Nurse practitioner, geriatric transitional outreach (Gto)
Job Description
Ontario Shores requires one (1) temporary (12 months) fulltime Nurse Practitioner (NP) to work in the Geriatric Transitional Outreach (GTO) Clinic.
The Nurse Practitioner (NP) is a nurse who has an advanced level of clinical nursing practice that maximizes the use of advanced educational preparation, in-depth nursing knowledge and expertise in meeting the health needs of individuals, families, groups and populations.
The NP brings to patients a holistic approach to care encompassing mental, physical and social.
He/she practices independently within their legislated scope of practice.
The incumbent will have sound knowledge of clinical issues in the areas of mental health, geriatric psychiatry, geriatric medicine and evidence-based dementia care.
In addition to completing mental health and physical assessments, responsibilities include: participating as an advance practice nurse practitioner within a interprofessional team; providing patient centered treatment and support; reviewing referrals in consultation with the team to determine eligibility for admission or programs; prescribing medications and non-pharmacological treatment modalities and assessing effectiveness of these interventions; developing patient centered treatment / rehabilitation goals and plans in collaboration with patients, their families, their support network and the interprofessional team; implementing treatment plans, performing clinical risk assessments and implementing treatment plans to mitigate against risk, assessing for and recognizing signs of decompensation and instituting actions to prevent further decline.
The position is part of a specialized geriatric mental health outreach team providing community-based care to individuals aged 65 and older living with complex and serious mental illness, including dementia with behavioural and psychotic symptoms of dementia (BPSD).
The role involves travel to private homes and retirement settings within Durham Region and must have the ability to respond to the unpredictability of home environments.
The NP in this position will act as the most responsible provider (MRP) and will work with a team of Registered Nurses (RN) and/or Registered Practical Nurses (RPNs).
The NP in this role also manages diagnostic clarification and collaborates with a consulting psychiatrist for more complex presentations.
The NP will report to the Administrative Director of the Geriatric program.
Key Duties and Responsibilities
Acts as Most Responsible Practitioner (MRP) for patients admitted to this outpatient service.
Practices independently within legislated scope of practice.
Performs initial and ongoing psychiatric, medical and cognitive assessments.
Performs initial and ongoing physical assessments.
May prescribe, initiate, monitor and adjust medications within legislated scope of practice.
Prescribes medications accurately and safely, monitoring therapeutic responses, reactions, untoward effects, toxicity and potential incompatibilities with other medications or substances.
Recommends and monitors implementation of non-pharmacological interventions.
Monitors ongoing conditions and treatment for patients with stable and chronic illnesses.
Orders appropriate diagnostic treatments/interventions for management of patient presentations and conditions.
Provides family support, education and counseling on diagnosis, treatment options evaluation outcomes and follow-up plans with focus on health promotion and illness prevention.
Works with community partners in planning, treatment and establishing supports to maintain the patient in the community.
Works with internal or community partners to support the patient to access additional services to enhance their wellbeing, such as brain stimulation, addiction services, adult day programs, and home care services.
Utilizes evidence-based monitoring tools and scales (e.g. NPI, MMSE, MoCA, AIMs etc.).
Supports the development of behavioural management interventions in collaboration with the consulting psychiatrist and the interprofessional team.
Collaborates with patient and interprofessional team to develop and maintain treatment goals which meet the needs of the patient.
Supports the integration, sustainability and evaluation of organizational changes into practice.
Works with interprofessional team.
Documents in accordance with professional standards of practice and Centre policies and procedures.
Identifies the need for change, in the environment or practice system.
Manages rapidly changing circumstances, implements crisis intervention or critical procedures as necessary.
Facilitating an inpatient admission to support the patient’s physical or mental health when clinically indicated.
Supports chronic disease management and specialized geriatric medicine expertise and geriatric psychiatry expertise.
Requirements
- Nurse Practitioner with no practice restrictions, is required with extensive geriatric experience
- Knowledge and experience working with individuals experiencing complex mental health challenges required
- Current registration as a Registered Nurse – Extended Class (RNEC) with the College of Nurses of Ontario in good standing
- Graduate Degree (Master’s) (preferred)
- Certification in Mental Health Nursing (preferred)
- Certification in Gerontological Nursing (preferred)
- Certification in Canadian Academy of Geriatric Psychiatry (preferred)
- Current B.C.L.S. (Basic Cardiac Life Support)
- Current CPR – Health Care Provider
- Minimum 2 years Geriatric/Mental Health or related experience required
- Minimum 5 years in a Nurse Practitioner role (preferred)
- Knowledge of general and psychiatric nursing theory and practice, infection risk management, health promotion and health education/teaching activities
- Knowledge in the Dementia Quality Standards, GPA, PIECES
- Demonstrates effective written and verbal communication skills.
- Demonstrates problem solving, decision-making and conflict resolution skills
- Demonstrates clinical and social assessment skills
- Uses critical and analytical thinking skills. The job requires strong organizational, prioritization and time management abilities to ensure that assignments are completed within deadlines and established time frames.
Job Posting Closing
September 11th 2026. Please note any job applications after the closing date will not be considered Salary range Min$ 61.87- MAX $72.78
This is a 12 month temporary posting
Number of vacancy 1
