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Specialty Nursing & Diverse Roles

nursing imageAs 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
  • perinatal
  • gynecology
  • critical care:
    • cardiovascular intensive care
    • cardiac intensive care unit
    • medical surgical intensive care
    • neonatal intensive care
    • trauma and neurosurgical intensive care
  • diagnostic imaging
  • laboratory services
  • emergency
  • gastroenterology
  • community and family practice
  • gerontology
  • IV service
  • infection control
  • mental health
  • nephrology
  • neurology
  • neurosurgery
  • nursing informatics
  • occupational health
  • oncology
  • orthopedics
  • palliative care
  • perioperative
  • trauma
  • respirology
  • cardiology

Our Diverse Roles

We have a diverse range of roles within the nursing profession. Examples

Staff Registered Nurse

A staff Registered Nurse (RN) is responsible for delivering patient-focused care through the following eight 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
  • using evidence based practice and clinical judgment

St Michael’s Hospital participates in the Nursing Graduate Guarantee initiative supported by HealthForceOntario, Ministry of Health and Long Term Care.

Nurse Practitioner

Nurse Practitioners (NPs), registered in either the Primary Health Care, Adult or Pediatric specialties, work within collaborative teams in many programs within St. Michael’s to provide advanced care to patients and families that optimizes patient outcomes and enhances safety, efficiency, effectiveness and accessibility to care within defined populations. NPs work within a scope of practice that allows them to autonomously diagnose, order and interpret diagnostic tests, prescribe pharmaceuticals and perform procedures and demonstrate the following competencies:

• Professional role, responsibility and accountability (including Knowledge Translation, Scholarship, and Leadership).

• Advanced Health Assessment and Diagnosis

• Therapeutic Management

• Health Promotion and Prevention of Illness and Injury.

Clinical Nurse Specialist

Clinical Nurse Specialists (CNSs) are registered with the College of Nurses of Ontario in the general class.  They hold either a master’s or doctoral degree in nursing and have expertise in a clinical nursing specialty.  The CNSs demonstrate advanced knowledge, skill and judgment in providing care to patients that is consistent with the College of Nurses of Ontario.  At St. Michael’s, CNSs:

  • support the delivery of quality care to diverse patient population, and facilitate the development of comprehensive care plans in conjunction with the interprofessional team to enhance patient safety, outcomes, access to care, and experience
  • blend clinical expertise with education, knowledge translation, leadership and research skills to serve as consultants and resources to nurses, nursing leadership, interprofessional teams and external partners in the process of decision-making, developing clinical guidelines and protocols, promoting the use of evidence, and facilitating system change

Clinical Nurse Educator

  • The primary role of the Clinical Nurse Educator is to facilitate a learning environment where evidence-based knowledge is translated via education to optimize the patient’s outcomes and experiences. The Clinical Nurse Educator teaches, , guides, supports and evaluates staff learning to maximize their potential as learners and to enhance their care capabilities.At St Michael’s, Clinical Nurse Educators: Are change agents that advocate for and create learning environments that enhance clinical and professional practice
  • Work with other nurse leaders to support the development of nursing staff including participation in nursing and corporate initiatives
  • Collaborate with the interprofessional team and external partners to influence and advance evidence based nursing practice

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.