IDENTIFICATION

Department Position Title

Northwest Territories Health Nurse in Charge, Regional Home Care Services and Social Services Authority

Position Number Community Division/Region

48-16330 Norman Wells Continuing Care/Sahtu

PURPOSE OF THE POSITION The Nurse in Charge, Regional Home Care Services, is responsible for the provision of community home care services in accordance with established Northwest Territories Continuing Care Standards, the standards of nursing practice and the philosophy and objectives of the Northwest Territories Health and Social Services Authority to ensure the provision of safe standardized care to the residents of the Sahtu Region.

SCOPE The Northwest Territories Health and Social Services Authority (NTHSSA) is the single provider of all health and social services in the Northwest Territories (NWT), with the ers and serving approximately 43,000 people, including First Nations, Inuit, Metis, and non-aboriginals. exceptionHealth and of social Hay River services and includesTłı̨chǫ regions, the full covering range of 1.2 primary, million squaresecondary kilomet and tertiary health services and social services including family services, protection services, care placements, mental health, addictions, and developmental activities, delivered by more than 1,400 health and social services staff.

Hay River Health and Social Services Agency (HRHSSA) will in the interim, the NTHSSA will setWhile clinical the Tłı̨chǫ standards, Community procedures, Services guidelinesAgency (TCSA) and willmonitoring operate underfor the a separate entire Northwestboard and Territories (NWT). Service Agreements will be established with these boards to identify policies as established by the NTHSSA. performance requirements and adherence to clinical standards, procedures, guidelines and Under the direction of the Minister of Health and Social Services, the NTHSSA is established to move toward one integrated delivery system as part of the government’s transformation strategy.

January 19, 2021 GNWT Job Description Page 1 of 9 The NTHSSA administers all regional health and social services (HSS) delivered to 4 Community Health Centres and 1 Community Health Station, in the Sahtu Region of the NWT. The NTHSSA provides and supports the delivery of health care services to adults and children on a short term observation, outpatient and outreach basis, in order to enhance healthy communities’ well-being through excellence, accountability and respect for regional diversity.

Located in Norman Wells, the Nurse in Charge, Regional Home Care Services (NIC-RHCS) reports directly to the Regional Manager, Continuing Care (RMCCS) and is responsible for the coordination and delivery of community home care services to the client population in all 5 communities within the Sahtu region. The NIC-RHCS is responsible for planning, implementing, supervising and evaluating the community home care services as part of an integrated care team. In addition to managing the community home care services, the NIC- RHCS will provide services and direct client care. The incumbent will promote compliances with best Home Care Practices through education, mentorship, demonstrated clinical Government of the Northwest Territories (GNWT) Home and Continuing Care Consultants, and the local HSS teams. expertise and through networking with This position is responsible to ensure that individual client needs are appropriately assessed thr are available to meet the needs of the clients. The NIC-RHCS ensures that all client care is in complianceough the Homewith standards, Care Application guidelines process and and scopes that adequateof nursing staff, practice; equipment the andpolicies supplies and procedures of the NTHSSA; the NWT Continuing Care Standards and the Accreditation Canada

Standards and Required Organizational Practices. provision of patient care. This may include incapacitated patients within the home, communityFrom time to and time Health the incumbent Centre. will be required to lift, carry or support patients be diligent during about the practices and procedures used to ensure safety and security of themselves, their clients and family members; and to performThis all position duties and requires model the all incumbent procedures to with attention to hygiene, safety, and security of themselves, their clients and family members. The incumbent often has to deal with clients who are angry, frustrated or in emergent situations.

The incumbent must also be familiar with other legislative, standards, protocols and the Mental Health Act, Child and Family Services Act, Coroners Act, and medical assistance in dying guidelinesprotocols. requirement that will need consideration for their practice but not limited to;

The NIC-RHCS must be able to provide medical guidance and intervention to clients without normally provided by a Physici judgmentsthe availability beyond of the a physician scope of the in theincumbents community. training Lack. of specific or critical medical skills an (i.e. surgery) requires the incumbent to make medical The NIC-RHCS is responsible for assessing staffs' individual practice competencies and determining individual learning needed through completion of annual professional development plans and appraisals. The following positions directly report to the NIC Regional

January 19, 2021 GNWT Job Description Page 2 of 9 Home Care Services; - -Fort Good Hope; -Norman Wells; and -Tulita. Home Support Workers Délįne; Home Support Workers HomeThe NIC Support- Worker Home Support Workers management directions to Nurse in Charges (NICs) and Community Health Nurses (CHNs) RHCS will work collaboratively to support and provide clinical home care case

Theworking NIC- inRHCS community is an RN, health who modelscentres. and promotes excellence through the hands on delivery of nursing care to clients, or by providing seasoned advice, and/or recommendations to staff.

- servicesThe incumbent delivered helps to clients guide a nd staff their from families, task orientation,and on the cost to moreof the empoweredservices provided. analytical The NICthinking,-RHCS and is a caremembergiving of the approaches. Primary Community These services Care haveTeam. a direct impact on the quality of

RESPONSIBILITIES

1. Manage and coordinate the delivery of nursing and home support services through the Home Care Program. • Monitor staffing patterns (all staff) of the home care program and organize the

• necessaryReview and human approve resources bi- to meet ets. operational requirements (i.e. regular • scheduling, calling in staff to cover illnesses, booking holidays, etc.). -medical) is weekly time she • ManageEnsure thatthe theperformance stock of Homeof staff Care (i.e. supplies performance (medical appraisals, and non progressive discipline,adequate and etc.) orders supplies as required. • Review monthly budget variance reports for the home care program and recommend the reallocation of funding to the RMCCS for the delivery of Home Care programs. • Create and monitor care plans for all home care clients. to ensure adequate funds • Collect and interpret unit statistics for management.

2. Monitor the quality of nursing care and personal support care within the Home Care Program and identify training requirements of staff in order to effectively meet the health care needs of residents within the region. • Conduct audits on the delivery of nursing and home support services by staff and identify learning needs, develop staff specific training plans and facilitate or arrange for the delivery of training identified within the specific training plans. • Conduct audits to determine Home Care Program wide tr and arrange for the delivery or appropriate training accordingly. • Coordinate services with outside agencies/centers/institutionsaining to requirements facilitate a clients' return to optimal health. • Recommend to the RMCCS revisions and implements policies and standards of nursing care through the Home Care Program.

January 19, 2021 GNWT Job Description Page 3 of 9 3. Advocate practice environments that have the organization and resource allocations necessary for safe, competent and ethical nursing care. • Provide coaching and leadership to peers, students and other members of the HSS • Collaborate with RMCCS, staff, peers and other members of the (HSS) care team to advocatecare team health to develop care envi skillronments levels necessary that are toconducive achieve the to ethicalstandard practice of care. and to the health and well-being of patients and staff. • Collaborate with the Community Health Centre NICs and CHNs to provide support and direction on client’s care plans. • Evaluate community Home Care programs on a continuing basis and modify programs for appropriateness. • Participate in research (i.e. Continuing Care Standards), special projects (pilot projects) and monthly interagency meetings or committees to plan, implement and evaluate joint projects related to the community's health status.

4. Model excellence by establishing comprehensive community Home Care Programs (i.e. including but not limited to palliative care, chronic disease management, Meals on Wheels, Elders in Motion) • Deliver a wide variety of community home care services (both pre- needs). • Evaluate community Home Care programs on a continuing basispackaged and modify and programsrequiring developmentfor appropriateness. by the incumbent to fit community • Act as a resource for other community based health care • Promote a safe and healthy environment in homes, schools and throughout the community. workers. • Collaborate with the RMCCS on new pilot projects or opportunities to improve Home Care services throughout the region.

5. Model excellence by providing direct nursing care to patients using a problem solving approach and in accordance with the standards, guidelines and scope of professional nursing practice to facilitate care of patients • Assess, plan, implement, document and evaluate care to ensure a coordinated holistic approach to best meet the needs of the patient including end of life care. • Maintain client and administrative records following professional and legal guidelines in a confidential, concise and accurate manner. • Assist patients to achieve their optimum level of health in situation of normal health, illness, injury, or through the process of dying. • Advocate the dignity and self-respect of patients. • Promote the autonomy of patients and help them to express their health needs and values to obtain appropriate information and services. • Safeguard the trust of patients that information learned in the context of a professional relationship is shared outside the health care team only with the patient's permission or as lega

lly required.

January 19, 2021 GNWT Job Description Page 4 of 9 • Apply unbiased treatment and a share of health services and resources proportionate to their needs.and promote principles of equity and fairness to assist patients in receiving • Act in a manner consistent with their professional code of ethics, responsibilities and standards of practice.

6. Model excellence by facilitating, implementing and modifying client and family educational/teaching based on the needs of the patient. • Use a holistic approach to facilitate individual learning of clients and their families in relation to patient illness/ injury (i.e. self-care, health promotion, etc.). • health, disease process and learning needs. • Develop,Assess the revise patient and for physicalevaluate and on psychological an ongoing needs,basis, theireducational knowledge resources of their necessary to support clients.

WORKING CONDITIONS Physical Demands The incumbent positions while providing care. will be required to walk, stand, and lift, and will be required to work in Environmentalawkward Conditions Health Centers house a variety of health and accident hazards including cleaning chemicals and medicines. The incumbent will be exposed on a daily basis to communicable diseases (TB, Hepatitis C), blood, bodily fluids, and hazardous materials (sharps and toxic cleaning solutions). The incumbent will be exposed to cl , and / or other unpleasant conditions. ient homes with cigarette smoking Sensory Demands during assessment and observation of patients. Sense of vision for non-verbal communication The incumbent will be required to use the combined senses of touch, sight, smell and hearing and assessing the physical environment, is required on a daily basis. Mental Demands pace, with evaluating and shifting priorities. The Withinincumbent the healthmust concentrate profession therefor long is significant periods lackof time of control and be over able the to work prioritize and communicatefrequent interruptions demands from that candepartment result in and continually clients.

The incumbent may be exposed to unpleasant situations involving clients and family members. There can be significant emotional stress in providing care for clients who may be e to their age and/or condition. in a terminal or painful situation or who cannot enjoy the quality of life of others du

January 19, 2021 GNWT Job Description Page 5 of 9 The incumbent will be r ; travel will occur on small planes and on ice or winter roads and in timesequired of inclement to travel weather. to the Some five communitiesdifferent Sahtu have communities limited amenities. to ensure adequate care and assessments are provided KNOWLEDGE, SKILLS AND ABILITIES • Knowledge of and an ability to apply and assess the nursing process (assessment, planning, implementation and evaluation) and current nursing practice (including public health) to ensure that the patients' physical, emotional, psychosocial, spiritual and educational needs are met. • Knowledge of advanced biological, physical and behavioral sciences in order to recognize, interpret and prioritize findings. • Knowledge of and an ability to apply sanctioned transferable medical functions as outlined in the Nursing Administration Manual's standards, policies and guidelines and the NWT Health Centre Formulary. (i.e.). • Knowledge of health promotion as it relates to community, GNWT and Authority directives. • Knowledge of education principles related to adult learners in order to develop and deliver subject specific training and development. • Knowledge of and ability to operate word processing applications (i.e. Microsoft Word), electronic mail and the internet in order to conduct on-line research and become trained

• nowledge of GNWT structure and procedures, especially NWT HSS. • in WOLF EMR and SAM. NTHSSA and the Home and CommunityAbility to acquire Care structure,k standards and procedures. • KnowledgeKnowledge, of and/or alternate the funding ability opportunities to acquire knowledge for the Home of Care Program. • Knowledge of the Accreditation Canada standards and practices. • - Sahtu Region (i.e. Social Services, Mental Health, Long Term Care etc.) in order to ensure support ofKnowledge clients and of theirand anfamilies ability. to network resources within and outside the NTHSSA • Ability to operate and/or use and provide education on as but not limited to - peripheral IV pumps and lines, stretchers, thermometers, sphygmomanometer, blood glucose monitors, suctionstandard tubes, medicalsharps, equipmentpulse oximeter, (such etc.). • Ability to educate clients and their families on appropriate self-care methods and palliative care. specific equipment or medical devices, • Ability to supervise and support staff from a distance. • Knowledgetechniques and the ability to apply the personal and health information private and confidential at all time and in accordance to relevant legislation and mandatory reportingimportance standards of confidentiality. and be able to keep • Ability to be sensitive to the geographical and cultural needs of the people and understand how community and culture impact the delivery of health care. • Problem solving and the ability to apply flexibility. • Ability to actively participate as a team member. • Ability to lead, supervise,skills coach and incorporate .

ethical decision making January 19, 2021 GNWT Job Description Page 6 of 9 • Ability to provide care and treatment as the position is to perform transferred health functions beyond normal hospital training. This includes and ability to perform advanced nursing functions such as but not limitedrequired to: vena-puncture for all age groups and immunization • Ability to perform basic laboratory functions such as but not limited to: HGB, various swab specimens, the preparationtechniques. of specimens for culture and sensitivity.

Typically, the above qualifications would be attained by: A Baccalaureate Degree in Nursing, and three (3) years of recent nursing experience with at least one (1) year in continuing care and one (1) year of supervisory experience.

of Education and Experience: Nursing Diploma and five (5) years of recent nursing experience with at least one (1) year experience in a continuing care with one (1) Equivalencyyear of supervisory experience.

(Recent nursing experience is defined as a total of full time hours in the past 5 years). Continuing Care is defined in the NWT as long term care and home care.

ADDITIONAL REQUIREMENTS

ProofValid 5of Driver’s immunization License in is keeping mandatory with. current public health practices is required

Must be eligible to register with the - Registered Nurses Association of the Northwest Territories and Nunavut (RNANTNU).

NTHSSA - Sahtu Regional Requirements: Within the Sahtu Region all health care providers must time frame and remain current with the following training and certifications: • WHMIS & Transportation of Dangerous Goods (TDG)be able to acquire within a reasonable • Certification in CPR & AED. • Immunization Certificate • Non-violent Crisis Intervention, or similar • Cultural Training • Hand Washing Certificate • Mental Health First Aid • • Applied Suicide Intervention Skills Training (ASIST) PositionTraining Security as required by Accreditation Canada ☐ ☒ Position of Trust – ☐ NoHighly criminal sensitive records position check – required criminal records check required requires verification of identity and a criminal records check

January 19, 2021 GNWT Job Description Page 7 of 9 French language if applicable) ☐ below) (check one Level French required (must identify required level requiredBasic (B) for ☐ this IntermediateDesignated Position (I) ☐ is:Advanced (A) ☐ ORAL EXPRESSION AND COMPREHENSION Basic (B) ☐ Intermediate (I) ☐ Advanced (A) ☐ READINGWRITING SKILLS:COMPREHENSION: Basic (B) ☐ Intermediate (I) ☐ Advanced (A) ☐ ☐ French preferred

Indigenous language: Select language ☐ ☐ Preferred Required

January 19, 2021 GNWT Job Description Page 8 of 9