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Grand River Hospital
Kitchener, Ontario
Closing date
Jul 30, 2024

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Nurse Practitioner
Work Setting
Outpatient Clinic
Area of Practice
Primary Care

Job Details

At Grand River Hospital we are building a world class health care system supporting healthier lives for the communities we serve. We value people above all else and the experiences of our patients and their families, our team members, and our partners are at the very top of our agenda.

Through our values of CARE; TRUST AND BE TRUSTWORTHY; COURAGE TO START, HEART TO FINISH and WELCOME ONE TO WELCOME ALL we leverage the collective talents and strengths of our GRH team, our community, and our partners to innovate and accelerate the transformation of health care delivery.

How Primary Care Nurse Practitioners (PCNP/ EC RN) support our Pediatric Outpatient Clinic at Grand River Hospital:

Functioning within the multidisciplinary team, the NP collaborates with the Paediatricians to facilitate the assessment and treatment plan for Children </=17 years of age utilizing the Outpatient Rapid Assessment Program (RAP) program. The RAP program sees urgent paediatric referrals for various concerns from the Emergency Department and community.  Future growth and expansion of this role may include inpatient rounding across the children’s program. Newborn assessment and care as well as knowledge of pediatric conditions and developmental stages required. The NP is an expert clinician who develops a therapeutic relationship, provides history, physical, and diagnostic assessment to establish a plan of care and expedite timely disposition and safe care for children. Nurse Practitioners are accountable to the Nurse Practitioner practice standard (CNO, 2023 41038_strdrnec.pdf ( in addition to the other practice standards and guidelines all nurses must follow. The Nurse Practitioner demonstrates autonomy by assuming and having sole accountability and the authority to independently communicate a diagnosis, prescribe drugs and order a range of diagnostic tests within the scope of practice.  In collaboration with the pediatrician on call/designate, the NP will:


  • Review referrals received through community sources and local emergency department(s) for appropriateness for children’s clinic
  • Inpatient support, rounding, documentation and treatment support as required (future growth)
  • Perform history & physical, documentation of findings and provide and communicate a treatment plan
  • Communicate when appropriate with the Paediatrician on call or designate as well as referral provider
  • Order appropriate diagnostic testing and reviews results
  • Provide a collaborate approach to care and involve allied health team when appropriate
  • Inform patient, family and providers of findings and required follow up

At Grand River Hospital, our Nurse Practitioners (PCNP/EC RN):

  • Current registration with the College of Nurses as a Nurse Practitioner (Registered Nurse in the Extended Class) with no practice restrictions
  • Preference given to nurses who hold a Pediatric Nurse Practitioner Primary Care Certification.
  • Knowledge of a variety of paediatric conditions at various stages of development as well as strong newborn assessment and treatment skills
  • Masters of Science (Nursing) or a masters in a relevant discipline preferred
  • Ability to be self-directed and work autonomously
  • Ability to function within a collaborative practice model
  • A comprehensive knowledge base and high degree of clinical competence in children’s care-  a minimum of 5 years of clinical practice is required
  • Ability to asses, manage, direct, and provide comprehensive care for patients 17 years old and under while working in an interdisciplinary team environment
  • Knowledge or willing to learn children cancer care regimes and care
  • Ability to practice in a family centered care philosophy
  • Current certification in PALS, NRP and Breastfeeding Course required – may obtain after hire
  • Client service oriented, ability to effectively work from a diversity, equity and inclusion lens
  • Ability to support patient program development is necessary
  • Ability to promote professional education and advances knowledge through research and scholarly activities as necessary
  • Good attendance record

At Grand River Hospital we support our Team Members with:

  • A thorough onboarding and orientation program
  • Ongoing training and development opportunities
  • Access to our Ongoing Education Fund
  • Career mentorship
  • Wellness programs


Grand River Hospital is committed to fair and equitable employment and in our recruitment and selection practices. We strongly believe in inclusion and diversity within our organization, and welcome all applicants including, but not limited to: racialized communities, all religions and ethnicities, persons with disabilities, LGBTQ2S+ persons, Indigenous people, and all others who may contribute to the further diversification of our Hospital community. We are committed to providing and fostering a respectful workplace for all employees, free from violence and harassment. Grand River Hospital is a proud member of the Canadian Centre for Diversity and Inclusion (CCDI). 

Upon individual request, the hospital will endeavour to remove any barrier to the hiring process to accommodate candidates, including those with disabilities. Should any applicant require accommodation through the application, interview or selection processes, please contact Human Resources in advance for assistance. 




Grand River Hospital is a hospital located in Kitchener, Ontario, Canada. The hospital operates two campuses, Kitchener-Waterloo Health Centre and Freeport Health Centre, which were independent hospitals that merged to form Grand River Hospital in April 1995.



Here are some quick facts about GRH

Number of beds: 680+
Number of clinical programs: 15
Cancer care Childbirth Children's
Complex continuing care Critical care Emergency
Laboratory Medical imaging Medicine
Mental health and addictions Pharmacy Rehabilitation
Renal Stroke Surgery
Annual volumes and activity (2021-2022)
Admissions 25,875
Emergency visits 72,765
Births 4,327
Inpatient surgery cases 7,503
Ambulatory visits 265,066
Our people

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