Registered Nurse Home Dialysis Program - Peritoneal Dialysis

Humber River HealthToronto, ON
CA$41 - CA$59Onsite

About The Position

Humber River Health is seeking a Registered Nurse for their Home Hemodialysis Unit within the Nephrology Program. This role involves addressing the needs of a unique patient population using a case-managed approach. The nurse will coordinate clinical activities, serve as a clinical resource, and work directly with patients and the team to ensure timely and appropriate treatment and follow-up. Responsibilities include autonomously assessing and educating patients, family members, and Personal Support Workers (PSWs) on home therapies, ensuring they have the necessary knowledge and skills for independent dialysis. The nurse will also participate in rotational on-call support for the program and liaise closely with the multidisciplinary team. The role encompasses a comprehensive approach to care for patients with chronic kidney disease who wish to dialyze independently or with assistance at home. This includes assessing referred patients, visiting and assessing home environments, providing training, and ongoing primary case management. As part of the Nephrology Program, the nurse will utilize a chronic disease prevention and management (CDPM) and self-care philosophy, contributing to the Ontario Renal Network (ORN) strategic plan. This involves championing initiatives like Person Centered Decision Making (PCD) and Access to Kidney Transplantation (AKT).

Requirements

  • Registered and in good standing with the College of Nurses of Ontario
  • BLS Provider certified required
  • Baccalaureate degree preferred
  • Minimum of 2 years recent nephrology experience with at least 18 months in hemodialysis required
  • Previous experience in pre-dialysis, transplantation, or home hemodialysis is an advantage
  • Experience with ORN data collection preferred
  • Proficiency in using Microsoft office (Word, Outlook, Power Point and Excel) and Meditech
  • Demonstrated strong ability to assess a patient’s readiness to learn and apply the principles of adult learning while teaching patients and families
  • Demonstrated leadership skills in workload planning
  • Experience in developing/implementing patient care algorithms and patient education tools
  • Demonstrated excellent patient assessment skills
  • Demonstrates competency in chosen profession; consistently demonstrates knowledge and expertise in professional practice and hospital-based standards
  • Engages in continues learning and reflective practice
  • Demonstrates being patient and consumer focused; makes a commitment to meet or exceed the needs of all internal and external customers
  • Excellent communication and interpersonal skills required
  • Demonstrated excellent organizational and planning skills
  • Ability to be flexible and effectively work in busy environment with changing priorities and deadlines
  • Demonstrated initiative and engagement in quality improvement
  • Demonstrated ability to be self-directed and work independently
  • Demonstrates fiscal responsibility
  • Must be able to complete the physical duties of the position, the “Registered Nurse” role description, and the task and duties listed in the “Home Dialysis” standard of care
  • Demonstrated understanding of and commitment to Humber’s comprehensive safety programs and practices, including staff patient, and environmental safety, and participation in regular in-service education in this area
  • Valid driver’s license required and access to a personal vehicles for on call and home visits
  • Excellent attendance and discipline free record required

Nice To Haves

  • CNeph Certification preferred. Required to complete CNeph certification or equivalent within 28 months from the hiring date.

Responsibilities

  • Performing all aspects of patient care including care paths, patient education, home and community visits, annual patient recertification, transplant workup, and monitoring quality indicators to ensure treatment adequacy and patient safety is maintained for all primary patients and as assigned
  • Demonstrating a commitment to ongoing professional development within an evolving field
  • Providing assessment, education, training and decision support for patients/family as it relates to independent dialysis
  • Coordinating/facilitating patient appointments including clinic visits in collaboration with clerical team members
  • Engaging the interdisciplinary team in a collaborative approach to professional practice issues and acts in the role of Liaison between all members who participate in the care of the patient and their family
  • Applying relevant research to clinical practice using critical thinking and decision making; utilizing research/evidence based information to recommend nursing interventions
  • Participating in and supporting CQI initiatives
  • Providing a framework /smooth transition for patients who are involved in transitioning to home-based therapies
  • Visiting the patients in their homes as part of the training and support
  • Meeting “on call” requirements both weekdays and weekends
  • Working shifts as scheduled
  • Participating in Nephrology Program projects as assigned
  • Participating in rotational Home Support Nurse assignment
  • Communicating and collaborating with home dialysis vendor
  • Collecting, documenting, and reporting clinical and non-clinical data into Meditech for the purpose of ORRS submission.

Benefits

  • Evidence-based leadership
  • Culture that consistently wows with our unwavering commitment to Staff, Physician and Volunteer engagement
  • Member of the Toronto Academic Health Science Network (TAHSN)
  • Deeply involved in research and academic collaboration
  • Dedicated to high-quality patient care
  • Values of compassion, professionalism, and respect
  • Commitment to creating an inclusive, equitable and accessible workplace that reflects the diversity of our communities
  • Culture where everyone feels respected, valued and empowered to contribute
  • Accommodations available throughout the recruitment process and employment
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