Nursing
Specialty Nursing & Diverse Roles
As a teaching hospital, a referral centre for patients from across
the province, downtown Toronto's designated trauma centre for adults
and the regional stroke centre for southeast Toronto, St. Michael's
Hospital offers exciting career development and learning and growth
opportunities for registered nurses in the following specialty areas:
- cardiovascular nursing
- child birth and gynecology
- critical care:
- cardiovascular intensive care
- coronary care
- medical surgical intensive care
- neonatal intensive care
- trauma and neurosurgical intensive care
- diagnostic imaging
- emergency
- gerontology
- IV service
- infection control
- mental health
- general medical surgical nursing
- nephrology
- neurology
- neurosurgery
- nursing informatics
- employee health
- oncology
- orthopaedics
- palliative care
- perioperative nursing
- trauma
Our Diverse Roles
We have a diverse range of roles within the nursing profession. Examples
Staff Registered Nurse
A staff registered nurse is responsible for delivering patient-focused care through the following seven domains of nursing practice:
- diagnostic and patient monitoring
- administering and monitoring therapeutic regimens
- managing increasing complex and rapidly changing situations
- creating a climate for and establishing a commitment to healing
- teaching and coaching
- leadership and professional practice
- building and maintaining a therapeutic team and managing in a changing environment
Advanced Practice Nurse
An advanced practice nurse (APN) is a registered nurse with advanced knowledge in a specialized area of clinical practice. The advanced practice nurse role includes nurses working as clinical nurse specialists (CNS), acute care nurse practitioners (ACNP), or primary health care nurse practitioners (PHCNP). The APN contributes to quality care and nursing clinical scholarship through the following competencies or domains of practice as defined by the Canadian Nurses Association:
- practitioner
- collaborator
- researcher
- leader
- change agent
Clinical Educator
The clinical educator provides education to staff to support professional development and promote safe and effective practice. The clinical educator teaches, guides, supports and evaluates staff to maximize their potential as learners and to enhance their care capabilities.
Clinical Leader/Manager
The clinical leader/manager (CLM) provides leadership and direction at the unit level to interdisciplinary teams to ensure the effective and efficient delivery of high quality patient care. The CLM, using their teambuilding and change management skills, is primarily accountable for the quality of patient care, utilization of resources, professional practice and staff development, customer and staff satisfaction, and developing innovative, team-based approaches to the day-to-day management of the unit and to the delivery of service.
Patient Flow Manager
The patient flow manager is responsible for facilitating the movement of patients to the appropriate unit, assessing the suitability and availability of beds and services, problem solving with staff in various units and facilitating discharge planning and co-ordination. The patient flow manager works to reduce wait times for patients and backlogs in the emergency, recovery and admitting departments.

