REGISTERED NURSE LTC (Behavioural Support Unit)

Job Responsibility: Job ID: 55747 Job Category: Health Services Division & Section: Seniors Services & Long Term Care, LTC Regional Services Work Location: Various, see below Job Type & Duration: Part-time, indefinite Hourly Rate and Wage Grade: $45.30 - $49.64 (Salary step determined based on relevant experience) Shift Information: Monday to Sunday - Various Shifts (Days, Evenings, Night, and Weekends), up to 37.5 hours per week Number of Positions Open: 5 Posting Period: 30-MAY to 13-JUN Location and Shift Information:

• Bendale Acres, 2920 Lawrence Ave E, Toronto, M1P 2T8
• Kipling Acres & Child Care Centre 2233 Kipling Ave, Toronto, M9W 4L3

The City's Seniors Services and Long-Term Care Division supports Toronto seniors and residents in long-term care homes to have the healthiest, most fulfilling lives possible through exceptional care and services. Vulnerable individuals who reside in the community are supported through adult day programs, supportive housing services, tenancy support and homemakers and nurses services. CareTO is our brand for the culture change we are investing in for the City's 10 directly operated long-term care homes ( The division values Compassion, Accountability, Respect and Excellence which shape our organizational culture, our priorities, and the experiences of all those who live, work, volunteer, and visit. Please note this posting may be used to fill upcoming vacancies across our 10 Long-Term Care homes as they arise. Major Responsibilities:

• Develops, evaluates and modifies care plans for residents. Contribute to the development of the person-centred philosophy of care
• Conducts various nursing assessments as required and when there is a change in resident/client's health status.
• Documents resident conditions and care provisions in the resident/client health care record.
• Provides nursing care, including counseling
• Directs staff by assigning duties and establishing priorities
• Examines, measures, and records temperature, pulse, respirations, blood pressure, serum levels of glucose, weight, and neurological assessments using equipment, i.e. blood pressure cuff, glucometer, stethoscope, opthalmoscope
• Assesses the physical, emotional and psychological well being of resident/client through observation and analysis of test and physical health indicators to evaluate care plan and identify modifications which may be required
• Accompanies physician on rounds, providing information on resident/client condition and progress, and assisting with examinations, e.g., positioning, dressing and undressing residents/clients
• Transcribes verbal or written physician's orders for medications or other treatments
• Prepares precise dosages of medication in accordance with physician's orders, including narcotic and controlled drugs, and administers to residents/clients
• Maintains inventory, ensuring medications are properly stored, safe and secure
• Administers prescribed treatments as ordered by the physician, such as catheterizations, respiratory therapies, suctions, exercise, wound irrigations, and hot pack therapies using electronic/manual equipment for treatments, e.g., suction machine, hydrocullator
• Administers first aid and emergency health measures, such as CPR
• Prepares and applies clean and sterile dressings and bandages, and replaces, as required. Cleans wounds and lesions. Removes stitches and clips. Practices sterile techniques and other infection control procedures to minimize the transmission of infection
• Monitors and participates in the personal care of residents/clients, as required; for example, hygiene, feeding, positioning, transferring, ambulation, toileting
• Uses electric/hydraulic/manual equipment and lifting devices
• Checks resident/client diet for therapeutic composition
• Liaises, refers and advocates with community resources to coordinate admittances, transfers, and departures/deaths: hospitals (acute care, rehabilitation, and palliation), public health department, home care program, long term care facilities, ambulance services, diagnostic services, the coroner's office and social services
• Prepares and maintains documentation such as charts, nursing records, statistics, and reports
• Performs delegated Medical Acts (duties) i.e. vaccinations, innoculations, eye irrigations, death pronouncement etc
• Counsels, instructs, and confers with resident/client and family in planning care: provides emotional support; responds to enquiries and resolves complaints
• Collaborates with the BSO Team in the development of behaviour management strategies
• Provides work direction, coaching and mentorship to BSU staff
• Collaborates with the Psychogeriatric Outreach Program (POP) Team, Psychogeriatric Resource Consultant (PRC), Ontario Health at Home, Acute Care, Tertiary Care, other LTC homes, families, and circle of care
• Maintains current knowledge of dementias, responsive behaviours, mental health, and relevant diagnoses
• Contributes to the BSO community of practice
• Assumes responsibility for personal development through participation in ongoing training to enhance skills
• Leads and participates in Behavioural Management rounds and care conferences as required
• Collaborates effectively when interacting with residents, family, team members and inter- professional care teams
• Trains student nurses
• Promotes the residents' integration to their environment
• Provides information to identify caregiver strategies that are resident-centred, age appropriate, maintain the resident's dignity when responding to the behaviours and managing the associated risks
• Documents observational behaviours, recognize that they have meaning, assess and account for how the behaviours impact the care delivery process.
• Performs other duties and tasks as assigned

Key Qualifications: Your application must describe your qualifications as they relate to:

• Current registration as a Registered Nurse (RN) in good standing with the College of Nurses of Ontario (CNO)

• Baccalaureate degree in Nursing or an approved Registered Nursing program equivalent.

• Experience in long-term care environment, mental health, or geriatric populations.

• Experience working in a specialized behavioural program, or populations with responsive behaviours, or completion of behavioural management training.

You must also have:

• Current Basic Cardiac Life Support (BCLS) certification
• Certification in GPA (Gentle Persuasive Approach), PIECES (Physical, Intellectual, Emotional, Capabilities, Environment and Social), DementAbility, U-First (Understand, Flag, Interact, Reflect and Support), Montessori Methods is an asset
• Knowledge of responsive behaviours related to dementia, delirium, mental health, or other relevant conditions
• Knowledge of gentle behavioural management techniques and approaches
• Ability to coach, engage, and support staff caring for residents with responsive behaviours
• Demonstrated ability to lead the care team
• Excellent communication, comprehension, interpersonal and time management skills
• Excellent care planning skills
• Creative problem-solving skills
• Excellent initiative and good judgment with ability to multi-task and meet competing priorities in a fast-paced environment
• Ability to work independently and is self-directed while possessing the ability to work in a collaborative manner
• Knowledge to monitor staff performance and the environment ensuring a safe workplace for staff; provides reinstruction where needed
• Competent with computer systems, proficient with Microsoft Office applications (Word, Excel, Power Point, etc.), also proficient in using Point Click Care
• Ability to develop, coordinate, monitor care delivery and evaluate care plans

If you wish to receive credit for recent related experience, please fill out the questionnaire. If successful, the City of Toronto will review your experience and determine the appropriate step in your salary. NOTE TO INTERNAL FULL-TIME AND PART-TIME CITY OF TORONTO EMPLOYEES: City of Toronto employees must apply to full-time or part-time employment opportunities posted on the City's Internal Job Posting Portal. Equity, Diversity and Inclusion The City is an equal opportunity employer, dedicated to creating a workplace culture of inclusiveness that reflects the diverse residents that we serve. Learn more about the City's commitment to employment equity. Accommodation The City of Toronto is committed to creating an accessible and inclusive organization. We are committed to providing barrier-free and accessible employment practices in compliance with the Accessibility for Ontarians with Disabilities Act (AODA). Should you require Code-protected accommodation through any stage of the recruitment process, please make them known when contacted and we will work with you to meet your needs. Disability-related accommodation during the application process is available upon request. Learn more about the City's Hiring Policies and Accommodation Process.