Palliative Care Coordinator – Couchiching FHT (Orillia)

Job Description – Full Time Registered Nurse (possibility of job share) Specialty – Palliative Care Coordinator Position Summary As a key member of the Couchiching Family Health Team (CFHT), and an integral part of an interdisciplinary health care team, you will deliver nursing care in accordance with FHT policies and professional practice standards. The Palliative Care Coordinator is a nurse specialist in palliative care and is responsible for the planning, coordination and delivery of palliative and end of life care to patients and their families and caregivers. Working in collaboration with an interdisciplinary team, the Palliative Care Coordinator will provide clinical and educational support and facilitate care connections across the health care sectors for clients requiring palliative care and end of life in the community. As well, you will provide expert clinical palliative leadership to support seamless, integrated care delivery. Roles and Responsibilities
  • Screen, prioritise and process client referrals
  • Consult with family physicians and specialists and review client clinical information obtained through the physician and client health records
  • Provide client-centred case management, including assessment, service coordination, and evaluation, and a direct report to the family physician and/or specialist involved in client’s care
  • Link with community resources, particularly supportive care and palliative care facilities and services and share information to provide the best experience for the client
  • In collaboration with the Family Physician and other members of the interdisciplinary team, develops and discusses an appropriate individualized care plan with the client/family/caregiver based on best practice
  • Recommends and teaches client’s treatment protocols and education as required
  • Liaise with OSMH at palliative care rounds and provide home visits as required for integrated care delivery
  • Actively participates in staff, team, committee and family meetings, if appropriate
  • Participates in the development, planning and evaluation of treatment, education, counselling and health promotion activities of the FHT
  • Report directly to the Clinical Program Manager and/or Executive Director
  • Prepare and submit monthly reports for the Ministry Health and Long Term Care
  • Accurate and timely documentation into the EMR daily
Professional Development
  • Maintains and develops professional competence through ongoing professional development
  • Stays current and aware of opportunities to implement new, evidence based methods of client assessment, treatment and programming
  • Participates in clinical projects and attends OSMH rounds as required.
  • Baccalaureate degree in Nursing, Masters preferred
  • Current certification of competence from the College of Nurses of Ontario and membership in the RNAO and current B.C.L.S.
  • Demonstrated clinical competence in nursing practice with 3-5 years recent experience working in a palliative care/oncology/hospice environment. Preference will be given to those candidates with foundations in oncology courses and CNA Palliative/Hospice Care certification
  • Physical assessment experience combined with knowledge of central lines and various types of infusion pumps, CVAD's
  • Preparation in pain management an asset to treat pain effectively during palliative and at end of life care
  • Working knowledge of the ESAS and PPS
  • Demonstrated understanding of client-centred case management, including assessment, service coordination, and evaluation
  • Demonstrated and comprehensive understanding of ethical decision making principles, palliative care philosophy, and quality end of life care planning
  • Demonstrated working knowledge of community resources, particularly supportive care and palliative care facilities and services
  • Demonstrated evidence of sound organizational, prioritization, and conflict management skills with the ability to work well in stressful situations
  • Excellent communication, negotiation, teaching and interpersonal skills with the ability to work well with patients, families, all levels of staff and the community
  • Demonstrated ability to work well autonomously
  • Flexible to meet additional responsibilities as program demands
  • Positive attendance and work record essential
Interested Candidates should forward their resume in confidence to no later than February 25, 2014