Royal Ottawa Health Care Group

4 job(s) at Royal Ottawa Health Care Group

Royal Ottawa Health Care Group
Jan 22, 2025
Part time
Duties: Clear understanding of patient centered nursing care and best practises as it applies to individuals with substance use and concurrent mental health and physical health disorders, including special populations i.e. pregnant women and transitional age youth, and that are receiving medical withdrawal management, medical detox or stabilization on opioid agonist therapy. Assess patients who are experiencing alcohol/opioid intoxication or alcohol/opioid withdrawal, including assessment using CIWA and COWS scales. Assess patients intoxication and withdrawal symptoms from other substances. Identify complicating physical health issues (i.e. cirrhosis, hepatitis C, HIV) and potential emergencies (i.e., overdose, seizure, delirium tremens) and triage patients appropriately for physician assessment. Provide harm reduction teaching and education around opioid use, alcohol use, and other substance use, including providing naloxone kits to patients and families. Recognize patient readiness to change, engaging patients using motivational interviewing techniques. Complete mental status exam, and risk assessments. Be able to assess common co-occurring mental health issues and intervene appropriately. Safe preparation and administration of high risk medication. Responsible for planning admissions, discharges, and transfers. Liaise with community, primary care, public health, acute care/emergency departments, and internal referral sources. Responsible for providing holistic nursing care (e.g, assessments, care planning, discharge planning) using effective verbal and written communication skills, observation, intervention and group skills. Ability to provide teaching to patients, families, and other staff members. Lead and participate in evidence based group, family, and individual counselling, including use of motivational interviewing techniques. Take in-charge duties and responsibilities as required. Manage and direct the care of patients in rapidly changing situations. Work collaboratively and effectively as a member of the interdisciplinary team. Participation in Program and Discipline related committees. Able to perform patient restraint as outlined by the Task Analysis - patient restraint (physical). Able to rotate between services within SUCD program. Work in a manner that is in compliance with staff and patient/client safety practices, policies and procedures of the Royal.   Ensure a work environment that is conducive to the Royal’s Harassment-Free Workplace Policy.   Other assigned duties as required.   Qualifications:   Current registration with the College of Nurses of Ontario. BSc.N preferred. Certification in Psychiatric Mental Health Nursing is preferred. Certification in Substance Use and Concurrent Disorders is an asset. Knowledge and experience working with individuals with substance use disorders is required. Knowledge of medical detox, withdrawal management, and opioid agonist therapy protocols and medications mandatory. Experience identifying the signs and symptoms of withdrawal and intoxication from alcohol, opioid and other substances. Knowledge of Psychosocial Rehabilitation and Substance Use and mental health principals. Knowledge of harm reduction approaches and ability to integrate within care planning and delivery. Current practice according to the Standards of Practice for Nurses in Ontario. Clear understanding of MHA and relevant legislation. Able to demonstrate knowledge and skill in mental health, substance use and concurrent disorders, and physical health complications. Minimum of 2 years recent nursing experience in Psychiatry, substance use, or concurrent disorders within a multidisciplinary team. Recent experience working with patients with complex and severe substance use disorders. CPR certification within last 12 months. WHMIS update in preceding 12 months. Completion of NCI training. Suicide Intervention training would be an asset. Must complete workload measurement and RAI-MH training upon hire.  Input into the workload measurement and RAI-MH systems are required on an ongoing basis.    English level A- is mandatory in oral expression, oral comprehension, reading comprehension and written expression. Bilingual (English/French) is considered an asset.
Royal Ottawa Health Care Group
Jan 22, 2025
Temporary
As a member of the Community Mental Health-Program Psychiatric Outreach Team you will provide psychiatric nursing services to community mental health program clients using best practice and innovative approaches, including specialized psychiatric nursing assessments and referral to appropriate resources. This position will provide nursing support /relief to a number of teams within the community program.   Duties: Work collaboratively, cooperatively and effectively within the Community Mental Health Program teams and with the community partners agencies including hospitals, shelters, Indigenous centres and lodges, drop-ins, rooming homes, lunch clubs, and the Ottawa Hospital. Practice in a variety of community settings within the City of Ottawa. Conduct specialized psychiatric nursing assessments including, mental status assessments in the community environment. Provide formal and informal educational sessions to community partner agency staff regarding mental illness, treatment, and recovery. Collaborate with family physicians and psychiatrists in the clinical support of patients. Participate in identifying and creating effective measures to evaluate and improve services. Participate in evaluation research activities Maintain current knowledge of best practices and nursing standards by reviewing literature, attending educational events, networking with colleagues, etc. Ensure documentation and data collection is maintained in accordance with hospital, college and legislative standards and timelines. Complete all required non-clinical administrative documentation (i.e. workload measurement, quality improvement, forms etc.). Must complete EHR training upon hire.     Work in a manner that is in compliance with staff and patient/client safety practices, policies and procedures of the Royal. Ensure a work environment that is conducive to the Royal’s Anti-Racism, Harassment and Discrimination Free policy   Qualifications:   Baccalaureate Degree in Nursing Science is an asset. Current registration with the College of Nurses of Ontario. CPR certification within the last 12 months. Completion of Non-Violent Crisis Intervention Workshop (CPI). Advanced assessment, crisis intervention and counselling skills. Excellent communication and team skills. Experience working with homeless individuals or those at risk of homelessness. Minimum five years experience working with seriously mentally ill individuals, and those with a concurrent disorder. Experience working in the community and knowledge of community resources. Knowledge of and experience in working with the Mental Health Act of Ontario. Excellent Advocacy skills. Concurrent Disorder Training is considered an asset. Demonstrated ability to work independently, in a progressively more automated environment. Valid Ontario driver’s licence and reliable, accessible vehicle required for day to day operations.   English level A- is mandatory in oral expression, oral comprehension, reading comprehension and written expression.   Bilingual (French/English) is considered an asset.   
Royal Ottawa Health Care Group
Jan 22, 2025
Full time
A Clinical Nurse Specialist (CNS) is a licensed Registered Nurse with graduate nursing educational preparation with in-depth, specialized clinical nursing knowledge and expertise in the area of mental health and addictions. The CNS provides strong leadership in a specialty program towards improved clinical outcomes through advanced nursing practice, program planning and delivery, research and knowledge mobilization, efficient resource utilization, consultation, education and capacity building.   The CNS provides clinical guidance and leadership to nursing staff managing complex care, promotes evidence-based practice; and organizational system change, towards improving the quality of client and family care. The CNS acts as a clinical expert in a specialized area of nursing while working within an interdisciplinary team to find solutions for complex healthcare issues at multiple levels: the client and family, healthcare providers, administrators, and policy-makers through a direct relationship with clients and families or through integrated role responsibilities related to education, research and clinical leadership and Nursing Professional Practice. The CNS demonstrates knowledge and skill in building intra- and inter-professional collaboration, and role-models leadership attributes such as high-level autonomy, accountability, assertiveness and enhanced communication and problem-solving skills. In addition, the CNS enhances excellence in nursing research by role modeling the utilization of, participation in, and knowledge mobilization of research findings. This role is expected to drive the organizational nursing strategy while empowering nursing staff to practice in accordance to professional practice standards and subspecialty competencies, through mentoring, coaching, and role-modeling.   Duties: Accountability #1:  Demonstrates management excellence through the LEADS Based Sentinel Behaviours:  The Royal is a LEADS based organization and it is expected that our leaders demonstrate the five capabilities of the LEADS in a Caring Environment through actions:   Lead Self: Makes a disciplined effort to continuously be aware of one’s own assumptions, values, principles, strengths and limitations, and understand them in the context of a strategic role to connect managers with organizational priorities. Systematically employs personal mastery – either formally through a personal learning plan or informally to enhance interpersonal and strategic capabilities. Recognizes that qualities of character are regularly tested in bridging strategic and operational responsibilities; and tries to deliberately exercise them as appropriate. Works in a manner that is conducive with staff, client, and family safety practices, policies and procedures of The Royal.   Engage Others: Supports the quality of morale and productivity and ensures action is taken – with input from employees to improve morale and productivity. Listens and establishes strategic communications processes (using appropriate interpersonal communication, media and meetings) to elicit open exchanges of ideas, evidence and information. Provides materials and support for the creation and sustainability of high-performance teams in at the unit level and at departmental level. Ensures a work environment that is conducive to The Royal’s  Harassment-Free Workplace Policy. Achieve Results: Sets direction through strategies that outline key approaches and tactics to achieve the results expected in the work unit. Clearly describes how current decisions within the strategic area align with overall organizational strategy. Gains support of other leaders and staff for successful implementation of strategies, and for changes to those strategies when those changes are validated by new evidence. Holds self and others accountable for establishing outcome measures consistent with strategies, and for achievement of the targets the work unit is responsible for.   Develop Coalitions: Actively supports and develops processes to involve, or seek input from customers when planning changes that may impact the stakeholder.   Supports processes to encourage the gathering, interpretation, and dissemination of quality evidence and knowledge to influence the coalition.   Mobilizes commitment and resources from many different sources in the system to support the achievement of the coalition’s desired results and engages in a process to resolve emergent conflicts.     Systems Transformation: Uses critical/systems thinking to identify issues and practices that could improve service. Creates an environment in the respective program or department where innovation, creativity and continuous improvement are valued. Encourages staff to think about trends, anticipate problems the respective program or department may face and create solutions in line with the values of organization and system. Employs small and large system approaches to implement changes required in the respective program or department.     Accountability #2: Direct Comprehensive Care Provides comprehensive physical and mental health assessment for clients and families while incorporating health promotion, disease prevention and management, client and family advocacy, and collaborative strategies to positively affect health outcomes. Demonstrates clinical decision making and expert knowledge and synthesis of advanced nursing practice using current evidence. Work collaboratively with an interdisciplinary team to provide consultation, recommendations, and manage multifaceted needs of clients and families. Assesses complex clinical care issues, develops, implements, and evaluates innovative approaches and programs addressing these issues in collaboration with interdisciplinary teams and nursing professional practice. Recognize the need for and plan outcome measurements (e.g., obtaining client feedback, conducting pre- and post-surveys, monitoring length of stay, readmission rates, reduction of secondary complications, and knowledge of staff providing care). Identify and assess trends or patterns, at macro, meso, and micro levels that have health implications for clients towards adopting efforts to enhance positive outcomes.   Accountability #3: Optimizing Health System   Understand and integrate the principles of resource allocation and cost-effectiveness in organizational and health system-level decision-making. Participate in strategic planning for nursing professional practice, health-care service, department and/or organization. Contribute to system-level change through the development of standards of care, practice guidelines, care protocols, programs, and/or policies. Identify gaps in nursing practice and organizational processes towards developing strategies to facilitate and manage change in collaboration with nursing professional practice. Understand legislative and standards driven issues that influence health policy and use this knowledge to build strategies to improve client care and/or health care access. Advocate to participate on professional, regional, provincial, and/or federal committees that are related to individual specialties.   Accountability #4: Education Identify the learning needs of nurses and other members of the interdisciplinary team and find or develop programs and resources to meet those needs. Collaborate with Nursing Professional Practice team to disseminate knowledge, using appropriate delivery methods and utilizing adult education principles. Plan, initiate, coordinate, and evaluate needs-based continuing education programs for staff and clinical partners to promote quality client care. Act as a mentor, preceptor, coach or role model for nursing colleagues, other members of the health-care team and students. Contribute to, and advocate for, an organizational culture that supports nursing professional growth, continuous learning and collaborative practices.   Accountability #5: Research Engages in research and knowledge mobilization activities related to clinical practice and nursing professional practice. Actively participates in and conducts research within the organization. Identify, appraise, and apply research, practice guidelines and current best practices at the client, family, and program level. Utilize  digital technology towards data-driven clinical care resulting best client outcomes. Champions nursing research at the program and organizational level within Interprofessional teams.    Accountability #6: Leadership   Fosters critical thinking amongst staff in decision-making and problem solving. Apply theories and principles of project and change management. Participates in and provides leadership on Interprofessional committees as they pertain to the select patient population. Facilitates and supports a collaborative, Interprofessional team practice model. Embodies and facilitates organizational nursing strategy, while elevating nursing professional practice. Ensure a work environment that is conducive to the Royal’s Anti-Racism, Harassment & Discrimination Free Workplace Policy.     Qualifications: Registered with the College of Nurses of Ontario (CNO). BScN degree is required Masters Degree is required.  Masters Degree in Nursing is preferred, although candidates with Relevant Masters degree will be considered with a minimum of five (5) to ten (10) years’ experience in Geriatric Psychiatry. Member of relevant professional organizations (preferred). CPMHN (C) and/or GNC(C) preferred Current CPR certificate, Basic Cardiac Life Support (BCLS) Level C.   Direct clinical practice experience in psychiatry/mental health nursing care. Minimum 5 years’ experience as a Registered Nurse providing services in geriatric psychiatry Knowledge of mental health best practices, community services, and crisis response. Proven ability in independent and collaborative decision-making. Strong oral and written communication skills Knowledge of mental health best practices and community services Ability to work with adult learners and colleagues in a variety of settings using a collaborative approach. Proven ability in independent and collaborative decision-making Ability to respond to questions and requests in a timely manner. Demonstrated leadership, program development, and education skills. Experienced/knowledgeable in research and evaluation principles. Ability to determine feasibility of potential research, educational or clinical initiatives. Proven ability in working effectively with all members of health care team as well as autonomously. Demonstrated commitment to own continuing academic growth and development. Excellent analytical, critical thinking and problem solving skills – ability to respond to shifting priorities and to multi-task. Strong organizational skills with demonstrated ability to meet deadlines/timelines. Demonstrated computer literacy. Commitment to Continuous Quality Improvement, Best Practices and Team Work. Effective mentoring and clinical supervision skills to support both the academic role and the clinical practice of other team members. Experience with clinical documentation in an Electronic Health Record. English level A- is mandatory in oral expression, oral comprehension, reading comprehension and written expression. French level A- is mandatory in oral expression and oral comprehension.