaureate or Master’s degree in nursing from a recognized university
  • Minimum of 3 years nursing experience in NP role in primary health care
  • Able to work independently in non-typical community-based primary care setting (i.e. improvised hotel clinic) with remote MD support as needed
  • Strong interpersonal, organizational and administrative skills that include computer literacy and ability to work with EMR (OSCAR)
  • Knowledge of relevant community services for individuals experiencing homelessness
  • Demonstrated thorough knowledge and understanding of infection control and prevention practices
  • Able to manage unpredictable client presentations and situations in a collaborative and calm manner
  • Demonstrated commitment to and knowledge of community-based health care
  • Awareness of and sensitivity to the health issues of a diverse community and experience working with marginalized populations

Requirements specific to Registered Nurses

  • A Registered Nurse with baccalaureate degree in nursing or equivalent
  • Knowledge and experienced in the application of electronic medical records (EMR)
  • Knowledge and a demonstrated ability to provide nursing care in community health, primary care and public health settings or equivalent relevant expertise
  • A sound understanding of and commitment to the Social Determinants of Health, and the ability to effectively participate in the efforts of an interprofessional team to contribute to comprehensive health care

If this opportunity interests you, and you meet all of the above requirements, please submit your cover letter and resume to cynthia.nguyen@icha-toronto.ca