Site:
La Verendrye General Hospital
Department:
Diagnostic and Therapeutic Services
Status:
Part-time
Salary Scale:
$38.41/hr to $39.80/hr
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POSITION
(Title):
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Medication Reconciliation Nurse
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DEPARTMENT/SERVICE
AREA:
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Pharmacy Services
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SITE:
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LaVerendrye Hospital
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GROUP:
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CUPE 4807?
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FTE:
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0.67 (range of 19-33.75 hrs/week) (works 1 wknd every 3
wks)
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NUMBER
OF INCUMBENTS
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3
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REPORTS
TO (Title):
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Director, Therapeutic Services
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QUALIFICATIONS NECESSARY
- Successful completion of an approved
Registered Practical Nurse (RPN) program.
- Current certificate of competence from the
College of Nurses of Ontario (CNO).
- Demonstrated knowledge of College of
Nurses of Ontario Medication Practice Standard
- Demonstrated knowledge of systematic BPMH
process at all care transitions to perform the task safely and competently
- Formal medication reconciliation/BPMH
training (such as programs offered by ISMP) preferred
- Five (5) years of clinical nursing
experience required.
- Demonstrated knowledge of and commitment
to Riverside’s mission, vision, and values.
Problem Solving:
- Utilize critical
thinking skills to support patient assessment and treatment using the most
appropriate resources.
- Recognize and acknowledge patient issues and concerns
utilizing best practice approaches to support patients to find acceptable
resolution.
- Exercise judgment in managing competing demands based
on understanding of priorities.
- Work independently utilizing appropriate resources for
support as needed
Physical and Working Conditions
- Extended hours of standing and/or sitting required.
- Ability to prioritize workload.
- Self-motivated with the ability
to perform work assignments with minimal supervision and good
judgment
- Moderate levels of stress related to workload and
multi-tasking as well as constantly changing priorities
Knowledge and Skill
- Previous experience in medication safety.
- Strong knowledge of medications, pharmacy
operations and clinical
pharmacy activities within a hospital environment.
- Proficient
in the use of Meditech and Microsoft Office applications and other required
operating systems such as bar-coding systems, smart-pumps, automated dispensing systems, packaging equipment, physician order entry, and clinical decision support
systems.
- Thorough understanding of external resources
such as Healthcare Excellence Canada, Institute for Safe Medication Practices Canada
(ISMP), College of Nurses of Ontario Medication Standards, Accreditation Canada
standards, and the Ontario College of Pharmacists (OCP).
- High
degree of knowledge of relevant legislation, regulations, and jurisprudence in
information management, including, but not limited to the Personal Health
Information Protection Act (PHIPA), Freedom of Information and Protection of
Privacy Act (FIPPA), Accreditation Canada Standards, and College of Nurses
Documentation Standards
- Excellent communication skills and collaboration when interacting with patients, family members, and other members of the
health care team.
- Class
G Ontario drivers license, flexibility to travel to other sites
- Excellent
organizational ad time management skills
- Demonstrated commitment to quality improvement and patient safety.
- Ability to review and analyze data and ability to
generate metrics as well as written and verbal reports
- Demonstrated satisfactory attendance levels, work performance, disciplinary history, and positive work
references.
BASIC RESPONSIBILITIES:
The incumbent is responsible for collecting and verifying a patient's comprehensive medication regimen during transitions of care (e.g., hospital admission, transfer, or discharge). Their primary goal is to prevent medication errors by compiling an accurate medication snapshot.
SPECIFIC DUTIES:
- . Performs and completes Best Possible Medication
History (BPMH) for new admissions, transfers or repatriation within 24 hours of
admission by interviewing patients, gathering medication lists from clinical
viewer and retail pharmacy lists and entering the information in Meditech.
- . Assists the nursing staff by completing and following
up on BPMH completions on all units, especially in the Emergency Department and
the Operating Room.
- . Assists pharmacy staff in confirming and investigating
issues relating to patients’ home medications and gathers the necessary
information about the patient’s medical history.
- . Participates and assists in planning education events
that contribute to medication safety through knowledge and experience of
medication use systems (prescribing, administration, documentation, and
monitoring) by developing Surge Learning courses and other education
opportunities. Including the ISMP Medication Reconciliation workshop each year
or as deemed necessary.
- . Reviews, coordinates, and implements inter-and
intradepartmental medication safety initiatives as required.
- . Communicates periodically with the Electronic Health
Records (EHR) team to coordinate training for staff around BPMHs and reports
any Meditech issues to the team.
- . Maintains effective communication with colleagues and
leadership teams on quality initiatives and reports on any BPMH issues.
- . Works on developing and updating policies and standard
operating procedures relating to medication safety, safe handling of
medications and medication storage.
- . Communicates
(verbal and written) clearly and effectively with other healthcare providers
including pharmacists, physicians, and nurses as well as the effective use of documentation through
entering progress notes, and different
routines on Meditech.
- Fosters team environment by building relationships between departments,
providing clinical education, support, and training to staff members.
- Supports nursing
staff to maintain
safe medication areas,
e.g. medication rooms, WOWs (workstation on wheels), ADU
(automated dispensing units) etc.
- Investigates and follows up on specific
medication related incidents
as referred to and directed by the Director or
Pharmacist. Provides the team with ideas for different educational
opportunities for staff members.
- Stays up to date with ever-changing technological applications, related to Medication
Reconciliation.
- Uses external resources such
as the Healthcare Excellence Canada, Institute
for Safe Medication Practices
Canada (ISMP), College of Nurses of Ontario Medication Standards, Accreditation Canada standards, and the Ontario College of Pharmacists (OCP).
- Performs all aspects of registered practical nursing duties in accordance with the
RHC policies, procedures and standard operating procedures, standards of
practice of the College of Nurses of Ontario, current research, and best
practice guidelines.
- Performs various audits as
needed, analyzing data collected and preparing monthly, quarterly, annual
reports as necessary.
- Ensures a healthy and safe workplace by being a proactive role model,
promotes the internal responsibility
system and the Occupational Health and Safety Act, and encourages staff
participation in all safety and wellness programs.
- Adheres to safe work practices in all aspects
of position as per policy and procedures, identifies and reports
hazardous conditions and promotes a healthy and safe work environment by
example.
- Promotes a work environment free from aggression and unacceptable behavior
by personal example and following organizational policies and the RHC
code of conduct.
- Demonstrates highest
standards of customer
and patient service
for all internal and external
interactions and customers.
- Prioritizes and supports a
healthy and safe patient environment by creating an environment whereby
patient safety is paramount, addressing and reporting hazardous conditions as soon as
identified.
- Participates in continuing education and professional development to ensure up to date and current practices in all aspects
of the position.
- Performs other
such duties from time to time as may be designated by the Director, Therapeutic
Services.
CONDITIONS OF EMPLOYMENT:
- Human Resource Policies
- Corporation Policies
- Departmental Policies
Extra Information: