PRIMARY CARE NURSE Task Force

PRIMARY CARE NURSE Task Force Registered Nurse () Role Description Matrix

Registered Nurse () Role Description Matrix Primary Care Nurse Task Force Registered Nurse () Role Description Matrix Background: The Registered Nurses Association of Ontario (AO) is leading a ground-breaking task force that is bringing together key stakeholders to review the role of Primary Care Nurses (Registered Nurses and Registered Practical Nurses) in the delivery of quality and accessible primary care. Recommendations will aim at optimizing the utilization of the 2,873 s and 1,412 RPNs currently working in primary care by maximizing their scope of. The purpose of this matrix is to summarize the current roles and responsibilities of nurses practicing in a number of primary care settings and was compiled through existing job descriptions. Given the broad role of Primary Care Nurses, there may be elements that are incomplete or missing. Please send additions to Tim Lenartowych at: tlenartowych@rnao.org Updated: March 2012 FHT - FHT FHT RPN (Clinical Nurse) Access Assessment (physical / psychosocial) Assessment (documentation) Assesses the client s holistic health care needs. Initiates health assessments including: o health history, o identification of illness screening needs, o immunization requirements/ recommendatio ns, and o periodic health exam visits for healthy clients and screening maneuvers (i.e. PAPs) under medical directives. Observes and records outcomes Analyses the findings of a health assessment Systematically assess patients physical and psychosocial needs. Conducts patient assessments. Measures and records patient vitals and prepare patient and room for the examination by the physician. Assess immunization status. Perform blood pressure follow-ups assessing response to medications, educating patients and promoting health through blood pressure management. Maintains accurate concise and confidential documentation pertaining to patient history Establish and implement ongoing community needs assessment to establish population based improvement opportunities and priorities. Conducts holistic nursing assessments including: knowledge, education, literary, cultural, spiritual and social considerations. Assesses the immunization status of all clients. Performs a comprehensive and focused health assessment that includes health history and complete physical evaluation. Obtains a history of the presenting health issue(s). Incorporates objective findings such as laboratory and diagnostic findings, specialist reports and past history in a comprehensive assessment. Applies and adapts recognized clinical guidelines to assessments. Conducts psychiatric nursing assessments and provide support as necessary, Conducts risk assessments in collaboration with the client and other service providers and develops appropriate health plans. Assesses the presence of or the need for advanced care directives or do not resuscitate documents. Assesses health education requirements and readiness of the client as a component of an overall health assessment. Provides and co-ordinates screening for health issues such as diabetes, hypertension, cholesterol, cancer screening, cardiovascular health, mental health, cognitive function and osteoporosis. Completes and documents a thorough medication assessment, including overthe-counter medications, alternative medications, intolerances and allergies. Documents health assessment and Provide assessment, diagnosis and treatment within the scope of. Perform point of care testing (urine, HCG, rapid strep throat) under medical directive. Record nursing and medical interventions Exercises reasonable care with caution in protecting confidential Assess patients to identify appropriate nursing interventions. Review laboratory and diagnostic reports identifying abnormal values and critical results. Identify the health needs of clients attending the Lakehead Nurse Practitioner-Led Clinic based on a needs assessment and using the current knowledge trends in the community. Observe and document therapeutic effects of prescribed treatments. Ensure accuracy, confidentiality and Assess patients to identify appropriate nursing interventions, Monitor, assess, address, document and report symptoms and changes in patients conditions, Conduct disease screening. Page 1

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access and encounter data. clinical data in patient record. and sensitive information related to clients and personnel. safekeeping of agency records. Assessment (e-health reports and QI) Interprets client health records Collects client data. Uses electronic medical record and arranges follow-up as necessary Reports and record accurately and appropriately, using electronic charting Collects accurate and comprehensive patient-related information and documents in electronic clinic management system. Prepares monthly reports for the Ministry of Health and Long Term Care. For patient appointments, initiate the record of the patient visit, purpose, history and health care needs. Maintain the medical record alert system to recall patients for health promotion, disease prevention follow-up. Maintain the medical record Health Maintenance Plans to ensure patient compliance to timelines for health promotion, disease prevention programs Coordinate implementation of consistent processes, including clinical information tools, information to support accurate and reliable clinical outcomes tracking and reporting. Maintains accurate and confidential medical records, paper and electronic Documents according to standards for completing electronic medical records Develops and maintains documentation of client encounters which includes recording and inputting clients personal data, demographic, disposition and service data. Identifies and collects performance and quality improvement data and initiates or participates in a process to address identified issues. Completes documentation, accurate statistical data, and reports. Participates or leads quality improvement programs or initiatives in the. Submit statistics as required by the MOHLTC to the Clinical Lead NP Prepare monthly and quarterly statistical reports for the Ministry of Health and Long Term Care or as required by the B Maintains record of appropriate statistics and participate in their analysis. Treatment (telephone advice and triage) Utilizes TelehomeCare (OTN) to monitor patients with chronic disease and consults with other members of the team for follow-up as appropriate Provide appropriate and accurate telephone assessment, advice, triage and follow-up (i.e. Discuss test results, test preparations, medications, etc). Arrange appropriate follow-up, referrals, appointments and investigations according to established procedures. Triage incoming patient calls. Assess patient health care needs, discuss test results and respond to questions pertaining to health promotion and disease prevention. Redirect calls to booking when necessary. Provides telephone and in-person triage according to established protocol Provides telephone care, follow-up and consultation. Documents this care in client record. Provide telephone advice and document all advice and care (per CNO standards of ) in the EMR. Treatment (clinical) Perform direct clinical care to patients including procedures such as: immunizations, throat swabs, TB Administer clinical procedures such as suture removal, skin and wound dressings, TB testing, wart treatment, and ear-syringing. Administer and record Nursing interventions can include; o lifestyle counseling, o chronic disease management, o medication management, referrals or links to community resources, o wound care and dressing changes, suture/staple removal, Provide wound care Provide primary health care to patients in accordance with standards set by governing body, and that is aligned with the Provide services to clients within the full scope of of the Registered Nurse. Administer medications and treatments as Administration of medication and treatment procedures as directed. Dispense and administer medications and treatments as prescribed by a physician. Page 2

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access Treatment (selfmanagement and systemnavigation) In collaboration with the client and family and with other team members as appropriate, develops and discusses individualized care plans based on best Helps clients to identify and use health resources. Involves clients in decisions about their own health. Monitors these plans with the client and family and assists them to revise the plan skin test, suture removal, wound dressing, ear syringing, blood pressure monitoring, etc. Assist other team members with clinical procedures, etc. Assists patients and their families in identifying resources to maximize the patient s health. Initiates appropriate action in response to changing patient needs and collaborate with the inter team to assist patients. Assists in coordinating programs and arranging followup care. immunizations and allergy injections. Complete pre-operative and MTO physical forms as far as possible. Works collaboratively with the health care team in the development, implementation and monitoring of chronic disease management programs around key health issues such as cardiovascular disease, diabetes and obesity. o specimen collection including venipuncture, o injections, immunizations, o co-coordinating services, o ear syringing, o ECG s, o foot care, o assisting with procedures, etc. Develops individualized client care plans in collaboration with other providers, social services staff and the client, (including treatment and rehabilitation). Empowers clients to become responsible for their issues without need of special services. Assists clients and their families to access appropriate services Works as a navigator to ensure the appropriate referrals and connections to other services and programs that would enable the client to achieve their health goals. Co-ordinates services and care with the client to ensure continuity and follow-up. This may involve setting up supports such as medication delivery/adherence programs for medications, assisting with transportation, arranging in-home care, etc. Builds on client and community overall strategic direction of the B Performs duties as required including (but not limited to): o venipuncture, o EKGs, o vital signs, o eye acuity testing, o ht/wt measurements, o urine dipping, o chiropody. Coordinates care or services for individuals or families. Care delivered within the clinic and within the community. Promotes disease prevention and provide chronic disease management, primary mental health care support and primary palliative care support prescribed by a nurse practitioner, physician or medical directive and within the Registered Nurse s scope of. Observe and document therapeutic effects. Deliver immunization programs. Provides the following clinical services: Physicals well child, prenatals, well adults and paps Episodic illness assessment Wound care / dressing management Injections / Immunizations included TSTs Derm clinic cryotherapy Suture removal Annual flu clinic Infection control Programs (evolving) spirometry, healthy moms Venipuncture Develops and maintain respectful, cooperative working relationships to contribute to the integrated, seamless delivery of services. Supports planning, implementing and evaluating patient care plans. Provide supportive counselling and life skills programming. Deliver immunization programs Page 3

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access or to access the most appropriate care provider for updating resources in planning health promotion and illness prevention strategies. Assists and supports the client in life transitions, including palliation and death. Assists and supports clients with implementation of the health plan including interventions and diagnostic testing, in consultation with the attending physician and/or other health service providers or other community partners,.i.e., CCAC. CMHA etc. Assists with medication renewal process Provides direct assistance/symptom management (including administration of medications etc.) Provides Perinatal counselling and assessment Informs and educates clients regarding the meaning and implications of test results and interventions. Counsels clients on drug therapies, sideeffects and interactions. Counsels and guides clients on symptom management, health maintenance and rehabilitation strategies, as well as risk factors and lifestyle changes. Management and Administration Participates in the effective day-today functioning of the clinic. Work with the team to develop collaborative approaches to family for the management of clinical problems in primary care Support and maintain the goals and objectives of the team. Ensure adequate stock and appropriate storage of vaccine. Does not direct the activities of staff or a function without direction of FHT decision makers. Maintain clean, orderly and well-stocked examination rooms. Sterilize equipment for minor surgical procedures. Establish a work plan including project charter, targeted priorities and accountabilities. Acts as a resource to clinical teams to support effective consultation and collaboration. Provides leadership for the review, planning and or implementation of existing or new clinical service delivery initiatives such: Ontario Telemedicine Network (OTN), Lung Health Service Delivery, Health and lifestyle change strategies that support selfmanagement such as Stanford chronic Disease Self- Management, Health Provides case management for clients. Monitors, evaluates and adjusts the health plan based on effectiveness of interventions and/or changes in condition or environment, in collaboration with the client and team members. Monitors client progress with respect to risk reduction and self management plans. Provides pertinent front-line information to facilitate health planning in the Champlain LHIN. Attends team and staff meetings as required. Supervises activities of volunteers. Utilizes volunteers to optimize group programming, Maintains medical equipment inventory. Maintains control/inventory of narcotics/outreach bags and crash cart. Adheres to standards required to maintain Baby Friendly Designation Monitors and maintains infection control s according to Provincial Standards Arranges lab pickup, maintains stock in clean utility room and patient clinic rooms, ensures sharps are not full in exam rooms, organizes medication samples and ensures first aid kits are adequately stocked. Participates in regular team meetings, and other meetings as requested. Accountable to the strategic plan of the organization, to be aligned with SELHIN objectives and MOHLTC. Provides leadership and support to IHPsthat are on placement at the B. Lead infection control procedures including sterilization of equipment, identifying clinic needs and implementing policies. Page 4

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access COACH Australia. Conducts staff development needs assessment and circulates a calendar of events for the GFHT. Participates in team and Centre special events as required Contributes to the development and implementation of the Centre s policies and procedures and the Centre s strategic plan. Planning Coordinates patient care and clinic flow. Contributes to FHT planning and operations by participating on various inter committees. Collaborate on the design and delivery of chronic disease prevention and management programs. Assist in monitoring and evaluating the success in achieving CDM program objectives. Supports IHP staff to plan, develop and implement new service delivery models and or strategies such as group visits and wellness. Implements and coordinates regular inhouse lunch and learn initiatives by IHP and or external experts to build capacity in clinical. Complete patient needs assessment annually to support patient education planning. Integrate patient identified needs into planning and delivery of new programs. Evaluates the effectiveness (process) of staff and patient education programs and impact on clinical outcomes. Participates in the review of new education offerings and makes recommendations to FHT team(s). Participates in the planning, development, delivery, and evaluation of: health promotion programs, screening programs, medical directives and policies/procedures. Assesses the community for strengths and opportunities to enhance health and monitors trends that may have an impact on health. This may be done in conjunction with the community health nurse or other community health providers. Plans, implements & evaluates health promotion, disease and accident prevention strategies and programs within the community Responsibility of developing, administering, managing and evaluating programs within the B. Participates in clinical projects, program review and development as required. Plans, implements and evaluates nursing programs based on a needs assessment. Education Initiates health education and other activities that assist, promote and support clients as they strive to achieve the highest possible level of health. Develops learning resources for clients, nurses and Helps patients to identify and use health resources. Develops and deliver health education programs for patients. Participates in the orientation of new staff members and Establishes a patient library of resources and process to access and or disseminate. Improves access to FHT educational activities /programs by using various media including; OTN, webcasting, selfguided audio visual programs, website and or individual e-mail Develops and provides a variety of educational approaches to address health topics, including individual and group sessions, and offers these in a variety of settings to enhance accessibility. Provides breast feeding education, counselling and support to all obstetrical and breastfeeding clients and their families Plans and implements individual clinics which include an education component Facilitates group educational sessions and activities using the principles of child, youth, adult or older adult learning Provide health promotion and education across the lifespan. Conducts in-services and workshops for team members, other health Provide health education, counseling and support Maintain competence by participation in developmental programs and by individual selfdirected study. Plays an active role in the delivery of health education initiatives to community members throughout the Rainy River District. Page 5

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access other health care providers. students. download Researchs, establish, develop and share health education resources with other IHP and partners. Uses BPGs and collaborates with other community partners to support meeting goals and objectives of individual or group development needs Assesses and reports on the diversity, inclusivity and appropriateness of GFHT education initiatives and actual delivery of service. Employs education strategies and motivational interviewing skills to support behaviour changes to enhance health (e.g., smoking cessation, physical activity, and healthy eating). Engages clients in education regarding: o diabetes, o chronic obstructive pulmonary disease, o hypertension o cardiac disease o cancer, o chronic pain, o inhaler use, o sexual health, o community resources, o mental health, o lifestyle o immunization o health screening, and o INR. Assesses current knowledge, education and literacy levels, social supports, learning preferences and other factors that may affect the education approach and plan. Collects, develops and maintains written and audio visual resources for handouts/presentations.with consideration for cultural, language, physical, intellectual, and environmental factors. s and community partners as appropriate. Maintains and develops competence through ongoing development. Exhibits a commitment to life-long learning. Participates in the development, planning and evaluation of treatment, education, counselling and health promotion/disease prevention activities of the B. Participate in training sessions as required by the B Organize and participate in the annual influenza program. Advocacy/ Advisory Encourages clients to take action for their own health. Advocates on behalf of clients Advocates for healthy communities. Creates or advocates for an environment that facilitates clients learning and maximizes their participation and control in meeting their health-care goals. Provides outreach nursing (group & individual) to marginalized populations. Advocates, educates, and consults as needed. Participate in committees or community groups where an identified need for advocacy or representation is required. Provide health education, counseling and support while advocating for healthy public policy and legislation while working within the policies of the Lakehead Nurse Practitioner-Led Clinic. Referrals / Collaboration Collaborates with other health care providers particularly with care navigator as appropriate Works collaboratively within an inter Establishes, promotes and maintains good relations with patients and staff Develops and hones collaborative community relationships to facilitate patient access to services upon physician/health care team request. Works co-operatively as member of the FHT. Collaborates with other IHP s to implement collaborative EHR (forms) tools and processes that integrate determinants of health and supports necessary to Determines the need for and initiates consultations with other services and health-care providers in a timely and supportive manner. Collaborates with other SW staff, specialists and other agencies to arrange appropriate health/social services for clients. Collaborates with health care providers and community agencies such as Collaborate and/or consult as appropriate, with members of an interdisciplinary team within the clinic and externally with the community of care Assists in the establishment of a network with community Works as a team member in a multidisciplinary setting. Participates in interagency committees and community coalitions as appropriate. Establishes effective working relations with Member of an interdisciplinary team. Page 6

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access Coordination of Care Skills environment as an active member of the FHT. Participates in implementing organizational initiatives (i.e. Respect Program, Customer Service Program, Advanced Access). Prioritizes and multi-tasks in a busy clinic environment (i.e. share appropriate information and teach while treating a patient). Excellent verbal and written communications skills. Demonstrated advanced patient assessment and triage skills. Prioritizes and manages time effectively and is flexible in a very active work environment Works in an inter- team environment and implements best s in patient care Works independently with minimal supervision Demonstrates leadership and Communicates ideas or concerns to the health care team. Participates in problem solving to enhance patient care. Encouraged to operate within their full scope of. Patient assessment and triage skills. Excellent verbal and written communication skills. communicate to other IHP s to guide effective patient engagement in planning for own care Ottawa Public Health, Community Based Diabetes Education Project, other s and CCAC Provides care in collaboration with family physician including home visits as required Provides opportunities at Wellness Clinics to discuss health issues and to receive self referrals. Acts as a liaison with other community health/breastfeeding organizations to improve breastfeeding outcomes for clients Develops liaison role with external mental health agencies; i.e., CMHA. Maintains awareness of Centre/Ministry requirements by networking with the employees of other Community Health Centres. Establishes and maintains effective relationships and partnerships with other organizations to benefit system integration, efficient service utilization, effective collaboration and optimal patient care. Initiates or participates in client care case conferences to ensure coordinated, comprehensive and holistic services. Coordinates the treatment, rehabilitation and support of mental health clients. Reflects on personal and team through a systematic evaluation of competencies, acceptability, quality, efficiency, and effectiveness of Works independently and is selfdirected Works well with other health-care s Delegates care appropriately An effective change agent Applies evidence-based knowledge to nursing process. Excellent communication skills and ability to adapt communication styles to meet the needs of clients, health team members and community partners agencies for referral and supportive care. Consults with NPs when care is beyond the scope of to manage or when a client is destabilizing Participates on interdisciplinary committees to promote /interperson al development. Experience in program design, delivery and evaluation an asset Works independently and in a team environment Exhibits an ability to welcome change and manages it innovatively. Uses time conscientiously, arrives on time for work in suitable attire and uses breaks, flex-time and sick leave appropriately. Demonstrates excellence in problem- peers, appropriate agencies and community groups. Develops and maintains respectful, cooperative working relationships to contribute to the integrated, seamless delivery of services. Collaborates with members of an interdisciplinary health team to plan, implement, coordinate and evaluate patient care in consultation with patients, their families and their nurse practitioner. Provides assistance to the nurse practitioners as needed. Collaborates with members of an interdisciplinary health team to plan, implement, coordinate and evaluate patient care in consultation with patients, their families and their nurse practitioner. Works independently and as a member of a multidisciplinary team Demonstrates interpersonal, communication, problem solving and leadership skills Sets priorities and manage time effectively Possesses satisfactory criminal records search including vulnerable sector screening. Works flexible hours and travel as determined by the Demonstrates competency in immunizations. Demonstrates competency in EKG procedure Proficient reading, writing and speaking skills. Works with others. Problem solver. Decision maker. Critical thinking, Job task planning and organizing, Uses memory recall, Locates information, Continuous learning. Page 7

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access strong interpersonal skills. Effective verbal and written communication skills. Highly developed ability to organize time and set priorities effectively. Excellent decision making, problem recognition, problem solving skills, negotiation and conflict resolution skills. Uses a variety of communication strategies, e.g., written, verbal, nonverbal, visual, Internet, and group education. Effective organizational, critical thinking, problem-solving and decision-making skills solving and conflict resolution Assists in the maintenance of a clean, orderly work environment. Board in relation to service. Excellent communication and organizational skills Communicates effectively with health care team members (including patient and family) to create a cohesive team and seamless services to the community. Knowledge Knowledge and proficiency in current, evidence-based methods and s of primary care delivery with an emphasis on health promotion and chronic disease management. Knowledge of primary health care and the social determinants of health. Knowledge of concepts of health promotion, disease prevention, behaviour change counseling, program planning, individual and group counseling. Knowledge and awareness related to cultural competence Knowledge of the principles of the Stanford model of self management. In-depth knowledge of health assessment and interventions in the family context. Knowledge of non-violent crisis intervention. Knowledge of acts or legislation that govern. Understands principles of collaboration. Exceptional understanding of current, evidence based and best guidelines Knowledge of community assessment and development Knowledge and proficiency in current, evidence-based methods and s of primary care delivery, with an emphasis on health promotion and disease prevention. Knowledge and understanding of Continuous Quality Improvement. Awareness and understanding of population health Knowledge of program. development, management and evaluation. Knowledge of and sensitivity to the health needs of Aboriginal people - their culture and traditions. Professional Commitment (Requirement) Commitment to life-long learning. Actively participates in the education of Actively seeks out formal and informal opportunities to enhance Assist in the training and development of new staff. Exercises clinical judgment and assumes Systematically seeks development experiences consistent with current primary care Performs specific procedures according to the Ontario Standards of Nursing Practice. Seeks development opportunities consistent with current Provides culturally sensitive care. Participates fully in the Quality Assurance Program of the College Adheres to the confidentiality policy, relevant legislation and all other policies and procedures of Page 8

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access health care learners (nurses, Family Medicine residents, clinical clerks and other allied health care providers). Assists in the orientation and development of new staff. knowledge and expertise. Makes clinical decisions within domain. Participates in the educational process of other health team members and students of all disciplines. responsibility for decisions, consequences, and results having an impact on people, costs, and/or quality of service within the FHT. Complies with the nursing standards used by the, new and emerging issues, changing needs of client populations, research and role requirement. Develops and implements an individualized plan for growth and development Including participating in organizations and activities, workshops, seminars and staff development programs. primary care, new and emerging issues, changing needs of patient populations, and research. Leads or participates in conference presentations. Advances primary care nursing through participation in development and development activities, mentoring students, orientating staff and participating in research and quality assurance initiatives. Provides supervision, mentorship, orientation, observational and teaching opportunities to students ensuring that program goals and objectives are met. Complies with all mandated legal/regulatory requirements related to working in the Centre, e.g. occupational health & safety, standards of conduct, etc. Successful completion of Police record Check. of Nurses. Participates in selfdirected learning to ensure that remains relevant by attending conferences, e- learning and journal reviews. Adheres to all policies and procedures of the Belleville. Practices within scope in accordance with the standards of. Utilizes medical directives where care falls outside the s scope of. Base on sound theoretical knowledge, evidence based care and best guidelines. Demonstrated commitment to continuous learning with an ability to update knowledge and skills through various means including technology-based opportunities, courses, workshops and conferences. the Lakehead Nurse Practitioner-Led Clinic. Supervises nursing students when required. Maintains a level of care that meets cultural, holistic and ethical standards based on the College of Nurses standards. Educational Qualifications Registration Qualifications Baccalaureate in Nursing. Current and valid registration with the College of Nurses of Baccalaureate in Nursing Preferred. Current and valid registration with the College of Nurses of Baccalaureate degree in nursing. Current and valid registration with the Current and valid registration with the Baccalaureate degree in nursing. Current and valid registration with the Baccalaureate degree in nursing. Current and valid registration with the Minimum of a Diploma as a Registered Nurse from an approved institute. Prefer a baccalaureate degree in nursing. Current and valid registration with the Completion of a college, program or Baccalaureate degree in nursing. Current and valid registration with the Current and valid registration with the Certification Requirements Current CPR or basic Cardiac Life Support (BCLS) registration Specialty certification, i.e., Community Health, Mental Health, Diabetes Educator Completion of a post entry primary health care/family nurse Additional training or credentialing (e.g. Certified Diabetes Educator, Certified Asthma educator, etc.) Certificate in foot care or diabetes education preferred Current CPR and First Aid certificate Certification in venipuncture Current CPR certification s or RPN s meds cert. wanted Page 9

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access education program Certification in the administration of immunizations (or demonstration of competency) Current CPR Certification. Valid driver s license. is considered an asset Drivers license and reliable vehicle. Attends training and complies with WHIMIS. Professional Membership Requirements AO membership, Ontario Family Practice Nurses Interest Group and evidence of liability insurance. AO membership recommended. Maintains a membership with organizations and interest groups AO membership to ensure liability protection and to participate in responsibility and leadership Professional liability insurance AO membership. Experiential Qualifications Language Two years clinical experience (preferably in primary care) Demonstrated experience working with seniors an asset Minimum of threefive years experience of providing patient care to patients of all ages in a comprehensive Family Practice or relevant Ambulatory care setting. Demonstrated achievement of good working relationships with colleagues, staff and the inter team. ideally, two or three years of clinical experience. Minimum five years of nursing experience with two years in a community based setting. Experience working in a family, community or primary health care setting Nurses hired to fill a specific role within the centre are required to have past experience, training and expertise in that role Experience in working within a collaborative interdisciplinary team. Experience in a variety of clinical areas. English and French. English and Vietnamese English and Chinese (Cantonese and Mandarin). English and one other language an asset. Three-five years related or applicable experience in the community, hospital or primary health care setting. Ability to travel within the community Ability to work flexible work hours (some evenings and weekends will be required). Experience in developing community linkages and relationships. French language an asset. Three to five years experience working as a Registered Nurse. English. Ability to speak additional languages, an asset. Five years recent clinical experience. Experience in developing health services in First Nations communities. Willingness to travel within the Rainy River District Ability to speak Ojibway an asset Proficiency with Computers / Electronics Knowledge of and working experience with computer systems and applications (previous experience with an electronic medical record preferred). Previous experience with an electronic medical record (EMR) program or willingness to learn electronic record keeping using a clinical management system (CMS). Knowledge of and working experience with computer systems and applications. Experience working in computerized environment Current Ontario Driver s License Experience with an Electronic Medical Record, an asset. Proficient in use of internet, Microsoft software, drug database programs Computer and word processing skills Experience with electronic documentation. Page 10

Registered Nurse () Role Description Matrix FHT - FHT FHT RPN (Clinical Nurse) Access Physical Demands Page 11