Registered Nurse - Extensive Needs Service

Join us in building a world of possibility! Holland Bloorview Kids Rehabilitation Hospital is Canada's largest pediatric rehabilitation hospital, and a top 40 Canadian research hospital. Serving over 8,500 families annually in both inpatient and outpatient programs and services, Holland Bloorview is renowned for its expertise in partnering with clients and families to provide exceptional care and is the only organization to ever achieve 100 per cent in three successive quality surveys by Accreditation Canada.

Holland Bloorview's vision is to support the most meaningful and healthy futures for all children, youth and families. We are an academic hospital, fully affiliated with the University of Toronto. All clinical staff are expected to contribute to the academic agenda through one or more of the following activities: supervising students, teaching, academic service, scholarship and research.

Holland Bloorview has won numerous awards including Greater Toronto's Top Employers, Canada's Top Employers for Young People and Canada's Most Admired Corporate Cultures. We offer an inspiring, inclusive, innovative, and collaborative work environment with competitive compensation and benefit packages and programs that support ongoing learning and professional growth.

This is an exciting opportunity for an innovative and experienced Registered Nurse (RN) to join the Extensive Needs Service, a new ambulatory care program for individuals up to the age of 18, whose needs cannot be met in a single service stream and who require an integrated approach across Mental, Behavioural and Developmental Health. While this is primarily a clinical role, there will be opportunity to work with other members of an interprofessional team to develop and implement the Registered Nurse role based on best practices and evidence. The RN provides leadership and promotes excellence in pediatric, family-centred rehabilitation nursing care. The paediatric rehabilitation RN skill set is grounded in rehabilitative principles of managing complex medical needs, collaborating with the interprofessional team, partnering with the client and family, providing client / caregiver education, working with the client / family to set goals for maximum independence and establish plans of care to maintain optimal wellness and coordination of services. The skill set is grounded in rehabilitative principles of assessing, managing and evaluating complex health conditions in collaboration with the interprofessional team and client/family. Utilizing a strength-based approach The RN will collaborate with the client and family to establish plans of care to obtain optimal health and wellbeing.

Position Summary

The RN will have knowledge and experience working with children with neurodevelopmental disorders/acquired brain injury as well as other medical, developmental, behavioural and emotional complexities. They will participate in educational activities, program committees, quality improvement projects or other operational support projects as assigned.

The RN is registered with College of Nurses of Ontario and works to full scope of practice within the current legislative framework. The RN demonstrates the competencies to work across various ambulatory care settings as required.

Key Responsibilities

• Clinical Practice
• Employs a trauma-informed and evidence based practice to plan, implement and evaluate nursing care for clients with neurodevelopmental disorders/acquired brain injury and other complex needs who require interprofessional and intensive intervention including behavioural supports
• Conducts comprehensive intake assessments, case conceptualization and care plan recommendations for children and families with extensive needs
• Provides nursing assessment and care utilizing a strengths based approach that promotes and supports the physical, psychosocial, and spiritual well-being of clients and families
• Continuously assess the outcome of care provided and assess and manage conditions and symptoms related to a client's neurodevelopmental condition
• Practices culturally and clinical competent care
• Works in partnership with client / family and interprofessional team to facilitate appropriate, timely and effective transition planning
• Collaborates with members of the interprofessional team and community health care providers to ensure an optimum and integrated approach to care
• Advocates for clients / families with goal of effective outcomes and appropriate use of resources
• Supports and respects the client / family's rights to make decisions based on their own values, beliefs and experiences

Collaboration

• Collaborates with client / family and interprofessional team to identify client-centred goals
• Demonstrates excellent communication skills
• Practices based on identified standards of care within an interprofessional environment
• Ability to transfer knowledge and ambulatory care competencies to other clinic areas
• Develops and maintains partnerships with community providers

Leadership

• Provide leadership at a program, community or regional/national level for initiatives focused on improving the quality of care for children with neurodevelopmental disorders and co-occurring emotional, cognitive and medical complexities.
• Participates in quality improvement initiatives, supports the maintenance of a safe and healthy work environment and advances a culture of client safety through work and daily practice
• Utilizes the teaching/learning process to provide education, both formal and informal to clients/families, colleagues, students and other professionals within a fully affiliated academic healthcare environment
• Demonstrates commitment to patient safety by speaking up about safety issues, changing nursing practices to enhance safety. Shares errors through system reporting mechanisms, and shared accountability for safe practices
• Manages change in a constructive and appropriate manner
• Seeks opportunities for professional growth

Research/Education

• Demonstrates and utilizes the teaching / learning process to provide education, both formal and informal to clients / families, colleagues, students and other professionals within a fully affiliated academic healthcare environment
• Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring. Provide evidence-based, clinically competent nursing care in a culturally sensitive manner. (i.e. nursing preceptor of students)
• Demonstrates a spirit of inquiry by examining current practice and identifying questions for study
• Utilizes nursing best practice guidelines and evidence to deliver care
• Participates in nursing research where applicable and utilizes outcome measurements

Qualifications

Education

• Preferred: Masters in Nursing
• Bachelor of Science in Nursing Degree
• Previous job related experience required, pediatric rehabilitation nursing experience preferred

Experience

• Must have a minimum of one year of nursing experience in a pediatric environment.
• Experience, knowledge or interest in working with clients with neurodevelopment disorders/acquired brain injury
• Experience, knowledge or interest in a rehabilitation setting and/or ambulatory care nursing role.
• Experience, knowledge or interest working with clients requiring behavioral intervention such as Applied Behavioral Analysis
• Experience, knowledge or interest in working with clients taking medication for neurodevelopmental conditions
• Licensure and/or Certification:
• Current certificate of competence by the College of Nurses of Ontario
• Current BCLS certificate—Basic Rescuer
• Certification in Pediatric Nursing from Canadian Nurses Association is preferred
• Membership in RNAO preferred