Registered Nurse

BASIC FUNCTION

The Registered Nurse will represent Wellington Terrace at all times by ensuring adherence to the Code of Conduct, Mission, Vision, and Values and demonstrating the County of Wellington’s commitment to a healthy and safe workplace where every person is respected.

Reporting to the Director of Care, the Registered Nurse has an advanced foundation of knowledge in clinical practice to coordinate and deliver complex care with the focus of practice being on decision-making, analysis, critical thinking, and leadership. The Registered Nurse provides resident care, including administration of medications and treatments, by applying the principles of resident focused care.

The Registered Nurse maintains documentation standards within Wellington Terrace according to the College of Nurses of Ontario, Ministry of Health and Long-Term Care, and Resident Assessment Instrument – Minimum Data Set (RAI-MDS) standards and guidelines. The Registered Nurse completes scheduled quarterly and annual RAI-MDS summaries, care planning, and computerized documentation, as required.

The Registered Nurse assumes the lead in a monitoring group and special projects as assigned and reports on the quality initiatives to the Clinical Practice Committee/Quality Improvement Monitoring Committee.

The Registered Nurse assumes the Resource Nurse role, as assigned, for the safety and security of the residents, staff, and building in the absence of the management team; and must report potential emergency risks, staff and visitor incidents, or any adverse resident outcomes. The Registered Nurse also serves as a back up to RAI Coordinator as required. 

The Registered Nurse will support continuity and quality resident care by participating in the registered nurse on-call programme and support the Home by covering shifts as required.

This position requires the ability to work all shifts, including weekends and on-call shifts, as scheduled. 

PRINCIPAL RESPONSIBILITIES

• Supervises and monitors performance of Registered Practical Nurses, Personal Support Workers, Neighborhood Clerks, and Terrace Aides.
• Complies with all relevant municipal, provincial, and federal acts and regulations governing long-term care homes, Health Disciplines Act, Human Rights Code, Employment Standards Act, Occupational Health and Safety Act, Workplace Safety Insurance Act, privacy acts, College of Nurses of Ontario (CNO) Standards and municipal by-laws.
• Supervises care for residents, including complex care needs.
• Demonstrates leadership when collaborating with interdisciplinary team members.
• Initiates emergency response as predetermined by Wellington Terrace policies and procedures, appropriately notifying senior management.
• Shares knowledge and expertise and collaborates with team members and service providers. Promotes an environment in which the health care team works co-operatively and supportively. 
• Ensures adequate staffing and implements contingency plans as required.
• Maintains regular contact with residents/substitute decision makers to ensure a high quality of care and adherence to the Residents’ Bill of Rights.
• Supervises the drug administration programme, enforces the control and safekeeping of drugs and narcotics, and maintains a record of medication pharmacy orders and drug discards.
• Demonstrates ability to handle emergency situations in a prompt, precise, and professional manner.
• Documents accurate and ongoing assessments of residents’ status. 
• Coordinates staffing assignment decisions, replaces and reassigns shifts in the best interest of the residents and professional practice.
• Coaches employees on performance concerns in the moment and completes follow-up documentation no later than the next business day, forwarding the documentation to the Director of Care.
• Refer to The Well for a complete job description.

MINIMUM QUALIFICATIONS

• Current certification of registration in good standing as a Registered Nurse through the College of Nurses of Ontario. Four-year University Degree in Nursing preferred.
• Experience as a Registered Nurse, preferably in Long-Term Care. 
• Current certification in Basic Cardiac Life Support.
• Additional education in gerontology would be an asset.
• Demonstrated working knowledge in infection control and the delivery of quality dementia, palliative and end of life care, pain management and evidence based practices.
• Excellent communication skills and a positive attitude.
• Demonstrated ability to lead, coach, mentor, and foster a respectful work environment.
• Working knowledge of Microsoft and resident documentation software.
• This position requires the ability to work all shifts, including weekends and participation in the Wellington Terrace On-Call Rotation, as scheduled. 
• Police Vulnerable Sector Check required upon hire.