POSITION DESCRIPTION

Transcription

1 POSITION DETAILS: POSITION DESCRIPTION TITLE: ECT Coordinator REPORTS TO: Clinical Team Leader (MHSOP Community) LOCATION: Auckland City Hospital AUTHORISED BY: Nurse Director DATE: 12/2/2018 PRIMARY FUNCTION: To coordinate care for all Auckland District Health Board ECT service users. To provide specialist nursing care to all Auckland District Health Board ECT service users. KEY ACCOUNTABILITIES Key Result Area Expected Outcomes/Performance Indicators The ECT Coordinator is Advocating on behalf of patients having received ECT, responsible for the overall running their family and friends of the ECT service. Informing patients and their family/carers about all aspects Principal functions of the ECT of ECT in conjunction with the treating team coordinator include Providing information and education to hospital staff, community-based staff and students Educating staff about the importance of informed consent Participating, as appropriate, in ECT training for nursing and medical staff Encouraging administrative and quality improvement activities that promote the efficient running of the ECT service Maintaining accurate statistical information and reports for service evaluation and research Promoting compliance with the Mental Health Act and other relevant legislation Encouraging professional standards Coordinating nursing practices throughout the delivery of ECT Liaising with anaesthetic, theatre, recovery and transit staff to support quality care Ensure routine checking of the ECT device (including servicing at least annually), required equipment, medication and other supplies. Coordinating of treatment sessions: booking theatre time, producing and distributing patient lists, booking of agency nurses as required (with authorisation) Provide educational and emotional support to service user and family/carer Assess the pre-treatment plan and the service user s physical state and functional ability prior to ECT. This includes: o Checking there has been no recent change in health status o Checking that routine observations (heart rate, blood pressure, temperature) have been measured prior to treatment, and in the case of

2 diabetic patients, a blood sugar level o Checking fasting and voiding status o Checking that all legal documents have been signed and are valid o Checking that the appropriate consent papers have been signed o Assessing the service user s status concerning safety, mobility, orientation o Briefly assessing the service user s mental state Preparing and monitoring the service user during treatment. This includes: o Meeting the service user in the waiting area, and bringing them to the treatment area o Providing comfort and reassurance before, during and after procedure o Assisting the treating ECT medical officer with the preparation and delivery of the treatment and the clinical tasks required o Providing support to the anaesthetist and anaesthetic support staff and required o Ensuring that appropriate Time Out checklist is undertaken o Assisting the anaesthetic team in the care of the unconscious service user and subsequent transfer to the recovery area Assisting with service user recovery: o Taking responsibility for ensuring that the patient has re-orientated to time, place and person, and is fit to return to the ward or be discharged home o Liaising with other ADHB staff who will be taking over care of service user following treatment o Taking due care in ensuring that patient privacy, respect and dignity is maintained at all times Specific activities and responsibilities of the ECT Coordinator include: 1. Before ECT: Arranging interpreters for non-english speaking patients and carers. Coordinating ECT lists, accounting for clinical need. Ensuring patients receive adequate food and drink after treatment. Ensuring all transit, medical, nursing, and administrative staff are present. Ensuring good communication with all staff regarding service users clinical needs. Ensuring that specific patient consent has been obtained before students and non-clinical staff attend treatments. Welcoming all patients presenting for treatment, and confirm that clinical and legal documentation has been finalised. Facilitate the preparation of the paperwork required for ECT 2. After ECT: Ensuring safe transfer of the patient to the staff member responsible for recovery.

3 MATTERS WHICH MUST BE REFERRED TO (INSERT TITLE HERE) Authorities: Ensuring ECT documentation is completed. Ensuring cleaning, sterilising (as required) and restocking of the treatment area after a list is completed. Ensuring all team members are supported, especially recovery and transit staff who will remain on duty after the ECT team has departed. Ensuring that inpatients return safely to the ward and outpatients, on leaving the unit, have been accompanied by a responsible adult who can provide continuing supervision for up to 24 hours Checking that medical staff review service users regularly during the course of ECT. FTE 0.5 Direct Reports: None Budget Accountability (if applicable): None Relationships External Internal Committees/Groups Relationship with key Liaison with other ADHB Member of ECT governance stakeholders services group Liaison with family Liaison with PACU team members and clients Building relationships with agencies providing aftercare. Person Specification Education Qualifications Essential Desired Professional New Zealand registration as a comprehensive or psychiatric nurse, or a medical practitioner with vocational qualifications in psychiatry Current Annual Practicing Certificate Has attended recognised ECT course/workshop prior to commencing role as ECT nurse Attends ECT course/workshop at least every 5 years while remains in ECT nurse role PDRP Level 4 or equivalent Experience/Knowledge Minimum of 3 years post registration experience. A strong interest in the provision of ECT. Knowledge of relevant legislation including MH Act, PPP&R Act and Privacy Act Evidence of educational development Mental health inpatient or Community experience. Recent experience in the provision of ECT. Knowledge of relevant ECT protocols and practices. Experience coronary care,

4 Knowledge of ECT protocol. Incorporates the principles of recovery into practice Experience managing acute medical emergencies. Extensive knowledge of mental illness and treatment interventions A knowledge of mental and physical conditions that can be treated with ECT: Clinical Depression, Schizophrenia, Mania, Catatonia, Neuroleptic Malignant Syndrome Familiarity with assessment and management of physical conditions that can affect ECT (e.g. raised intracranial pressure, COPD, GORD, hypertension, diabetes, epilepsy, obesity) At least 3 years post registration experience in a clinical setting. ICU, or recovery Advanced recovery and life support skills. Ability to work across departments/services or clinical areas where there is a lack of shared clinical skill and comprehension. Personal Characteristics High standard of verbal and written communication skills. Ability to work as an integral member of a multidisciplinary team. Able to maintain good professional relationships and be respectful of other team members skills. Excellent clinical skills in management of clients with both acute mental health and medical presentations. Can provide teaching/education regarding ECT to students & other professional groups Ability to assess: mental status, physical well being Recognise own clinical boundaries and professional dangerousness issues and know when to call on support or refer to specialist services A positive contributing team player/member Able to work as an independent professional Recognise need for and seek clinical supervision Flexibility to provide variety of clinical services at times and locations required CRITICAL COMPETENCIES COMPETENCY As person spec DESCRIPTION

5 WORKING FOR ADHB EXPECTATIONS OF EMPLOYEES CITIZENSHIP All employees are expected to contribute to the innovation and improvement of Auckland District Health Board as an organisation. This means: Using resources responsibly Models ADHB values in all interactions Maintaining standards of ethical behaviour and practice Meeting ADHB s performance standards Participating in organisation development and performance improvement initiatives Helping to develop and maintain Maori capability in ADHB, including developing our understanding of the Treaty of Waitangi and ways in which it applies in our work Raising and addressing issues of concern promptly THE EMPLOYER AND EMPLOYEE RELATIONSHIP We have a shared responsibility for maintaining good employer/employee relationships. This means: Acting to ensure a safe and healthy working environment at all times Focusing our best efforts on achieving ADHB s objectives A performance agreement will be reached between the employee and their direct manager and/or professional leader containing specific expectations. CONSUMER/CUSTOMER/STAKEHOLDER COMMITMENT All employees are responsible for striving to continuously improve service quality and performance. This means: Taking the initiative to meet the needs of the consumer/customer/stakeholder Addressing our obligations under the Treaty of Waitangi Involving the consumer/customer/stakeholder in defining expectations around the nature of the services to be delivered and the timeframe Keeping the consumer/stakeholder informed of progress Following through on actions and queries Following up with the consumer/customer/stakeholder on their satisfaction with the services PROFESSIONAL DEVELOPMENT As the business of ADHB develops, the responsibilities and functions of positions may change. All staff are expected to contribute and adapt to change by: Undertaking professional development Applying skills to a number of long and short term projects across different parts of the organisation Undertaking such development opportunities as ADHB may reasonably require