Registered Nurse (RN) Casual/Relief

Who we are:

Canadian Mental Health Association Durham is an integrated community mental health and primary care hub that has been providing mental health services to Durham Region for over 60 years.

During that time, it has evolved to provide a broad range of services to individuals and their families experiencing mental health challenges, from information and education to case management, psychosocial rehabilitation, housing and primary healthcare. These services are provided through inter-professional teams focused on providing clinically based services that, in addition to dealing with client mental health issues, address social determinants of health using the recovery model.

Overview of the Role:

Reporting to the HART Hub Lead, this individual will have responsibility to provide outstanding primary care nursing services for marginalized clients, who may have severe and persistent mental illness and addictions, across the lifespan. This position is community clinic-based serving those who are homeless or precariously housed with a focus on specialized care for complex individuals.

Location: HART Hub employees may begin work at 60 Bond St. West, and will move to the designated HART Hub location in Oshawa at a later date.

Duties and Responsibilities:

Direct Client Care

Participates to full scope as a member of a multidisciplinary clinical team providing nursing services for all clients

Functions within the HART Hub model in all daily encounters

Performs triage assessments and comprehensive mental health and addictions assessments

Assessments are holistic and include relevant medical, psychiatric and social domains

Contributes to an integrated, comprehensive care plan that reflect the client’s goals and aligns with program aims

Provides care, information and resources regarding prevention, healthier behaviours, chronic disease management and end of life planning to reduce harm whenever possible

Participates in treatment monitoring and evaluation of care

Performs venipuncture and wound care daily

Administers medication/treatments (including IM route) to clients on daily basis

Manages multiple nursing interventions simultaneously in rapidly changing situations

Implements plans of care for highly complex clients in collaboration with the multidisciplinary team at HART Hub

Recovery Planning and Advocacy

Facilitates access to mental health and addictions services including diagnosis, treatment, counselling (individual, group), and ongoing evaluation.

Educates clients on their medication, including side effects, drug/alcohol interactions to foster adherence

Advocates for program and system processes that reflect the needs and desired outcomes for clients

Documentation and Communicati on

Documents client contact using clinical methods and within predetermined time frames in accordance with CMHA Durham policies and procedures

Participate in effective client transitions and rounds to ensure client care is seamless

Team Collaboration and Crisis Support

Exchanges and/or transfers new knowledge about evidenced-based practices within the team

Assists in the development and revision of policies related to health care

Provides linkages to other health care professionals and community services as needed

Assesses the significance of changes in the clients’ clinical status and intervenes, when necessary, to minimize risk to client and employees

Responds to emergencies as a member of the Emergency Response Team

Client Safety

Adhere to CMHA Durham client safety programs including program policies as well as infection prevention and control (IPAC) procedures. In partnership with clients, family members, and fellow employees, maintain open lines of communication to assist the organization in identifying and achieving quality outcomes for client safety. Report client safety incidents and suggested improvements to manager or delegate.

Other Duties as Assigned

Attend, participate in team meetings and all employee meetings

Participate in organizational quality improvement activities, e.g. accreditation projects, committee work, special events

Participate in quality improvement activities at the team/program level

Participate in external committees as required

The above statements are intended to describe the general nature and level of work being performed by the incumbent(s) of this job. They are not intended to be an exhaustive list of all responsibilities and activities required of the position.

Effort:

Sits stands and walks daily to perform the duties of the job

Concentration, attentiveness, and critical thinking is required daily to assess clients, administer medications/injections, attend meetings, develop care plans, prepare documents, listen to clients, use nursing equipment, as well as may lift walkers or push wheelchairs as needed

Committed to self-care to maintain therapeutic competencies

Resolve conflicts, problem solve, facilitate meetings, attend meetings, manage caseloads, prepare documents, etc.

Risk Management:

Minimizes risks adhering to CMHA Durham Policies and Procedures identifying, assessing, evaluating and controlling risks ensuring well-being of employees and clients.

Qualifications:

Registered Nursing Diploma or Degree and a minimum of two years related mental health experience or equivalent combination of education and experience

Membership in the Ontario College of Nurses’ Association and the Registered Nurses’ Association of Ontario

Valid First Aid/CPR and/or Basic Life Support required

Sound knowledge of the Mental Health Act, Health Care Consent Act, Internal agency and other related legislation in Ontario

Sound knowledge of psychotropic medications including usage and potential side effects

Ability to develop and maintain positive relationships clients, community, partners, employees and always represent the agency in a professional manner

Ability to acquire and utilize community resources effectively to meet client’s needs

Excellent communication (written and verbal) skills and ability to formally present information to individuals or groups to develop, implement and monitor nursing care plans and attend meetings

Ability to resolve complex client problems to ensure a high standard of nursing service

Excellent assessment and organizational skills

Flexibility to adapt to change

Ability to work independently when necessary

Ability to think critically and creatively

Ability to make accurate nursing assessments and implement best practices

Valid Ontario Driver’s license, access to a dependable vehicle in safe working order and appropriate insurance coverage considered an asset

Knowledge of MS Office 365 (Word, Excel, PowerPoint, Outlook), internet and electronic medical records system

Ability to work a variable schedule which may include evenings and weekends as required

Able to integrate CMHA Durham’s philosophy of being a “welcoming organization” into everyday practice.

Ability to adapt to change and navigate through ambiguous situations

Project management skills

Knowledge of Indigenous communities and cultural practices (preferred).

Intermediate proficiency in French considered an asset.

Work outside of normal business hours as required

Working Conditions:

Works on site in within the HART Hub program

Exposure to hazards such as blood/bodily fluids and cleaning fluids

Some exposure to hazards such as needles, medications, etc.

Exposure to psychiatric behaviors that may be considered offensive (abusive/irate clients ) , deadlines, multiple demands, distractions/Interruptions

Some exposure to hazards (smoke, pets)

What we offer:

CMHA Durham is a non-profit community-based organization that believes that mental and physical health care is for everyone regardless of class, race, sexuality, gender, age, faith, or ability. With a flexible working model (within r