Cardiovascular Perfusionist, Perfusion Part-Time Position; Rotating Shifts Pay Range: $43.16-$54.82 Union: OPSEU4106 Central Location: Kingston General Hospital Site DESCRIPTION:              Perfusionists at KHSC work in conjunction with Cardiac Surgeons and Anesthesiologists to assess, plan, implement, evaluate and document the delivery of extracorporeal circulatory support during cardiovascular surgical procedures, ECMO, VADs and intra-aortic balloon counter-pulsation according to national and provincial perfusion standards. A perfusionist will have a proven ability to excel during times of change and role-model effective change management in a dynamic and innovative workplace. The ability to work independently using highly developed critical thinking and reasoning skills for problem-solving will support quality practice, patient and team safety. A perfusionist will commit to life-long learning and partner with learners to effectively teach in the clinical setting. As an employee, a perfusionist will demonstrate knowledge and commitment to the principles of patient and family centered care Within this role, a perfusionist is required to have excellent communication - verbal and written skills, demonstrate consistency in approachability, clinical excellence, patience, and respectful interactions with skilled diplomacy. PRIMARY RESPONSIBILITIES Assesses, plans, implements, evaluates circulatory support of assigned patients during cardiovascular surgery in collaboration with the Surgeon and Anesthesiologist. Plans, organizes, establishes priorities based on individual patient needs and scheduled activities and adjusts priorities and activities in réponse to unanticipated events. Performs therapeutic measures as prescribed by the physician including the following Drug Administration by injection while on bypass from the following classes of drugs: Symathomimetics- catecholamines and non-catecholamines, adrenergic blockers, ganglionic blockers, opioids, non-opioids, muscle relaxants, nitrates, diuretics, antiarrythmics, anticoagulants, phosphodiesterase inhibitors, arterial and venous vasodilators, inotropes, antifibrinolytics, and glucose mediating drugs (insulin and dextrose) Blood Product Administration Oxygen Administration Inhalational Anaesthetic Gas administration. Responsible for the operation of Cell Saver and the following therapies in consultation with the physician: Red Blood Cell Sequestration In consultation with the physician: Assume responsibility for the operation of intra-aortic balloon counter-pulsation device Initiation, “setting of timing” and evaluation of temporary pacing devices in the cardiac OR Operation of ventricular assistive devices and ECMO e.g. Cardiohelp Patient point of care testing (POCT) analysis and adjustment of therapies Manage continuous quality assurance planning using a variety of quality improvement tools including Perfusion Data Files. Participates in the development of risk management strategies for all procedures relating to Perfusion including, but not exclusive to, the following special procedure areas: Massive air embolism protocol, oxygenator changeout, split raceway tubing, power failure, gas failure, water failure, water to blood leak, transfusion reaction, cold agglutinins, disseminated intravascular coagulopathy, protamine reaction, thalassemia, sickle cell anemia, pregnancy, malignant hyperthermia, Jehovah’s Witness patients, accidental hypothermia, obsess and massive patients, sever renal disease, cyanmethemaglobinemia, aortic aneurisms, and heparin induced thrombocytopenia. Participates as a member of the patient transport team and maintain competency in air and ground transport. Is scheduled for and participates in on-call shifts and duties as assigned. Documents (charting for IABP, Pump cases, Long Term Support and cell salvage) therapy delivered in a competent manner using the KGH Perfusion Documentation Forms. Provides teaching and participates in all learning experiences for hospital staff as requested and participates in Clinical Phase education for Perfusion Students from the Michener Institute.  Communicates and consults with physicians and other healthcare professional as required.   Practices as a member of the healthcare team within his/her scope of practice. As a member of the team, participates in the evaluation of new products and equipment in a clinical and/or laboratory settings as directed by the manager. All perfusionists will act as a preceptor and/or mentor for new perfusionists and enable learning of the cardiac team’s new staff. When required, perform minor maintenance of the perfusion equipment and alerting appropriate personnel (e.g. clinical engineering) to potential or immediate repair needs. Maintains adequate perfusion stock, inventory, and orders equipment as per the Policy and Procedures. Continuous learning for competency of practice is required. Expectations include participation in in-services, education events and/or conferences. Perfusionists will participate in departmental, program, organization and/or professional committees or work groups as needed/requested. BASIC QUALIFICATIONS: Certified or Certification eligible by The Canadian Society of Clinical Perfusion required. Certification by the American Board of Cardiovascular Perfusion is an asset.  Proven ability to attend work regularly. Satisfactory criminal reference check required. PHYSICAL REQUIREMENTS: The applicant must be able to meet the physical requirements of the position. We thank all applicants, but only those selected for an interview will be contacted. Kingston Health Sciences Centre is committed to inclusive and accessible employment practices. If you require an accommodation to fully participate in the hiring process, please notify the Recruitment Team.

Program Manager - Regional Renal Services (Ambulatory Clinics, Satellite, and Home Therapies) ​​​​ Department: Renal and Palliative Care Hours of Work: Full-Time, Days Salary: $96,287.56 to $117,929.18 per annum Location: KGH Site PRIMARY FUNCTIONS: Reporting to Program Operational Director (Renal and Palliative Care), the Program Manager is responsible for the overall leadership of regional renal services, inclusive of ambulatory clinics, satellite dialysis, and independent home therapies. The Program Manager is responsible for taking appropriate actions and making the necessary decisions to ensure the continuity of care, patient and staff safety, and the development and delivery of quality care to patients/families in the program.  The Program Manager is accountable for contributing to the delivery of the KHSC strategy by demonstrating an awareness of and actively promoting patient and family-centred engagement and care.  The Manager will use a team-based approach to care delivery so as to support, promote, and lead through example, the adoption of the organization’s strategic direction. The Manager provides direction and guidance to an interdisciplinary team to coordinate and integrate services, and encourages ongoing performance improvement. The incumbent collaborates with others to grow the home therapies and kidney transplantation program, regionalize multi-care kidney clinics, and maximize the use of available resources to facilitate efficient and excellent patient care. This role has direct responsibility for achieving results and for developing and monitoring policies and budgets; managing human resources, promoting best practices and using clinical knowledge and leadership skills for actively promoting and supporting patient and family-centred engagement and care. DUTIES & RESPONSIBILITIES: Patient Care & Safety Promotes and oversees coordination of kidney transplant education, workup, and post-transplant follow-up Ensures that high-quality home dialysis is available to patients with kidney disease, when needed and appropriate, in a coordinated and integrated manner that supports a home first approach to kidney care. Ensures that patients are able to access all services associated with home therapies (training, home dialysis, and support services) and that services are delivered in a timely fashion with high quality of care Ensures that satellites will follow hub-led processes when assessing/reassessing patients at the satellite for home dialysis eligibility as well as the appropriate referral/transfer protocol Advocates for the assessment of, and use, of patient and family goals of care in planning and treatment decision making in multi-care kidney clinics and throughout their kidney care journey Ensures that expected outcomes of care are reflected in patient care planning through interdisciplinary and patient/family collaboration. Coordinates the delivery and evaluation of patient care, professional practice, safety and risk management, continuous quality improvement, for the unit/program. Complies with patient safety policies, practices and processes, performing job responsibilities in a manner that supports KHSC’s safety culture. Coordinates and/or collaborates with interdisciplinary care team to ensure the continuity of exemplary patient care is provided. Manages quality assurance by ensuring compliance with statutory and regulatory requirements, professional services and service quality standards. Oversees the safe, effective and timely training of all home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment Acts as a resource for the patient to address concerns and questions Examples: develop and implement policies and procedures; develop, implement and evaluate use of collaborative care plans; maximize satellite scheduling and station efficiency; coordinate patient care with other programs/services. Operations Develops, manages and evaluates the operations of regional renal services, ensuring efficient and effective deployment and use of human, financial, and material resources. Manages staff resources, ensuring appropriate balance of skills and capabilities, assessing service quality, providing performance feedback and discipline, prioritizing workloads. Manages the logistics to enable the response to day-today operational and patient care needs and initiatives Identify and develop improvement initiatives, processes and procedures, assessing viability, implementation risks, cost impacts and effectiveness. Ensures regulatory and operations reporting requirements are achieved through the management of data, statistical and financial information and analyses. Acts as an agent of change, anticipating future needs of program/service and informing budget strategies. Examples: develop program/unit budgets, analyze budget variances and capital requests, oversee the development  of staffing schedules and daily changes, ensure that adequate and appropriate medical equipment and supplies are available; lead a variety of teams, internal and external to the program, i.e. working groups, clinical practice committees. Leadership Models professional practice, leadership behaviours and life-long learning by actively participating in self-development activities. Promotes a team environment with collaborative care model Represents the program/service at Leadership and other meetings as appropriate and participates on internal and external committees as required. Manages the work and practices of the program/service, including planning, staffing, budgeting setting of goals and objectives through the process of assessment, planning, implementation, and evaluation. Conduct and Reporting of Inappropriate Conduct policy and behaves in a manner that is consistent with the guiding principles and expectations. Examples: Complete regular workplace safety audits, Participates in critical incident investigations, implementation of emergency and disaster response plans. Communication Champions KHSC’s strategic priorities in dialogue or contacts with patients, families and collaborative care teams. Develops and maintains effective working relationships with other hospital services; Interacts with front-line staff to promote team communication, collaborative problem solving, and efficiency Communicates to ensure the care team is informed of all corporate and regional renal program specific issues. Staff Development Promotes strategies and mechanisms which foster learning, professional growth, mentoring and teaching for the all interprofessional disciplines Facilitates resolution of conflict in a collaborative and cooperative way, using objective and subjective assessment Promotes staff retention and succession planning by supporting professional development. Collaborate with Clinical Educator/Professional Practice Leaders to support an education plan to meet staff needs. Healthy Work environment Reviews work processes to ensure all work is performed in a safe manner and that patient, worker and workplace safe practices are consistently applied, including appropriate chart documentation where applicable Performs event/incident follow-up and lead investigations involving the staff/patients under your supervision and ensure that proper controls have been implemented Ensures documentation is completed and retained for all safety training Performs event/incident follow-up and lead investigations involving the staff/patients under your supervision and ensure that proper controls have been implemented Understands and is familiar with all pertinent KHSC policies and procedures including those relating to workplace conduct. Complies with the KHSC Commitment to uphold the Workplace Conduct and Reporting of Inappropriate Conduct policy and behaves in a manner that is consistent with the guiding principles and expectations. Other Performs cross-functional and other duties, as assigned and/or required   NOTE - The above duties are representative but are not to be construed as all-inclusive. BASIC QUALIFICATIONS : Undergraduate degree in Nursing or an Allied Health Profession.  Master’s degree in Nursing, Allied Health, Business/Health Administration or equivalent preferred. Current member in good standing with a recognized health related regulatory body Two years management experience and/or equivalent Familiarity with quality-based procedures and bundled care methodology and budgets Minimum five years related healthcare experience; renal dialysis experience an asset Demonstrated proficiency in the use of word processing, spreadsheet and presentation software (Microsoft Office Suite) Excellent verbal and written communication and interpersonal skills. Experience with Project Management and or Continual Quality Improvement methodology Demonstrated ability to facilitate change Demonstrated judgement, decision-making, problem solving and analytical skills. Strong organizational and leadership skills. Ability to deal with numerous demands in a professional and competent manner Ability to prioritize tasks for self and others.   PHYSICAL REQUIREMENTS: The applicant must be able to meet the physical demands of this position.   We thank all applicants, but only those selected for an interview will be contacted. Kingston Health Sciences Centre is committed to inclusive and accessible employment practices. If you require an accommodation to fully participate in the hiring process, please notify the Recruitment Team.

Full Time Salary: Under Review Position Profile : The Manager, Access and Flow is an integral role within the corporate Quality portfolio. Reporting to a Senior Director in the Quality, Performance and Chief Information Office (CIO) Portfolio, the Manager has the mandate to drive and facilitate both department operations and corporate performance improvements with a focus on access and flow as a dimension of patient quality of care.  The Manager will work with all stakeholders to coordinate and facilitate the seamless flow of internal and external patient admissions, transfers, and discharges ensuring “the right patient is placed in the right bed at the right time”, and maximizing the utilization and allocation of patient beds and clinical resources. This will include managing, coordinating, organizing, developing and evaluating operational activities; participating in strategic planning/quality management activities related to resource utilization, discharge planning, and ALC management. The Manage, Access & Flow is accountable for implementing strategies and processes to simplify patient flow as well as identifying and leading action around opportunities for improvement to help the team, site and Unity Health Toronto achieve defined goals. The Manager leads a team of Bed Booking Clerks, Patient Flow Specialists and After-Hours Supervisors, thereby providing the necessary infrastructure to catalyze a culture of continuous improvement, the progress of which is reflected in internally and externally monitored indicators of access and flow tied with provincial accountability and funding agreements. Position Responsibilities: Monitors and supervises daily operations, bed control center, and bed booking/patient flow specialist team members Collaborates daily with all clinical units, communicating and collaborating with patient care and support service leadership/teams to ensure optimized clinical process efficiencies and patient transitions; Analyses data, and assists bed booking/allocation and unit staff in prioritizing/expediting care issues related to patient flow, utilization and staffing; Mediates and encourages patient flow staff in using problem solving techniques to resolve conflict issues; Acts as a resource, facilitator, coach, mentor, and role model for patient flow staff ; Monitors patient flow reports to analyze throughput and hospital wide demand and capacity status. Identifies barriers and recommends changes/improvements; Identifies patient care/safety issues and communicates concerns or complaints to the unit manager or patient relations in a timely manner; Conducts in-services, educates and coaches to ensure front-staff staff adoption and compliance with quality improvement programs, access and flow optimization tools, tactics, policies and protocols; Ensures and facilitates communication of changes in practice, protocols, education and other relevant material to Hospital staff and physicians; Coordinates care delivery with unit leaders; Trouble-shoots, in collaboration with cross-service unit and program leaders and the After-hours Supervisors/Managers, to ensure effective and efficient access and flow across all inpatient units; Collaborates with Information Technology/Management team to ensure effective and proper functioning of newly developed access and flow e-tools. Implements, analyzes and investigates patient cases or tracer reviews, as a tool to inform Clinical and Clinical Support Service Program Leaders of process improvement opportunities in their respective areas of responsibility; Synthesizes patient cases or tracer reviews, and integrates with performance metrics on a monthly basis, to advise the local site Access and Flow Committee on local and corporate level process improvement opportunities to inform decision-making and strategy; Serves as the organizational resource for receiving, integrating and reconciling daily patient bed access plans, developed and submitted by inpatient units, scheduled OR lists and ICU transfers and Admitting reports; Problem-solves for any discrepancies in the plans and reports submitted, and finalizes an effective, efficient corporate-wide patient bed access plan that will be communicated across the Hospital; Leads the development and implementation of annual bed surge plans in collaboration with Senior Clinical Program Directors, using data to drive strategies Collaborates with Senior Clinical Program Directors and Corporate Program directors to identify and manage service reductions, bed map changes and redevelopment plans that will impact patient flow Coordinate, in collaboration with Senior Clinical Program Directors, the annual pay for results, QIP and Patient Flow action plan Qualifications : Bachelor’s Degree in a regulated health discipline; Master’s degree preferred. Registration in good standing with a Regulatory College of Ontario required. Minimum five years of recent acute care clinical experience. Required Skills/Competencies: Demonstrated leadership capabilities in a team environment, and ability to function successfully in a self-directed/autonomous model. Strong interpersonal skills and proven effectiveness in engagement and consensus-building strategies with diverse stakeholders. Demonstrated change management experience and expertise, with the ability to engage teams in large scale change initiatives. Demonstrated skills in staff/patient education, and the ability to apply adult teaching/learning principles. Proven, strong problem-solving and conflict resolution skills. Demonstrated strong analytical, organizational and conceptual skills. Demonstrated competencies in Microsoft Office tools. Demonstrated strong orientation to navigate through complex relationships, information and issues, and find solutions. Demonstrated strong work ethic, integrity and accountability. Demonstrated self-direction/initiation, and commitment to continuous professional learning and development. Demonstrated ability to adapt and function effectively as a team member in response to changing or evolving demands and/or environment. Excellent interpersonal, written & verbal communication skills and presentation skills. Demonstrated ability to resolve conflict by generating creative solutions. Demonstrated ability to use data to identify opportunities and engage in data driven decision making, and change management. Satisfactory attendance record. Preferred Skills/Competencies: Lean training/certification, Project Management training/certification, and Institute for Healthcare Improvement (IHI) courses preferred. Experience with bed management and allocation and resource utilization, an asset. Demonstrated knowledge and experience in LEAN and other process improvement/quality improvement methodology; LEAN belt certification an asset. Project management training/certification, an asset. Demonstrated knowledge of the Ontario health care system, provincial legislation, accreditation standards an asset. Knowledge of community resources, support services and partnerships. WHEN APPLYING, PLEASE INCLUDE THE JOB TITLE IN THE SUBJECT LINE. If you are interested and qualified for this position, we invite you to send us your resume to  hrjob@stjoestoronto.ca . Please note while we value all applicants only those candidates selected for interview will be contacted. We are an Equal Opportunity Employer.