Nurse Practitioner (Addictions)

Position Profile

Join our professional team as we work together to deliver compassionate care that is responsive to the healthcare needs of our community.

At Humber River Hospital, the Adult Outpatient Mental Health and Addictions Program will be looking to hire One Full-Time Nurse Practitioner to work within our Outpatient Addictions Program. This position aims to provide service to patients with complex concurrent disorder where their addictions condition requires care and treatment alongside other chronic co-morbidities (mental health, medical problems, etc) in collaboration with our HRH interdisciplinary team members as well as our community PCP's and other providers. This position will be responsible to support patients who require access to medication to manage symptoms of withdrawal.

Are you a compassionate Nurse Practitioner who is focused on delivering high-quality, safe-care? If yes, we invite you to read the details below then apply.

Reporting Relationship: Manager, Outpatient Mental Health and Addictions

Hourly Rate Range: $53.39 - $66.57

Schedule Requirements: Days and some evenings

Location: Wilson site

Employee Group: ONA

Job Summary:

The Nurse Practitioner is a leadership role within a multidisciplinary and inter-professional team. The Nurse Practitioner works in collaboration and consultation with the psychiatrists, other medical staff, nurses and members of the inter-professional health care team to respond to the needs of our outpatients with complex concurrent disorder. The Nurse Practitioner works in partnership with all relevant stakeholders, excelling in all four domains of his/her practice: clinical care, leadership, education and research

Position Responsibilities:

Patient Care:

• Performs initial addictions/psychiatric assessment upon admission.
• Provides holistic assessment of and care for patients and families with a focus on health promotion, disease prevention, health maintenance and rehabilitation.
• Completes health histories and physical examinations.
• Develops and coordinates a plan of care that considers the individual patient's health status, preferences, as well as best practice guidelines and current evidence-based research.
• Formulates and communicates diagnoses, determines the need for medical orders and any necessary diagnostic tests, as per scope of practice, including labs, X-rays, ECG's and ultrasounds, and interprets and acts on the results.
• Maintains ongoing concurrent disorder follow up care.
• Monitors the ongoing therapy of patients with chronic stable illnesses by providing pharmacologic and counseling interventions; may prescribe, initiate, monitor and adjust psychiatric and addictions specific medications.
• Prescribes medications within scope of practice (including prescribe/monitor substitution therapy and anti-craving medications)
• Maintains ongoing patient documentation, including assessment findings, treatment plans and progress.
• Offers phone consultation/triage for acute episodic illness.
• Consistently records and documents in the patient's electronic health record.
• Evaluation of outcomes of patient care in collaboration with the interdisciplinary team.
• Works in a manner to ensure safety to oneself, patients and their families, colleagues and the work environment.
• Assists in the training and development of staff as required.
• Arranges follow-up appointments as necessary.

Referral/Consultation/Collaboration:

• Clinical consultation to create individualized plans of care.
• Consults with and makes recommendations to members of the interdisciplinary team as appropriate.
• Liaises with other interprofessional team members, other service providers, relevant community agencies/programs.
• In keeping with professional standards of practice, obtains and/or disseminates only that information which is relevant to meeting the patient's identified needs and with appropriate legal authorization, either in the form of signed consents or direct authorization from the patient or designated substitute decision-maker.
• Utilization of expert communication skills by being a link between the patient, consultants, resources and the referral source which may be required to coordinate the provision of service to the patient.
• Communicates with hospital and community staff and other inter-professional team members as required to ensure smooth transition for care.

Education and Advocacy:

• Engages in scholarly activities, such as research, teaching, presentations and/or publications.
• Continues to update clinical skills and keep abreast of best practices, relevant resources and technological advancements through continuing education opportunities
• Engages in continuous quality improvement to improve care at both individual and team levels.
• Assists with developing and implementing practice standards, policies and quality improvement initiatives.
• Assists with program evaluation and makes recommendations for change in consultation with Program Director, Managers, Clinical Practice Leaders, Chief and Physician Leaders.
• Participates in reflective practice as per identified College standards.

Qualifications:

• Masters in Nursing/Nurse Practitioner (MN-NP) or Masters of Science in Nursing with successful completion of a post Master's Nurse Practitioner Certificate Program from a recognized school of graduate studies required.
• Current College of Nurses of Ontario registration in the Extended Class (EC) as an NP (adult) or NP (primary health care).
• 1-3 years of demonstrated experience as a Nurse Practitioner required with extensive mental health/addictions experience.
• Certification in Psychiatric/Mental Health Nursing through the Canadian Nursing Association (CNA) or willingness to obtain when eligible to do so.
• Current membership in professional associations:

• Registered Nurses Association of Ontario (RNAO)
• Nurse Practitioners' Association of Ontario (NPAO)

Current Basic Cardiac Life Support (BCLS) CertificationAdvanced nursing assessment skills and sound knowledge of clinical therapeutics/interventions.Demonstrates effective patient/family counseling skills.

• Demonstrated experience in Opioid/Alcohol management/Harm Reduction/Recovery preferred

• Excellent organizational, critical appraisal, problem-solving, analytical skills and time management skills.
• Hospital- based concurrent disorder care experience preferred.
• Excellent oral, written, and presentation skills, with demonstrated competency in information and communication technology (Computer, Microsoft Office).
• Comfort with scheduling and documentation in electronic health records. Familiarity with Meditech system preferred.
• An awareness and knowledge/experience in Trauma Informed Care preferred
• Embraces a philosophy of patient and family centered care.
• Ability to prioritize multiple competing workload demands.
• Demonstrates an ability to provide leadership, support and critical analysis in stressful, complex clinical and emotional situations.
• Demonstrates a high level of initiative and self-direction.
• Ability to work independently and as part of a team.
• Must have working knowledge of anti-oppression/pro-diversity framework.
• Excellent attendance and a discipline free record is required (candidates are required to inform HR and the hiring manager of their attendance and discipline status).
• Capacity to adapt quickly to a fast paced, dynamic work environment.

Why Humber? Why Now?

Humber River Hospital is on an exciting transformation journey of redefining patient care as we leverage the most advanced technologies to enhance all aspects of delivering high-quality, safe care. We continue to build a people-centered workplace with excellent staff and physician engagement by hiring passionate, diverse and inclusive healthcare professionals. People who care and live our values of Compassion , Professionalism and Respect . People who are committed to making a positive difference.

We are a Studer Group hospital, focused on building our evidence-based practice and hardwiring a culture that WOWs.

Why? Because at Humber River Hospital, we know it's our people and our ability to innovate that allows us to consistently deliver a great patient experience and the best quality outcomes. After all, we are the hospital that believes exceptional care...healthier community.

This description has been designed to indicate the general nature and level of work performed by the employee within this position. However, the actual responsibilities, duties, qualifications and experience may vary. Employee may perform other related duties as required to meet the ongoing needs of the organization. Information contained in this job posting/description is subject to change.

This position will be filled in accordance to the Ontario Nurses Association (ONA) collective agreement.

Humber River Hospital is committed to inclusion and diversity. We believe that diversity drives our culture of innovation. By bringing together a variety of different perspectives, it fuels our creative thinking, generates new ideas and creates solutions designed to address tomorrow's healthcare challenges today. We take pride in providing professional development and career advancement opportunities for our employees including minorities, women, veterans and individuals with physical and developmental disabilities. We also provide accommodation to applicants and all of our employees - from hire to retire.

Let us know what we can do to help you be successful during your recruitment experience at Humber River Hospital

Please be advised that in order to be eligible for employment at Humber River Hospital, all new hires must have received the full series of a COVID-19 vaccine or combination of COVID-19 vaccines approved by Health Canada (e.g., two doses of a two-dose vaccine series, or one dose of a single-dose vaccine series); AND have received the final dose of the COVID-19 vaccine at least 14 days prior to the hired employee's first date of employment Medical exemptions or any other kind of requested exemption based upon the Hospital's obligations pursuant to the Ontario Human Rights Code will be considered on a case-by-case basis