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Permanent position, unionized or unionizable nonunionized

LIAISON NURSE

CLSC, Inukjuak
2020 December 18

The Inuulitsivik Health Centre, with more than 900 employees, is part of the Québec health and social services network (Nunavik region). It provides front-line health and social services, notably for prevention, evaluation, diagnostics and treatment, rehabilitation and support, for the population of the Hudson subregion of roughly 7 000 persons. Moreover, it provides services related to youth protection and assumes the administration of  Ullivik, located in Dorval, for the Nunavik region. The Ullivik’s mission is to receive Inuit travelling to Montréal to receive health services in participating institutions. The Inuit population is spread among seven communities along the Hudson coast, from Kuujjuaraapik to Salluit.
Under the responsibility of the Coordinator of the CLSCs, the liaison nurse is in charge of checking, coordinating, organizing and monitoring the care and services provided to users outside their home community or by itinerant specialists in accordance with the policies and procedures in force in the establishment. In addition, she assumes the management and development of tele-health consultations.

General tasks:
Ensure the drafting or revision of internal policies and procedures for the activities of the liaison;
Work with Ullivik to establish procedures and a reliable communication corridor between north and south;
Participate in the North-South committee;
Maximizes the mobilization and use of northern resources instead of southern resources;
Organizes transportation services while ensuring continuity of care, patient safety, oxygen, medications, medical supplies and the provision of necessary equipment;
Questions and reorganizes follow-up or appointment requests outside of the usual standards of practice at the CSI;
Mobilizes and directs resources to ensure continuity of care for the users under its responsibility;
Ensures that patient documentation and information is readily available and archived to facilitate continuity of care through appropriate resources;
Participate in multidisciplinary meetings concerning patient case management;
Encourages patient autonomy;
Produces fair and relevant statistics for the actions committed daily. Forwards its statistics once a week to the coordination of the CLSCs;
Participate in the reception and orientation of new staff;
Produces a service report when she leaves on vacation and ensures continuity of service with her replacement.

Specialized services:
Produce patient lists for Inukjuak by specialty and send to specialized services on request;
Validate the schedule when leaving;
Ensure that requests for consultation requests are properly completed and assess whether the user's situation still requires a medical consultation;
Contact patients within a reasonable time to find out if the schedule is right for them and if they still agree to see this provider;
If the schedule is not suitable, notify the specialized services and plan a new time slot if possible or the replacement of the user;
If the patient no longer wishes to consult this specialist, note the reason in the file, on the consultation and put the file for review by the village doctor;
Ensure adequate patient preparation;
Preoperative examination and consent;
Valid health insurance card;
Pre-op preparation (stop medication, diet, medication or special treatment);
Reminder the day before the appointment by phone;
Refer the patient to the appropriate service for additional examinations or medication delivery;
Follow-up and record of the file. Update lists as needed;
Send copies (yellow) of medical consultations to the archives for general practitioners and to specialized services for consultations with specialists;
Work in partnership with specialized services, the CLSC, the Puvirnituq and Ullivik care units.

Specialist visits to CLSCs (itinerant)
Prepare lists for Inukjuak and produce a schedule according to the traveling specialist's requirements
Provide a room for the consultation
Provide an interpreter to assist the specialist
Ensure that requests for consultation requests are properly completed and assess whether the user's situation still requires a medical consultation
Contact patients within a reasonable time to find out if the schedule suits them and if they still agree to see this provider
If the schedule is not suitable, notify the specialized services and plan a new time slot if possible or the replacement of the user
If the patient no longer wishes to consult this specialist, note the reason in the file, on the consultation and put the file for review by the village doctor
Ensure adequate patient preparation
Valid health insurance card
Reminder the day before the appointment by phone
Refer the patient to the appropriate department for further examinations or medication delivery
Follow-up and record of the file. Update lists as needed.
Send copies (yellow) of medical consultations to specialized services
Work in partnership with specialized services, the CLSC, the Puvirnituq and Ullivik care unit
Provide support to Inukjuak clients for specialized services (consultation and / or surgery)
Produce patient lists for Inukjuak by specialty and send to specialized services on request.

Liaison with ULLIVIK
Liaise with Ullivik for elective or urgent appointment requests (Médévac)
Receive appointment requests south for Inukjuak and forward them to Ullivik
Make sure before that:
a) The patient is beneficiary
b) The patient is in possession of a valid RAMQ card
c) The request is really necessary in the clinical context of the patient
d) The request is not made in duplicate
e) The patient accepts this request
f) The service cannot be offered in the North
g) The request respects the policies and culture of the establishment
h) Ensure that several appointments are grouped together as far as possible
4. When the appointment is confirmed by Ullivik
at. Indicate in the register
b. Notify the user of the date of the appointment and make sure it suits them
vs. Schedule an escort as needed by respecting the non-eligibility list
d. Plan patient transport
e. Scan and send the relevant documents to Ullivik
f. Provide the necessary preparation as needed (stop medication, consents, etc.)
g. The day before departure, meet with the patient to
 i. Remind the dates of transport and appointment
 ii. Review the rules of Ullivik and have the contract of good conduct signed
 iii. Check the 2 pieces of identification with valid RAMQ
 iv. Meet the escort, validate their 2 pieces of identification including the RAMP and have the contract of good conduct signed
v. Hand over the envelope containing the medical documents and answer the user's questions
5. Provide follow-up to treatment teams as needed (PLA, CLSC, family, etc.)
6. Follow up on event reports
7. Apply user transfer policies and procedures
8. Ensure adequate follow-up when patients return to Inukjuak
at. Receive electronic copy of Ullivik's discharge summary
b. Plan the return to Inukjuak
 i. Ensure that the services concerned are taken care of for follow-up (PLA, CLSC, social services, pharmacy, etc.)
ii. Submit the D / S to the assistant head nurse for clinical follow-up and appropriate filing of documents.
9. If patient must be seen again in the north, put on the medical list or on the list of specialists
10. Ensure good communication links between Ullivik and the Inukjuak team.

Qualifications

Hold a valid permit to practice from (O.I.I.Q.)
1911 Clinical nurse - Hold a bachelor's degree in nursing or a bachelor's degree with three (3) eligible certificates including at least two (2) recognized certificates in nursing
2471 Nurse - Hold a valid permit to practice from (O.I.I.Q.) and refresher training for the assessment of physical and mental condition (under Bill 90)
Bilingualism English / French (spoken and written)
Adaptability, flexibility and ability to work in isolated environment
Openness and interest in Inuit culture
Class 5 driver's license if using a CSI vehicle
Minimum 2 years in a Nordic environment
Minimum of 5 years as a nurse
Control of user transport policy
Good knowledge of how Ullivik works
Good knowledge of the functioning of specialized services
Good knowledge of computer programs (Lotus, Office, Internet, terminal server programs

Inuktitut an asset;
Ability to work in a multicultural work team;
Respect for Inuit culture and traditions;
Positive leadership;
Demonstrates great autonomy;
Demonstrates a great capacity for organizing work and thinking;
Open-mindedness, flexibility and adaptability;
Global and inclusive vision;
Sound clinical judgment;
Ease for interpersonal relationships.

Conditions and benefits

Full time position
2471 - Nurse; between $ 24.08 and $ 39.00 / hour;
1911 - Clinician nurse between $ 25.25 and $ 45.22 / hour;
Day shift; 7.25 hours;
Cargo premium $ 98.09 / week;
Isolation premium of $ 191.93 / week without dependent, $ 338.29 / week with dependent;
Retention premium $ 287.47 / week;
3 or 4 annual exits depending on status;
Moving expenses assumed by the employer.

*** Professionals who are currently in the health and social services network can request Nordic unpaid leave (up to 48 months) from their establishment to work in Nunavik ***

Additional details

christiane.alary.csi@ssss.gouv.qc.ca

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