Year: 2017

Assistant Director of Clinical Services

Please note:  This is not a job listing, this is a job description. For current opportunities click here. This is a non-union position (Mgmt.).

POSITION: Assistant Director of Clinical Services
DEPARTMENT: Nursing and Rehabilitation Services
RESPONSIBLE TO: Director of Clinical Services

Reporting to the Director of Clinical Services, the Assistant Director of Clinical Services (ADCL) is a key member of the leadership team. Responsibilities include the day to day management and integration of resident care services throughout the organization in collaboration with the Director of Clinical Services and Supervising RN.

The essential areas of responsibility include creating and fostering an environment of clinical excellence, innovation, enthusiasm and professional growth. The ADCS shows initiative and flexibility, has a strong commitment to the maintenance of the health and quality of life of the residents, demonstrates principle-based decision making, leads a cooperative work environment and has an ability to organize time and resources effectively. The ADCS assists the Director of Clinical Services in assessing the effectiveness of clinical programs and activities on the basis of quality outcomes and alignment with best practices.

Functions and Responsibilities

  1. To promote and maintain the safety of residents, staff, and visitors as a strategic priority for the home at all times
  2. Assists in the planning, developing, organizing, implementing, directing and evaluating Continuous Quality Initiatives in the nursing department.
  3. Role models our core values in carrying out the philosophy, objectives, policies, and standards for resident care and related nursing services.
  4. Works with Sr. Leaders (Directors) and clinical service providers to ensure adherence with Long Term Care Program requirements.
  5. Leads the new resident admission process.
  6. Supports the Supervising RN’s / RRN’s in ensuring best practices are employed in addressing changes in resident conditions or behaviors [PIECES Model].
  7. Coordinates the department functions with all other departments and services of the Home.
  8. Consults and advises the Director of Clinical Services on concerns related to the Nursing Department and the Home.
  9. Assists the Director of Clinical Services in the recruiting, hiring, performance appraisal, coaching and progressive disciplinary process of the nursing staff.
  10. Promotes and maintains harmonious relationships among nursing personnel and with physicians, residents, families and the public.
  11. Plans, evaluates and directs orientation and educational training for all nursing staff. This would include the promotion of geriatric studies / certification opportunities and RN Premiums.
  12. Assists the Director of Clinical Services are in preparation of Annual Budget, and in tracking and analyzing monthly variances.
  13. Assumes responsibilities in the absence of the Director of Clinical Services.
  14. Willingness to pursue self-directed ongoing education and best practices in Continuing Care and Management.
  15. Participates in Union/Management discussions.
  16. Participates in the attendance support program.
  17. Participation on committees as required by the Director of Clinical Services.
  18. Assumes responsibility for Infection Control for the facility. Works with staff, Department Directors and Department of Health and Wellness in the development, updates, and annual education and implementation of an Infection Control Program.
  19. Responsible for carrying out other duties as may be required by the Assistant Director under the Homes for Special Care Act, Home’s by-laws and as determined by the Director of Clinical Services and/or CEO.

Leadership Competencies Required

  • Leading Others as demonstrated by the ability to establish focus, to provide motivational support, fostering teamwork, empowering others.
  • Managing Change as indicated by the ability to demonstrate support for innovation and for organizational changes needed to improve the organization’s effectiveness
  • Managing Performance as demonstrated by ability to take responsibility for one’s own or one’s employee’s performance by setting clear goals and expectations, tracking progress against goals, ensuring feedback and addressing performance issue promptly.
  • Communication as demonstrated by the ability to ensure that information is passed on to others who should be kept informed as well as the ability to express oneself clearly in conversations and interactions, in writing and to be able to plan and deliver conversations that have an impact and persuade their intended audience.
  • Interpersonal Awareness as demonstrated by the ability to notice, interpret and anticipate others concerns and feelings and to communicate this awareness empathetically to others
  • Influence Others as demonstrated by the ability to gain others’ support for ideas, proposals, objectives, projects and solutions
  • Building Collaborative relationships as demonstrated by the ability to develop, maintain and strengthen partnerships both internal and external to the facility
  • Customer Service Orientation perspective as demonstrated by the respectful, positive manner in which one responds to expressed concerns and the strong desire to find resolution and meet people’s needs
  • Information Gathering as demonstrated by the ability to identify information needed to clarify a situation and using skillful questioning to draw out information from reluctant sources
  • Thinking abilities including analytical, forward, conceptual and strategic abilities to enable one to tackle a problem, anticipate implications and consequences, find effective solutions and planning for the future direction of the Home
  • Initiative to identify what needs to be done and take action before being asked or the situation requires it
  • Results oriented to enable one to focus on the desired results, sets challenging goals and meeting or exceeding them
  • Thoroughness as demonstrated by ensuring that one’s own work, the work of employees and all information collected and shared is complete and accurate. Ensuring that commitments are fulfilled
  • Decisiveness as demonstrated by the ability to make difficult decisions in a timely manner
  • Self Confidence
  • Stress management
  • Personal Credibility
  • Flexibility

Position Specific Competencies

  • Clinical practice knowledge
  • Delivery models/designs knowledge
  • Safe practice initiatives
  • Utilization
  • Quality improvement Initiatives
  • Risk management theory & practice
  • Sound understanding of Ethical practice
  • Consistently acts as a role model for advocacy
  • Sound understanding of Union Contracts & Negotiations
  • Possess the person centered qualities and attitudes that respect the spirit, dignity and individuality of the Resident/resident and their family
  • Understands and is able to integrate a philosophy of person centered care into the daily operations of the nursing department
  • Able to supervise staff including the ability to mentor, coach and empower staff
  • A working knowledge of budgeting
  • Able to work independently and as part of the Leadership Team

Educational & Experience Qualifications

  • BSc Nursing Required
  • Licensed with CRNNS
  • Previous demonstrated leadership experience required
  • Demonstrated experience with Accreditation and Quality Initiatives
  • Excellent Computer Skills [Microsoft Word, Excel, Outlook]
  • Excellent written and verbal communication skills
  • Conflict Management / Resolution Training an asset [or willing to be trained]
  • SAFER Leadership Certificate an asset
  • I.E.C.E.S. Certificate
  • Teepa Snow Training or Gentle Persuasive Approach training an asset
  • WHMIS, PIPC and PHIA training an asset

 

Director of Clinical Services

Please note:  This is not a job listing, this is a job description. For current opportunities click here.

POSITION: Director of Clinical Services
DEPARTMENT: Nursing and Rehabilitation Services
RESPONSIBLE TO: CEO

As a member of the Leadership Team, the Director of Clinical Services provides oversight of Physiotherapy, Occupational Therapy and Nursing Services to ensure a coordinated and collaborative approach to resident care. The Director of Clinical Services works closely with the Assistant Director of Clinical Services to ensure clinical services are coordinated, collaborative across professional disciplines and all departments. Reporting to the CEO responsibilities include the day to day management and integration of clinical services throughout the organization. The essential functional areas of responsibility include the delivery of quality, safe clinical services  that respects and enhances the quality of life for every Resident and their family by ensuring adherence to applicable Standards of Practice, delivery of person centred care.  In keeping with our Mission, Vision and Values and our philosophy of Person Centered Care, the Director of Clinical Services serves as a positive role model; as a partner in the provision of care and support of our Residents, and represents the home in a positive, professional, efficient and confidential manner.

 

Key Responsibilities:

  1. Effectively manage Clinical Services through monitoring of the Rehabilitation  and Nursing Department  budgets ensuring that the annual budget is not exceeded
    • Monthly review and analysis of clinical services departmental financial data in collaboration with appropriate departmental mangers
    • Investigate variances, develop corrective action plan and report same to CEO
    • Participates in annual Capital equipment planning process in collaboration with other Senior Leaders
    • Submission of Capital equipment requests
  1. Coordinate the provision of Clinical Services that are person centered and that support and reflect the Mission, Vision and Values of the RK Mac Donald Nursing Home
    • Ensure annual review of clinical policies by appropriate clinical staff or manager and ensure revisions are completed as required.
    • Develop yearly clinical services delivery goals and objectives that support the Strategic Plan and are in support of achieving/maintaining Accreditation Canada standards
    • Ensure Licensed staff as well as all clinical services support staff maintain care practices in accordance with standards of practice and care that comply with operating requirements of department, relevant federal, provincial and professional legislation, standards &/or regulations
    • Provide assistance and direction to employees that facilitates the highest quality of efficient, effective and safe care
    • Provides systematic monitoring and evaluation of resident needs and satisfaction with care through collaboration with Departmental Directors (ie rehab Services or Nursing)
    • Monitor program and resident outcomes, evaluate all aspects of the operation and assess and plan for the future
    • Identify any outstanding issue or concerns of family, residents or staff and implement any corrective actions as required in collaboration with appropriate departments
    • Annually review and update Job Descriptions
  1. Effectively plan and oversee human resources in the rehabilitation and nursing departments in collaboration with the appropriate Departmental Director and Human Resources Coordinator
    • Actively participates in the departmental hiring process or appoints designate
    • Develops action oriented performance review systems
    • Ensures that probationary performance reviews with accompanying plan of development and goals are conducted as required by contract
    • Discipline, up to and including dismissal
    • Coaching, mentoring and empowering RN/LPN Team Leads, OT and PT
    • Supports and assists the RN/LPN Team Leads in coaching, mentoring and empowering their staff
    • Supports and assist the OT and PT in the development of leadership skills, collaboration and working to the full scope of their profession.
    • Approves vacation/LOA requests or appoints a departmental designate
  1. Ensure the orientation and ongoing education of departmental staff including development and continuing education through collaboration with Clinical Service Directors and the Education Coordinator
    • Ensure educational provisions are made to meet required performance standards
    • Work with clinical service manager to identify and prioritize learning needs of clinical services staff
    • Ensures that all clinical staff participate in required annual educational safety programs
    • Identify best practices and associated educational needs of clinical services departments
  1. Accountable for the Safety and Risk Management of Clinical services
    • Identification and management of potential risks in collaboration with Departmental Directors, RN / LPN Team Leads and other clinical support staff.
    • Participates as a Leader in the JOHS program and Risk Management Program
    • Monitoring and auditing of Departmental compliance as necessary
  1. Communication: through personal behavior and interactions, will consistently demonstrates a humanistic, affiliative approach to relationships:
    • Within department, with other team members and with union representatives
    • In all interactions, within and while representing the facility
    • With all Residents and families
    • While establishing and maintaining cooperative working relationships
  1. Ensures Continuous Quality Initiatives in all activities
    • Maintains clinical practice knowledge within professional designation
    • Ensures other Clinical Services Directors maintain practice knowledge
    • Establish and direct systems for evidence based practice/outcome measurement and improving quality of nursing care
    • Determine resident care quality improvement goals and objectives
    • Ensure that all staff maintain a current knowledge of trends and issues within the field and recommend changes in standards, policies and procedures, equipment and programs as appropriate
    • Analyze CQI data to identify solutions or improvements as required
    • Review relevant occurrences and ensure appropriate follow-up as required
  1. Participates in Committees/teams as required
    • Ensure that all nursing committees are structured and focused on meeting the Goals established by the Strategic Plan
    • Sits as a Chair of at least one organizational committee
  1. Leadership Roles
    • Active participant on the leadership team
    • Demonstrates integration of the Mission, Vision and Values into practice
    • Participates in annual Strategic planning process
    • Participates in Succession planning
    • Evidenced based clinical decision making

Leadership Competencies Required

    • Leading Others as demonstrated by the ability to establish focus, to provide motivational support, fostering teamwork, empowering others.
    • Managing Change as indicated by the ability to demonstrate support for innovation and for organizational changes needed to improve the organization’s effectiveness
    • Managing Others as demonstrated by the ability to work with others to coach and mentor them to develop their capabilities
    • Managing Performance as demonstrated by ability to take responsibility for one’s own or one’s employee’s performance by setting clear goals and expectations, tracking progress against goals, ensuring feedback and addressing performance issue promptly.
    • Communication as demonstrated by the ability to ensure that information is passed on to others who should be kept informed as well as the ability to express oneself clearly in conversations and interactions, in writing and to be able to plan and deliver conversations that have an impact and persuade their intended audience.
    • Interpersonal Awareness as demonstrated by the ability to notice, interpret and anticipate others concerns and feelings and to communicate this awareness empathetically to others
    • Influence Others as demonstrated by the ability to gain others’ support for ideas, proposals, objectives, projects and solutions
    • Building Collaborative relationships as demonstrated by the ability to develop, maintain and strengthen partnerships both internal and external to the facility
    • Customer Service Orientation perspective as demonstrated by the respectful, positive manner in which one responds to expressed concerns and the strong desire to find resolution and meet people’s needs
    • Information Gathering as demonstrated by the ability to identify information needed to clarify a situation and using skillful questioning to draw out information from reluctant sources
    • Thinking abilities including analytical, forward, conceptual and strategic abilities to enable one to tackle a problem, anticipate implications and consequences, find effective solutions and planning for the future direction of the Home
    • Initiative to identify what needs to be done and take action before being asked or the situation requires it
    • Results oriented to enable one to focus on the desired results, sets challenging goals and meeting or exceeding them
    • Thoroughness as demonstrated by ensuring that one’s own work, the work of employees and all information collected and shared is complete and accurate. Ensuring that commitments are fulfilled
    • Decisiveness as demonstrated by the ability to make difficult decisions in a timely manner
    • Self Confidence
    • Stress management
    • Personal Credibility
    • Flexibility

Position Specific Competencies

    • Clinical practice knowledge
    • Delivery models/designs knowledge
    • Safe practice initiatives
    • Utilization
    • Quality improvement Initiatives
    • Risk management theory & practice
    • Sound understanding of Ethical practice
    • Consistently acts as a role model for advocacy
    • Sound understanding of Union Contracts & Negotiations
    • Possess the person centered qualities and attitudes that respect the spirit, dignity and individuality of the Resident/resident and their family
    • Understands and is able to integrate a philosophy of person centered care into the daily operations of the nursing department
    • Able to supervise staff including the ability to mentor, coach and empower staff
    • A working knowledge of budgeting
    • Able to work independently and as part of the Leadership Team

Educational Qualifications

    • Baccalaureate Degree in Nursing, Physiotherapy, or Occupational Therapy required.  Masters Degree is preferred

Experience Required

    • 5 years management experience in nursing
    • Experience in gerontology nursing an asset

GPA Leadership Excellence In Person-Centered Care

AGE congratulates the R.K. MacDonald Nursing Home for their winning of the 2016/2017 GPA Leadership Excellence In Person-Centered Care award.
2016 | 2017 Award Recipients
From the Advanced Gerontological Education press release:

R. K. talks about sustaining GPA and how implementation is impacting care:

“We have two on-staff GPA Certified Coaches … we commit to training all staff and implementing GPA practice, principles and techniques into our Resident Plan of Care and our organizational policies … [GPA will be] embedded into the fabric of the home.”

“From February to June we provided GPA to 72 staff members and 14 CCA students … training will continue until all staff — from all disciplines — have completed training … staff who have had the opportunity to attend GPA Basics really benefited from the interdisciplinary design of the program.”

“R.K.’s approach to sustainability and practice change will include GPA coaching one-on-one … developing GPA mentors … providing consistent feedback to staff on their approach to care.”
“We will definitely be including a GPA-Recharged (GPA-R) refresher when staff require.”

Uniqueness of spirit and character drive life plans for residents at R. K. MacDonald

East coast warmth shines through! “The R.K. MacDonald Nursing Home in Antigonish, Nova Scotia, fondly known as‘The RK’, is home to 136 residents as well as several cats and birds. Our 240 full-time, part-time and casual staff and our visiting dog program complete our family. The RK is a rich and vibrant community that recognizes and appreciates the uniqueness of every person who lives and works here.”

AGE Press Release

Strategic Planning Update

The Rk MacDonald is proud to release the annual update to our Strategic Plan for 2017/2018. These directions were created through a community process and capture the voices of residents, families, staff, Board members, volunteers and other community partners. We were excited to embark on this consultation process and the end result is a reflection of both our past and our collective vision for the future.

Arts Canopy Project Benefits Celebrated

The Arts Health Antigonish Arts Canopy project was recently recognized with an artwork unveiling.

A well-attended art unveiling at R.K. MacDonald Nursing Home, Sept. 26, served as an appropriate time to recognize the good work done, as well as continuing efforts of, Arts Health Antigonish’s (AHA) Arts Canopy Project.

“Arts Canopy Project is an Arts Health Antigonish initiative which has helped to bring a number of arts-based projects to people; seniors and other folks, who are living in the community,” program co-ordinator Mary Partridge told the audience gathered for the unveiling, in the front foray of the nursing home on Pleasant Street.

You can read the entire article, which was posted on October 4th, on the Casket’s website here.

Planting Memories

Resident Edgar McPhee recently chatted with Casket reporter Richard MacKenzie about his life long passion for gardening and how he is using his skills to enrich the lives of other Residents.

Edgar McPhee has had a lifelong passion for gardening and he continues to display his green-thumb as a resident at R.K. MacDonald Nursing Home in Antigonish.

McPhee planted vegetables in garden boxes on the home’s grounds, which are at a height he can work with from his wheelchair.

McPhee noted he has been at the R.K. for two years and he has done the gardening both years.
“Last year and again this year,” he said, adding his crops include; “cucumbers, turnip, beans [green and yellow], beets, onion, and tomatoes.”

Asked about his selections, McPhee said they’re choices “we can use” and it’s noted he also shares his produce with some folks outside of the R.K. as well.

You can read the entire article, which was posted on September 8th, on the Casket’s website here.

Teepa Snow at The RK

Teepa Snow, one of the world’s leading educators on dementia, was at the R.K. MacDonald Nursing Home, July 7, conducting a session for healthcare providers on assisting those with dementia.

Chatting with the Casket during a short break in the lively training session, Snow talked about breaking down stigmas around dementia and improving awareness.

“We have to stop acting like this is something weird and unusual; dementia is a part of people’s lives,” Snow said.

“One in five families right now and one in two within 15 to 20 years … it’s everywhere.”

“We have to stop talking like it’s all horrible. It’s hard, we’re not going to say it isn’t, but we have to figure out how to live with it. We’re talking eight to 12 years of symptoms on average. Families are dealing with it and they don’t even know they are dealing with it, which is craziness.”

 

This excerpt reproduced with permission from the generous staff of The Casket. Read the full piece here.

Family Council Meeting

There will be a Family Council Meeting on Wednesday, May 17th from 3:30pm to 4:30pm at the RK MacDonald Nursing Rhubarb Patch Room.

For more information on the Family Council please click here.

‘A very special man’

Our celebration of a very special man was recently featured in the The Casket.

   On Jan. 16, Charlie Worth was the guest of honour as he and some family members joined staff and residents of the home for plenty of reminisces and, of course, a lot of laughs.

You can read the full article here on the The Casket’s website.

Family Council Meeting

There will be a Family Council Meeting on Wednesday, January 11th from 3:30pm to 4:30pm at the RK MacDonald Nursing Rhubarb Patch Room.

For more information on the Family Council please click here.