Taddle Creek Family Health Team by jennyyingdi


									           Taddle Creek
                     Family Health Team
790 Bay Street, Ste 306, Toronto, ON M5G 1N8
    Phone: (416) 260-1315 Fax: (416) 960-1945

                 Job Description – Diabetes Nurse Educator (DRAFT)

                 Position Summary

                 As a key member of the Taddle Creek Family Health Team (TC FHT) you will coordinate the
                 Diabetes Education Program (DEP) by directly caring for and educating diabetic patients and
                 their families. You will be an advocate for the dignity and self-respect for people living with

                 In collaboration with the DEP dietitian, physicians and other allied health care professionals you
                 will design, develop, implement and evaluate education, care and treatment approaches for
                 individuals and groups in accordance with accepted clinical practice guidelines for diabetes.
                 You will also provide direct patient care, which includes independently making day-to-day
                 decisions regarding individual patient care and treatment as delegated by medical orders.

                 Clientele include but are not limited to adults living with diabetes, family members and other
                 healthcare providers. Accepts referrals from 12 primary care physicians as well as community

                 DEP activities and patient care will be in accordance with FHT policies/procedures, professional
                 practice standards and required legislation (e.g. Nursing Act, Regulated Health Professions Act).

                 Roles and Responsibilities

                 Patient Care
                     Assists pts living with diabetes to achieve their optimum level of health in situations of
                      normal health, illness, injury or through the process of dying
                     Provides direct patient care including assessments, planning, intervention and monitoring
                      (focus is on prevention of complications and management of stable diabetes)
                     Collaborates closely with physicians and FHT health professionals on patient care
                     Partners with patients and their families to enable them to design and manage their own
                      individualized diabetes protocols/plans (e.g. establishes goals with patients)
                     Administers medications and treatments as prescribed by a physician or according to
                      established policies and procedures (e.g monitors blood glucose for the purpose of
                      medication control and adjustment for both insulin and non-insulin dependent diabetics,
                     Provides comprehensive wound/foot care
                     Evaluates patient comprehension and compliance to a care plan by reviewing clinical and
                      learning outcomes
                     Assesses pt educational needs by identifying physical, social and or emotional needs that
                      may influence the education process and the long term outcomes
                     Documents patient diabetic health history (takes into consideration motivation, attitude
                      toward diabetes and its controls, learning ability, physical limitations, financial situation,
                      previous knowledge and diabetes, family involvement and support) assessments,
                      interventions and plans including recommendations and goals, progress notes and
                      discharge summaries
                     Schedules follow up appointments
                 Education/Group Counseling
                     Plans, develops and delivers education related to diabetes (e.g. diabetes prevention,

                 FHT Administrator                                                                          July 10, 2012
Taddle Creek Family Health Team                       Job Description – Diabetes Nurse Educator (DRAFT)

    medication use, diet and nutritional monitoring, prevention and care of complications, foot
    care, blood glucose monitoring and the techniques of self-monitoring and injection)
   Collaborates with other FHT health professionals to provide exceptional education
   Continuously improves/updates educational material for workshops, group counseling,
    patient learning kiosk and FHT health professionals
   Provides group counseling (e.g. gestational & pre-diabetic patients, Type I/Type II diabetics)
   Assists pts/FHT health professionals to use diabetic resources
   Prepares written diabetes educational pieces (for FHT newsletter or bulletin board/displays)
Diabetes Education Program (DEP) Coordination
   Responsible for overall delivery of DEP patient services
   Provide DEP leadership in consultation with FHT physicians and FHT Administrator
   Perform DEP planning, implementation & evaluation (e.g. indicator/outcome monitoring)
   Prepare program reports (e.g. MOH/LTC Service Visit & Program Planning Reports)
   Ensure policies and standards for the DEP follow Canadian Clinical Practice Guidelines for
    Diabetes Management
   Assist in recruitment, performance management and professional development of DEP
    health professionals
   Prepare and revise job descriptions for DEP health professionals
   Participate in DEP budget process
   Monitor supply levels and/or expiration of DEP medical supplies
   Participate in clinical clerks/family practice residents supervision by providing DEP
    educational opportunities
   Review new treatment modalities introduced by pharmaceutical companies
   Actively participate in interdisciplinary, staff, team and committee meetings
   Participate on committees, task forces and research project related to the DEP
   Create screening mechanisms for diabetes
   Develop and maintain liaisons with other community agencies

Maintain own academic qualifications and participate in self-directed learning to ensure his/her
practice remains relevant (by attending professional conferences, e-learning and journal
reviews). Stay current and aware of opportunities to implement new, evidenced-based methods
of patient assessment and treatment.

Skills, Knowledge Requirements

   Leadership/mentoring skills
   Strong clinical skills (primary care nursing)
   Excellent organizational skills (e.g flexible, good time mgt)
   Communication skills (ability to communicate effectively with patients, families, and
    community partners)
   Ability to work in an inter-professional/collaborative care team environment
   Independent thinking/working skills

   Advanced program planning and evaluation knowledge
   Emergency interventions, chronic disease management, health promotion, early intervention
    and screening knowledge
   Adult education knowledge
Equipment/Computer Skills
   Familiarity with a Mac operating system environment
   Willingness to learn electronic medical record keeping/scheduling
   Computer, printer, scanner, fax, photocopier, telephone, AV equipment (video projection),
    and a variety of teaching aids
   Various diagnostic and medical equipment

FHT Administrator                               -2-                                         July 10, 2012
Taddle Creek Family Health Team                                 Job Description – Diabetes Nurse Educator (DRAFT)

Language Skills
   English required; French not required but would be an asset
   Ability to communicate in another language an asset

Minimum typing speed at 40 words per minute
Proven dependable attendance and performance record

Education and Specific Job Requirements

   Bachelor’s Degree in Nursing required
   Certificate of Competence and current membership with the College of Nurses of Ontario
    (CNO) required
   Current membership in professional associations: Registered Nurses Association of Ontario
    (RNAO) required
   Certified Diabetes Educator (CDE) with the Canadian Diabetes Educator Certification Board
    (CDECB) required (or willing to start acquiring immediately)
   Current Basic Cardiac Life Support (BCLS) Certification required
   Advanced Cardiac Life Support (ACLS) Certification will be considered an asset
   Certification with continuous Diabetes Systems (e.g. Insulin Pump Initiation, DCA 2000
    Analyzer, Glucose Monitoring) an asset

Relevant Experience

   Minimum 2 years of clinical experience as a RN, preferably in community-based health care
   Minimum 1 years of health care teaching experience
   Minimum 2 years experience applying advanced diabetes knowledge, physical assessment
    skills, diagnostic intervention and self-care management

   Program planning/evaluation experience (demonstrated ability to plan/implement/evaluate)
   Experience,
         o   Providing specialized knowledge through the process of consultation at the patient, program, organization
             and external agency level
         o   Designing, implementing and evaluating policy and best practice guidelines pertaining to diabetes
         o   Developing strategies to improve patient adherence and to improve chronic disease self-management
         o   Leading and facilitating the development of basic and advanced education programs
         o   With insulin education, glucose pattern management and insulin pump therapy
         o   With insulin injection devices, variety of home blood glucose monitoring devices

Reporting Structure
The Diabetes Nurse Educator reports to the FHT Administrator for day-to-day operations.
Professional guidance and support will be provided by the site physicians.

FHT Administrator                                       -3-                                              July 10, 2012
Taddle Creek Family Health Team                                    Job Description – Diabetes Nurse Educator (DRAFT)

Job Specification

Position at 790 Bay Street, Suite 306, Toronto, Ontario, services provided to multiple TC FHT offices and to patients
outside of TC FHT offices.

Hours of Work
Hours of work 37.5 hours per week. Generally correspond to the FHT practice hours of operation but may vary. Once
FHT operational needs to be available to work some evenings and weekends

Status          Full-Time Employee

FHT Administrator                                          -4-                                               July 10, 2012

To top