Tri-County Mennonite Homes Director of Care in Nithview Community (New Hamburg), Ontario
The Director of Care is accountable for the overall management of the nursing department, resident care services and nursing staff based on quality management, legislative requirements and the organization standards.
As a valued member of the team, the Director of Care demonstrates a commitment to the quality of resident care by providing services in accordance with the organization’s vision, mission and values.
Responsible for the management of the nursing department to provide quality
a) Establishes, implements, manages and improves standards for nursing care,and policies and procedures for quality resident care to meet individual resident needs and their expectations involving them whenever possible.
b) Leads in strategic planning for the Interdisciplinary Care Team.
c) Ensures the Resident Care Mission including philosophy, annual goals andobjectives for residents’ care and nursing services are congruent with the organization’s mission statement.
d) Manages nursing team members and recruitment needs, with support fromAssociate Director of Care (ADOC), to ensure required resources (human, fiscal and material) are available to meet the resident care needs and expectations.
e) Ensures the utilization of the nursing process by delegating clinicalresponsibility to the Registered Nurses and Interdisciplinary Team as appropriate.
f) Oversees the management of the RAI MDS Program, including managing RAICoordinators with support from ADOC, to ensure RAI MDS program mandate, standards and resident care needs are implemented effectively and the program is optimized o Ensures team members comply with the Ministry mandated requirements for AIS Proficiency Evaluations o Provides necessary support to team members in accomplishing their training and evaluation related to AIS Proficiency
g) Provides a process for management/team member conflict resolution andparticipates in the process of labour relations as required.
h) Provides education and in-service sessions for team members in topicsrelated resident care and health and safety.
i) Manages WSIB claims and minimizes negative impact to NEER statement.
j) Manages the Return to Work process and/or arranges modified workprograms for department team members.
k) Conducts unplanned inspections of the nursing areas, documenting anyunsafe conditions and ensuring unsafe conditions are corrected.
l) Approves or declines CCAC applications to the wait list.
m) Ensures the safety of residents through the provision of Infection Controland Risk Management programs.
n) Provides a quality management approach to continuously improve nursingand resident care services.
o) Participates and supports nursing research.
p) Networks with other long term care organizations to promote continuity ofnursing care with other health agencies and community.
q) With the Executive Director/Administrator, liaises with community services andeducational organizations and reviews contracts and quality of purchased services as well as liaisons with Placement Coordination Service of the Community Care Access Centre.
r) Assumes responsibility for the Home’s operations in the absence of theExecutive Director/Administrator.
Ensures and promotes the provision of resident-centered services to meet the
needs of residents:
a) Promotes the Residents’ Bill of Rights and the philosophy and practices ofresident centeredness and respect in all residents’ encounters and decisions.
b) Supports a Resident Advocacy Program though the promotion and respect ofthe Bill of Rights.
c) Promotes resident and family–centered care consistent with advances ingerontology while respecting and ensuring sensitivity to spiritual, cultural and ethnic aspects of a resident’s life.
d) Facilitates relationships through effective communications between andamong residents, relatives, team members and community to supports involvement and participation in care.
e) Ensures an environment with ambiance conducive to the provision andpractice of therapeutically effective resident health care, yet be unobtrusive.
f) Promotes and assists in integrating programs into the daily lives of residents.
Responsible to manage the nursing department’s financial resources:
a) Manages nursing budgets to ensuring sufficient resources/equipment areavailable.
b) Ongoing maintenance of the budget including monitoring human resourcehours and ensures adequate staffing, monitoring nursing team members attendance and providing appropriate follow through, & authorizes daily payroll for nursing team members.
Provides effective human resource staffing and education:
a) Ensures sufficient numbers of trained caregivers to meet the needs of theresidents.
b) Recruits, hires, trains, evaluates, promotes, transfers and dismisses teammembers in consultation with the Executive Director/Administrator and Human Resources.
c) Approves nursing schedules.
d) Oversees current licensing of all registered team members on an annualbasis.
e) Provides the team members development coordination and uses theeducational resources to plan for an effective team member development program including orientation, in-service and continuing education as determined by the learning needs of nursing team members.
f) Ensures team members in Nursing are provided with the necessaryinstructions/ orientation regarding measures and procedures to be taken for their protection.
g) Provides in-service sessions for team members in topics related to health andsafety.
Provides for effective use of material resources:
a) Provides professional input into the needs and uses of supplies required forphysical care of cognitive deficit.
b) Acquires health-related equipment and supplies.
c) Ensures inventory control.
d) Preparation and mailing of High Intensity Billing to the MOHLTC.
e) Ensures professional communication through membership in nursingassociations and allied health organizations.
f) Reviews contracts and quality of purchased services.
Maintains an appropriate recording system:
a) Ensures the provision of written standards, policies and procedures for theorganization and the department.
b) Ensures that information obtained by nursing team members is available tothe resident care team, resident and family, in a professional manner consistent with organization’s policies and procedures for maintaining confidentiality of information.
c) Develops, maintains and monitors the individualized health care plans andcharts of the residents as required by the Long Term Care Homes Act and Regulations 79/10, the professional licensing standards and in accordance with the standards and guidelines of the Ministry of Health.
d) Monitors resident, family and community demand for services.
e) Provides a recording system maintaining confidentiality of information.
f) Ensures a quality medication administration system.
Responsible for quality management:
a) Implements quality improvement in nursing and personal care to monitor andcontinuously improve the care of services to the residents.
b) Reviews resident/family satisfaction surveys and resident audit results.
c) Participates on all the teams related to operations.
d) Presents quality indicator results and audits to quality council/Leadership asrequired.
e) Participates in the development of plans of intervention to address areas ofgrowth.
f) Champions the use of quality tools in improving care and services to ourresidents.
+ Plans, co-ordinates, directs and monitors the effectiveness of all operational activities within the nursing department.
+ Develops and sustains operational plans for the effective operation of the nursing department.
+ Establishes, implements, and maintains an effective quality and risk management system for the nursing department to ensure legislative regulations and standards are met.
+ Responds promptly to concerns of residents and family members, mediating a satisfactory response to concerns and implements action plans to avoid reoccurrence of similar issues.
+ Work in accordance with the organization’s Health and Safety Policies and Procedures and in compliance with the Occupational Health and Safety Act.
+ Perform other duties as required.
+ Registered Nurse with a current certificate of competence from the College Nurses of Ontario.
+ Current membership with Gerontological Nursing Association (GNA) and Registered Nurses’ Association of Ontario (RNAO) is desirable.
+ Successful annual completion of RAI MDS certification as per MOHLTC requirements for AIS.
+ Minimum 1 year of experience working as a registered nurse in the LTC sector preferred.
+ 3 years relevant management or leadership experience in health care, or long-term care facility, or head nurse in chronic care or senior management in a health community agency.
+ Effective planning and leadership skills required for managing the nursing department in areas such as staffing, problem solving, decision making, budgets etc.
Must have a sound familiarity with the funding process and the funding indicators.
Must have an extensive knowledge of MOHLTC regulations.
Must possess excellent proficiency with WORD, email, internet use and computerized documentation.
Effective verbal and written English communication skills required.
Bachelor of Science – Nursing or equivalent.
Post–RN education, certification or degree in nursing administration and management, preference is BScN or business degree in health management, particularly long-term care and further education in gerontology, geriatrics or rehabilitation.
Current Gerontological Nursing Certificate, through the Canadian Nurses Association, is considered an asset.
Current AIS Certification considered an asset.
Current Basic Cardiac Life Support Certification (BCLS).
Providing full care to male and female residents of all ethnic and cultural backgrounds, including but not limited to, personal hygiene;
Some disruption of lifestyle resulting from extra hours spent dealing with prospective clients, attending meetings and dealing with residents and families and responding to emergencies;
Stress resulting from constant interruptions, managing within legislative, budgetary and time constraints on a consistent basis and dealing with people who are under emotional pressure;
Combination of natural light and fluorescent lighting;
Sitting for meetings and computer work often;
Crouching, kneeling, stooping/bending for short periods of time;
Walking and climbing stairs frequently;
Exposure to bio medical waste;
Engagement and/or exposure to various therapy programs focused on providing residents with the highest quality of life in our Homes including but not limited to pet therapy, spiritual events and musical therapy.