Hawke s Bay District Health Board Position Profile / Terms & Conditions Position holder (title) Speech and Language Therapist Reports to (title) Speech and Language Therapy Team Leader / Professional Advisor Department / Service Purpose of the position Speech and Language Therapy Department / Allied Health Service To deliver the highest quality speech and language therapy service to HBDHB To deliver speech and language assessment and therapy with individuals and groups to maximise their communication To deliver dysphagia and feeding assessment and therapy to manage swallowing safety for nutritional intake To ensure and prioritise a focus on patient safety and quality relating to care and processes within the Speech and Language Therapy Service. Deliver organisational Key Performance Indicators (KPI s) including relevant Ministry Of Health (MOH) targets, financial budgets and service plans. To recognise and support the delivery of the Hawkes Bay Health sector vision Working Relationships Internal Service Director Chief Allied Health Professions Officer Team Leader Speech and Language Therapy Professional Advisor Speech and Language Therapy Speech and Language Therapists Doctors and medical staff Other Regulated and unregulated staff practitioners and assistants Clinical Nurse Managers, Associate Clinical Nurse Managers, Clinical Nurse Specialists and Advanced Practitioner and Clinical Nurse Educators Other support staff Administration team Allied Health Professionals: Radiology team, Dietitians and food service, Pharmacy team Te Wahanga Hauora HBDHB External Patients, family/whānau and/or carers New Zealand Speech Language Therapy Association (NZSTA) Universities of Canterbury, Massey and Auckland, Eastern Institute of Technology EIT Community agencies e.g. Cranford Hospice, Options Hawke s Bay, Enliven, Stewart Centre @ EIT, Healthcare NZ, Access Enable NZ, Talk Link Wellington, ACC, GP s and practice nurses Other DHB s Therapists and Speech Language Therapists within and external to Hawke s Bay General Practice GPs and Practice Nurses and other staff. Primary health providers, NGOs and the wider health system. Care providers including Private hospitals, residential care homes. Suppliers
Dimensions Expenditure & budget / forecast for which accountable Challenges & Problem solving Number of staff reports Delegations & Decision Other Indicators nil Diverse range of service provision for patients and their whānau/families. Management of caseload, prioritisation and communication about these. Provision of service on acute wards, rehabilitation wards, outpatient and community Speech and Language Therapy services Responsible for identification of patients at risk and referring on to appropriate services. Relationship management within team and with medical, nursing and allied health staff Seeking support and supervision from senior speech and language therapy staff as required. nil Responsible for the communication and swallowing management of patients Ability to work within multidisciplinary team, in both inter and trans disciplinary models. Be accountable for clinical decision making and demonstrate clinical reasoning. Clinical decision making, including caseload management and prioritisation, alongside individual case work. Delegation within the Speech and language therapy service, including to administration support and non-regulated staff. Active participation in speech and language therapy department decision making, including relating to service development initiatives Integral professional within a progressive speech and language therapy service, a busy holistic service with extensive collaborative partnerships. Valued member of a supportive team 2
Key Accountabilities COMPETENT CLINICAL PRACTICE: Is responsive to patient s / whānau needs in relation to assessment and managing care, supported by professional knowledge and evidence based research. Manages and is accountable for providing safe, effective and appropriate Speech and language therapy intervention using knowledge and skills gained from professional education and practical experience to meet best practice and professional standards Actively contribute within the multidisciplinary team, proactively identifying the patient / whanau concerns, needs and expectations Works within ethical guidelines and legislation (ie, Code of Health and Disabilities Services Consumers Rights, New Zealand Speech and Language Therapy Association, Code of Ethics) Utilises the principles of patient centred care and relationship centred practice Demonstrates expertise in applying the principles of teaching and learning in association with clinical interventions Students are supervised as required Adheres to professional, service and organisational policies, procedures and practice guidelines Maintains competency within the New Zealand Speech and Language Therapy Association Guidelines Departmental audits including documentation audit demonstrate compliance with current practice standards, HBDHB policies and procedures Teamwork is evident, through peer review, documentation Customer feedback Provides written evidence of supervision and peer review activities Maintenance of professional portfolio in accordance with the New Zealand Speech and Language Therapy Association Guidelines Demonstrates change and innovation in response to performance feedback and review CONTINUING EDUCATION: Development, of self and service. Is accountable for maintaining / developing professional competence Identifies own learning needs and negotiate appropriate resources Maintain and develop clinical practice Actively participate in inservice education opportunities, attending, contributing and delivering workshops Completes mandatory organisational training as required Attend relevant training courses internal and external Ensure efficiency and quality are inherent in service delivery Contribute to the planning and development of the service Contribution is made to in-service education within the HBDHB Participates in the Speech and Language Therapy supervision programme Positive Professional Development Review (PDR) Peer review Evidence of continuous professional development includes but is not limited to: - Participation in in-service programme - Attendance at courses - Current reading - Application of learned skills Involvement in quality initiatives Offering of ideas for quality improvement. Participation in development and/or review of policies and protocols Evidence of participation in professional supervision Record of reflective practice of learned skills CONTINUOUS QUALITY IMPROVEMENT: Demonstrates a commitment to continuous quality improvement Participates in quality review activities and quality improvement initiatives Communication with community agencies and support networks is developed and maintained Positively uses events for learning and sharing Projects completed within agreed time frames Evidence is available in client notes and staff diary Participation in event reporting and changes/learning 3
INTEGRATION OF CARE: Recognises, promotes and achieves optimal collaboration Demonstrates a commitment to the multidisciplinary team approach Demonstrates responsibility, accountability and commitment to the speech and language therapy service and to the speech and language therapy profession Communication & collaboration with supporting services within HBDHB is developed and maintained Develop a professional relationship with other speech language therapy services Active involvement in health promotion and preventative programmes A positive interactive attitude is displayed Demonstrates excellent written and verbal communication skills Consumer feedback: People with communication and swallowing conditions are able to access and receive quality speech and langauge therapy services at the right time and place Peer review and PDR process Departmental audits demonstrate community interaction eg onward referrals. OCCUPATIONAL HEALTH & SAFETY Displays commitment through actively supporting all health and safety initiatives Ensures all staff/colleagues maintain adequate safety standards on the job through consultation, training and supervision Ensures own and others safety at all times Complies with policies, procedures and safe systems of work Reports all incidents/accidents, including near misses in a timely fashion Is involved in health and safety through participation and consultation Evidence of participation in health and safety activities Demonstrates support of staff/colleagues to maintain safe systems of work Evidence of compliance with relevant health and safety policies, procedures and event reporting Key Competencies CUSTOMER SERVICE Open and responsive to customer needs Demonstrate an understanding of continuous quality improvement Demonstrates a commitment to customer service and continuous quality improvement, through interaction with patient/clients and other customers Identifies customer needs and offers ideas for quality improvement Effective management of customers/situations ENGAGING EFFECTIVELY WITH MĀORI Demonstrates knowledge and understanding of local tikanga and Māori culture sufficiently to be able to respond appropriately to Māori Is visible, welcoming and accessible to Māori consumers and their whānau Accelerated health outcomes for Maori Evidence of positive feedback from Māori consumers and whānau, and colleagues Evidence of collaborative relationships with Māori whānau and community/organisations 4
Actively engages in respectful relationships with Māori consumers and whānau and the Māori community Actively seeks ways to work with Māori consumers and whānau to maximise Māori experience Actively facilitates the participation of whānau in the care and support of their whānau member Evidence of whānau participation in the care and support of their whānau member HEALTH AND SAFETY STATEMENT Takes reasonable care of your own health and safety Ensures that your actions or omissions, do not adversely affect the health and safety of other persons Complies with reasonable instructions given by HBDHB Co-operates with health and safety policies or procedures 5
Essential and Desirable Criteria: Qualifications / Skills / Experience Essential Engaging Effectively with Māori Qualifications (e.g., tertiary, professional) Demonstrates the ability to engage effectively with Māori consumers (patients/families/whanau) Demonstrates ability to apply the Treaty of Waitangi within the Service Bachelor of Speech and Language Therapy (or equivalent) that is recognised by the New Zealand Speech and Language Therapy Association Business / Technical Skills (e.g., computing, negotiating, leadership, project management) Competent in computing utilising Microsoft applications, Internet and other web-based applications Competent using PC, laptop, cellular phone and ipad devices. The ability to work in a collaborative manner with a wide variety of personnel. Current unendorsed NZ Driver s Licence (or equivalent that can be recognised in New Zealand). Values & Behaviours: Shows commitment to, and demonstrates the behaviours of the health sector: Experience (technical and behavioural) - He kauanuanu Showing respect for each other, our staff, patients and consumers this means I actively seek to understand what matters to you. - Ākina Continuously improving everything we do this means that I actively seek to improve my service. - Rāranga te tira Working together in partnership across the community this means I will work with you and your whanau on what matters to you. - Tauwhiro Delivering high quality care to patients and consumers this means I show empathy and treat you with care, compassion and dignity Experience in acute/rehab hospital environment (including relevant student placements for new graduate applicants) with demonstrated competencies in current speech language therapy practice Be trained and competent in dysphagia management, including videofluoroscopy (VFSS) Ability to contribute effectively within the multidisciplinary team Excellent oral and written communication skills Ability to communicate and practice in response to culture and beliefs Ability to organise workload and accept responsibilities for work outcomes / outputs. Commitment to a patient centred care and relationship centred practice philosophy Enthusiasm, initiative and flexibility Committed to continuous quality improvement and a willingness to maintain professional development Desirable Experience in Fibreoptic Endoscopic Evaluation of Swallowing (FEES) Experience working autonomously in the community Interest and experience in voice disorders Experience and training in provision of supervision Ability to communicate in New Zealand s official languages: te reo Māori/Māori language and New Zealand Sign Language and the languages of communities in Hawke s Bay Accredited assessor for Enable NZ 6
Core Competencies Competencies Implementation of Speech and Language Therapy Safe, Ethical, Legal Practice Culturally Safe Practice Communication Management of Self and People Management of Environment and Resources Continuing Professional Development Description Assess and manage communication and swallowing conditions with people through engaging their needs, preferences and capacities in the context of their environment and community Act and justify actions in compliance with ethical, legal, professional and safety requirements Provide a service that takes into account the socio cultural values of the client/tangata whaiora, family/ whanau and significant others Use a range of communication skills to establish and maintain effectual diagnostic, therapeutic and working relationships Manage performance and monitor personal resources to ensure performance is professional, collaborative and supportive of service and team goals and colleagues Manage the environment to contribute positively to the client s/tangata whaiora experience and their ability to participate, and ensure effective use of resources Seeks and use opportunities to continually develop professional knowledge and practice Recruitment Details Position Title Hours of Work Salary & Employment Agreement Coverage Speech and Language Therapist Full time 80 hours per fortnight In accordance with the PSA Allied, Public Health & Technical Workers Multi Employer Collective Agreement (MECA) $48,810.00 to $65,895.00 gross per annum according to qualifications and experience pro rata for hours worked. Date April 2018 7