Noreen Frederick

▪ Inspections and Inquiries – responsible for inspecting and determining legislative, regulatory and policy/procedural compliance in accordance with the policies/procedures and methodology of the Inspections Branch; following up on any non-compliance identified.

▪Identify, collect and document evidence gathered to determine non-compliance, ensure that it is collected in accordance with LTCIB policies, procedures and direction to support reporting of non-compliance, appeals processes and other requirements for evidence collection.

▪Interview licensees, staff, residents of the LTC home and other parties, take statements to obtain and discuss information relating to the inspection and other related requirements.

▪Maintain effective communications with LTC home licensees, staff, residents, families and other related parties.

▪Analyze data and evidence gathered and review the management, operations, resident care programs, services, employee and general records to identify if any non-compliance, determine appropriate action/sanction to take and ensure there is evidence to support the actions/sanctions invoked.

▪Utilize registered health professional clinical skills to evaluate and assess provision of clinical care to residents including organization structure for care and services, policies & procedures, quality of programs outcomes, staffing hours, staff qualifications and training, standards of practice, management philosophy and objectives and other requirements under LTCHA.

▪Verify all non-compliance with applicable legislation, regulations, policies and directives through observation, interviews, record reviews, evidence collection, sampling and other testing methodologies to support the non- compliance.

▪Issue orders or other actions/sanctions, provide written inspection reports on inspections conducted, making recommendations to the Director to apply sanctions, where applicable; review and evaluate submitted plans for compliance.

▪Conduct inspections on resident trust accounts, MDS data accuracy, accommodation charges and other approved service charges to ensure compliance with legislation and policies.

▪Evaluate and assess the immediate risk of harm to resident health, safety and welfare to determine if immediate actions required, take appropriate action including referral of matter to others.

▪Communicate with complainants, residents, families, LTC Home staff and operators, Placement Coordinators, LHIN Ontario Health representatives, Ministry or other OPS staff, and other stakeholders such as police services and regulatory colleges to obtain details related to complaints, issues, provide clarification of Ministry legislation or regulations, inspection report findings, evidence gathered and actions taken or any other matter related to LTC home operations or care provisions.

▪ Managed all operational aspects of the long-term care home.

▪ Establish goals and objectives that align with the corporation’s operations plan and strategic directions.

▪ Directed, developed and maintained systems and processes that ensure the home is compliant with all elements of the Long-Term Care Act.

▪ Prepared action plans for resident, family, and employee engagement surveys.

▪ Prepared reports such as budget variance analysis, compliant trend analysis, critical incident reporting, trend analysis, near miss trend analysis, emergency preparedness status, health and safety checklist, core program updates, quality improvement plan, and balanced scorecard.

▪ Oversaw the Continuous Quality Improvement Programs (CQI) of the home such as Inspection Protocols, indicators, and annual program evaluation.

▪ Promoted, supported, and participated in a system of standards through the Accreditation process.

▪ Oversaw emergencies in the home such as fire, missing residents, medical emergencies, bomb threats, chemical spills, loss of hydro.

▪ Developed and implemented systems and processes to ensure the home is compliant with all elements of the Long-Term Care Act and other relevant Acts and legislation.

▪ Directed and provided leadership for the activities and coaching of 14 leadership team members.

▪ Ensured service excellence, communication/transparency, innovation, data integrity, and workflow integration.

▪ Ensured all people related issues, including recruitment, grievances and labour relations issues, are aligned to HR and corporate standards and practices.

▪ Ensured Occupational Health & Safety policies, programs and practices are implemented, and maintained.

▪ Ensured any observed hazards or lapses in the functioning of OH&S processes, and other OH&S concerns are responded to promptly.

▪ Developed, managed, and administered annual and multi-year capital and operating budgets.

▪ Oversaw escalated complaints from residents, clients, families.

high quality resident care to 96 residents, consistent with the Residents’ Bill of Rights.

▪ Managed 100 PSWs and Registered Staff

▪ Monitored and improved professional practice standards of nursing and personal care services.

▪ Established annual departmental goals and objectives, nursing policies and procedures in compliance with MOH&LTC Homes Act 2007.

▪ Assumed responsibility for the facility in the absence of the Executive Director.

▪ Managed wound care, infection control, falls, restraints & PASD, restorative, palliative care, responsive behaviours, pain, continence care, and medication management program.

▪ Accountable for completing audits, program evaluations, collecting stats, nursing drug error analysis.

▪ Recruited, hired, oriented, scheduled, and trained nursing and PSW staff.

▪ Managed High Intensity Need Funding program.

▪ Responsible for performance and attendance management.

▪ Handled admissions and CCAC applications.

▪ Completed investigations and carried out disciplines.

▪ Oversaw department budget.

▪ Responded to resident / family member concerns, mediating a satisfactory response, and implementing action plans to avoid re-occurrence of similar issues.

▪ Coordinated with medical staff, nurse specialists, and external vendors in supporting effective clinical care for all residents.

▪ Led the RAI-MDS program to ensure all applicable data was submitted on time.

▪ Ensured all nursing staff held required certificates and maintained validation as per the Long-Term Care Homes Act.

▪ Co-Lead for CARF Accreditation process, Strategic Planning and WSIB.

▪ Provided leadership, coaching and support to the nursing staff.

▪ Managed student placements from various universities/colleges.

▪ Led clinical education.

▪ Promoted and provided resident-centered-care to 120 residents.

▪ Set annual departmental goals and objectives to ensure congruency with the home’s mission.

▪ Supervised, monitored, and improved professional practice standards of nursing and personal care services.

▪ Benchmarked, promoted, and adopted best practices from RNAO, CNO to improve service quality.

▪ Led the resident care core programs in clinical departments and ensured all legislative standards were met.

▪ Managed 150 PSWs and Registered staff.

▪ Led, monitored, evaluated, and improved the home’s Quality Improvement Program

Led the RAI-MDS program and ensured all applicable data was submitted in timely manner.

▪ Participated in the CARF Accreditation.

▪ Established positive relationships between residents, family members, staff, volunteers, and the community.

▪ Monitored and reviewed the staffing plan and financial performance regularly to maintain a balanced budget.

▪ Ensured the provision of high-quality personal care to residents including, bathing, dressing assistance, medication administration and mobility.

▪ Developed and updated care plans.

▪ Assumed responsibility for the residence in the absence of the Administrator.

▪ Hired, onboarded, and scheduled nurses and Personal Support Workers.

▪ Responsible for medication management, infection control, behaviour support, restraint, PASD, falls, SALT, continence & bowel, and prevention of neglect & abuse programs.

▪ Completed Critical Incident Reports.

▪ Completed High Intensity Needs.

▪ Supervised, oversaw and directed the delivery of day-to-day nursing care to 197 long-term care residents.

▪ Received direct reports from facility charge nurses, ET nurse, wound care nurse, and special assignment PSWs.

▪ Worked in collaboration with leadership team to deliver the highest quality care for residents.

▪ Set departmental goals and objectives in consultation and collaboration with DOC, Administrator, facility charge nurses, RAI-Coordinator, and home’s management team.

▪ Monitored and evaluated admission applications for compliance with admission criteria.

▪ Matched resident placements with availability of resources in the absence of Director of Social Services.

▪ Supported and promoted staff development and continuing education.

▪ Assumed responsibility for nursing service in the absence of the Director of Nursing.

▪ Participated in care conferences, met with resident families to resolve problems/ concerns/complaints.

▪ Oversaw fall prevention, palliative care, skin and wounds, infection control, pain control, and behaviour management programs.

▪ Coordinated mask fit testing for the home.

▪ Managed human resources for the nursing department including hiring, performance reviews, coaching, development, WSIB, performance appraisals, and attendance management.

Office Case Manager 2007–2009 CCAC

▪ Collaborated with patients and families, assessed care needs, determined eligibility for services, and developed individual care and service plans.

▪ Linked patients with service providers.

▪ Coordinated and monitored care plan delivery.

▪ Established a helping relationship with patients and families.

▪ Balanced patient needs and choices with available resources, ensuring patients’ values and preferences were respected.

▪ Provided IV therapy (peripheral, PICC, Porta Cath, central line), pain management, TPN therapy, NG/PEG tube care, foley catheter care, chest tube maintenance, wound care management, fistula care, blood sugar monitoring, isolation protocol (for MRSA, TB, VRE, etc.), knowledge of BiPAP and ventilator.

▪ Provided care for medical patients with respiratory failure, GI, trauma, diabetes, hypertension, CHF, oncology, urology, strokes, ALS.

▪ Worked collaboratively with RN colleagues, physicians, residents, occupational therapists, physiotherapists, chaplains, social workers, and CCAC to revise/develop care plan.

▪ Managed preceptorship of new staff/students; health teaching for family and patients.

▪ Provided discharge information, continued care on recovery and referral services prior to hospital discharge.

▪ Provided care to patients with strokes and other neurological problems such as seizures, migraines, multiple sclerosis, Parkinson’s, and dementia/Alzheimer’s.

▪ Worked as a team with other health care professionals (MDs, RNs, PT, OT, SW).

▪ Provided patient education on issues such as health, wellness, and stroke recovery.