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Nurse Practitioner (HS341)

by City of London

Reference #: COL01470-4676
Position Type: Full-time
Location: London, Ontario
Date Posted: May 26, 2023
City of London

Job Description

Summary of Duties

Reporting to the Director of Care, the Nurse Practitioner is an integral member of the interprofessional health team at Dearness. This position is responsible for the planning, coordination, and delivery of care to long term care residents in collaboration with the Assistant Directors of Care. The Nurse Practitioner is accountable for their own practice and will provide comprehensive health assessments, diagnose health/illness conditions, and treat and manage acute and chronic illnesses as part of the resident’s care plan. The Nurse Practitioner will provide clinical and educational support to residents, staff, and family members and facilitate community care connections across health care sectors for residents requiring complex care services.  Directing and supervising all nursing staff for compliance to their roles, this position will work to develop a culture of excellence in clinical practice using a person-centred care philosophy.  


 The Nurse Practitioner is a member of the nursing management team and is expected to work every other weekend as required.

Work Performed

Provide leadership in the execution and delivery of services and programs in the following areas of accountability:

    • Promote and support staff compliance with policies, public health standards, and accreditation standards through regular auditing, meetings, and problem solving.

    • Conduct in-depth comprehensive health assessments integrating a wide range of complex information including: resident perspectives, staff perspectives, nursing and allied health theory and research.

    • Diagnose some acute health conditions and may facilitate a diagnosis of chronic health conditions in collaboration with a physician.

    • Prescribe pharmacological agents and therapeutic measures and independently perform additional controlled acts as outlined in the College of Nurses Standards of Practice for Nurse Practitioners.

    • Determine the need for, order and interpret reports of chest and limb x-rays and diagnostic ultrasounds.

    • Assess wounds and assist staff with complex wounds.

    • Complete daily clinical rounds.

    • Initiate and manage the care of clients with diseases or disorders within the Nurse Practitioner scope of practice and/or monitor the ongoing therapy with clients with chronic stable illness by providing effective pharmacological, complementary and/or counseling interventions.

    • Act as an advocate through promotion of evidence-based primary health care services and nurse care of older adults.

    • Make referrals to specialized consultants, services and other health providers as needed.

    • Accurately document assessments, plans, interventions, and evaluations of resident care according to Dearness documentation processes.

    • Counsel Substitute Decision Maker families/resident on medication therapy


  • Obtain appropriate physician consultation according to the expectations for consultation with physicians as outlined in the College of Nurses Practice Standards for Nurse Practitioners. Maintain regular communication with the Director of Care.

  • Collaborate with staff on integrating regulatory requirements, accreditation standards, guidelines, and current infection control practices into policies and procedures.

  • Assist in the review of applications from the Home and Community Support Services.

  • Conduct site visits for potential bed offers.

  • Provide leadership in developing integrated strategies for illness prevention, health promotion, health maintenance, rehabilitation, and restorative care.

  • Review related research and documents and disseminate information through practice, education, and consultation.

  • Provide ongoing formal and informal teaching and coaching in the management of clinical care to interdisciplinary team members, caregivers, volunteers, visitors and residents, serving as a resource person, educator and role model regarding protocols and related issues.

  • Collaborate with the Director of Care to identify opportunities for improvement based on indicators, audits, and observations of nursing care provided in the home.

  • Direct and supervise all nursing staff for compliance to their roles. Effectively respond to and refer emergent and confidential human resources issues as required.

  • Encourage employee commitment to a high level of performance in all areas of client care, client and employee safety and delivery of individual goals and objectives.  

  • Encourage and support employee participation in and commitment to divisional and organizational objectives

  • Fairly and consistently administer provisions of various collective agreements and addresses conduct issues as required. Assist with hiring, conduct, performance management and termination processes as a member of the management team.

  • Demonstrate commitment to anti-racism, anti-oppression, and human rights through interactions with stakeholders, employees and individuals and promote programs and initiatives that reflect this commitment.

  • Demonstrate commitment and adherence to Health and Safety legislation and programs; actively promote a culture of safety.

  • Maintain confidentiality and act in an ethical and professional manner in accordance with the professional code of ethics and in accordance with the policies at Dearness Home.

  • Participate in and chair committees/groups at Dearness.

  • Share information with peers in other organizations and Public Health Ontario and liaise with consultants. Attend and participate in care conferences.

  • Provide coverage for other clinical roles as needed.

  • Provide weekend staff supervision every other week as required and participate in the on call coverage rotation at Dearness and back up on call coverage for non-Assistant Director of Care managers.




Completion of a Baccalaureate in Nursing program, with current registration in the Nurse Practitioner Association of Ontario and the Registered Nurses Association of Ontario.


Completion of the Ontario Primary HealthCare Nurse Practitioner Certificate Program.


Three to five years of experience in gerontological nursing and/or as a primary health care nurse practitioner


Post graduate education/experience in gerontology is an asset.


A tuberculosis (TB) test and annual influenza immunization are required.


Must provide a valid Police Vulnerable Sector Check (level 3) as per applicable legislation.


Ability to work varied hours to meet requirements of the position.  Ability to respond to legislated or time sensitive demands beyond regularly scheduled work hours.


Ability to attend meetings and workshops in other locations.


 A valid Ontario Glass G Driver’s License.

Specialized Training & Licenses

Knowledge of long-term care nursing; documentation systems; the aging process; and other related practices, plus experience in a health care facility, including supervisory or team leadership experience.


Knowledge of and ability to comply with policies, procedures, best practices, and related legislation (e.g., long term care, regulated health professions standards, pharmacy standards, health and safety, nursing standards, privacy, Public Health Standards and the Regulated Health Professionals Act).


Knowledge of infection control and risk management.


Organizational, evaluation, and continuous improvement skills to coordinate staff activities; achieve goals and objectives; audit, develop, and monitor programs; and develop proposals for improvements.


Human relations, communication, leadership, and facilitation skills to mentor and advise staff; prepare and conduct infection control education sessions for staff, and facilitate group training; and participate as an effective team member.


Demonstrated knowledge of related labour relations legislation and collective agreements and ability to apply in interactions with employees. 


Ability to write memos, reports, proposals, work plans, and develop policies and procedures.


Ability to read and understand professional journals, books, reports, policies, and procedures relevant to scope of practice to keep knowledge current and to apply information to practice.


Computer skills with ability to use software such as Microsoft Office. Ability to act as a staff resource and administer clinical software, including access/security, setting up/modifying modules, and troubleshooting.


Proven commitment to the safety of employees with knowledge of the Occupational Health and Safety Act and applicable regulations as it relates to the position.


Ability to understand the importance of service delivery; develop and implement initiatives that support the clients and their families in a timely and effective way.


Experience working collaboratively with organizations, clients, and other stake holders.

Compensation Range

$97,932 to $128,215.

As an inclusive employer, we are committed to providing a fully accessible recruitment process. Please contact us at any time during the recruitment process and let us know what accessible supports you may need.

Application Contact Information

Company Name:   City of London
Application URL: Click here to apply online