Nurse Practitioner

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The Nurse Practitioner (NP) is a Registered Nurse (RN) in the Extended Class (EC) with additional educational preparation and experience, who possesses and demonstrates the competencies to autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform specific procedures within their legislated scope of practice. Two clinics under this portfolio is the Toxicity Assessment Clinic (TAC) and Survivorship Clinic.  TAC provides toxicity management, assists patients and families with symptom self-management and urgent care to patients who are currently receiving or have recently received cancer treatment. The Survivorship clinic provides care for breast and colorectal patients post-treatment with the intention of a seamless transition back to primary care.

Reporting to the Simcoe Muskoka Regional Cancer Program (SMRCP) Operations Director, the NP works within the framework of advanced nursing practice and in collaboration with other members of the interprofessional team to provide and enhance holistic care for a specific patient population. The full NP scope of advanced nursing practice, including clinical, administrative, education and research competencies, will be utilized to meet patient and family-centered healthcare needs across the continuum of care in a variety of settings. Promotion of leadership and excellence in nursing practice is a key component of the NP role.   
 
Within this role, the NP is accountable for contributing to the delivery of the Royal Victoria Regional Health Centre corporate strategy and must demonstrate an awareness of and be responsible for actively promoting and supporting patient-and-family-centered care and engagement. As a member of the Royal Victoria Regional Health Centre’s Regional Cancer Centre team, the NP will utilize clinical expertise and an in-depth knowledge of oncology patients to plan patient care and evaluate clinical practice across the continuum of care. The NP will provide expert clinical practice, education, consultation, participate in the development of policy and procedures and research within a patient centered nursing approach.  The NP role will provide advanced nursing care and perform medical acts to support a population of patients with oncology treatment related issues throughout SMRCC in the systemic therapy suite, TAC and post-treatment in Survivorship. The NP is responsible for coordination of care, promotion of self-management and smooth transitions in care within the organization and community. 

PRINCIPLE RESPONSIBILITIES AND DUTIES:
Clinical Domain: The NP will provide direct, comprehensive clinical care for oncology patients with treatment toxicities and complications arising in the in the ambulatory care setting in collaboration with the interprofessional team. The NP will also provide direct, comprehensive clinical care for survivorship patients with the goal of a successful transition back to primary care. 
 
Research Domain: The NP will ensure that patient care and nursing practice innovations within the program are supported by research. The NP will participate in, evaluate and utilize research which improves patient outcomes, contributes to the expansion of nursing knowledge and advances the profession of nursing. 
 
Education: Acts as a resource, coach and mentor to the interprofessional team, particularly related to area of expertise and complex patient/client and family situations. The NP acts as a resource and preceptor to students, identifies learning needs and uses adult education concepts in planning, designing and implementing educational strategies.
 
Leadership: NPs improve clinical practice through the development, implementation and evaluation of practice guidelines, standards, policies and procedures that promote excellence in nursing practice. The NP participates in clinical and organizational committees. The NP will provide leadership by supporting and fostering evidence-based practice and continuous quality improvement processes within the organization.  
 
QUALIFICATIONS:
• Current registration with the College of Nurses of Ontario as Registered Nurses in the Extended Class with one of the following specialty classes: Adult or Primary Health Care
• Masters of Science (Nursing) or a Masters in a relevant discipline
• Membership in the RNAO
• Membership in the NPAO (an asset)
• Each NP maintains and continually improves their competence by participating in the College of Nurses of Ontario’s Quality Assurance requirements
• CNA Specialty in Oncology (CONC) required
• Current certification in Basic Cardiac Life Support required
• Current certification in Advanced Cardiac Life Support preferred
• Successful completion of College of Nurses approved education to prescribe controlled substances required
• Minimum five (5) years of nursing experience in oncology required
• Demonstrated experience working in an advanced practice role (Clinical Nurse Specialist or NP), preferably as an NP in a hospital inpatient or outpatient program
• Experience in Hematology/Blood and Marrow Transplant an asset
• Demonstrated ability to educate staff, patients and families using knowledge and experience in change theory and adult learning principles
• Demonstrated leadership skills within the interprofessional care team
• Excellent interpersonal, communication, presentation and documentation skills 
• Demonstrated ability to work both independently and collaboratively with all team members
• Evidence of strong mentoring, teaching, team building, change leadership, organizational and prioritization skills, with the ability to work well in stressful situations 
• Demonstrated ability to effectively deal with conflict situations and proactively and effectively resolve issues impacting on quality and continuity of care
• Exceptional time management, organizational and prioritization skills
• Demonstrated ability to problem solve and make evidence based decisions
• Demonstrated critical thinking and decision making skills
• Demonstrated ability to interpret/participate in research
• Demonstrated knowledge of computer database, data analysis and presentation packages required
• Demonstrated commitment to improving patient flow throughout the facility and shared care partner centres
• Demonstrates knowledge of applicable legislative, RVH/departmental patient and staff policies and procedures
• Demonstrates RVH values