Registered Nurse Community Mental Health

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1 Date: Feb 2015 Job Title : Registered Nurse Department : Adult Mental Health Services Location : Waimarino, 33 Paramount Dr, Henderson Reports to : Team Manager Direct Reports : None Functional Relationships with : Internal Clinical coordinator Team members Clinical Nurse Advisor Service manager Consumer Advisors Quality coordinator Service educator Service Clinical Director Other WDHB mental health services External NGO service providers Consumer organizations Family members and caregivers Community organizations Government agencies Other mental health services Primary healthcare providers Purpose of RN role : To provide nursing interventions in conjunction with the multidisciplinary team, which are recovery focused, safe, appropriate and effective. The care is based on comprehensive assessments, ensures continuity, is service user centered, culturally sensitive and evidence based. Waitemata District Health Board -JOB DESCRIPTION - MH RN Community Acute Feb 2015 Page 1

2 Our Purpose, Values and Standards At the heart of Waitemata DHB is our promise of better care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. Waitemata District Health Board -JOB DESCRIPTION - MH RN Community Acute Feb 2015 Page 2

3 KEY ACCOUNTABILITY EXPECTED OUTCOMES Nursing Practice Practice meets the standards of the profession, ethical and relevant legislated requirements. Accepts responsibility for safety and quality of nursing practice and conduct. Accepts accountability for action, omissions and commissions. Nursing practice is provided in a culturally safe manner and supports the principles of the Treaty of Waitangi/Te Tiriti o Waitangi: The service user and their family/whanau determines care as culturally safe At all times applies the nursing process: skilled assessment, planning, implementation of best practice and evaluation. The environment is managed to ensure safety. Practice reflects competence in assessment, planning, implementation and evaluation of nursing care and clinical tests required to meet service user needs. Undertakes DAO responsibilities if appointed in accordance with training and legislative requirements Management of nursing care All service users receive a comprehensive and accurate nursing assessment to identify needs and risks/ early warning signs that will affect care plans and interventions required. Demonstrate skill in clinical health assessment in the clinical setting. There is regular assessment/ re-evaluation of wellness and progress, and regular MDT review. Is alert to the early warning signs and acts proactively. Nursing care is provided in a timely manner, according to a documented care plan and the skills and knowledge competencies for the specialty. Clinical forms and documents are up to date. All practice interventions are managed in a safe and appropriate manner and according to best practice guidelines. e.g. administration of interventions, treatments, medications Specialist nursing interventions are provided, within the MDT. eg administration of intramuscular injections and metabolic screening. Documentation is accurate and maintains confidentiality of information Handover of service user information is managed using best practice guidelines The service user has adequate explanation of the effects, consequences and alternatives of proposed treatment options Nursing action is appropriate to protect the nurse and others when faced with unexpected responses, confrontation, personal threat or other crisis situations Service user progress/outcomes are evaluated in partnership with the service user and their family/whanau Health education is appropriate to the needs of the service user within a nursing framework Evaluation/reflection on the effectiveness of nursing care is undertaken with peers to achieve improvement Plans include targeted outcomes and goals negotiated with the service users and their family/whanau Specific clinical interventions are implemented in accordance with the Management/Risk Plan Collaborative note writing is completed with the service user where possible Waitemata District Health Board -JOB DESCRIPTION - MH RN Community Acute Feb 2015 Page 3

4 KEY ACCOUNTABILITY Care coordination Interpersonal relationships Interprofessional health care and quality improvement contributions Registered Nurse EXPECTED OUTCOMES Demonstrates flexibility and adaptability in response to workload demands, and urgency Provides care coordination for service users on caseload Provides support to other care coordinators during leave or when extra support is required, as negotiated Facilitates progress through the service from entry to discharge using identified assessment, recovery planning and review tools Participates in regular caseload audit and caseload overview process with clinical coordinator. Takes remedial action to address issues with documentation or with follow up identified via audit or other processes. Adheres to statutory requirements under MHA. Completes all relevant administration tasks. Relationships with service users and their family/whanau are appropriate and therapeutic to achieve agreed health outcomes Good customer service skills Maintaining boundaries Partnership Caring Value-oriented: respectful, open, compassionate, integrity Communication is effective with service users, their family/whanau and members of the health care team in all interactions Relationships with colleagues and allied health professionals are professional, positive and collaborative to facilitate and co-ordinate care that achieves health outcome. Professional approach recognizes, respects and values the roles and skills of all members of the health care team in the delivery of care Clinical safety is a priority in practice. Completes orientation, undertakes in-service education, uses the policies and procedures to guide practice. Policies are adhered to Action taken improves quality of care and practice (best practice, audit, corrective action) improves the standards of nursing practice Participates in quality improvement activities within the service Preceptors new nurses, student nurses and nursing interns as required Engages in professional supervision Professional development The Health Practitioner Competence Assurance Act obligations are adhered to: maintaining competence, updating knowledge, undergoing competence assessment and annually reapplying for a practicing certificate Complies with the WDHB Professional Development & Recognition Programme (PDRP). Presents portfolio as per policy requirements. Annually seeks peer review and completes the competence assessment process as required. Undertakes on-going learning i.e. in-service, self-learning, study days, post graduate learning Waitemata District Health Board -JOB DESCRIPTION - MH RN Community Acute Feb 2015 Page 4

5 Culturally sensitive practice Workplace Health and Safety Shows understanding of and commitment to the principles of the Treaty of Waitangi (partnership, protection, participation) and importance of Whare Tapa Wha (the four cornerstones of health) te taha wairua (spiritual aspects); te taha hinegaro (mental and emotional aspects) ; te taha whanau (family and community aspects); and te taha tinana (physical aspects). Recognises culturally appropriate and safe practice in the nursing workforce and assists in initiatives developed to reduce inequalities and positively impact on Maori health status Assists in the leadership and management of projects to improve Maori access to healthcare services. Accesses cultural supports for service users, their family/whanau and self where indicated. Individual responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 is recognized and appropriate action take Organisational health and safety policies are read and understood and relevant procedures applied to their own work activities. Refers to work practices that are evidence based, current and adhered to. Workplace hazards are identified and reported, including self management of hazards where appropriate. Can identify health and safety representative for area. VERIFICATION: Employee: Department Head: Date: Waitemata District Health Board -JOB DESCRIPTION - MH RN Community Acute Feb 2015 Page 5

6 PERSON SPECIFICATION POSITION TITLE: Registered Nurse Qualification Experience Personal Attributes EXPECTATIONS Registered Nurse scope of practice, and able to work in mental health setting Current practicing certificate in New Zealand Driver s Licence (car) Recent relevant experience in mental health nursing Recently registered nurses must be engaged in, or have completed a mental health entry to specialty practice programme Understands and actions Lets Get Real skills Is aware of contemporary standards and has reputation of providing good nursing care Practices nursing to demonstrate professional responsibility Meets management of nursing care competencies: - to achieve service user focused care; and - to the highest professional standard possible. Consistently demonstrates advanced inter-professional, health care and quality improvement competencies. Consistently demonstrates advanced interpersonal relationship competencies. Good communication skills and customer service practices Practice shows understanding of and commitment to the principles of the Treaty of Waitangi Upholds confidentiality with a reputation for high integrity and discretion Demonstrated confident collaborative approach in team practice Able to work under direction, but also take initiative where clinical judgment suggests therapeutic intervention. Seeks guidance and supervision Sensitive and constructive in responding to the needs of individuals and groups Continues education to develop skills and knowledge in the provision of nursing care Demonstrated ability to share clinical knowledge with others Understands the importance of good relationships in ensuring continuity of care Positive manner, able to influence without conflict Calm, even, consistent and mature personality An active listener, values everyone s opinions Self-directed, proactive, uses initiative, confident skill in negotiation and consultation Professional and sensitive approach when dealing with the needs of individuals and groups balanced with the needs of the service Manages personal stress effectively Waitemata District Health Board -JOB DESCRIPTION - MH RN Community Acute Feb 2015 Page 6

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