Nurse Practitioner-Renal NP Support

• Current registration in good standing as a Nurse Practitioner (Primary Health Care or Adult) with the College of Nurses of Ontario
• Master’s degree in nursing or completion of NP-PHC program (Baccalaureate level ) prior to 2000 from an accredited university program
• Minimum 2 years of experience in nephrology, dialysis, renal transplant, or acute care preferred
• Strong clinical assessment and critical‑thinking skills
• Demonstrated ability to work collaboratively in an interdisciplinary environment
• Excellent communication, patient‑teaching, and leadership abilities
• Canadian Nurses Association Certification in Nephrology preferred
• Additional expertise of wound care best practice and implementation of advanced Wound Care prevention and management strategies preferred
• Appointment or eligible for appointment with a School of Nursing in an academic institution
• Mandatory Liability Insurance that meets CNO requirements for NPs -Regulated health professional registered with the College of Nurses of Ontario registration in the RN

• Successful completion of a CNO-approved course to legally enable prescribing of controlled substances required
• Demonstrated leadership, self-directed, decision-making and problem-solving skills
• Demonstrated knowledge of legislative and ethical responsibilities relating to scope of practice and healthcare
• Demonstrated effective conflict management/ resolution skills

• The Renal Support NP is assigned to an area in the renal program as needed, for longer term vacancies. This may include hemodialysis, renal transplant or inpatient nephrology. Orientation is provided accordingly.
• Provide comprehensive assessment, diagnosis, and management for patients receiving hemodialysis
• Develop, implement, and evaluate individualized care plans in collaboration with nephrologists and the allied health care team
• Monitor and manage acute and chronic complications related to dialysis treatment
• Order and interpret diagnostic tests within the NP scope of practice
• Prescribe medications and adjust treatment therapies as appropriate
• Support patient education, vascular access care, medications, and lifestyle management
• Participate in quality improvement initiatives and evidence‑based practice development
• Serve as a clinical resource for nursing staff and allied health professionals
• Contribute to care coordination across inpatient, outpatient, and community settings
• Practices in accordance with federal and provincial/territorial legislation, CNO standards of practice and guidelines, and SJHH’s policies
• Incorporates knowledge of diversity, cultural safety and determinants of health in the assessment, diagnosis and therapeutic management of patients/families/clients and in the evaluation of outcomes
• Treats and manages illness within a holistic and client/family-centred model of care
• Anticipates and diagnoses emergent, urgent and life-threatening situations within the NP legislated scope of practice
• Consults with and/or refers clients to other healthcare providers at any point in the care continuum when the client’s condition is not within the nurse practitioner scope of practice or the individual nurse practitioner’s competence
• Engages in evidence-informed practice by critically appraising and applying relevant research, best practice guidelines and theory when providing health-care services
• Identifies patient and family knowledge gaps and leads educational initiatives designed to address these gaps
• For dialysis related coverage, assignment will be primarily one dialysis unit, but incumbent must have the ability to travel and work at all SJHH dialysis units

St Joseph's Healthcare Hamilton