Year: 2024

Physiotherapist

Physiotherapist

POSITION: Physiotherapist
DEPARTMENT: Walking Stick Rehabilitation
RESPONSIBLE TO: Director, Clinical Services

Reporting to the Director of Clinical Services, the Physiotherapist is responsible for encouraging growth of residents through the provision of programs and services that are in keeping with the philosophy of RK MacDonald Nursing Home and its established policies and procedures. The Physiotherapist will provide programs and services to residents according to established standards and administrative policies. This will involve assessing resident’s needs, and planning, implementing and documenting Physiotherapy services while working as part of a multi-disciplinary team. All services provided are in accordance with residents’ personal choice and preferences with the aim of achieving excellence in the care and well-being of those living in the RK MacDonald community. As an employee of the RK Mac Donald Nursing Home every person has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with our Mission, Vision and Core Values and our philosophy of Resident Centered Care, the Physiotherapist, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.

Key Responsibilities:

Professional Accountability:

  • Carries out assessments, plan implementation, plan evaluation and education in accordance with RK policies and procedures, the Physiotherapy
  • Code of Ethics, the National Physiotherapy Competency Requirements, and the Physiotherapy Act of NS.
  • Conducts self within legal/ethical/professional obligations and requirements.
  • Performs beyond entry level competencies and within medical directives and delegated medical functions as approved for the practice setting as per the Physiotherapy Act of Nova Scotia.
  • Works as a champion of resident centered care.
  • Respects the individuality, autonomy and confidentiality of the resident and ensures the resident is treated respectfully and uses a person-centred approach involving shared decision making and responsibility with the resident and Substitute Decision Maker.
  • Demonstrates professional integrity and a commitment to the well-being of all residents.
  • Engages in professional development and lifelong learning activities.
  • Orientation of new employees and mentor / preceptor of new and existing employees as appropriate.
  • Acts as a mentor / preceptor for student clinical internships.

Communication and Collaboration:

  • Establishes and maintains effective communication with residents, relevant others and professional colleagues.
  • Maintains an accurate account of care given through clear, concise, written and verbal communication and evaluates, communicates and documents resident response to care in a timely manner.
  • Develops and maintains information systems to ensure appropriate access to accurate, objective, relevant information about the resident and general Physiotherapy services.
  • Collaborates, partners, and communicates with the individual, family, and external service providers when there is a difference between the care plan and the wants, needs and abilities of the resident.
  • Demonstrates effective collaboration and inter-professional teamwork by consulting and sharing information with other health professionals, family and community organizations in a timely manner, provided resident consent is obtained where required, to ensure comprehensive, safe service delivery.
  • Facilitate admission planning and transitions across the health care continuum, ensuring the resident’s needs are met in appropriate setting.
  • Participation in staff meetings or working group meetings.
  • Participation in and /or leadership of program planning, research, continuous quality improvement initiatives, committees, staff education, safety initiatives, and accreditation as requested.
  • Demonstrates effective verbal and non-verbal communication abilities to prevent adverse events.
  • Communicates effectively in special high-risk situations to ensure the safety of residents.

Assessment / Treatment / Education:

  • Participates in screening and prioritizing referrals to Physiotherapy to determine the individual’s need for Physiotherapy Services as required.
  • Identifies the resident, based on each unique situation, and identifies the resident’s support system (e.g., family, significant others, caregivers, community, etc.).
  • Consults with the resident on options for service; explains and obtains resident consent. Services at the RK include:
  • Transfer Code and Mobility Assessments
  • Assessment and provision of slings for ceiling / hoyer lifts
  • Provide clinical education to physiotherapy student interns
  • Investigates Fall Events
  • Physiotherapy assessment and treatment of resident health concerns: orthopedic, neurology, geriatric and cardio-respiratory
  • Supervision of delegated physiotherapy treatments
  • Maintenance and recommending of exercise and related physiotherapy equipment
  • Participation in Walking Stick safety / equipment audits
  • Provides annual Safe Lifting and Transferring In-services for CCA staff
  • Advocates with the resident to establish positive first contact, consults on options for service; educates and collaborates to establish/remind resident of previous signing and document consent.
  • Engages with residents to build rapport and the relationship, to clarify values, organize a schedule and places to meet for assessment.
  • Collaborates with resident to identify priorities for assessment and possible expected outcomes.
  • Collaborates with members of the healthcare team and resident to collect, validate and expand assessment data.
  • Documents and communicates pertinent information in a timely and concise manner.
  • Monitors, through assessment data, the ongoing status of the resident.
  • Recognizes changes in physical performance and engagement, functional abilities, and health care needs and adjusts the care plan accordingly.

Planning:

  • Engages the resident in the goal setting process to identify the resident’s priorities.
  • Engages in critical thinking, analyses and interprets assessment data for the resident, his/her support system and the health care team to identify the resident’s physical performance issues, strengths and weaknesses.
  • Through collaboration with the resident, develops the plan of care based on the analysis of assessment findings, chosen theoretical approaches, clinical best practices, and the resident’s vision for his/her life opportunities.
  • Initiates planning and establishes short- and long-term goals, expected outcomes, a plan of care, and a discharge plan.
  • Applies knowledge of pertinent Physiotherapy and related healthcare research and evidence to care planning; uses current knowledge to justify plan of care.
  • Integrates interdisciplinary and multiagency factors into the care plan.
  • Negotiates and communicates with the resident, his/her support system, the health care team, and service providers when there is a difference between the care plan and the wants, needs and strengths of the resident.

Implementation:

  • Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize physical and emotional functioning and minimize barriers that impede social engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
  • Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person and environment collectively as these elements are inter-related.
  • Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
  • Plans for timely completion of Physiotherapy intervention and follow-up, as required, to meet resident’s needs.
  • Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  • Supervises Rehabilitation Assistants, and Rehabilitation Aides.

Evaluation:

  • Evaluates, communicates, and documents expected and unexpected responses to care, to the resident, his/her support system, and the health care team. Evaluates and monitors broad outcomes including healthy living, and reducing hospitalization.
  • In collaboration with the resident, his/her support system and the health care team monitors resident’s response to interventions and modifies/grades treatments and care plans, as indicated.
  • Discusses observations with and makes recommendations to interdisciplinary team and leaders to influence program development/evaluation.
  • Maintains an accurate account of care given through clear, concise, written and verbal communication and evaluates, communicates and documents resident response to care.
  • Continuously engages in critical thinking, and evaluates plan of care and makes revisions to plan as necessary in consultation and collaboration with other members of the health care team, resident, his/her support system.
  • Consults, collaborates, advocates, educates and engages the resident to optimize services.
  • Protects resident and family confidentiality, privacy and creates an overall environment that is safe and secure.
  • Terminates Physiotherapy Services in agreement with clinical best practices, and/or when maximal therapeutic outcomes / functional gains are achieved.

Other Related Duties:

  • Other duties as assigned by Director of Rehabilitation.

Inter-professional Competencies:

  • Describes one’s roles and responsibilities and scope of practice clearly to other professionals / residents / family members.
  • Describes overlapping aspects of own professional knowledge and skills with other health professionals and paraprofessionals.
  • Recognizes and respects the role, responsibilities and competence of other professions / paraprofessionals in relation to one’s own.
  • Demonstrates respect and trust to ensure that collaborative relationships are fostered.
  • Practices within own scope of practice, code of ethics, standards and/or clinical guidelines while working within a collaborative resident centered relationship.
  • Works with others to assess, plan, provide and review care to maximize health outcomes for individual residents.
  • Gathers assessment data from all health professionals/paraprofessionals / residents / family involved in care.
  • Demonstrates effective sharing of information and exchanging of ideas.
  • Integrates information from each health professional / paraprofessional / resident / family to develop common resident centered goals.
  • Participates effectively and appropriately in an inter-professional health care team to optimize resident safety.

Position Specifications

Certification / Registration / Designation

  • Eligible for registration with the Nova Scotia College of Physiotherapists.
  • Eligible for membership with the Canadian Physiotherapy Association.

Special Knowledge and Skills:

  • Thorough knowledge of Physiotherapy practice, with an interest in program development and evaluation skills
  • Demonstrated accountability and responsibility.
  • Strong resident focus and ability to build solid resident relationships.
  • Demonstrated collaboration and teamwork skills with the resident at the Centre.
  • Commitment to continuous improvement and innovation.
  • Demonstrated leadership abilities.
  • Demonstrated planning, organization, and time management skills.
  • Commitment to promoting a culture that supports safety, ethical practices and organizational health.
  • Demonstrated good attendance in current and past employment.
  • Exemplary work history as demonstrated in current and past employment.
  • Computer skills (e.g., statistics input, word processing, email, etc.).
  • Annual Cardio-pulmonary Resuscitation certification (BCLS).
  • Physical capabilities to perform the duties of the position.
  • Physiotherapy is a diverse profession and additional courses/education/training in many specialized areas of practice may be required, e.g., stroke rehabilitation, seating, splinting, mental health services, etc.

Judgement and Initiative:

  • Identifies the need for and coordinates Physiotherapy services to maintain and enhance the physical and social performance and engagement of the resident.
  • Continuously engages in critical thinking, and evaluates plan of care and makes revisions to plan as necessary in consultation and collaboration with the resident, his/her support system and other members of the health care team.
  • Articulates rationale for decisions that are based on clinical best practice, current theory and research
  • Intervenes when standards of practice are violated or not upheld.
  • Refers to appropriate professionals for issues beyond the profession’s scope of practice and the individual’s personal competence.
  • Seeks direction or assistance from other health care professionals as required.

Type and Level of Supervision Exercised:

  • Delegates appropriate tasks/ activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  • Supervision of Rehabilitation Assistants, and Rehabilitation Aids.
  • Acts as a mentor / preceptor for students.

Key Relationships:

  • Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
  • Collaborates with resident to identify priorities for assessment and possible expected outcomes.
  • Collaborates and communicates effectively with resident, his/her support system, team member(s) and internal/external resources to implement and coordinate plan of care/services.
  • Collaborates and works consultatively with team members, all levels of management, and other departments and agencies both internal and external to the organization.
  • Engages with Professional Associations.
  • Act as a Communicator, to promote of the profession of Physiotherapy, and the concepts of physical performance, functioning and social engagement.

Physical Demand

Physical capabilities to perform the duties of the position, including working in awkward positions; sitting; stretching/reaching; on feet, standing/walking; pulling/pushing; lifting more than 40 lbs.; transferring residents; crouching; and manual dexterity.

Mental and Visual Demand

These include but are not limited to:

  • Active listening / counselling / interviewing
  • Clinical reasoning and critical thinking
  • Observation
  • Providing training/instruction to patients/students/families/caregivers
  • Report Writing/documentation
  • Data entry/computer use
  • Health Record review
  • Making presentations
  • Driving

Working Environment and Unavoidable Hazards:

Work is inside in resident’s rooms and Physiotherapy spaces

Safety (resident, worker & workplace)

Demonstrates good stewardship in the identification, reporting & mitigation of unsafe Acts or conditions

  • Contribute to a culture of resident safety.
  • Work in teams for resident safety.
  • Communicate effectively for resident safety.
  • Manage safety risks.
  • Optimize human and environmental factors.
  • Recognize, respond to and disclose adverse events.

Professional Qualification / Education / Experience

  • Minimum of 3 years recent experience in a Long Term Care setting and/or Community
  • Bachelor of Science Degree in Physiotherapy or Masters of Science in Physiotherapy Entry Level, from an accredited University.
  • Registered member of the Nova Scotia College of Physiotherapists
  • Safety courses such as, BCLS, CPR, CPI and WHIMIS
  • Current membership with the Canadian Physiotherapy Association with active participation in professional activities preferred
  • Ability to work independently with minimal supervision.
  • Ability to organize, develop and initiate ideas and programs.
  • Commitment to working in an interdisciplinary approach.
  • Demonstrate good communication skills, verbally and in writing.
  • Demonstrated physical ability to perform the duties of the position.
  • Good Attendance and Work Record
  • Alzheimer and Related Dementia course
  • Criminal Records check – including Vulnerable Sector Search

Approved by: Director of Clinical Services

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

Physiotherapist

Resident Support Worker (RSW)

POSITION: Resident Support Worker (RSW)
DEPARTMENT: Clinical Services
RESPONSIBLE TO: Director of Clinical Services

The Resident Support Worker is an important role in supporting the needs of residents in the Home. Working collaboratively with the CCA’s to support the activities of daily living, while supporting residents’ physical and emotional needs. The RSW is responsible to the Team Lead RN or LPN in the Care Area. They are assigned to work throughout the home and provide extra support to the care area they are working in. The RSW is a team player, who is resident centered in their role. They are adaptable to changes of environment and needs that arise during the day. A good work ethic, initiative, and ability to meet the physical demands in a fast pace environment is essential in this role.

 

Functions and Responsibilities:

  • Answer call bells
  • Assist with mealtimes
  • Assist residents with eating and drinking
  • Assist with setting up and cleaning up from meals
  • Bed making
  • Spotting resident transfers
  • Tidying bedrooms-sweep/mop floors
  • Assist residents to and from activities
  • To promote and maintain the safety of residents, staff, and visitors at all times
  • Regular check ins with residents
  • Review Life Plans in residents charts
  • Support residents with activities or needs
  • Kitchen and dishes clean up
  • Laundry in the Cottages
  • Restock rooms/carts etc
  • Tidy up dirty utility room (laundry carts, garbage etc.)
  • Duties as assigned by the Team Lead RN or LPN
 

Training Provided on Site

  • General Orientation
  • Resident Safe Lifting and Handling Training
  • Assistance with Dining Training
  • Heimlich Maneuver Training
  • Gentle Persuasive Approach
 

Position Specific Competencies

  • All interactions, care delivery and presentation of self to others is congruent with the Mission, Vision and Core Values (Compassion, Accountability, Respect, Excellence and Safety)
  • Role modelling our core values at all times
  • Resident Centred philosophy of care
  • Strong professional communication skills
  • Self- awareness
  • Participates well in a team
  • Contributes to a positive environment
  • Adaptable and Flexible
  • Self driven: shows initiative
  • Contributes to a culture of safety
  • Professional Presence
 

Education/Experience:

  • Grade 12 Completion
  • Diploma in social services, human services considered an asset
  • Experience working on long term care, or with seniors considered an asset
  • Experience working in customer service / hospitality considered an asset
Physiotherapist

Education Coordinator

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

POSITION: Education Coordinator
DEPARTMENT: Administration
RESPONSIBLE TO: CEO

Scope of Position: Reporting to the CEO, the Education Coordinator is accountable to promote the attainment of clinical and service excellence at the R.K. MacDonald Nursing Home through the provision of education that focuses on the R.K. MacDonald’s Mission, Vision and Core Values as well as best and emerging practice in geriatric care. The Education Coordinator also ensures that annual mandatory education is available to staff and supports Occupational Health and Safety, in collaboration with Senior Leaders to identify, organize and assist in the delivery of necessary education. The essential functional areas of responsibility include identifying the ongoing educational needs of staff, coordinating and facilitating the provision of education to meet these needs.

We are committed to upholding the Human Rights of all R.K MacDonald employees, including the right of all people to enjoy a physically and psychologically safe work environment; the right of all people to just and favorable terms of employment; and the right of all people to be respected and valued for their differences with equitable opportunities and outcomes in an inclusive environment where all can thrive.

In keeping with our Mission, Vision and Values and our philosophy of Resident Centered Care, the Education Coordinator serves as a role model; as a partner in the provision of care and support of our Residents, and represents the home in a positive, professional, efficient and confidential manner.

 

KEY RESPONSIBILITIES

  1. Coordinate the provision of Education Services that are Resident Centered and that support the Mission, Vision and Values of Home
    • Works with Senior Leaders and staff to identify facility trends through the use of quality and safety indicators to purposefully plan and/or develop education to improve and address any knowledge or practice gaps
    • Carries out needs assessment with staff and senior leaders on an annual basis to assist in yearly planning goals
    • Develop yearly educational goals and objectives that support the Strategic Plan of the Home
    • Develop & annually review and revise Education policies & procedures
    • Create an effective and encouraging learning environment
    • To be visible and accessible to staff
    • Build relationships with staff and assist them in identifying educational needs and opportunities
  1. Ensure the orientation and ongoing education of all staff of the Home
    • Work with HR Coordinator to organize and implement an effective orientation program
    • Assess, plan, implement, and evaluate training and educational programs based upon needs assessments conducted in each department
    • Communicate information on workshops, professional meetings and in-services to all staff affected, both in person, self-directed and virtually.
    • Organize lectures, training manuals, visual aids, reference libraries, and other training material.
    • Provide education for staff regarding policy and procedures.
    • Coordinate management in-services and continuing education in the areas of professional development, labor negotiations, contract interpretation, and other areas as identified by the Management Team.
    • Develop educational modules, using adult learning principles,
    • Where necessary assists staff with necessary one on one education in regards to performance, or arranges same as deemed necessary by the Department Director.
  1. Accountable for Continuous Quality Improvement Initiatives in the Education Department
    • Establish systems to monitor effectiveness of educational programs
    • Implement current trends in LTC by providing educational opportunities for staff
    • Conduct surveys/audits to evaluate effectiveness of education programming
    • Maintain statistics on employee participation in educational programs and make recommendations to Directors on any additional areas of concern.
  1. Effectively manage an educational budget
    • On an annual basis, identify and plan educational programs
    • Conduct monthly review and analysis of educational budget
  1. Communication: through personal behavior and interactions, will consistently demonstrates a humanistic, affiliative approach to relationships:
    • Within department, with other team members and with union representatives
    • In all interactions, within and while representing the Home
    • With all Residents and families
    • Maintain confidentiality with resident, staff, and all matters concerning the Home.
  1. Leadership Roles
    • Demonstrates integration of the Mission, Vision and Values into practice
    • Acts as facilitator during the accreditation process
  1. Other duties as may be required by the CEO / HR

 

Leadership Competencies Required

  • Leading Others as demonstrated by the ability to establish focus, to provide motivational support, fostering teamwork, empowering others.
  • Managing Change as indicated by the ability to demonstrate support for innovation and for organizational changes needed to improve the organization’s effectiveness
  • Managing Others as demonstrated by the ability to work with others to coach and mentor them to develop their capabilities
  • Managing Performance as demonstrated by the ability to take responsibility for one’s own or one’s employee’s performance by setting clear goals and expectations, tracking progress of goals, ensuring feedback and promptly addressing performance issue(s).
  • Communication as demonstrated by the ability to ensure that information is passed on to others who should be kept informed as well as the ability to express oneself clearly in conversations and interactions, in writing and to be able to plan and deliver conversations that have an impact and persuade their intended audience.
  • Interpersonal Awareness as demonstrated by the ability to notice, interpret and anticipate others concerns and feelings and to communicate this awareness empathetically to others
  • Influence Others as demonstrated by the ability to gain others’ support for ideas, proposals, objectives, projects and solutions
  • Building Collaborative relationships as demonstrated by the ability to develop, maintain and strengthen partnerships both internal and external to the facility
  • Customer Service Orientation perspective as demonstrated by the respectful, positive manner in which one responds to expressed concerns and the strong desire to find resolution and meet people’s needs
  • Information Gathering as demonstrated by the ability to identify information needed to clarify a situation and using skillful questioning to draw out information from reluctant sources
  • Thinking abilities including analytical, forward, conceptual and strategic abilities to enable one to tackle a problem, anticipate implications and consequences, find effective solutions and planning for the future direction of the Home
  • Initiative to identify what needs to be done and take action before being asked or the situation requires it
  • Results oriented to enable one to focus on the desired results, sets challenging goals and meeting or exceeding them
  • Thoroughness as demonstrated by ensuring that one’s own work, the work of employees and all information collected and shared is complete and accurate. Ensuring that commitments are fulfilled
  • Decisiveness as demonstrated by the ability to make difficult decisions in a timely manner

 

Competencies & Skills

  • Knowledge of the principles of adult education, teaching learning processes and the ability to teach
  • Knowledge and application of the concepts of professional staff development
  • Ability to identify the educational needs of staff and recommend appropriate educational programs to meet those needs
  • Ability to plan, implement and evaluate educational programs
  • Demonstrated proficiency in the MS Office suite of programs
  • Knowledge of SURGE Learning and virtuality educational opportunities
  • Proven capacity to manage sensitive information with professionalism and confidentiality
  • Demonstrated leadership in a unionized environment

 

Educational Qualification

  • Baccalaureate Degree in Education

 

Required Experience

  • Minimum of three years’ experience in curriculum development and delivery
  • Teaching experience would be an asset
Physiotherapist

Supervising Registered Nurse

POSITION: Supervising RN
DEPARTMENT: Nursing
RESPONSIBLE TO: Director of Clinical Services

The Supervising RN is accountable to the Director of Clinical Services in the provision of front-line leadership to the nursing and support staff and ensures that the mission, vision and core values, expected behaviors, leadership philosophy, ethics, safety, quality and inter-professional collaboration are integrated within the Home. The Supervising RN is responsible for monitoring the quality outcomes [see Appendix A] as they relate to the care provided by our nursing care partners.

The Supervising RN is accountable and responsible to role model our core values; demonstrate excellence in practice and to provide staff with assistance, support in the delivery of holistic, person-centered care. They must possess excellent communication and interpersonal skills to ensure effective communication with all members of the care team, especially the resident and their family.

Cultural Philosophy:

  • Constructive / Participatory Leadership

Cultural Norms:

  • Achievement based thinking
  • Self-actualized thinking
  • Humanistic – encouraging based thinking.
  • Affiliative based thinking –

Core Values:

  • Compassion Accountability Respect: Excellence Safety:

Key Responsibilities

Implicit in this role is the responsibility for supervising and participating in the day-to-day provision of quality care for all residents. The Supervising RN is responsible to utilize leadership and management skills to identify and solve problems. In supporting our vision of an alive and vibrant community built on meaningful relationships that celebrates and encourages a uniqueness of spirit and character the Supervising RN is responsible for building and developing, for supporting and encouraging the development and continuance of a cohesive, responsive, cooperative care team that maintains a continual focus on a holistic approach to living. As an employee of the RK Mac Donald Nursing Home, the Supervising RN has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with our Mission, Vision and Core Values and our philosophy of person-centred care, the Supervising RN represents the home in a positive, professional, efficient and confidential manner.

Leadership: accountable to inspire care partners to role model our core values and to coach and build a team that will achieve the vision – “leading care partners to excellence”

  • Excellent attendance
  • Self –educator
  • Ability to host / Chair team meetings
  • Ability to present education sessions on a variety of care related topics
  • Knowledgeable of and monitors compliance with the provincial LTC Facility Program Requirements
  • Responsible for the efficient and effective day to day functioning of all nursing care areas
  • Supports staff and manages the first level of discussion with Incident Reports and care partner / family conflict and addressing resident unmet needs, i.e. behaviors
  • Models our core values creating an atmosphere that empowers staff to contribute to the delivery of high quality care
  • Provides a visible, identifiable presence that invites feedback and discussion
  • Contributes to the delivery of organizational objectives
  • Excellent communication and interpersonal relationships with staff, residents, families and other care providers
  • Enhancing staff satisfaction by creating a challenging and positive work environment

Clinical Care Coordination and Supervision: accountable for the delivery of safe and competent, resident focused care – “be the expert in geriatric nursing”

  • To be familiar with the resident population in order to make safe and appropriate decisions about care plans and care staff assignments
  • Provides safe and competent direct clinical care [e.g. assessments and treatment] to support/direct care delivered by the RN Team Lead / LPN / CCA care partners
  • Monitors resident care plans to ensure they are person-centred and focused on achievable goals and outcomes
  • Provides leadership, education, direction and coordination to staff ensuring safe & effective clinical practices are occurring
  • Enhances the resident experience by performing rounds and building relationships
  • Leads the admission process ensuring that the focus of care is holistic and person rather than medically centered

Human Resources: accountable to maximize employee performance in service to the Mission, Vision & Core Values of the Home – “promoting excellence in care”

  • Monitors skills and competencies of nursing care partners and ensures that the skills are kept current taking appropriate proactive or corrective action when required
  • Conducts annual performance reviews with all staff and assists each staff person in developing goals and action plans specific to their performance review and learning needs
  • Conducts care area staff meetings at least monthly, preferably bi-weekly

Family Relations: accountable for the recognition and inclusion of family as care givers. Responsible for establishing and maintaining compassionate and respectful relationships with family members and recognizing the critical role they continue to play in the lives of those entrusted in our care – “ensuring the resident’s voice is heard”.

  • Maintain open and respectful lines of communication with family by ensuring family is invited and welcomed as a partner in care planning
  • Welcomes and encourages family feedback

Continuous Quality Improvement & Occupational Health and Safety: accountable for the continuous quality improvement and safety initiatives that will make every important aspect of the resident’s experience better. Responsible for ensuring standards of practice, codes of ethics and health and safety are understood and followed – “driving continuous growth creating a safe and healthy environment”

  • Investigates Safety Event and Fall Reports involving residents to ensure corrective strategies are implemented in care planning in an effort to reduce reoccurrences.
  • Participates in implementing and evaluating quality initiatives – see (Appendix) Quality Outcomes
  • Ensures safe work practices are adhered to at all times
  • Ensures staff adherence to infection control practices

Supports

The RN Supervisor will have the support of the Director of Clinical in administering their roles and responsibilities as outlined in this job description

Educational Qualifications

  • RN, B.Sc.N. preferred
  • Current registration with CRNNS
  • Certificate in gerontology nursing [or willingness to obtain]
  • Current CPR, WHIMIS ,CPI
  • Certificate in Gentle Persuasive Approach
  • Certificate in P.I.E.C.E.S.

Experience Required

  • Five years nursing experience in Geriatric Nursing
  • Previous supervisory experience an asset

Knowledge & Skills Required

  • Demonstrated flexibility
  • Demonstrated leadership abilities
  • Evidence of the ability to motivate others
  • Strong resident focus and ability to build relationships
  • Commitment to supporting a culture that supports and lives our mission, vision & values
  • Demonstrated self confidence in protecting the rights and well-being of residents as opposed to those of our care partners
  • Demonstrated critical thinking & problem-solving skills
  • Demonstrated commitment to self-learning and continuous professional education
  • Effective and compassionate communication & interpersonal skills
  • Self-confidence in addressing conflict and securing resolution

Competencies

Competence means the ability to integrate and apply the knowledge, skills and judgement required to practice safely and ethically in a designated role and practice setting.

  • Ongoing professional development and competence is required
  • Maintains an awareness of current trends and issues in gerontological nursing care
  • Identifies, achieves and maintains own professional development needs

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

Approved by: Director of Clinical Services

Physiotherapist

Infection Prevention and Control (IPAC) Nurse

Reporting to the Director of Clinical Services, the Infection Prevention and Control (IPAC) Nurse is accountable for the planning, development, implementation and coordination of the Infection Prevention and Control Program.

Key Responsibilities:

Pandemic planning and management. Liaison with various partners and agencies.  Education to staff, residents, families, students and volunteers on IPAC policies, programs and practices.  Collaboration with teams, committees, families, residents and volunteers to develop best practice solutions to IPAC issues.  Auditing and surveillance of the IPAC program within the facility. Various quality improvement initiatives related to IPAC throughout the facility. Development and updating of IPAC related policies and procedures.  COVID-19 Vaccines and audits. Consistent resource for staff.

Qualifications:

  • Certification or current enrollment in an approved IPAC Canada recognized program is an asset
  • Proficient in use of various computer programs (Excel, Word, Outlook)
  • Current knowledge in concepts and trends in nursing and continuing care
  • Excellent clinical, communication, interpersonal and leadership skills
  • Demonstrated advanced knowledge and clinical competence in IPAC
  • Skilled in policy development and utilizing evidenced-based practice
  • Knowledge in quality improvement initiatives, including outcome measures
  • Demonstrated experience in dealing tactfully with difficult situations

Education Requirements

Current registration with the Nova Scotia College of Nursing (NSCN)

Current CPR, CPI, WHIMIS certification required.

Required Experience

Recent clinical experience in IPAC including leadership duties

Recent experience in geriatric (Long Term Care) setting preferred.

Competencies specific to position

Resident focused, Communication, Conflict Management, Self-and community awareness, Teamwork, Adaptability/flexibility, Decision making, Initiative, Leading & Developing others, Stress management,

And Values & Ethics

Hours of Work:                 
Non-union Regular Temporary full-time (1.0 FTE) – Typically 40 hrs per week Monday – Friday (hours may flex as necessary i.e. weekend and afterhours).

Salary:
Competitive Salary commensurate with education and experience

Benefits:
Health (Travel), Dental Life, and Pension Plan (Manulife/NSEHPP (HANS), Corp rate for Gym

Physiotherapist

InterRAi Nurse

POSITION:                                     InterRAi Nurse
DEPARTMENT:                              Nursing
RESPONSIBLE/REPORTS TO:     Director of Clinical Services

Scope of Position:

Reporting to the Director of Clinical Services, the InterRAI Nurse is accountable for the planning, coordinating, and the ongoing InterRAI assessments.  Establishes and maintains working relationships and performs all work in keeping with the Mission, Vision, Values and philosophy of resident centered care of the RK MacDonald Nursing Home. The InterRAI Nurse serves as a professional role model as a partner in the provision of care and support of our Residents.

 

Key Responsibilities:

  • Conduct comprehensive assessments on residents using the InterRAI assessment tool on the Civica (Momentum) application.
  • Collaborate with nursing home staff, physicians, and other healthcare professionals to develop individualized care plans for residents.
  • Monitor the progress of residents and make adjustments to their care plans as needed
  • Ensure that all assessments and care plans comply with nursing home policies, and InterRAI guidelines.
  • Maintain accurate and up-to-date records of assessments and care plans.
  • Participate in training and continuing education programs to maintain knowledge of InterRAI assessment tool updates and changes.
  • Serve as a resource for nursing home staff on InterRAI assessment tool and care planning.
  • Participation on the admission process.

 

Competencies specifics to position

  • Ability to complete thorough nursing assessments.
  • Strong computer skills or willingness to learn.
  • Experience with Microsoft excel, word etc., is considered an assets.
  • Strong organization skills and ability to meet deadlines.
  • Demonstrated professional and positive behavior.
  • Reliable, with regular and consistent attendance

 

Educational Qualifications:

  • RN or BScN at an accredited School/College of Nursing
  • Current registration with the College of Registered Nurses of Nova Scotia
  • Strong communication, interpersonal, and organizational skills
  • Ability to work independently and as part of a team.
  • Knowledge of electronic medical record systems an asset.
  • Recent experience in geriatric setting preferred.

 

Approved by:                         Director of Clinical Services

Physiotherapist

Occupational Therapist

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

POSITION: Occupational Therapist
DEPARTMENT: Walking Stick Rehabilitation
RESPONSIBLE TO: Director, Rehabilitation Services

Reporting to the Director of Clinical Services, the Occupational Therapist is responsible for encouraging growth through the provision of programs and services to residents according to established standards and administrative policies.  This will involve promotion of health and optimal occupational performance; prevention of disability; assessing resident’s needs, and planning, implementing, evaluating and documenting a plan of care. Occupational Therapists work as part of a multi-disciplinary team.  As an employee of the RK Mac Donald Nursing Home every person has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with the philosophy of RK MacDonald Nursing Home and the established policies and procedures of RK MacDonald Nursing Home, all services provided are in accordance with residents’ personal choice and preferences with the aim of achieving excellence in the care and well-being. In keeping with our Mission, Vision and Core Values and our philosophy of Resident Centered Care, the Occupational Therapist, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.

Key Responsibilities

Professional Accountability

  1. Carries out assessment, plan implementation, plan evaluation and education in accordance with RK policies and procedures, the Occupational Therapy Code of Ethics, the National Occupational Therapy competency requirements, and the Occupational Therapy Act of Nova Scotia.
  2. Conducts self within legal/ethical/professional obligations and requirements.
  3. Performs beyond entry level competencies and within medical directives and delegated medical functions as approved for the practice setting as per the the National Occupational Therapy competency requirements, and the Occupational Therapy Act of Nova Scotia.
  4. Works as a champion of person-centered care.
  5. Respects the individuality, autonomy and confidentiality of the resident and ensures the resident is treated respectfully and uses an resident centred approach involving shared decision making and responsibility with the resident and Substitute Decision Maker.
  6. Demonstrates professional integrity and a commitment to the well-being of all residents.
  7. Engages in professional development and lifelong learning activities.
  8. Orientation of new employees and mentoring / preceptors new and existing employees as appropriate.
  9. Acts as a mentor / preceptor for student clinical internships.

Communication and Collaboration

  1. Establishes and maintains effective communication with residents, relevant others and professional colleagues.
  2. Maintains an accurate account of care given through clear, concise, written and verbal communication and evaluates, communicates and documents resident response to care in a timely manner.
  3. Develops and maintains information systems to ensure appropriate access to accurate, objective, relevant information about the resident and general occupational therapy services.
  4. Collaborates, partners, and communicates with the individual, family, and external service providers when there is a difference between the care plan and the wants, needs and abilities of the resident.
  5. Demonstrates effective collaboration and inter-professional teamwork by consulting and sharing information with other health professionals, family and community organizations in a timely manner, provided resident consent is obtained where required, to ensure comprehensive, safe service delivery.
  6. Facilitate admission planning and transitions across the health care continuum, ensuring the resident’s needs are met in appropriate setting.
  7. Participation in staff meetings or working group meetings.
  8. Participation in and /or leadership of program planning, research, continuous quality improvement initiatives, committees, staff education, safety initiatives, and accreditation as requested.
  9. Demonstrates effective verbal and non-verbal communication abilities to prevent adverse events.
  10. Communicates effectively in special high-risk situations to ensure the safety of residents.

Assessment / Treatment / Education

  1. Participates in screening and prioritizing referrals to Occupational Therapy to determine the individual’s need for Occupational Therapy Services as required. Identifies the resident, based on each unique situation, and identifies the resident’s support system (e.g., family, significant others, caregivers, community, etc.).
  2. Consults with the resident on options for service; explains and obtains resident consent. Services at the RK include:
    • Seating prescription – assessment and maintenance
    • Assessment and provision of Individual Specialized Equipment
    • Administration of the Red Cross Specialized Equipment
    • Dysphagia Assessment
    • Pressure Management – Wound care
    • Activities of Daily Living Assessment
    • Administration of wheelchair safety audits and maintenance
    • Administration of specialized mattress program
    • Assessment and provision of slings for ceiling / hoyer lifts
    • Transfer Code and Mobility Assessments
    • Mental Health and Behavioural Assessments
    • Provide clinical education to occupational therapy student interns
    • Provides annual Safe Lifting and Transferring In-services for CCA staff
  1. Selects an appropriate theoretical approach to address the resident’s occupational performance issues.
  2. Advocates with resident to establish positive first contact, consults on options for service; educates and collaborates to establish/remind resident of previous signing and document consent.
  3. Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
  4. Collaborates with resident to identify priorities for assessment and possible expected outcomes.
  5. Collaborates with members of the healthcare team and resident to collect, validate and expand assessment data.
  6. Documents and communicates pertinent information in a timely and concise manner.
  7. Monitors, through assessment data, the ongoing status of the resident.
  8. Recognizes changes in occupational performance and engagement, functional abilities, and health care needs and adjusts the care plan accordingly.

Planning

  1. Engages the resident in the goal setting process to identify the resident’s priorities.
  2. Engages in critical thinking, analyzes and interprets assessment data for the resident, his/her support system and the health care team to identify the resident’s occupational performance issues, strengths and weaknesses.
  3. Re-evaluates and adjusts theoretical approach (es) as necessary to fit with the resident’s Occupational Performance Issues (OPIs).
  4. Through collaboration with the resident, develops the plan of care based on the analysis of assessment findings, chosen theoretical approaches, clinical best practices, and the resident’s vision for his/her life opportunities.
  5. Initiates planning and establishes short and long term goals, expected outcomes, a plan of care, and a discharge plan.
  6. Applies knowledge of pertinent Occupational Therapy and related healthcare research and evidence to care planning; uses current knowledge to justify plan of care.
  7. Integrates interdisciplinary and multiagency factors into the care plan.
  8. Negotiates and communicates with the resident, his/her support system, the health care team, and service providers when there is a difference between the care plan and the wants, needs and strengths of the resident.

Implementation

  1. Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize occupational functioning and minimize barriers that impede occupational engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
  2. Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person, occupation, and environment collectively as these elements are inter-related.
  3. Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
  4. Plans for timely completion of occupational therapy intervention and follow-up, as required, to meet resident’s needs.
  5. Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  6. Supervises Rehabilitation Assistants, and Rehabilitation Aides.

Evaluation

  1. Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize occupational functioning and minimize barriers that impede occupational engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
  2. Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person, occupation, and environment collectively as these elements are inter-related.
  3. Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
  4. Plans for timely completion of occupational therapy intervention and follow-up, as required, to meet resident’s needs.
  5. Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  6. Supervises Rehabilitation Assistants, and Rehabilitation Aides.

Other Related Duties

Other duties as assigned by the Director of Clinical Services

Inter-professional Competencies

  1. Describes one’s roles and responsibilities and scope of practice clearly to other professionals / residents / family members.
  2. Describes overlapping aspects of own professional knowledge and skills with other health professionals and paraprofessionals.
  3. Recognizes and respects the role, responsibilities and competence of other professions / paraprofessionals in relation to one’s own.
  4. Demonstrates respect and trust to ensure that collaborative relationships are fostered.
  5. Practices within own scope of practice, code of ethics, standards and/or clinical guidelines while working within a collaborative person-centered relationship.
  6. Works with others to assess, plan, provide and review care to maximize health outcomes for individual residents.
  7. Gathers assessment data from all health professionals/paraprofessionals / residents / family involved in care.
  8. Demonstrates effective sharing of information and exchanging of ideas.
  9. Integrates information from each health professional / paraprofessional / resident / family to develop common resident centred goals.
  10. Participates effectively and appropriately in an inter-professional health care team to optimize resident safety.

POSITION SPECIFICATIONS

Minimum Formal Education

Education preparation accepted by the College of Occupational Therapists of Nova Scotia for Registration with the Nova Scotia College of Occupational Therapists.

Certification / Registration / Designation

  1. Eligible for registration with the College of Occupational Therapists of Nova Scotia.
  2. Eligible for membership with the Nova Scotia Society of Occupational Therapists and the Canadian Association of Occupational Therapists.

Special Knowledge and Skills

  1. Thorough knowledge of Occupational Therapy practice, with an interest in program development and evaluation skills
  2. Demonstrated accountability and responsibility.
  3. Strong resident focus and ability to build solid resident relationships.
  4. Demonstrated collaboration and teamwork skills with the resident at the centre.
  5. Commitment to continuous improvement and innovation.
  6. Demonstrated leadership abilities.
  7. Demonstrated planning, organization, and time management skills.
  8. Commitment to promoting a culture that supports safety, ethical practices and organizational health.
  9. Demonstrated good attendance in current and past employment.
  10. Exemplary work history as demonstrated in current and past employment.
  11. Computer skills (e.g., statistics input, word processing, email, etc.).
  12. Physical capabilities to perform the duties of the position.
  13. Occupational Therapy is a diverse profession and additional courses/education/ or training in many specialized areas of practice may be required, e.g., stroke rehabilitation, seating, splinting, mental health services, etc.
  14. Experience with the Red Cross Specialize Equipment Program
  15. Experiences managing Responsive Behaviors or willingness to learn

Judgement and Initiative

  1. Identifies the need for and coordinates occupational therapy services to maintain and enhance the occupational performance and engagement of the resident.
  2. Continuously engages in critical thinking, and evaluates plan of care and makes revisions to plan as necessary in consultation and collaboration with the resident, his/her support system and other members of the health care team.
  3. Articulates rationale for decisions that are based on clinical best practice, current theory and research
  4. Intervenes when standards of practice are violated or not upheld.
  5. Refers to appropriate professionals for issues beyond the profession’s scope of practice and the individual’s personal competence.
  6. Seeks direction or assistance from other health care professionals as required.

Type and Level of Supervision Exercised

  1. Delegates appropriate tasks/ activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
  2. Supervision of Occupational therapy assistants, rehabilitation assistants, and occupational therapy aides.
  3. Acts as a mentor / preceptor for students.

Key Relationships:

  1. Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
  2. Collaborates with resident to identify priorities for assessment and possible expected outcomes.
  3. Collaborates and communicates effectively with resident, his/her support system, team member(s) and internal/external resources to implement and coordinate plan of care/services.
  4. Collaborates and works consultatively with team members, all levels of management, and other departments and agencies both internal and external to the organization.
  5. Engages with Professional Associations.
  6. Act as a Communicator, to promote of the profession of Occupational Therapy, and the concepts of occupational performance, occupational functioning and occupational engagement.

Physical Demand

Physical capabilities to perform the duties of the position including working in awkward positions; sitting; stretching/reaching; on feet, standing/walking; pulling/pushing; lifting more than 40 lbs.; transferring residents; crouching; and manual dexterity.

Mental and Visual Demand

These include but are not limited to:

  • Active listening / counselling / interviewing
  • Clinical reasoning and critical thinking
  • Observation
  • Providing training/instruction to patients/students/families/caregivers
  • Report Writing/documentation
  • Data entry/computer use
  • Health Record review
  • Making presentations
  • Driving

Working Environment and Unavoidable Hazards:

Work is inside in resident’s rooms and Occupational Therapy spaces

Safety (resident, worker & workplace)

Demonstrate good stewardship in the identification, reporting & mitigation of unsafe Acts or conditions

  1. Contribute to a culture of resident safety.
  2. Work in teams for resident safety.
  3. Communicate effectively for resident safety.
  4. Manage safety risks.
  5. Optimize human and environmental factors.
  6. Recognize, respond to and disclose adverse events.

Professional Qualification / Education / Experience

  • Minimum of 3 years recent experience in a Long Term Care setting and/or Community with emphasis on adaptive equipment [Red Cross Specialized Equipment Program] and responsive behaviors
  • Bachelor of Science Degree in Occupational Therapy or Masters of Science in Occupational Therapy Entry Level, from an accredited University.
  • Registered member of the College of Occupational Therapists of Nova Scotia.
  • Safety certification such as BCLS, CPR, WHIMIS, CPI
  • Ability to work independently with minimal supervision.
  • Ability to organize, develop and initiate ideas and programs.
  • Commitment to working in an interdisciplinary approach.
  • Demonstrate good communication skills, verbally and in writing.
  • Demonstrated physical ability to perform the duties of the position.
  • Good Attendance and Work Record.
  • Alzheimer and Related Dementia course
  • Criminal Records check – including Vulnerable Sector Search
Palliative Care Team: Resident Honour Guard

Palliative Care Team: Resident Honour Guard

The Palliative Care Team here at the RK has introduced the Resident Honour Guard, to honour deceased residents as they leave the Home. The Resident Honour Guard enables our staff and residents to pay tribute to the deceased resident and is initiated when the RK Quilt is laid upon the deceased resident. Staff and residents are invited to gather along the hallways to the honour the deceased resident as they leave the home.

As a family, we often struggle emotionally, quietly grieving on our own when a resident passes away. This process provides time and space for everyone to reflect on their time spent with the resident, to openly shed a tear, share a hug or to offer a silent prayer. It allows us to grieve and helps give us closure.

Palliative Care Team: Resident Honour GuardOur multidisciplinary Palliative Care Team continues to explore opportunities to support staff who have developed close relationships with our residents.

The RK is forever grateful to Dawn McKenna, LPN, who hand crafted and donated the beautiful RK Honour Guard Quilt. The quilt has quickly become an essential component of our end of life care and defines our respect for those residents that have lived here with us.

Physiotherapist

2023 Resident & Family Satisfaction Survey Results

The Resident and Family Satisfaction Survey were carried in out in November of 2023 and are utilized as an annual continuous quality indicator ensuring the voice of the service users, i.e. our Residents and their families is heard by the service provider, i.e. the Home. Surveys were completed by 32 family members (SDM’s) and 62 residents – where some were completed independently or with the support of Recreation staff.

As a “service provider”, we are always looking for opportunities to secure valuable feedback from our “service users”, our residents and their families and our challenge is to be open to the feedback, respond to it and grow!

Survey Scoring: focus areas for follow up in our Quality Improvement Plan are identified as Strongly Agree + Agree survey responses that scored below 75% and/or any Strongly Disagree + Disagree that scored greater than 25%

Very special thanks to everyone that has contributed to our feedback highway…. your insights / experiences are greatly appreciated!

2023 Resident & Family Satisfaction Survey Results (PDF)

Physiotherapist

Q3 2023 Quality Indicators Are Available

Sharing our quality indicators reflects our commitment to our core values of excellence and accountability.

Our quality indicators are assessed on a quarterly basis and where an indicator is not meeting a benchmark, or is trending the wrong way, these indicators are added to our Quality Improvement Plan and are reported to the Quality, Safety and Governance Committee of the RK MacDonald Nursing Home, Board of Directors.

We are always glad to discuss our quality indicators and to receive your feedback … as constructive feedback is the only we can improve our services!

– Terry MacIntyre, CEO

You can view the Master Score Card and Resident and Staff Indicator Dashboard here.