Social Work
Sunnybrook Health Sciences Centre
Toronto, ON, Canada
5d ago

Summary of Duties

The primary goal of the Weekend Discharge Team is to facilitate weekend discharges from all 10 of the SHSC Acute Care units (General Internal Medicine, Oncology, Cardiology, Muscular Skeletal and Trauma), to facilitate referrals and to divert admissions from the Emergency Department.

The Weekend Discharge Team consists of an Occupational Therapist, Physiotherapist and Social Worker. The team will use a person centred model of care that enables each professional to optimize their scope of practice, improving effectiveness and efficiency of care, and the patient experience.

The team in collaboration with the weekend unit based staff, ED staff, CCAC patient flow and Medical teams will monitor for weekend discharges, assess patients and complete referrals / applications to facilitate weekend discharges.

The candidate will be able to work in a fast paced environment determining priorities according to the patient’s goals and estimated discharge date.

The successful candidate will practice in accordance with the appropriate legislation and organizational policies for decision making, care planning and coordination of care.

  • Collaborate with colleagues regarding weekday handover list outlining pending issues for focused weekend follow-up
  • Complete assessments and applications for weekend discharge planning
  • Assess and confirm medical stability to determine if patient is requiring Alternative Level of Care
  • Update eALC tool as appropriate by Social Work
  • Prioritize RM&R referrals for home, rehabilitation and palliative care for weekend and Monday discharges
  • Collaborate with Emergency Department and Acute Care Unit teams, CCAC, other community resources to facilitate weekend discharges
  • Problem solve to facilitate weekend discharges
  • Qualifications / Skills

  • Master’s Degree in Social Work required
  • Registered and a Member in good standing of the OCSWSSW
  • Minimum 2 years of experience working as an acute care hospital required
  • Emergency Department experience an asset
  • Conducting Psychosocial assessments with a priority on identifying complexities regarding discharge over the weekend or Monday
  • Knowledge and skills in applying relevant theoretical frameworks in particular systems theory, crisis intervention, brief solution focused perspectives and adjustment to illness / injury
  • Demonstrated understanding of caregiver stress or family dynamic factors that may impact discharge planning
  • Advanced negotiation and mediation skills to balance patient, family / caregiver, team, organizational and access to care needs and opportunities.
  • Knowledge of Social Work Competencies in Hospice and Palliative Care
  • Competency in adhering to the SW Standards of Practice at SHSC
  • Knowledge of practice, theoretical perspectives and community resources in End of Life Care
  • Understanding of the Health Care Consent Act and its interpretation to navigate, educate and facilitate identification of an SDM where appropriate
  • Strong Advocacy skills to support patient autonomy and self determination.
  • Knowledge of and timely management of the Wait Management system (eALC)
  • Well-developed communication, interpersonal, time management and organizational skills
  • Strong teambuilding skills and conflict resolution skills
  • Excellent assessment, interviewing and problem solving skills
  • Computer literacy required
  • Knowledge of the health care system, community resources and eligibility criteria for system partner facilities
  • Good working knowledge and execution of referral systems such as RM&R
  • Superior ability to manage multiple tasks and set priorities in a fast-paced environment
  • Qualified candidates are invited to submit their resume and cover letter (in one document) quoting 190533 to :

    Human Resources

    Sunnybrook Health Sciences Centre

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