Clinical Nurse Practitioner, Respirology, Ambulatory Care - Permanent Full-Time

The Nurse Practitioner (NP) at CHEO is an advanced practice nurse with additional educational preparation from an accredited Nurse Practitioner program and specialized clinical expertise in pediatric health care. The NP integrates nursing and medical knowledge within a broad framework of advanced nursing practice and functions autonomously and collaboratively with physicians and other members of the interdisciplinary team to provide comprehensive, patient- and family-centered care for a defined population.

The NP is accountable for delivering expert clinical care through advanced assessment, diagnosis, treatment, health promotion, disease prevention, and ongoing management of children and youth with acute and chronic health conditions. The role encompasses Direct Clinical Practice and Outpatient Consultation (50%), Case Management (20%), Education (10%), Leadership and Change Agency (10%), Research (10%), and ongoing Professional Development.

Working closely with the Division of Respirology, the NP will provide specialized care to children and youth with respiratory diseases, with particular expertise in asthma and other chronic respiratory conditions. The NP will play a key role in the outpatient management of patients through independent and collaborative clinics, providing comprehensive assessment, diagnosis, treatment planning, education, and longitudinal follow-up care.

The successful candidate will have experience in ambulatory and outpatient care, supporting patients and families across the continuum of care and facilitating seamless transitions between hospital, community, and primary care settings. The NP will collaborate with physicians, respiratory therapists, nurses, allied health professionals, community partners, and primary care providers to ensure coordinated, evidence-based care and optimal health outcomes.

The NP will also contribute to program development, quality improvement initiatives, patient and family education, and professional education activities within both community and academic settings. As an integral and active member of the Division of Respirology, the NP will advance excellence in clinical practice, research, leadership, and innovation in pediatric respiratory care.

KEY RESPONSIBILITIES

• Performs and documents comprehensive patient assessments based on thorough history taking from the patient and/or caregiver and physical examination
• Develops a plan of care in collaboration with the patient, family and interdisciplinary team as appropriate
• Orders and prioritizes diagnostic tests and initiates procedures as needed
• Interprets laboratory, radiology and other test results in relation to patient assessment and differential diagnoses
• Prescribes pharmacological and other therapeutic interventions
• Monitors treatment and modifies treatment plans accordingly while evaluating outcomes
• Communicates diagnoses, treatment plans, and disease specific education to patients and caregivers
• Collaborates with interdisciplinary team members to create holistic plans of care for patients
• Provides follow-up care for patients requiring regular visits
• Performs skills and procedures as per competency within clinical specialty
• Identifies patient and caregiver socioeconomic needs while making informed decisions about clinical care
• Consults and refers to specialist providers or health disciplines as needed for care delivery
• Documents all elements of patient work-up and care in the EMR during or following each patient encounter
• Provides transfer of care through consultation for patients who require alternative care that is beyond the knowledge and clinical skill of the NP
• Authorizes, facilitates, and coordinates admission, transfers, leaves of absence, and discharge of patients admitted to hospital
• Participates in care coordination through clinical case management via direct patient communication (telephone calls, virtual visits), patient conferences/multi-disciplinary meetings, rounds, clinic visits
• Participates in health promotion and disease prevention through verbal and written communication mechanisms (pamphlet development, program development, educational lectures) related to specialty
• Identifies, leads and implements specialty specific program initiatives and improvements for care delivery
• Participates in quality improvement initiatives in collaboration with the interdisciplinary team
• Acts as a change agent to seek continuous improvement of care delivery within specialty and beyond
• Participates in organizational committees as a key stakeholder who understands service delivery and is a clinical expert
• Fulfills the advanced nursing practice scope by demonstrating strong clinical and academic leadership
• Seeks opportunities for leadership both within clinical specialty and academically through internal and external organization affiliation
• Provides formal and informal teaching/education opportunities to clinical staff and learners
• Mentors NP students from various programs and academic institutions
• Seeks joint appointment to encourage ongoing educational opportunities with Universities and Colleges
• Encourages and provides opportunities for education in the clinical setting (outpatient and inpatient) with various health care providers
• Participates in self-directed professional development to maintain competency in the clinical specialty (mentorship, formal education, consultation with health care colleagues)
• Disseminates education to health care community partners and professionals as needed
• Identifies and incorporates evidence into practice-based decision making and patient care
• Leads and participates in specialty specific research
• Promotes quality improvement initiatives through best practices and evidence informed change
• Seeks appointment with the Research Institute as a Clinical Investigator through leadership of research questions and study development

QUALIFICATIONS

• Master's Degree in Nursing and current registration with the College of Nurses of Ontario as a Registered Nurse in the Extended Class (RN(EC)) (Essential)
• Three to five years of recent related clinical nursing experience (Essential)
• Experience providing care in a pediatric outpatient, ambulatory, or community-based respiratory clinic setting, including patient assessment, follow-up, and chronic disease management (Essential)
• Experience in pediatric respiratory disease management, including asthma and other chronic respiratory conditions (Essential)
• Demonstrated ability to function collaboratively within an interdisciplinary team while maintaining an autonomous scope of practice (Essential)
• Demonstrated experience in patient and family education, professional education, and knowledge translation activities (Essential)
• Demonstrated leadership skills with the ability to influence practice, support change, and advance clinical excellence (Essential)
• Excellent organizational, prioritization, and time-management skills (Essential)
• Excellent communication and interpersonal skills, both written and verbal (Essential)
• Demonstrated ability to participate effectively as a member of an interdisciplinary team (Essential)
• Creativity, innovation, flexibility, and initiative (Essential)
• Strong conflict resolution, critical thinking, and problem-solving skills (Essential)
• Sound crisis management and decision-making skills (Essential)
• Physical ability to perform the duties of the position (Essential)
• Demonstrated experience in quality improvement, program development, research, or evidence-informed practice initiatives (Preferred)
• Member of RNAO, NPAO, or relevant specialty professional nursing association (Preferred)
• Certified Respiratory or Asthma Educator (CAE/CRE) (Preferred)

Please note you will be represented by the Ontario Nurses Association Union (ONA).

CHEO values diversity and is an equal opportunity employer. We are committed to providing an inclusive and barrier-free work environment, starting with the hiring process and welcome interest from all qualified applicants.

Should you require accommodation during any phase in the recruitment process, please contact Human Resources at View email address on ca.hrm.tc. All information received in relation to accommodation will be kept confidential and will be handled in compliance with the Accessibility for Ontarians with Disabilities Act.

We thank all those who apply, however, only those to be interviewed will be contacted.

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