Oxford Living

• To evaluate Client need based on presenting impairment/ disability / handicap, employing standardized assessment tools;
• To assess the safety and risk factors of the client/caregivers/health care team and set out appropriate resolutions and/or coping strategies ;
• To determine whether Speech-Language Pathology is required ;
• To design a treatment plan considering evidence-based information, relevant best practice guidelines and clinical expertise;
• To set specific, measurable, achievable, realistic, time-limited and client centered goals;
• To determine the need for additional or alternative services;
• To organize workload considering client and other team members’ needs;
• To incorporate discharge planning into treatment planning/process;
• To select and execute appropriate, cost effective intervention strategies;
• To educate Clients, Families/Caregivers and the health care team regarding the nature of the client’s illness/ problem, purpose of the interventions, and self-management strategies;
• To link Families/ Clients with appropriate community partners/ services;
• To evaluate the effectiveness of the intervention, the client’s response, and progress toward goal attainment and/ or need for changes in service;
• To evaluate client outcome using appropriate outcome measures;
• To collaborate and communicate with the Health Care Team regarding assessment findings, possible barriers, treatment and future planning ;
• To participate in case conferences as required;
• To maintain daily and weekly records of client care activity, which comply with Revera’s regulatory body standards;
• To submit timely and accurate clinical and administrative reports, including billing and payroll invoices;
• To comply with Revera’s and college/professional regulatory agency standards of practice;
• To uphold and promote the organization’s values and philosophy relating particularly to ethics, morality, and integrity as set out in Revera’s Code of Conduct;
• To complete all other tasks as assigned.

Reporting to the Nursing Supervisor, the RPN is responsible for providing planned, patient-oriented, goal-directed nursing care in accordance with the provincial standards of care.

Key Responsibilities

• To work as a member of the inter-professional team as described by Revera’s Professional Practice Model applying the person centered approach to care;
• To complete and ensure client’s clinical care assessments, care/service plans and documentation are accurate, up to date and changes communicated as require;
• To implement and evaluate the effectiveness of the care/service plans and make changes as required;
• To participate in conferences where applicable;
• To provide direct client care and medication/ treatment administration and document care in compliance with regulatory and Revera Home Health standards and policies and procedures;
• To process the orders and ensure proper administration of drugs and narcotics in compliance with all regulatory requirements, scope of practice and Revera policies and procedures;
• To facilitate and provide client/family education;
• To plan, coordinate, manage & evaluate the client’s care plan working with the client/substitute decision maker, physicians, nursing & interdisciplinary team and contracted service providers;
• To respond to and manage significant changes in client’s condition and or medical emergencies; provide emergency first aid;
• To teach, delegate to, and direct unregulated care providers;
• To coordinate emergency response in the absence of the ED;
• To respond to client/family concerns and ensure appropriate action taken and or concern communicated to Supervisor and other team members;
• To uphold and promote the organization’s values and philosophy relating particularly to ethics, morality, and integrity as set out in Revera’s Code of Conduct;
• To complete all other duties as assigned.