Position Summary The Registered Nurse (RN) provides safe, competent, ethical, compassionate and evidence-informed nursing care to residents of MacGillivray Guest Home. The RN uses comprehensive assessment, clinical judgment and professional accountability to plan, coordinate, implement and evaluate individualized care in partnership with residents, substitute decision-makers, families and the interdisciplinary team.

The RN provides clinical leadership and coordinates resident care across the shift; supports LPN colleagues as autonomous regulated professionals; and assigns, directs and, where appropriate, delegates activities to Continuing Care Assistants (CCAs) and other unregulated care providers in accordance with applicable regulatory guidance, individual competence and organizational policy. The RN promotes resident dignity, choice, safety, quality of life and continuous quality improvement in keeping with the Home’s mission, vision and values.

Core Competencies

· Professional accountability: practises within current registration/licensure, individual competence, professional standards, legislation and organizational policies.

· Clinical judgment: recognizes changes in resident condition, prioritizes competing needs and escalates concerns promptly.

· Person-centred practice: respects resident preferences, informed consent, privacy, cultural safety, equity and dignity.

· Clinical leadership: coordinates care, supports colleagues, communicates expectations and fosters a respectful team environment.

· Communication and collaboration: communicates clearly with residents, families, prescribers and interdisciplinary partners.

· Safety and quality: identifies risks, participates in incident follow-up, and contributes to quality improvement and evidence-informed practice.

· Professional growth: maintains competencies, seeks feedback and participates in continuing education.

Key ResponsibilitiesAssessment and Care Planning

· Conduct and document comprehensive and focused assessments, including physical, cognitive, psychosocial, functional and behavioural needs.

· Recognize and respond to deterioration or significant changes in condition; initiate appropriate interventions and promptly notify the prescriber or emergency services as indicated.

· Develop, implement, review and update individualized care plans with residents, families and the interdisciplinary team; evaluate responses and outcomes.

Clinical Care and Medication Management

· Provide nursing interventions, treatments and procedures within the RN’s authorized scope,



competence and organizational policies.

· Administer and monitor medications and treatments safely, including high-alert and time-sensitive medications; identify adverse effects, discrepancies and medication incidents and follow reporting procedures.

· Support infection prevention and control, wound and skin integrity management, falls prevention, pain and symptom management, and appropriate palliative and end-of-life care.

Coordination, Leadership and Team Support

· Coordinate resident care and clinical priorities throughout the assigned shift, including appropriate handover and continuity of care.

· Collaborate with LPNs in accordance with each skilled’s scope, competence and accountability; provide consultation and clinical support when resident complexity or acuity requires it.

· Assign and provide direction to CCAs and other unregulated care providers; use delegation only where permitted and with required assessment, supervision and follow-up.

· Promote respectful communication, address immediate practice or safety concerns and escalate staffing or resource issues through established channels.

Documentation, Safety and Quality

· Maintain timely, accurate, objective and confidential health records, including assessments, interventions, evaluations, notifications and care-plan updates.

· Communicate significant clinical changes, incidents and risks using organizational reporting and escalation processes.

· Participate in audits, quality improvement initiatives, resident safety activities, education and policy implementation.

Resident and Family Partnerships

· Support resident choice, autonomy, privacy and informed decision-making; involve substitute decision-makers where appropriate.

· Communicate sensitively with residents and families regarding care needs, changes and goals, within consent and privacy requirements.

Qualifications

· Graduation from an approved registered nursing education program.

· Current practising RN licence in good standing with the Nova Scotia Nursing and Midwifery Regulator (NSNMR).

· Current Basic Life Support (BLS) certification, if required by organizational policy.





· Experience in long-term care, geriatrics, dementia care or complex continuing care is an asset.

· Ability to meet any applicable employment screening, immunization and occupational health requirements.

Knowledge, Skills and Abilities

· Sound assessment, critical-thinking, medication-management, care-planning and documentation skills.

· Ability to respond to urgent and changing clinical situations and communicate effectively with prescribers and emergency responders.

· Knowledge of resident rights, privacy, infection prevention and control, and relevant long-term care policies.

· Competence using electronic health records and other required clinical systems.

· Ability to work independently, collaboratively and respectfully with a diverse interdisciplinary team.

Working Conditions and Other Requirements

· Ability to meet the physical and cognitive demands of resident care, with reasonable accommodation where applicable.

· Availability to work assigned shifts, including evenings, nights, weekends and statutory holidays, as required by the position.

· Adherence to occupational health and safety procedures, confidentiality requirements and workplace policies.

Professional Accountability and Continuing Education The RN maintains an active practising licence, follows current NSNMR standards and guidance, remains competent for assigned responsibilities, completes mandatory organizational education and identifies learning needs through ongoing professional development.

Approval and Review

This description summarizes the principal responsibilities of the position and may be revised as resident needs, professional standards and organizational requirements evolve. It does not replace applicable legislation, professional standards, collective agreements or organizational policies.

Approved by: Gena Jones

Title: Director Clinical Services

Signature: Gena Jones

Date: October 8th, 2026.

Reference for HR review: Nova Scotia Nursing and Midwifery Regulator (NSNMR), Standards of Practice and Assignment and Delegation guidance; Nova Scotia Nursing and Midwifery Regulations (effective June 30, 2026).

Expected hours: 24.0 per week

Benefits

- Dental care
- Employee assistance program
- Extended health care
- Municipal pension plan
- On-site parking
- Paid time off
- Wellness program

Ability to commute/relocate:
- Sydney, NS B1S 2R9: reliably commute or plan to relocate before starting work (required)

Licence/Certification:
- RN (required)

Work Location: In person

📌 Permanent 0.6 Registered Nurse (Sydney)
🏢 MacGillivray Guest Home
📍 Sydney