Simply Ducky

Director, of Environmental & Food Services

Aug 17, 2020

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

POSITION: Director, Environmental Services & Food Services
DEPARTMENT: Environmental Services & Food Services
RESPONSIBLE TO: CEO

As a member of the Senior Leadership Team, the Director of Environmental & Food Services provides oversight and strategic direction of the Environmental and Food Services Departments. The Director provides a vital link between the Environmental and Food Services department and its personnel and the leadership team. Reporting to the CEO, the Director of Environmental & Food Services is responsible for the overall management and delivery of services of the departments in collaboration with departmental supervisors. The essential functional areas of responsibility include infrastructure planning and coordination as well as providing the direction and supervision for the overall safe and efficient running of the physical building and equipment, program accountability, sanitation, safety and security, equipment use and care, procurement, financial management and record keeping, personnel management and professional development. In keeping with our Mission, Vision and Values and our philosophy of Resident Centered Care, the Director of Environmental & Food Services, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.

Key Responsibilities

Operations Management (50%):

Responsible to lead, coordinate, direct, manage, operate, inspect and maintain the plant facility, equipment and grounds , which includes routine daily and periodic maintenance repairs, major repairs, renovations, and construction projects, and where possible, provides maintenance repairs with outside contractor support (i.e. boilers, generators, lifts, kitchen & laundry equipment, wheelchairs etc.).
Responsible to lead, coordinate, direct and manage food preparation, central laundry services and housekeeping services in collaboration with supervisors.
Ensure compliance with all applicable government inspection processes, policies, standards, requirements and service agreements for maintenance, housekeeping, laundry and kitchen areas of responsibilities.
Develop policies and procedures relevant to “Operations” (maintenance, laundry, kitchen and safety; all hazards, safety management system, violence assessment, pandemic etc.) in compliance with regulations for approval by the CEO. Revises as necessary the Fire &Safety Plan and process training, orientation and refreshers as required, orient and train RN duty supervisors on essential operation plan and processes.
Playing a key role in the procurement of equipment, supplies, chemicals and contracted vendor services for laundry, kitchen, housekeeping, and maintenance; studying usage reports; monitoring controls & resource usage consumption(BAS/electricity, fuel), increasing efficiency, identifying trends; anticipating needed supplies; approving requisitions and cost allocations, analyzing variances; initiating corrective action; providing CEO with reports, cost data, logs and proposals as requested and negotiate best terms.
Liaise with contractors, vendors and other Long Term Care partners on facility related requirements or services.
Monitor contractors and care team members to ensure safety protocols are being followed.
Plan, initiate, conduct, participate, document and assess monthly evacuations fire drills as required, and revise plan/processes accordingly.
Develop preventative maintenance program on all equipment and ensure maintenance and repairs are performed on a variety of equipment.
Ensure inspections are completed, documented and signed by the administrator;

2. Human Resources Management (20%):

Lead, direct, and manage all Human Resource aspects for Employees assigned to Maintenance, Laundry and Kitchen (50 staff).
Complete probationary appraisals and annual employee performance development plans.
Participate in Attendance Support Program.
Supervise, evaluate, initiate corrective action and dismiss, if necessary, employees in consultation with the CEO/HR Coordinator.
Monitor utilization of personnel through work assignments and payroll schedules, ensuring utilization is optimal within budget to meet quality Resident care and service.
Work in accordance with respective collective agreements at the facility to foster good labour management relations.
Participate in Labour Relations (Union/Management) discussions in and Collective Bargaining negotiations.
Plan and lead regular staff meetings for the departments
Coach, mentor, and support to establish and maintain good communication practices within and across functional disciplines within the facility
Ensure employees are up to date in Occupational Health & Safety requirements, including WHIMIS, fire safety and emergency evacuation & ensure personal protective equipment is provided and enforced in all areas of responsibility (maintenance, laundry, kitchen and household)

Service Delivery (20%):

Act as the “centre of expertise” and key resource to the organization for the area operational services (maintenance, laundry, housekeeping and food preparation)
Provide communication between departments to encourage a collaborative community environment.
Play a lead role in the orientation of new residents and families to the facility.
Communicate with Residents and Family Members addressing Resident and Family issues and concerns as required.
Model and foster the development of R.K. MacDonald’s Mission, Vision and Core Values through words and actions
Utilize continuous quality improvement principles and evidence based decision making processes to ensure delivery of quality care and service
Ensure Quality Management and Risk Management practices are within standard. Address non-compliance issues, engaging functional expertise as required.
Meet, or exceed, compliance with the Long Term Care Program Requirements and Building Standard in all aspects of the position.

Financial Management (10%):

Effectively oversees the management of the Environmental & Food Services departmental budgets ensuring that the annual budget is not exceeded
Coordinate and prepare the annual DOHW capital equipment request
Monthly review and analysis of financial data, investigate variances and suggest corrective actions
Oversees purchasing, ordering, stock and inventory of departmental supplies and equipment in collaboration with departmental supervisors.
Authorizes all departmental expenditures
Oversees staffing and schedules to minimize overtime in collaboration with departmental supervisors.
Manages bidding/tender process on projects exceeding $10,000
Oversight of departmental payroll
Actively investigate, promotes and participates in cost saving measures through collaboration with other LTC facilities and participates in provincial joint RFP opportunities with approval of administrator.

Leadership Competencies Required

Leading Others

As demonstrated by the ability to establish focus, to provide motivational support, fostering teamwork, empowering others.

Managing Change

As demonstrated by the ability to work with others to coach and mentor them to develop their capabilities.

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.

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, Skills & Abilities

Safety focused
Knowledge of electrical, boiler, plumbing
Demonstrate respect for the spirit, dignity and individuality of the Resident
Understands, supports and is able to integrate the philosophy of person centered care in to the daily operations of the department
Staffing models and scheduling practices
Quality improvement Initiatives
Risk management theory & practice
Consistently acts as a role model
Sound understanding of Union Contracts & Negotiations
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

Preference to candidates with a 2-year diploma in Civil Engineering Technology (Certified Engineering Technologist (C.E.T.) designation or an acceptable equivalent).
Certificate or experience working with computerized maintenance systems.
Strong technical abilities with Microsoft programs an asset.
Knowledgeable of regulations such as building codes, fire and Dept. of Health and Agriculture requirements, Occupational Health & Safety, and WHIMIS.

Experience Required

Minimum three years experience managing facility operations or construction projects required; proven work experience independently managing facility operations of a similar size or facility with a plant.
Minimum three years in a management supervisory role.

Dietician

Aug 17, 2020

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

POSITION: Dietitian
DEPARTMENT: Food Services
RESPONSIBLE TO: Director of Environmental and Food Services

Reporting to the Director of Environmental and Food Services, the Dietitian will develop, coordinate and evaluate nutritional services for the Home. The Dietitian assists the Director in the day to day management of the Food Services operation and its personnel and provides a vital link between the department and its personnel and the leadership team. In addition, the Dietitian assists the Director in identifying goals and objectives to further improve the overall scope and efficiency of the Food Services Department and sets the standards for safety, sanitation, and food quality.

As an employee of the RK Mac Donald Nursing Home, every person has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with our Mission, Vision, Core Values and our philosophy of Resident Centered Care, the Dietitian 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:

Understands that the Resident and family are central to all departmental activities, services and decisions.
Establishes and maintains working relationships and performs all work in keeping with the Mission, Vision, Core Values and philosophy of resident centered care of the RK Mac Donald Nursing Home and professional Standards of Practice and Code of Ethics.
With the Director, plans, organizes, directs, and implements the food service to ensure that the department functions optimally, through the following activities:

- Completion of departmental payroll in collaboration with Administrative Assistant.
- Approval of department schedule and schedule changes.
- Oversees the appropriate purchasing, ordering, and stock and inventory control in collaboration with the Administrative Assistant. Monthly costs are discussed as necessary with the Director.
- Provide overall supervision of all food services including preparation, delivery and serving of all meals as well as any catering functions in collaboration with cooks.
- Develops, facilitates and mentors a cooperative team approach in the provision of food services
- Alerts the Director to performance issues, complaints or concerns by residents or family members. Progressive discipline is the responsibility of the Director, however the Dietitian can act in the Director’s absence working collaboratively with HR and/or CEO.
- Assists the Director in coaching and mentoring dietary staff.

Replaces the Director in their absence.
Provides overall supervision of Food Services Department and participates in Food Services meetings.
Acts as a liaison between residents, Nursing, and the Food Services Department to best meet the resident’s diet/meal needs. Informs Food Services, Nursing and Recreation Departments of changes as they occur. Updates diet manuals, diet profiles, floor lists, and tray tickets.
With Director, establishes policies for procurement, storage, and preparation of food as recommended by the Department of Health and Infection Control Guidelines.
Establishes regular, soft, and puree menus with the Director to ensure that residents receive a nutritionally adequate diet based on Canada’s Food Guide.
As part of the Dysphagia Team, works with the Occupational Therapist to assess and treat dysphagia, as well as educate staff.
Establishes therapeutic, texture modified, and IMP menus which correspond with the regular menu so that special diets are available to residents as their diagnosis warrants.
Performs initial nutrition assessment on all new admissions within two weeks of admission.
Attends resident care conferences bi-annually (or as they occur) that includes completing a nutrition assessment and making recommendations pertinent to the resident’s nutritional well-being.
Recommends (nutritional) supplementation to residents as required.
Participates in various committees and meetings according to personal interests and/or the Home’s needs. Examples include: Co Chair -Wellness Committee, Dementia Care Committee, Medical Advisory, Resident Council, Accreditation, etc.
Conduct basic nutrition in-services for staff in relation to special diets, feeding techniques, and hydration.
Responsible for the provision of nutrition care as advised by the principles of “Best Practice for Food, Nutrition, and Dining Services in Long Term care.”
Be familiar with the following R.K. manuals; Fire & Emergency Plans, Departmental Policies and Procedures, WHMIS, Occupational Health and Safety, and other programs in place.
Participates in annual online and onsite in-servicing for WHMIS, Fire and Safety, and Protection of Persons in Care Act, safe lifting and transfer, PHIA and handwashing.
Maintains certification of Food Handling Course, Department of Agriculture and Fisheries (certification is valid for 5 years).
Performs additional duties as assigned.

Required Education

Bachelor’s Degree in Foods and Nutrition from a recognized University.
Completion of Dietetic Internship approved by Dietitians of Canada.
Member of Nova Scotia Dietetic Association or eligible for membership.

Required Experience

Previous experience in a long term care facility preferred.
Supervisory ability preferred.
Familiarity with food service operation and equipment would be an asset

Additional Skills & Abilities Required

Excellent written and verbal communication skills
Familiarity with computer operation would be an asset

Working Conditions

Atmosphere may at times be warm and noisy

Senior Cook

Aug 17, 2020

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

POSITION: Senior Cook
DEPARTMENT: Food Services
RESPONSIBLE TO: Director of Food Services

Under the direction of the Director of Food Services, the Senior Cook is responsible for the preparation, seasoning, and cooking of salads, soups, fish, meats, vegetables, desserts and provision of baked goods and other foods. As an employee of the RK Mac Donald Nursing Home, every person has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with our Mission, Vision and Core Values and our philosophy of Resident Centered Care, the Senior Cook 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.

While all kitchen staff must maintain clean, germ-free work areas, cooks in health care facilities must pay particular attention to the safety of their foods. Cooks must continuously clean work areas, food and cooking utensils. Cleaning is performed before, during and after cooking.

Functions and Responsibilities:

Understands that the Resident and family are central to all departmental activities, services and decisions
Establishes and maintains working relationships and performs all work in keeping with the Mission, Vision, Values and philosophy of resident centered care of the RK Mac Donald Nursing Home
To promote and maintain the safety of residents, staff, and visitors as a strategic priority for the home at all times.
Prepares and assists in the preparation of breakfast, dinner, and supper meal items in sufficient quantities to cover the needs of the department as well as baked goods, desserts, sandwiches and salads.
Assists in maintaining sanitation and safe food handling standards.
Prepares and assists in the preparation of food in sufficient quantities to cover the needs of the department by:

- Requisitioning needed supplies based on established menus and catering requirements in sufficient quantities and sufficiently in advance.
- Following and ensuring that task lists are completed in a timely manner.
- Checking to determine what food preparation is required for the next day and ensuring that all items are readily available.
- Cooking for the Home using a variety of utensils and appliances in accordance with established procedures.
- Maintaining high standards of food production and portion control.
- Following standardized recipes as required, unless otherwise specified
- Formulation of standardized recipes with members of other Home departments regarding any problems or special requests they may have regarding food preparation.
- Actively controlling food costs by making effective use of leftovers and eliminating waste wherever possible.
- Reporting any menu changes to the Dietitian or Director of Food Services.

Maintains high sanitation and safe food handling practices by:

- Temperature of all food items taken and logged for each meal.
- Checking all cooking equipment in the kitchen areas on a regular basis.
- Reporting all defective or hazardous equipment and/or conditions.
- Completing regular cleaning checklists and following up on any problem areas noted.
- Ensuring equipment used and area is cleaned after use.

Must be familiar with Department Policies and Procedures Manual, WHMIS, and EMO.
Attend and/or update online annual education requirements i.e. WHMIS, Fire Safety, Handwashing, etc. and recertify Food Handlers certification (every 5 yrs.).
Perform additional related duties as assigned by the Director of Food Services or Dietitian.

Education, Training and Experience

Thorough knowledge of institutional food production, safety, and sanitation in food handling.
Must be adept at reading, comprehending, and following complex dietary instructions, menus, and recipes.
Sound comprehension and judgment, with the understanding of food handling and preparation practices and recipe adjusting.
High School Diploma, GED or equivalent.
Completion (Certificate) of a formal and practical training in food preparation from a recognized cooking school.
1-3 years practical experience. (Practical Experience in Long Term/Residential Care considered would be an asset)
Must have Food Handlers Course.
Journeyman papers (e.g. red seal) preferred.

Effort

Mental: The work requires accurate estimation of food needs and conversion of recipes for quantity food production. The work requires planning of menus, specials and catering functions. The incumbent must be able to head off potential problems and deal with them effectively.

Physical: The work requires continuous walking, standing while preparing, and serving meals. The incumbent is required to lift up to 50 pounds without the help of another person.

Responsibility

Safety of others; the work requires the observation of normal safety precautions in operating stoves and appliances, cooking food and handling equipment and ensuring that those under their supervision do the same.

Resources and Services: the work requires effective and efficient control of food and associated costs. Errors in menus, recipes and orders could have a significant effect on resident care. Errors in inventory could result in unnecessary costs for both the company and the Home.

Working Conditions

Environment: the work requires prolonged exposure to heat from cooking and serving equipment and occasional exposure to cold temperatures in refrigerators.

Hazards: the work requires operating stoves, appliances, and handling kitchen tools with a result frequent exposure to minor injuries such as burns, scalds, and cuts.

Supervision

There are two Senior Cooks on per day, in the absence of the Director/Dietitian, the assigned Lead Senior Cook position requires supervision of the second Senior Cook on duty and functional supervision of all employees engaged in the food preparation and delivery and ensure the timely replacement of call-ins for shifts for the Food Service Dept. following staffing protocol.

Personal Suitability

The work requires reliability, adaptability, effective interpersonal relations, effective leadership, and ability to work under pressure and good personal hygiene and neatness.

Director of Finance

Aug 13, 2020

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

POSITION: Director of Finance
DEPARTMENT: Finance
RESPONSIBLE TO: CEO

As a member of the Leadership Team, the Director of Finance provides the day to day management of the financial services operation and its personnel and provides a vital link between the finance department and its personnel and the leadership team. Reporting to the CEO, the Director of Finance is responsible for the overall management and delivery of services of the department. The essential functional areas of responsibility include the planning, development, implementation and management of accounting and financial management policies, procedures and systems. In keeping with our Mission, Vision and Values and our philosophy of Resident Centered Care, the Director of Financial Services, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.

Key Responsibilities:

Effectively oversee the facility budget
- Flag any significant variances and ensure that these variances are brought to the attention of the CEO
- Provide guidance to CEO and Directors in managing variances
- Ensure the conservation of the assets of the Home by planning, developing, implementing, managing, evaluating and monitoring financial policies and procedures, accounting systems and internal and external reporting and analytical systems.
- Maintain the financial records of the RK MacDonald Nursing Home in accordance with Generally Accepted Accounting Principles (GAAP) including reconciliation of the Protected budget envelope
- Prepare and assist as required in the required annual audit
- Ensure the timely and accurate recording of all financial and statistical transactions including bank reconciliation as well as providing supervision of Accounts Payable and Accounts Receivable, and trust accounts
- Provide monthly financial statement for the Board of Directors
- Ensure that accounting decisions are in the best interest of the board and, in particular, its financial operations, by being fully aware of the Home’s accounting requirements.
- Working with CEO, Analyze budget approvals from DOHW against budget requested
- Assist in development of Home’s business planning process including preparation of annual budget.
- Assist all other Directors and Coordinators in explaining budget variances and methods of expenditure reductions in areas of deficit.
- Coordinate submission of data and/or payments to various external agencies such as NSHEPP, CRA, Stats Canada, DOHW, licensing and insurance
- Coordinate submission of Nursing Strategy, Leadership and Education Premium recoveries
- EFT with updates to Occupancy and Revenue Journals
- Process the EFT for payments to Resident accounts
- Accurate maintenance of data into Acc Pac with monthly reports to Directors
- Payroll transfer functions
- Generation of annual T4 for all employees

Coordinate the provision of Finance department services that are Resident centered and that support and reflect the Mission, Vision and Values of the RK Mac Donald Nursing Home

- Develop, implement and annual review departmental policies and procedures
- Develop departmental yearly departmental goals and objectives that support the strategic plan
- Annually review and update departmental job descriptions

Effectively manage the human services within the Finance department

- Working with the HR Department, responsible for the hiring of employees
- Manages staff performance on a daily basis and performs annual performance reviews on all staff
- Coaches, mentors and empowers staff
- Conducts monthly departmental meetings
- Approves departmental LOA and vacation requests
- Progressive discipline, and when warranted and upon consultation with HR and CEO, up to and including dismissal

Ensure the orientation and ongoing education of departmental staff including development and continuing education

- Works with Education Coordinator to identify departmental specific needs
- Ensures all staff attend yearly mandatory education

Accountable for the safety and risk management of the financial department

- Identify potential departmental risks and implement strategies to minimize risk
- Participate as a leader in the JOHS and Risk Management programs

Communication – through personal behavior and interactions, demonstrates a humanistic, affliitative approach to relationships

- Within department, with other team members and union representatives
- In all interactions within and while representing the facility
- With all Residents and families
- In all interactions in the Home

Continuous Quality Initiatives
- Ensure that the independent accounting systems, policies and procedures meet the requirements of the board and government by adhering to CHA/MIS and CICA standards and guidelines and principles.
- Ensure the efficient operations of the accounting branch through the organization of the work, delegation, setting standards, reviewing operations, conducting meetings, general observations, and implementing the concepts and visions of the quality management program
- Establishes and directs systems for measuring and improving quality of departmental services

Participates in Committees/teams as required
- Acts as committee chair on one in-house committee
- Participates on other committees as required

Other duties as required

- Provides phone system back-up
- Liaison role with external IT services

Leadership Roles

- Active participant on Leadership Team
- Demonstrates integration of Mission, Vision and Values into practice
- Active participant in Strategic Planning process
- Commitment to excellence and moving the organization forward

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, Skills & Abilities

Sound knowledge of financial management concepts and systems.
Ability to effectively use personal computers, including word processing and spreadsheet programs.
Ability to think creatively, develop policies, terms of reference, implementation plans and result evaluations.
Ability to execute plans, seeking and implementing imaginative and effective ways to continually improve operations.

Educational Qualifications

Professional designation required.

Experience Required

Minimum of three years management experience at the senior level, preferably in health care.

Occupational Therapist

Jun 30, 2020

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

POSITION: Occupational Therapist
DEPARTMENT: Walking Stick Rehabilitation
RESPONSIBLE TO: Director, Rehabilitation Services

Reporting to the Director of Clinical Services, the Occupational Therapist is responsible for encouraging growth through the provision of programs and services to residents according to established standards and administrative policies. This will involve promotion of health and optimal occupational performance; prevention of disability; assessing resident’s needs, and planning, implementing, evaluating and documenting a plan of care. Occupational Therapists work as part of a multi-disciplinary team. As an employee of the RK Mac Donald Nursing Home every person has a responsibility to be involved in providing a stimulating environment for the residents. In keeping with the philosophy of RK MacDonald Nursing Home and the established policies and procedures of RK MacDonald Nursing Home, all services provided are in accordance with residents’ personal choice and preferences with the aim of achieving excellence in the care and well-being. In keeping with our Mission, Vision and Core Values and our philosophy of Resident Centered Care, the Occupational Therapist, as a partner in the provision of care and support of our Residents, represents the home in a positive, professional, efficient and confidential manner.

Key Responsibilities

Professional Accountability

Carries out assessment, plan implementation, plan evaluation and education in accordance with RK policies and procedures, the Occupational Therapy Code of Ethics, the National Occupational Therapy competency requirements, and the Occupational Therapy Act of Nova Scotia.
Conducts self within legal/ethical/professional obligations and requirements.
Performs beyond entry level competencies and within medical directives and delegated medical functions as approved for the practice setting as per the the National Occupational Therapy competency requirements, and the Occupational Therapy Act of Nova Scotia.
Works as a champion of person-centered care.
Respects the individuality, autonomy and confidentiality of the resident and ensures the resident is treated respectfully and uses an resident centred approach involving shared decision making and responsibility with the resident and Substitute Decision Maker.
Demonstrates professional integrity and a commitment to the well-being of all residents.
Engages in professional development and lifelong learning activities.
Orientation of new employees and mentoring / preceptors new and existing employees as appropriate.
Acts as a mentor / preceptor for student clinical internships.

Communication and Collaboration

Establishes and maintains effective communication with residents, relevant others and professional colleagues.
Maintains an accurate account of care given through clear, concise, written and verbal communication and evaluates, communicates and documents resident response to care in a timely manner.
Develops and maintains information systems to ensure appropriate access to accurate, objective, relevant information about the resident and general occupational therapy services.
Collaborates, partners, and communicates with the individual, family, and external service providers when there is a difference between the care plan and the wants, needs and abilities of the resident.
Demonstrates effective collaboration and inter-professional teamwork by consulting and sharing information with other health professionals, family and community organizations in a timely manner, provided resident consent is obtained where required, to ensure comprehensive, safe service delivery.
Facilitate admission planning and transitions across the health care continuum, ensuring the resident’s needs are met in appropriate setting.
Participation in staff meetings or working group meetings.
Participation in and /or leadership of program planning, research, continuous quality improvement initiatives, committees, staff education, safety initiatives, and accreditation as requested.
Demonstrates effective verbal and non-verbal communication abilities to prevent adverse events.
Communicates effectively in special high-risk situations to ensure the safety of residents.

Assessment / Treatment / Education

Participates in screening and prioritizing referrals to Occupational Therapy to determine the individual’s need for Occupational Therapy Services as required. Identifies the resident, based on each unique situation, and identifies the resident’s support system (e.g., family, significant others, caregivers, community, etc.).
Consults with the resident on options for service; explains and obtains resident consent. Services at the RK include:

- Seating prescription – assessment and maintenance
- Assessment and provision of Individual Specialized Equipment
- Administration of the Red Cross Specialized Equipment
- Dysphagia Assessment
- Pressure Management – Wound care
- Activities of Daily Living Assessment
- Administration of wheelchair safety audits and maintenance
- Administration of specialized mattress program
- Assessment and provision of slings for ceiling / hoyer lifts
- Transfer Code and Mobility Assessments
- Mental Health and Behavioural Assessments
- Provide clinical education to occupational therapy student interns
- Provides annual Safe Lifting and Transferring In-services for CCA staff

Selects an appropriate theoretical approach to address the resident’s occupational performance issues.
Advocates with resident to establish positive first contact, consults on options for service; educates and collaborates to establish/remind resident of previous signing and document consent.
Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
Collaborates with resident to identify priorities for assessment and possible expected outcomes.
Collaborates with members of the healthcare team and resident to collect, validate and expand assessment data.
Documents and communicates pertinent information in a timely and concise manner.
Monitors, through assessment data, the ongoing status of the resident.
Recognizes changes in occupational performance and engagement, functional abilities, and health care needs and adjusts the care plan accordingly.

Planning

Engages the resident in the goal setting process to identify the resident’s priorities.
Engages in critical thinking, analyzes and interprets assessment data for the resident, his/her support system and the health care team to identify the resident’s occupational performance issues, strengths and weaknesses.
Re-evaluates and adjusts theoretical approach (es) as necessary to fit with the resident’s Occupational Performance Issues (OPIs).
Through collaboration with the resident, develops the plan of care based on the analysis of assessment findings, chosen theoretical approaches, clinical best practices, and the resident’s vision for his/her life opportunities.
Initiates planning and establishes short and long term goals, expected outcomes, a plan of care, and a discharge plan.
Applies knowledge of pertinent Occupational Therapy and related healthcare research and evidence to care planning; uses current knowledge to justify plan of care.
Integrates interdisciplinary and multiagency factors into the care plan.
Negotiates and communicates with the resident, his/her support system, the health care team, and service providers when there is a difference between the care plan and the wants, needs and strengths of the resident.

Implementation

Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize occupational functioning and minimize barriers that impede occupational engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person, occupation, and environment collectively as these elements are inter-related.
Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
Plans for timely completion of occupational therapy intervention and follow-up, as required, to meet resident’s needs.
Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
Supervises Rehabilitation Assistants, and Rehabilitation Aides.

Evaluation

Engages the resident in treatment (either individual or group) by providing interventions with an aim to maximize occupational functioning and minimize barriers that impede occupational engagement. Implementation of the plan involves promotion of safety, choice, and risk engagement.
Interventions may occur in resident’s usual environment and may include one or more of the following: remediation, adaptation, compensation, prevention, health promotion, or education. Interventions typically target the person, occupation, and environment collectively as these elements are inter-related.
Teach and coach residents and families in a flexible and creative manner using accurate and consistent information, which may include the development of educational materials.
Plans for timely completion of occupational therapy intervention and follow-up, as required, to meet resident’s needs.
Delegates appropriate tasks / activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
Supervises Rehabilitation Assistants, and Rehabilitation Aides.

Other Related Duties

Other duties as assigned by the Director of Clinical Services

Inter-professional Competencies

Describes one’s roles and responsibilities and scope of practice clearly to other professionals / residents / family members.
Describes overlapping aspects of own professional knowledge and skills with other health professionals and paraprofessionals.
Recognizes and respects the role, responsibilities and competence of other professions / paraprofessionals in relation to one’s own.
Demonstrates respect and trust to ensure that collaborative relationships are fostered.
Practices within own scope of practice, code of ethics, standards and/or clinical guidelines while working within a collaborative person-centered relationship.
Works with others to assess, plan, provide and review care to maximize health outcomes for individual residents.
Gathers assessment data from all health professionals/paraprofessionals / residents / family involved in care.
Demonstrates effective sharing of information and exchanging of ideas.
Integrates information from each health professional / paraprofessional / resident / family to develop common resident centred goals.
Participates effectively and appropriately in an inter-professional health care team to optimize resident safety.

POSITION SPECIFICATIONS

Minimum Formal Education

Education preparation accepted by the College of Occupational Therapists of Nova Scotia for Registration with the Nova Scotia College of Occupational Therapists.

Certification / Registration / Designation

Eligible for registration with the College of Occupational Therapists of Nova Scotia.
Eligible for membership with the Nova Scotia Society of Occupational Therapists and the Canadian Association of Occupational Therapists.

Special Knowledge and Skills

Thorough knowledge of Occupational Therapy practice, with an interest in program development and evaluation skills
Demonstrated accountability and responsibility.
Strong resident focus and ability to build solid resident relationships.
Demonstrated collaboration and teamwork skills with the resident at the centre.
Commitment to continuous improvement and innovation.
Demonstrated leadership abilities.
Demonstrated planning, organization, and time management skills.
Commitment to promoting a culture that supports safety, ethical practices and organizational health.
Demonstrated good attendance in current and past employment.
Exemplary work history as demonstrated in current and past employment.
Computer skills (e.g., statistics input, word processing, email, etc.).
Physical capabilities to perform the duties of the position.
Occupational Therapy is a diverse profession and additional courses/education/ or training in many specialized areas of practice may be required, e.g., stroke rehabilitation, seating, splinting, mental health services, etc.
Experience with the Red Cross Specialize Equipment Program
Experiences managing Responsive Behaviors or willingness to learn

Judgement and Initiative

Identifies the need for and coordinates occupational therapy services to maintain and enhance the occupational performance and engagement of the resident.
Continuously engages in critical thinking, and evaluates plan of care and makes revisions to plan as necessary in consultation and collaboration with the resident, his/her support system and other members of the health care team.
Articulates rationale for decisions that are based on clinical best practice, current theory and research
Intervenes when standards of practice are violated or not upheld.
Refers to appropriate professionals for issues beyond the profession’s scope of practice and the individual’s personal competence.
Seeks direction or assistance from other health care professionals as required.

Type and Level of Supervision Exercised

Delegates appropriate tasks/ activities to a Rehabilitation Assistant, rehabilitation aide, or other members of the health care team.
Supervision of Occupational therapy assistants, rehabilitation assistants, and occupational therapy aides.
Acts as a mentor / preceptor for students.

Key Relationships:

Engages with resident to build rapport and the relationship, clarify values, organize a schedule and places to meet for assessment.
Collaborates with resident to identify priorities for assessment and possible expected outcomes.
Collaborates and communicates effectively with resident, his/her support system, team member(s) and internal/external resources to implement and coordinate plan of care/services.
Collaborates and works consultatively with team members, all levels of management, and other departments and agencies both internal and external to the organization.
Engages with Professional Associations.
Act as a Communicator, to promote of the profession of Occupational Therapy, and the concepts of occupational performance, occupational functioning and occupational engagement.

Physical Demand

Physical capabilities to perform the duties of the position including working in awkward positions; sitting; stretching/reaching; on feet, standing/walking; pulling/pushing; lifting more than 40 lbs.; transferring residents; crouching; and manual dexterity.

Mental and Visual Demand

These include but are not limited to:

Active listening / counselling / interviewing
Clinical reasoning and critical thinking
Observation
Providing training/instruction to patients/students/families/caregivers
Report Writing/documentation
Data entry/computer use
Health Record review
Making presentations
Driving

Working Environment and Unavoidable Hazards:

Work is inside in resident’s rooms and Occupational Therapy spaces

Safety (resident, worker & workplace)

Demonstrate good stewardship in the identification, reporting & mitigation of unsafe Acts or conditions

Contribute to a culture of resident safety.
Work in teams for resident safety.
Communicate effectively for resident safety.
Manage safety risks.
Optimize human and environmental factors.
Recognize, respond to and disclose adverse events.

Professional Qualification / Education / Experience

Minimum of 3 years recent experience in a Long Term Care setting and/or Community with emphasis on adaptive equipment [Red Cross Specialized Equipment Program] and responsive behaviors
Bachelor of Science Degree in Occupational Therapy or Masters of Science in Occupational Therapy Entry Level, from an accredited University.
Registered member of the College of Occupational Therapists of Nova Scotia.
Safety certification such as BCLS, CPR, WHIMIS, CPI
Ability to work independently with minimal supervision.
Ability to organize, develop and initiate ideas and programs.
Commitment to working in an interdisciplinary approach.
Demonstrate good communication skills, verbally and in writing.
Demonstrated physical ability to perform the duties of the position.
Good Attendance and Work Record.
Alzheimer and Related Dementia course
Criminal Records check – including Vulnerable Sector Search

Family Visitation Rules

Jun 15, 2020

The new Family Visitation Rules are available here.

Notice Regarding Family Visits

Jun 12, 2020

Please note that as of June 15th the new Family Visit Rules are available here.

We are preparing to welcome loved ones for outdoor visits beginning Thursday, June 18, 2020. There will be more information about the visits on the RK website on Monday, June 15, 2020; we anticipate the information will be added to the website between 3 & 4pm. As the restrictions in NS and in Long Term Care loosen, RK MacDonald will be taking a very cautious approach. I know people are anxious to see one another again, but the reality of the effect of this virus on people in Long Term Care cannot be ignored; 82% of deaths in Canada related to COVID-19 have been linked to LTC facilities across the country. While as individuals we may feel our risk to others is minimal, we will be increasing the number of people on the property by up to 270 people per week if every resident has 2 visitors.

We are asking residents or their Substitute Decision Maker to designate two “in-person” visitors [must the same two people for all visits] to visit their family member. Window visits and virtual visits can continue for other families not identified as the “in person” visitors.

The Home will begin to facilitate outdoor visits in a couple of ways. Initially, some visits will be done as drive thru visits. Residents will be sitting outside under a canopy and family members will enter our front roundabout driveway and remain in their vehicles. They will be 6 feet apart during the visit. Other residents will meet family members through the gates near their care areas. Again, spaces will marked off on either side of the gate to ensure social distancing is maintained. Staff will be available to assist with the outdoor visits. For some residents, it may still be best to continue to communicate with their loved ones through window and virtual visits. We will decide this with the residents and/or family on a case by case basis. As per the Public Health Long Term Care guidelines, we feel that if physical distancing is strictly maintained, family members will not be required to wear masks (unless they choose to) in order to facilitate communication.

As the province and communities “open up”, we will regularly re-evaluate our processes and procedures and work safely and diligently to continue to connect residents and their loved ones. We are working on our procedures as well as securing human resources to support these visits to ensure they are both enjoyable and safe.

Final details will be released on Monday which will also include contact information to schedule your visit and/or speak to someone in Administration.

Thank you for your continued patience as we work through this extra-ordinary time.

Michelle Thompson

Closed to ALL Visitors

Mar 15, 2020

HEALTH/WELLNESS–First Presumptive Cases of COVID-19 in Nova Scotia; New Prevention Measures

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Nova Scotia announced the province’s first three presumptive cases of novel coronavirus (COVID-19), today, March 15. The province is also taking further measures to reduce the spread of COVID-19.

The cases are not connected and are travel related. The individuals followed all the proper procedures when they started to feel unwell.

“My thoughts are with the individuals affected and I wish them a speedy and thorough recovery. Now, more than ever, all Nova Scotians must follow public health direction – that’s how we will reduce the spread of this virus in our province,” said Premier Stephen McNeil. “We need to work together to protect our most vulnerable.”

Two individuals are in the Halifax Regional Municipality and one is in Kings County. All three are managing their symptoms at home in self-isolation. Details include:

a female in her 60’s, who returned to Halifax from Australia on March 8.
a male in his late 50’s, who recently attended a conference in California and returned to Halifax on March 13.
a male in his 30’s, who returned to Halifax on March 10 following travel throughout Europe.

Public health has been in contact with these individuals and those who have come in close contact with them are also being directed to self-isolate at home, away from the public, for 14 days.

Additional prevention measures for Nova Scotians are in effect immediately under the authority of the Health Protection Act and include:

long-term care facilities closed to visitors effectively immediately
public schools closed for two weeks following March Break (weeks of March 23 and March 30) and then will be reassessed
regulated child care centres closed March 17 to April 3 and then will be reassessed
March break camps cancelled
casinos in Halifax and Sydney are closed as of 12 am March 16 and bar owners can no longer operating VLT
anyone who travelled outside of Canada must self-isolate even if symptom-free
organizations and businesses must practise social distancing of two metres or six feet and keep gatherings below 150 or much smaller if possible. This applies to restaurants, bars, movie theatres and other gathering spots

Starting Monday, March 16, public health inspectors will be onsite at the Halifax International Airport and the J.A. Douglas McCurdy Sydney Airport. Work is ongoing with federal partners responsible for border security to strengthen the screening process. As well, both airports now have information on digital screens in all areas frequented by travellers.

Nova Scotians can find accurate, up-to-date information, handwashing posters and fact sheets at https://novascotia.ca/coronavirus .

Quick Facts:

as of March 15, Nova Scotia has completed 418 tests for COVID-19, with 415 negative results and 3 presumptive positive cases. Testing numbers are updated daily at https://novascotia.ca/coronavirus
the Government of Canada has issued a travel advisory asking Canadians to avoid non-essential travel outside Canada until further notice.
anyone who has travelled outside of Canada or has been in close contact with someone who has and are experiencing fever (above 38C) or cough should complete the online questionnaire to see whether you need to call 811. The online questionnaire can be found at: 811.novascotia.ca
Nova Scotia’s Health Protection Act gives the chief medical officer of health the authority to give advice to protect public health and decrease risk to public health presented by communicable diseases such as COVID-19 –the public school system will be investigating virtual schools focused on essential curriculum to ensure Grade 12 students can graduate