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Title

Registered Nurse-ACT (Bilingual) 

Full-Time/Part-Time Full-Time  
Status 1.0 FTE (35 hours/week)  
Category Assertive Community Treatment  
Open Date 9/15/2020  
Close Date 9/24/2020  
Description

The Registered Nurse -- ACT (RN-ACT) provides specified medical treatment services and promotes healthy lifestyle choices for all ACT program clients. The nurse functions within a health promotion framework and provides primarily mental health medical treatment and physical health medical treatment within the scope of practice mandated by the College of Nurses of Ontario. As a member of the ACT team they also provide counseling, rehabilitation/ recovery, (crisis and long-term) support, and advocacy to clients of the team. The RN-ACT participates in the development, implementation, monitoring and evaluation of programs and services for ACT clients. A large proportion of all client contact occurs independently in the community.

Program-Related Activities

  • Works within the College of Nurses of Ontario standards.
  • Acts in a consultation and education role to other ACT Team members and community partners as it relates to mental health/pharmacological and physical care issues within the scope of nursing practice.
  • Develops protocols and maintains records on high-risk medical indicators for the service, maintains all medication related records in the service.
  • Directs intervention with order/medication administration.
  • Provides solution-focused, motivational and cognitive-behavioural counselling to enhance client capacity to attain goals.
  • Provides direct assistance to clients with
  • Symptom management including medication delivery, observation, follow-up and the development of individualized crisis plans, distress tolerance and coping strategies.
  • Instrumental functioning for employment, education, finances, basic needs, activities of daily living, social/recreation activities, transportation etc.
  • Housing related issues including liaising with housing providers, landlords and support with Landlord Tenant Board processes.
  • Provides support to clients in achieving physical healthcare needs.
  • Provides independent visits and crisis counselling to monitor and support acutely ill clients during on-call, weekend and evening hours.
  • Provides impromptu family counselling sessions to address family conflict/crisis and conduct formal family counselling sessions in conjunction with team psychiatrist.
  • Conduct comprehensive client assessments using discipline-specific and multidisciplinary assessment instruments (i.e. OCAN).
  • Develops individualized client rehabilitation/recovery plans and revise as indicated.
  • Collaborates with the team psychiatrist, police, and psychiatric emergency services to coordinate client apprehensions under the Ontario Mental Health Act.
  • Provides mandated monitoring and interventions to clients who are under legal conditions of Community Treatment Orders (CTO) and Not Criminally Responsible (NCR) - Ontario Review Board jurisdiction, in addition to supporting clients to meet other legal stipulations (i.e. parole, probation).
  • Ensures continuity of client care by maintaining an exchange of information and communication with client, team and others involved in their recovery plan.
  • Secures client resources by preparing reports, completing application forms and writing letters as required.
  • Leads/co-leads psycho-education groups/classes for ACTT clients (occasionally clients from other ACT teams) and their family members.
  • Participates in design, development, implementation, monitoring and evaluation of groups/classes.
  • Ensures accountability by providing statistics and reports of activities, as required, and keeping client records, as required, within the safeguard of confidentiality.
  • Completes and maintain all documentation as per the ACTT and CCHC standards including individual contacts, group contacts, Common Data Set information, client schedules and clinical documentation.
  • Completes all required non-clinical/administrative documentation.
  • Participates in the selection, orientation, training and supervision of students within team context (i.e. medical, social work, nursing or other students).
  • Participates in the selection, orientation, training and supervision of volunteers as applies to program related activities.
 
Position Requirements

Education

  • Bachelor’s degree in nursing from a recognized university or combination of nursing diploma and additional relevant courses/training.
  • Good standing in and valid license from the College of Nurses of Ontario.
  • Additional training in the field of community mental health (such as psychiatric nursing certificate)
  • Additional training in a psychiatric rehabilitation/recovery-based model is an asset

Professional experience

  • Three to five years full-time relevant nursing experience in a community setting or combination of community and hospital or public health settings; experience in a primary care setting, an asset.
  • Experience in a combination of hospital and community settings and/or public health.
  • Experience in providing rehabilitation and support functions to mental health clients and assisting in activities of daily living.
  • Experience in applying principles of psychosocial rehabilitation/recovery, practices of case coordination and working in transdisciplinary teams with mental health professionals.
  • Familiarity with the Ontario Mental Health Act is an asset.
  • Experience and interest in working with marginalized and diverse clientele, such as low-income, high-needs, newcomer, and a variety of multicultural communities.
  • Experience in program development, implementation, monitoring, and evaluation.
  • Experience in a non-profit, community-based organization.

Key Competencies

  • Thorough knowledge of and proficiency in current nursing physical assessment and treatment methods, case management, and crisis intervention techniques.
  • Thorough knowledge and understanding of community resources, relevant city service-provider networks, and community-based health care.
  • Excellent knowledge of and experience with a harm reduction approach
  • Ability to maintain mature problem-solving attitude when dealing with acutely ill, intoxicated, suicidal, angry or hostile clients and hazardous working conditions (i.e. exposure to communicable diseases, pest infestations, body fluids, second-hand smoke and high-risk drug paraphernalia).
  • Ability to to work with minimal supervision in a high stress environment
  • Demonstrated skills in verbal communication with clients and their families and written skills for documentation purposes.
  • Excellent interpersonal and communication skills, oral and written.
  • Excellent issue management skills including time management, conflict management and resolution, problem-solving, prioritizing and multi-tasking.
  • Administrative skills in completing reports and maintaining client charts/records
  • Demonstrated ability to work effectively in a crisis situation.
  • Demonstrated ability to work in a multi-disciplinary team environment.
  • Demonstrated proficiency in the use of computers and various software applications, including Microsoft Office programs, client database software, and electronic record keeping in a client services setting.

Linguistic Profile

  • This position falls within Carlington CHC’s designation under the French Language Services Act of Ontario.
  • Fluency in English is required.
  • Fluency in French is required at Level (Advanced +) for oral expression/comprehension and Level (Intermediate) for written expression.
  • Fluency in another language relevant to our client population is an asset.

Personal Suitability

  • Sensitivity to the needs of marginalized and diverse clientele.
  • Commitment to health promotion concepts, strategies, and philosophy.
  • Commitment to community-based health care and social services, and strength-based philosophy and practices.
  • Strong commitment to and belief in a recovery-model client-centred practice
  • Non-judgmental attitude
  • Commitment to the team
  • Ability to establish supportive and trusting relationships with persons with mental illness
  • Personal experience as a consumer of mental health services or family involvement of mental health services would be considered an asset

Other

  • Availability to work regular evening and weekend shifts, and to be available for on-call status.
  • Valid driver’s license and regular access to a vehicle.
 
Salary Range $35.31/hour - $41.54/hour  
Reports to Assertive Community Treatement (ACT) Manager  
Position Registered Nurse  
Post Internal Days 0  
Created By Brittany Bourdon  
Number of Openings 1  
Exempt/Non-Exempt Non-Exempt  
Req Number ASS-20-00003  
Location 900 Merivale and Community locations  
About the Organization Carlington Community Health Centre is a non-profit organization that puts today's most pressing health care challenges at the heart of their service delivery. We turn to the best professionals and employees to help improve the health and well-being of our community. We build trusting relationships with our clients and deliver quality services through a wide range of health and social services to parents and children, youth and teens, adults, and seniors.

We look to help community members resolve problems and advance concerns in the community by providing organizational support and advocacy assistance to local groups and associations.

Our mission is to improve, support and promote the health and well-being of the people and diverse communities we serve!
 
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
zFull Job Description None Specified 

French Job Description Registered Nurse ACT - FR_1.docx 


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