Nurse Practitioner

ABOUT US

Siloam Mission is a Christian-based non-profit service organization for Manitobans who have experienced homelessness and who struggle with mental health issues physical and cognitive disabilities addictions or trauma. Founded in 1987 the mission provides emergency shelter meals and clothing supportive housing and a variety of healing support and recovery services to help people transform their own lives and reach their full potential.

What matters to you

Being in a work culture that operates out of their core values of HEART (holistic equity altruism relationships and truth and reconciliation) - embracing diversity promoting equality and inclusion.

Siloam Missions Medical Transitional Care Unit (MTCU) is a compassionate 32-bed facility supporting individuals experiencing homelessness who have medical needs that do not require hospitalization but exceed what can be safely managed in shelter or in the community. The MTCU provides time-limited transitional housing integrated with essential medical mental health and social supports to improve health stability and housing outcomes.

Guided by person-centered strengths-based trauma-informed practice and rooted in harm reduction and Housing First principles the MTCU operates through a multidisciplinary team approach.

The MTCU Nurse Practitioner (NP) provides hands-on comprehensive medical care within a medically complex transitional housing environment serving individuals with significant physical health needs mental health challenges substance use and histories of trauma and homelessness. This role supports patients who may be actively using substances experiencing untreated or unstable mental illness and facing substantial barriers to accessing primary care. The role serves a diverse and highly vulnerable population and is grounded in principles of cultural safety humility and respect. The NP delivers holistic client-centered care that acknowledges the impact of colonization intergenerational trauma systemic racism and social inequities. The NP works within a harm reduction and trauma-informed framework to manage acute and chronic medical conditions reduce preventable emergency department visits and prolonged hospital stays and support safe transitions to community-based care.

KEY DUTIES & RESPONSIBILITIES

• Provide daily medical oversight primary care and clinical support to residents in the MTCU including daily rounds monitoring health status treatment adherence and response to care
• Engage in relationship-based care that builds trust and reduces barriers to accessing health services
• Conduct comprehensive medical assessments diagnosis and treatment for patients with acute subacute and chronic conditions including those with complex comorbidities
• Deliver direct clinical care including but not limited to:
  • Wound assessments and dressing changes
  • Injections and medication administration
  • Prescribing and medication management
  • IV antibiotic administration and monitoring
  • Acute care assessments and interventions
  • Basic Life Support (BLS) and medical response to urgent situations
• Assess and respond to mental health challenges and behavioral concerns including agitation distress and crisis situations using trauma-informed and de-escalation approaches
• Prescribe medications and order diagnostic tests in accordance with Manitoba scope of practice and regulatory standards
• Provide care using a harm reduction trauma-informed and nonjudgmental approach including working with individuals who are actively using substances
• Manage complex medical conditions commonly associated with homelessness substance use mental illness and limited access to healthcare
• Initiate and manage treatment plans aimed at preventing prolonged hospitalizations and reducing avoidable emergency department utilization
• Order interpret and act on diagnostic tests and clinical findings within scope of practice
• Collaborate closely with interdisciplinary team members (e.g. healthcare attendants nurses case managers occupational therapists cultural and spiritual care supports and physicians)
• Support care transitions including coordination with hospitals primary care providers specialty services pharmacies shelters and community-based supports
• Provide patient education related to health maintenance symptom management safer substance use practices infection prevention and self-care
• Maintain accurate timely clinical documentation in accordance with regulatory legal and organizational standards
• Oversee practicum students in medical fields
• Participate in quality improvement initiatives clinical reviews and program development as required
• Respond to medical emergencies within the shelter environment as required

EDUCATION & EXPERIENCE

• Masters or Doctoral degree in Nursing with a Nurse Practitioner designation
• Current Nurse Practitioner licensure in Manitoba
• Active registration and in good standing with the College of Registered Nurses of Manitoba (CRNM)
• Current BLS certification (ACLS an asset)
• Experience working with substance use disorders and addictions including harm reduction approaches (strong asset)
• Experience providing mental health care including assessment and management of common psychiatric conditions (strong asset)
• Experience working with Indigenous peoples communities or Indigenous-led organizations (strong asset)
• Experience working with diverse patient populations (strong asset)
• Knowledge of Indigenous cultural safety anti-racism and TRC Calls to Action as they relate to health care delivery
• Experience working with underserved populations strongly preferred

KNOWLEDGE/SKILLS/BEHAVIORS

• Demonstrated commitment to harm reduction health equity and patient-centered care
• Comfort and competence working with individuals who use substances and those experiencing homelessness
• Strong critical thinking clinical judgment and decision-making skills and ability to manage complex high-acuity medical and mental health needs in a non-traditional care environment
• Ability to assess and respond to unpredictable behaviors mental health crises and medical emergencies
• High level of empathy trauma-informed communication boundary-setting and de-escalation skills
• Ability to build trust and rapport with patients who may have experienced stigma or harm in healthcare settings
• Strong collaboration and teamwork skills within interdisciplinary and cross-sector teams
• Flexibility adaptability and comfort working independently and autonomously when required
• Demonstrated commitment to cultural humility reflective practice and ongoing learning
• Excellent organizational documentation and time-management skills
• Strong understanding of homelessness poverty and systemic barriers to care
• Knowledge of Indigenous history colonization and culturally safe practices
• Ability to work respectfully with and value diverse staff including those with lived experience
• Experience/Proficiency with Accuro EMR as a strong asset
• Proficiency in Microsoft Word Excel and Outlook

RELATIONSHIP

• Reports to Director of Community Wellness
• Provides care to residents of the MTCU and individuals accessing services at Siloam Mission
• Member of an interdisciplinary healthcare and housing support team
• Acts as a liaison between Siloam Mission hospital partners and community service providers
• Collaborates with Housing Leadership and Health Centre Leadership
• Provides reports to senior management funders and the Board as required

WORKING CONDITION

• Hours: Monday to Friday 8:00 a.m. 4:30 p.m.; some evenings and weekends may be required
• Work occurs within a transitional housing facility including resident rooms and within the Saul Sair Health Centre (SSHC) located within an Emergency Shelter
• May be required to work independently with residents in their living environment
• May be required to lift up to 50lbs repetitive motions (bending twisting lifting etc.)
• Regular exposure to substance use mental health crises complex medical needs and emotionally demanding situations
• Potential exposure to unpredictable or risky behaviors requiring situational awareness and adherence to safety protocols

WORKPLACE SAFETY AND HEALTH

The incumbent contributes to making the organization safe for clients and staff and recognizes the importance of reporting unsafe situations and participating in follow-up reviews as a learning opportunity.

• Provides a safe environment by ensuring adherence to Workplace Safety and Health Regulations and Policies Infection Control Guidelines WHMIS and Safe Work Procedures
• Immediately investigates and recommends corrective action on any unsafe acts work conditions incidents near misses injuries or illnesses
• Demonstrates understanding of role and responsibilities in fire prevention and disaster preparedness and participates in safety and health training programs including the facilitys Fire Disaster and Evacuation Plan
• Supports an environment which avoids prevents and corrects all activities or actions which may result in an adverse outcome in the delivery of services. Community Member safety is a standing item for all individual and departmental meetings