Posting #: 2019-851832
Position: Clinical Resource Nurse - Independent Dialysis & Body Access
Hours: Monday to Friday, 7.5 hour days & evenings (Hours subject to change based on operational requirements).
Site: Oakville & Burlington Dialysis Centre
Halton Healthcare takes great pride in providing quality, compassionate healthcare services to our rapidly growing communities. As a progressive and vibrant healthcare organization, we are committed to being an innovative centre of excellence in community hospital care in the Halton and Peel Regions. We are a distinctive centre of healthcare excellence that offers first-rate care in an innovative environment that supports the physical, mental, emotional and spiritual needs of the community.
The Clinical resource Nurse (CRN) for Body Access and Independent Dialysis plays a critical role in ensuring that patients have timely access to vascular and peritoneal dialysis services. This CRN will participate in patient education, facilitation of body access creation, monitoring and intervention of accesses, as well the promotion of a safe model of care and a culture of expertise in the provision of Body Access.
The CRN will support patients in making informed decisions regarding their care. This person will take the lead in a comprehensive approach to all patients starting dialysis by liaising with the patient/family, Nephrologist and Interdisciplinary team with the purpose of providing education and support while encouraging independent dialysis modalities.
This is what you’ll be doing:
- Provide education and decision support for patients/family as it relates to Body access and Independent Dialysis
- Coordinates and facilitate appointments of patients who require intervention for the creation and maintenance of Body Access
- Coordinate appointments for patients who require education related to Independent Dialysis
- Be the leader in promoting a philosophy of appropriate Body Access for all patients as well as a leader in supporting a home first approach
- Engage the interdisciplinary team in a collaborative approach to professional practice issues as it relates to access and transitioning patients to Independent Dialysis
- Provide single point contact for patients and members of the team referring patients in order to streamline process and optimize outcomes from a Body Access/Independent Dialysis focus
- Apply relevant research to clinical practice using critical thinking and decision making; utilizes research/evidence based information to recommend nursing interventions
- Acts as a liaison and consultant between Vascular Surgeons, Surgeons, Interventional Radiologists, Nephrologists and other health care team members
- Work directly with the WTIS coordinator, surgical administrators to ensure vascular wait time data is accurately reported and leased the team to resolution of data quality issues.
- Provides leadership to the team to implement and evaluate the outcomes of our CQI initiatives to decrease Central Venous Catheters and to improve appropriate access
- Identifies and addresses barriers to Independent Dialysis
- Leads and participates in ORN QI projects including the CRB/Peritonitis tracking and reporting into the ORN
- Develop and utilize tracking tools, data collection and data reporting framework including metrics required by the Ontario Renal Network (ORN)
- Knowledge of WAIT time strategy as it pertains to dialysis access creation/intervention and navigate patient within parameters: reports to the Nephrology Program Management Committee on initiatives and outcomes
- Works in partnerships with Peers to drive Quality Improvement in the area of Body Access in our Institution and within our LHIN
- Collects data pertinent to outcomes of ORN initiatives; reports within the ORRS tracking tool, to the ORN and within the program
- Participate in Teleconferences, Regional meetings, Provincial meetings as requested by the ORN with the goal being improved outcomes, identification of improvement opportunities as well as identified collaborative opportunities
- Provide a framework for smooth transition of patients who are involved in the Body access process in order to
- improve the rate of patients who have functioning Body Access
- Set the agenda, informs team and chairs the committee, presents patients with access issues to the committee and develop plan of care to address issues
- Liaise with the surgeon, nephrologists, patients and members of the interdisciplinary team in order to facilitate appropriate steps towards insertion of appropriate body access and follow up
- Provides leadership, offers expertise in developing and supporting a Dialysis Access Resource Team to improve/maintain patient care
- Provides and participates in education with members of the interdisciplinary team
- Provide education to staff including; vein preservation, assessment, venous mapping, post op care, ongoing techniques for monitoring and maintenance of vascular access and troubleshooting
- Provide education /support to staff and patients regarding Peritoneal Dialysis Catheter insertion, care and function
- Provide education to staff and patients regarding all aspects of Independent Dialysis and assists patients in the navigation towards home dialysis
This is what you’ll need to do it:
- Current registration in good standing with the College of Nurses of Ontario
- Current BCLS Certification required at time of hire.
- Evidence of commitment to continuing education. BScN preferred or in progress.
- Minimum of 5 years of nephrology experience required; must have knowledge of all components of independent dialysis
- Charge Nurse or In Charge experience required
- CNeph Certification required
- CNA certification in a related practice area preferred
- Must have experience in all aspects of Body Access including Peritoneal Dialysis Catheters and Vascular access for hemodialysis
- Must have experience with ORN projects including their working groups, mandates, tracking tools , ORRS data collection as it pertains to BA/ID
- Proven clinical and leadership skills
- Excellent communication and interpersonal skills at the unit and organizational levels
- Experience in developing/implementing patient algorithms, care paths,
- Experience in developing and participating within Continuous Quality Indicator programs
- Experience participating within an Interdisciplinary team
- Competent with Microsoft office including Word, Outlook, Power Point and basic Excel
- Knowledge of the principles of adult education and experience in implementing them within a care plan for patients
- Must be able to meet the physical demands of the position
- Satisfactory employment and attendance record required
The ideal candidate is strong in patient centred care in a dynamic, rapidly changing environment and should be ready to drive change and innovation. We require a person with good communication skills with a clear patient focus with the ability to foster teamwork and cooperation.
Salary: $35.03 to $49.34 per hour
Date Posted: November 12, 2019
Internal Applications Due by: November 19, 2019
If you are passionate about what you do, motivated by a job well done, and as committed to excellence, quality and patient satisfaction as we are, we'd like to hear from you. Please submit your application via our website at www.haltonhealthcare.ca directly to this posting and include a current copy of your resume.
We thank all those who apply but only those individuals selected for further consideration will be contacted.
In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation.
All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.
Halton Healthcare is a smoke free facility in and around all three sites. Smoking is not permitted on hospital properties. We thank everyone who works at or visits our hospitals for respecting this healthy initiative. We are also a scent-free environment for all employees and visitors to accommodate individuals’ health concerns arising from exposure to scented products. , We ask for everyone's cooperation in our efforts to accommodate health concerns.