Geriatric Assessor – Inpatient Geriatric Consultation Service

(Acute Geriatric Rehab Service / Mobile Geriatric Rehab Service)

Permanent Full-Time

 

 

Start Date: as soon as possible

Hours of Work:  8:00 am – 4:00 pm Monday to Friday

Pay rate, benefits and other terms and conditions are as per the OPSEU / ONA Collective Agreement

 

The Geriatric Inpatient Consultation Team (GICT) serves as an expert clinical resource across inpatient hospital services, focusing on older adults with frailty who are at risk for adverse events, loss of function, or difficulty returning to independent or supported living in the community. This team provides expert consultation and treatment to patients over the age of 65 centered on comprehensive geriatric assessment, identifying key geriatric issues and collaborating with attending teams, patients, families, and other caregivers to ensure the implementation of recommendations. GCTs also facilitate linkages and referrals to appropriate post-discharge and community services. GCTs are champions of senior friendly care, and serve a role as capacity builders in their host organizations, providing formal education and peer-to-peer mentorship, and supporting senior-friendly initiatives.

 

QUALIFICATIONS

 

      Education & Training:

  1. Minimum of a four (4) year Bachelor’s degree in health related field (Bachelor of Science in Nursing (BScN), Bachelor of Social Work (BSW), etc.) from an accredited university.
  2. Current Certificate of Registration in good standing with a regulatory college (CPO, College of Nurses, College of Social Workers and Social Service Workers, College of Occupational Therapist, etc.).

 

      Experience:

 

  1. Minimum of five (5) years’ experience working within Specialized Geriatric Services and completing assessment and treatment guided by the Comprehensive Geriatric Assessment.

 

Note:      A core team of geriatric assessors includes Registered Nurse (RN), Occupational Therapist (OT), Physiotherapist (PT) and Social Work (SW) as priority roles. Should those professions already be a part of the team then determination of the next most appropriate profession occurs in consideration of existing resources within the local context.

 

                This team functions in an interprofessional model where all team members act as geriatric assessors, sharing a common set of competencies. Team members are cross trained to complete comprehensive geriatric assessments. Geriatric assessors are supported by an expert clinician whose scope includes

 

DUTIES

 

  1. Assist in the implementation of standardized protocols to identify, screen and refer the high-risk older adults in acute care, including ongoing education and training.
  2. Complete Comprehensive Geriatric Assessments (CGA) with patients and their care partner(s) across various acute care areas that include medical/surgical history, medication, continence, social history, falls, function, cognition, mood/mental health, sleep, pain, nutrition, physical assessment.
  3. Analyse and synthesize findings from geriatric assessment into a comprehensive clinical report identifying client’s priority needs and relevant treatment options designed to optimize their independence.
  4. Create comprehensive care plans with the individual and their care partner(s) and must have clear processes for communication of this plan.
  5. Develop a person-centered, goal-oriented and individualized care plan that is aligned with domains of the CGA. This plan should address modifiable biopsychosocial factors and consider medical diagnosis/prognosis and co-morbidities that impact the health goals of older adults.
  6. Deliver interventions based on the results of the CGA within an integrated model of care.
  7. Treat patients to optimize functional independence and physical performance promoting optimal mobility, physical activity and overall health and wellness.
  8. Implement strategies to address client safety issues and mitigate risk within the acute setting and transition to community.
  9. Communicate directly with the care team, clients, families and community partners throughout the therapy process to make clear recommendations and assist in their implementation.
  10. Provides education and training to the older adult and care partner for them to be able to manage health care needs, including guidance on community-based resources, medications and medical equipment.
  11. Systematically and continuously evaluate the extent to which the individual’s health needs are being met and modify plan of care as indicated by patient’s response and condition.
  12. Ensure that a senior friendly care approach is implemented and includes processes for screening, prevention, management, and monitoring of functional decline and delirium.
  13. Provide follow up to monitor implementation of recommendations, outcomes and adjust plans as necessary.
  14. Collaborate with clients, families, interprofessional team members, and community partners throughout the intervention process and advocate to ensure client needs are met.
  15. Support transition planning including developing linkages with community services (e.g. family physician, Community Care Access Centre, long-term care settings, ambulatory care, SGS services), arrange transportation and equipment needs, coordinate appropriate follow up care and provide education and training in the management of health care needs, including guidance on community-based resources, medications and medical equipment.
  16. Document assessment findings, analysis, treatment plans, client goals, client’s ongoing progress, effectiveness of treatment plan, and government/insurance/legal forms according to Regulatory College Standards and organizational policies.
  17. Build geriatric capacity by creating, implementing, and delivering education to medical professionals, nurses, and physicians across the geriatric continuum of care.
  18. Maintain current knowledge of best evidence/practice and incorporate into clinical practice.
  19. Contribute to organizational initiatives to improve the care of older adults (ie. Senior friendly hospital initiatives and quality improvement).
  20. Evaluate patient care and satisfaction on an ongoing basis and formulate solutions for improvement.

 

COMPETENCIES / SKILLS ABILITIES:

 

  1. Demonstrated person and caregiver focused care and supported by best evidence-based clinical practices.
  2. Demonstrated knowledge of best practices for dementia, delirium, depression and other mental health issues and their effect on patients, families and service providers.
  3. Demonstrated skills in acute management of geriatric syndromes, including delirium, polypharmacy, falls and functional decline, acute/sub-acute cognitive changes, bowel/bladder, and nutrition/hydration problems.
  4. Demonstrated knowledge of chronic disease management in the older population.
  5. Demonstrated knowledge of Comprehensive Geriatric Assessment (CGA) as the standard of care for older adults living with/at-risk for frailty, including skills conducting CGA, analyzing, developing and administering treatment plans based on the comprehensive geriatric assessment.
  6. Demonstrated knowledge of best practice assessment tools (e.g. Barthel Index, Confusion Assessment Method (CAM), Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Clock Drawing Test, Phonemic/Semantic Fluency, Trails Making Test, Kingston Standardized Cognitive Assessment (KSCA), Brain Network Activation (BNA), Geriatric Depression Scale, and Cornell Scale for Depression in Dementia).
  7. Demonstrated knowledge of Specialized Geriatric Services across the continuum, as well as primary care, community support services (i.e. Alzheimer’s society, Home and Community care, etc.) and other partners in care.
  8. Demonstrated knowledge of current health care and privacy legislation.
  9. Demonstrated knowledge of evidence-based geriatric clinical practice and best practice in geriatric care.
  10. Demonstrated ability to exercise professional judgement, clinical reasoning, and critical thinking with the ability to apply ethical frameworks and choose the optimal assessment and treatment intervention.
  11. Demonstrated ability to interact with all healthcare providers in a collaborative, professional, intelligent, and effective manner.
  12. Demonstrated ability to effectively make decisions, deploy critical thinking and other skills required to organize/prioritize tasks.
  13. Demonstrated knowledge of outcome measures and research process/methodology.
  14. Demonstrated knowledge of tools to measure the patient and caregiver experience.
  15. Demonstrated ability to independently identify issues, plan improvements, measure success and continue improvement.
  16. Demonstrated strong therapeutic communication skills and ability to communicate both verbally and in writing in a clear, concise manner, considering the intended audience.
  17. Demonstrated ability to manage routine correspondence, multiple tasks/projects, diversified workload and rapidly changing priorities and challenging deadlines.

 

Candidates interested in this opportunity are invited to forward a detailed resume and cover letter by January 31, 2023 to:

Human Resources Department

Temiskaming Hospital
421 Shepherdson Rd.
New Liskeard, ON P0J 1P0
Email: careers@temiskaming-hospital.com

 

Temiskaming Hospital thanks all applicants, however, only those selected for an interview will be contacted.

We are committed to championing accessibility, diversity and equal opportunity. Requests for accommodation can be made at any stage of the recruitment process provided the applicant has met bona-fide requirements for the open position. Applicants need to make their requirements known when contacted.

 

FOUNDATIONAL STATEMENTS

 

Our Purpose
To be a caring, innovative, community hospital, engaged with our patients, community and partners.

 

Vision

To be a role model for northern rural health care.

 

Mission
Quality patient centered health care and education close to home.

 

Values
Leadership
Excellence
Accountability
Team Work
Respect
Social Responsibility
Safety