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Enhanced Extern - Nursing 

Category Student Opportunities  
Req Number STU-24-00002  
Open Date 3/1/2024  
Number of Openings 0  
Department Inpatient Rehab & Complex Continuing Care Service 

Work type Casual 

Grade $19.81/hr 


Posting Close Date 03/19/2024 


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. 


Nursing Externs are unregulated care providers who work under the direct/indirect supervision of the inpatient nursing unit team leader/delegate or Community Transitions, Recreation and Life skills Program clinicians. At Holland Bloorview Nurse Externs are Bachelor of Science Nursing Students who have completed a minimum of one year (accelerated program) or two years of a 4 year program. Nursing Externs work with clients who have a low complexity of care needs, high predictability of their condition, low technical requirements and low level and range of potential outcomes. The Regulated Health Professions Act and College of Nurses of Ontario direct the type of care they can provide based on the level of supervision. They may perform pre-identified Controlled Acts authorized to nursing within the Regulated Health Professions Act (RHPA) of Ontario delegated to them under the supervision of a nursing professional who is authorized to perform them.

The successful candidates will be required to work on the inpatient units, and community transitions, recreation and life skills groups. Although the work is seasonal for summer programming, clinical care assistants can continue to be scheduled to work (if they have availability) throughout the school year both on the inpatient units and with outpatient transitions, recreation and life skills groups (when required).

In addition to supporting the inpatient units the other programs are described below (Seasonal Summer):

Community Transitions, Recreation, Life Skills Program Description: Under the umbrella of participation and inclusion, transitions, recreation and life skills are designed to restore, remediate and rehabilitate a person's level of functioning. Our goals are to increase independence and life activities, promote health and wellness and reduce barriers to participation.

Programs offered throughout the year include a variety of recreation and life skills programs that are structured to support clients and families during important transition points, therapeutic recreation and life skills services are guided by developmental milestones, promoting life skills so that clients learn to function optimally within their home and community environments. Experience-based life skills activities teach skills using discussion, role playing, problem-solving, peer teaching and experiential learning techniques. Acquired skills are practiced in a simulated and/or real environment where calculated risk is encouraged. For the months of July and August we offer these services in the format of individual/multi-week day programs.

Externs will be hired on contract, during which the Extern will work part time hours to a maximum of full-time hours (37.5 hours per week). The scheduling of these hours will be determined based on program needs and may include day/evening/night and weekend shifts.


  • Performs the following under the direct/indirect supervision of the Registered Nurse/Registered Practical Nurse or Community therapeutic recreation and life skills Program clinicians
  • Provides safe care that promotes and supports the physical, psychosocial and spiritual wellbeing of clients and families
  • Demonstrates accountability for own client care by adhering to Holland Bloorview Kids Rehabilitation Hospital’s Policies and Procedures i.e. positioning, bathing, feeding, and toileting supporting client personal care needs.
  • Support development of client independence in the practice of scheduling and directing their own care as related to self-care, productivity and recreation/ leisure participation.
  • Assist clients in working towards their identified program goals as appropriate and under the direction of nurse/clinician
  • Provide client care in both onsite hospital and offsite community settings as per shift assignment
  • Provides direct care to clients/families with predictable outcomes under the guidance of the CNO practice guideline ”Working with Unregulated health care providers”
  • Provides care in collaboration with the client and family, and communicates with members of the interdisciplinary care team and community providers as appropriate
  • Participates in quality improvement activities to ensure delivery of efficient and effective health care and the maintenance of a safe and healthy work environment
  • Collaborates with the RN/RPN / Community Therapeutic Recreation and Life skills Program clinicians who is assigned to administer medications/treatments for their clients, to determine their respective responsibilities and duties. It is an expectation that the CCA has knowledge about the times medication/ treatments are due and an understanding of common side effects. As well, the CCA is expected to inform the RN/RPN/ Community Therapeutic Recreation and Life skills Program clinicians of the need to assess for PRN medication administration as appropriate
  • With the direction of the nurse/clinician may provide informal education, to clients and families, colleagues and students
  • Supports the development of professional nursing practice through participation in unit based activities as appropriate
  • Establishes annual goals and objectives
  • Maintains own knowledge, skills, and abilities through attendance at in-house education sessions
  • In partnership with clients/families and the interdisciplinary team, provides client and family-centred care which is goal directed, evidence based and outcome oriented
  • Supports and respects the client/family’s rights to make decisions based on their own values, beliefs and experiences
  • Utilizes a strength based approach to care
  • Communicates in a timely and effective manner
  • Participates in quality improvement initiatives, supports the maintenance of a safe and healthy work environment and advances a culture of client/patient safety through work and daily practices



  • Must have successfully completed two years of a four year or one year of a two year accelerated program from a recognized Bachelor of Science Nursing school.
  • Current BCLS certificate—Basic Rescuer required
  • Experience in working in clinical placements during first year of nursing school and/or experience in working with children and youth
  • Experiences and comfort working in varied program settings even in community (i.e. assisting on outings)
  • Experience in behaviour management preferred
  • Demonstrated ability to collaborate effectively in a team environment
  • Demonstrated responsibility and skills to work independently
  • Completion of mandatory/required certifications provided via corporate orientation, including extern orientation, and as defined by program (e.g. Fit Test, WHMIS, AODA, IPAC)



This job description represents only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks and duties. The responsibilities, tasks and duties of the jobholder may differ from those outlined in this job description. Other duties, as assigned, may become part of the job.


About the Organization Holland Bloorview Kids Rehabilitation Hospital creates a world of possibility by supporting children and youth with disabilities, medical complexity, illness and injury. All of our work is guided by our strategic plan, Transformative Care, Inclusive World: Holland Bloorview 2030. The plan:

To get a glimpse as to who Holland Bloorview is, we invite you to watch the Dear Everybody, This is Holland Bloorview video. Video:

Holland Bloorview is committed to fostering a climate of inclusion, diversity, equity accessibility, and anti-racism (IDEAA). This commitment is central to, and mutually supportive of, our research excellence mandate. We welcome and respect the diversity of all members of our community and we seek to create an inclusive culture for our clients, families, research scientists, staff, participants, trainees, volunteers, trustees, and partners. To help in our journey towards fully reflecting the communities we partner with, we welcome and encourage applications from Black individuals and other racialized persons, Indigenous Peoples, women, persons with disabilities, LGBTQI2SA+ persons, and others who may contribute to further diversification of ideas within our community. Holland Bloorview is committed to fair assessment of a candidate's abilities, and consideration for diversity of thought, method, and experience, including non-traditional career paths.

In accordance with the Accessibility for Ontarians with Disabilities Act, accommodation will be provided throughout the recruitment process to applicants with disabilities. Please notify us of any accommodations that you require by contacting or 416-425-6220.  

This position is currently not accepting applications.

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