Faster Cancer Treatment Facilitator Date: September 2015 Job Title : Faster Cancer Treatment Facilitator Department : Surgical & Ambulatory Services Location : Waitemata DHB Reports to [Operational] Reports to [Professional] : Lead Cancer Care Coordinator Head of Division (Nursing) Surgery and Ambulatory Services for the safety of professional practice performance to the highest standard possible. Direct Reports : None Functional Relationships with : Internal - Clinical Directors and members all departments/services - Clinical Tumour Stream Leads - FCT Implementation Group - Cancer Nurse Coordinators - MDM Teams - FCT Tracking Coordinator - Outpatient Departments - Booking and Scheduling - Radiology - Transcriptions External - Other providers of cancer treatment - Northern Cancer Network - Regional FCT Implementation Group Purpose of this role: To provide nursing expertise to support service improvement of all cancer pathways optimising each patient journey to meet agreed investigation and treatment times including the FCT Target. To identify, facilitate and deliver work programmes to implement Faster Cancer Treatment Standards and improve access to and equity along the cancer pathway. Our DHB Purpose, Values and Standards 2015. Approved by: Director of Nursing & Midwifery Page 1
Faster Cancer Treatment Facilitator 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. 2015. Approved by: Director of Nursing & Midwifery Page 2
Professional Development of specialty practice Professional Leadership and Expertise Faster Cancer Treatment Facilitator KEY ACCOUNTABILITIES Domain One Professional responsibility Includes accountabilities for professional, legal, ethical and culturally safe practice. This includes being able to demonstrate advanced critical thinking, judgement and accountability for own actions and decisions Meets all registered nurse PDRP competencies at Senior Nurse level Perceived as highly effective, progressive and knowledgeable in area of practice with a proven ability to lead Applies legal, ethical, cultural decision making principles in planning and delivering care for people affected by cancer Applies critical reasoning and professional judgement to nursing practice issues and decisions Ability to identify tools / techniques to analyse current cancer pathways and process maps Can identify with Clinical Tumor Leads priority areas for pathway improvement and implement changes to cancer pathways to ensure patients meet the 62 day Cancer Target Ability to identify bottlenecks in any part of the cancer pathway where patient flow is obstructed causing waits and delays. Ability to use tools / techniques to determine impact and effort / use of matrices etc Provides advanced practice specialist nursing advice to plan change projects in collaboration with tumour stream leads highly motivated individual, demonstrating a transformational leadership style and adopt a flexible approach to meet the competing demands of the role models/leads by example and enhances advanced cancer care Undertakes or leads specific quality initiatives within tumour streams Ability to maintain regular and productive communications with staff Demonstrate effective stakeholder engagement across different departments and at all levels. Provides support to health professionals, leading the care of cancer patients. Support clinical teams in service and performance improvement by implementing and facilitating sustainable change Ability to solve complex problems Skills and knowledge to identify variation, causes of delays, unnecessary steps, or potential error Able to plan, prioritise and negotiate work/projects Ensure projects and initiatives are delivered on time, to quality standards and in a cost effective manner, adjusting plans as required. Determine short, medium and long term plans, achieving quality outcomes Self-directed in achieving learning and development plan, including PDRP responsibilities Actively participates in professional nursing groups, maintain effective local, regional, national and international networks. Attends educational opportunities and conferences. Uses insight and evidence for improvement 2015. Approved by: Director of Nursing & Midwifery Page 3
Service Development Quality Improvement: Guideline and policy development Supports Professional Activity Clinical Care/ Care Coordination Domain Two Faster Cancer Treatment Facilitator Management of nursing care at advanced practice level Includes accountability related to patient/client assessment and management of advanced nursing care that is supported by evidence Works closely with CNS s and Tumour stream leads to enhance cancer care coordination Provides expert advice and best practice recommendations to cancer tumour stream teams Facilitates appropriate referrals in the context of a multi-professional team. Ensures cultural beliefs, practices and support of individuals, their family and carers is central to all interventions Ensures documentation is professional, accurate and transparent Applies critical reasoning and professional judgment to nursing practice issues / decisions Role models expert clinical practice, excellent communication skills and a variety of effective project management/leadership skills Applies a systems approach to assess and rectify key areas of delay within the patient journey Ability to identify necessary changes to improve equity of access to cancer treatment Domain Three Interpersonal relationships and enhancing the patient experience Includes accountability for interpersonal and therapeutic communication with clients/patients and members of the health care team. Demonstrates clinical and professional leadership through effective teamwork and collaborative relationships Ability to be an ambassador for the DHB in professional and public settings to enhance public relations with all agencies Demonstrates advanced interpersonal skills and commitment to patient and family centred care Domain Four Interprofessional healthcare and quality improvement to deliver organisational objectives Includes accountability for evaluating the effectiveness of care and promotion of nursing perspective within the health care team Includes teaching nursing and medical education; clinical governance activities including audit and research; Administration organisational requirement; contribution to service planning and policy development; professional development Assists in the implementation of models of care appropriate to cancer patients Leads the development/review of best cancer practice pathways, protocols and guidelines. Recognised as a change agent/leader Leads/contributes/collaborates in quality & care improvement processes, risk management and resource utilisation review, including trending and auditing and developing appropriate responses educational, policy, advisory at patient, nurse and system level Identifies efficiencies through new and innovative ways of working, improve quality of care and patients experience Competent use of data bases Participates in service development and strategic leadership to enhance the patient experience, application of values in practice. Undertakes/leads specific or organizational portfolio responsibilities. Includes assisting in implementation and management of initiatives to address differential access to healthcare services for Maori. 2015. Approved by: Director of Nursing & Midwifery Page 4
Workplace Health & Safety Research & Audit; Evidence based practice Faster Cancer Treatment Facilitator Researches, evaluates, develops and implements standards of cancer nursing practice in the specific area of practice and supports practice improvements. Works to ensure recommended best practice guidelines/policies are research based and relevant across Waitemata DHB Fosters inquiry, critical thinking and research skill acquisition to advance nursing practice and cancer patient/client care Confident use of technology. Critiques and uses research findings in practice. Participates in research. Undertakes audit and reports on key performance indicators for clinical cancer service provision Recognises Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992. Policies are read and understood and relevant procedures applied to their own work activities. Workplace hazards are identified and reported, including self-management of hazards where appropriate VERIFICATION: Employee: Manager: Date: Note: This job description forms part of an individual s contract of employment and must be attached to that contract. 2015. Approved by: Director of Nursing & Midwifery Page 5
Faster Cancer Treatment Facilitator PERSON SPECIFICATION POSITION TITLE: Faster Cancer Treatment Facilitator Education and RCpN, RGON, BHSC Qualifications Current APC as Registered Nurse in New Zealand Post Graduate Certificate/ Diploma in specialty nursing practice essential Studying towards completion of Masters in advanced nursing practice/health specialty related Experience At least five years post registration practice Achieved RN Level 4 or equivalent with current portfolio Project management/leadership Knowledge and use of quality improvement tools and methodologies Skills/Knowledge/ Project management and quality improvement processes Behaviour Demonstrated confidence in quality improvement to improve service delivery Personal Attributes Leadership People management Teamwork Cultural safety Self-management Patient/client population focused Communication / interpersonal skills Innovation Flexibility Planning and monitoring Proactive attitude Excellent communicator Articulate, presentation skills Self directed and motivated Strong teamwork reputation Resilience Positive professionally mature Able to influence without conflict Culturally safe practice 2015. Approved by: Director of Nursing & Midwifery Page 6