Registered Practical Nurse

The Community Treatment Order (CTO) Team is seeking a Registered Practical Nurse to join the team. Full time and 6-month contract positions available.


  • Participate as a member of a high performance team, providing nursing services and managing a caseload of CTO individuals living with severe and persistent mental illness within a variety of community settings
  • Liaise with the CTO Coordinator from Lakeridge Health Oshawa and staff within the organization, providing intense ongoing support to individuals being placed on CTO
  • Develop, implement, and maintain individualized nursing client care plans supporting the clients’ goals and provide case management to clients for the duration of the CTO
  • Assists clients with access and connection to other appropriate services as necessary
  • Review clients’ assessment information, discuss their medical, psychiatric, and social issues, and complete/update comprehensive nursing mental health assessments, including mental status exams
  • Monitor, review, and update care plans on a scheduled basis, revising plans as necessary and ensuring flexibility to meet clients’ needs
  • Maintain current, complete, and accurate client documentation
  • Provide information and resources to clients on chronic and terminal illnesses
  • Provide health education to clients on their medication, including side effects, drug/alcohol interactions, and the importance of compliance
  • Assess the significance of changes in the client’s clinical status and intervene when necessary to minimize crisis intervention situations
  • Participate in the development of a discharge plan in collaboration with clients and stakeholders
  • Exchange and share nursing knowledge on evidenced-based nursing practices with team members to assist in the health needs of clients
  • Communicate with psychiatrists at Lakeridge Health Oshawa on an ongoing basis and attend required appointments with clients
  • Administer medication and intramuscular injections/treatments to clients and complete/maintain appropriate documentation
  • Document client contacts, perform assessments, and create reports in a timely manner, as outlined in CMHA Durham policies and procedures
  • Update and maintain the Medical Administration Record (MAR) for a caseload of clients, including medication audits, and liaise with the pharmacy
  • Provide referrals to health care professionals and community resources for further or more complex medical challenges
  • Perform other tasks as assigned by management


  • Registered Practical Nurse Diploma and a minimum of two years’ related mental health experience or equivalent combination of education and experience
  • Membership/Registration in valid/good standing with the Ontario College of Nurses Association and the Registered Practical Nurses Association of Ontario
  • Sound knowledge of the Mental Health Act, Nursing Act, Regulated Health Professions Act, Health Care Consent Act, Community Treatment Orders, and other related legislation in Ontario
  • Sound knowledge of psychotropic medications including usage and potential side effects
  • Ability to develop and maintain positive relationships with clients, community, and partners and represent the agency in a professional manner at all times
  • Ability to acquire and utilize community resources effectively to meet clients’ needs
  • Excellent communication (written and verbal) skills and ability to formally present information to individuals or groups to develop, implement, and monitor nursing care plans 
  • Capacity to resolve complex client problems to ensure a high standard of nursing service
  • Flexibility to adapt to change
  • Ability to work with individuals of diverse backgrounds
  • Critical and creative thinking skills
  • Competence in making accurate nursing assessments and implement best practices
  • Ability to work successfully inter-professionally as well as intra-professionally (i.e. providing comprehensive health care services within the team as well as in partnership with shared-care professionals)
  • Capacity to manage crisis situations in a professional manner at all times
  • Valid Ontario Driver’s license, access to a dependable vehicle in safe working order, and appropriate insurance coverage
  • Knowledge of MS Office (Word, Excel, PowerPoint, Access and Outlook) and Internet

Please send your cover letter and resumé via the form below, or directly to Deanna Adams at

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