Position Description Position Title Service Group Team Reports to Direct Reports Authority Level Associate Clinical Nurse Manager Mental Health Mental Health and Addiction Services Acute Mental Health Inpatient Unit -Te Whare Maiangiangi (TWM) Clinical Nurse Manager TWM Nil Per organisational delegations The Bay of Plenty District Health Board The District Health Board s fundamental purpose is to work within the resources allocated to it, to improve, promote and protect the health of the whole population within its district, and to promote the independence of people with disabilities. Vision: Healthy, thriving communities. Mission: Enabling communities to achieve Our Values: Compassion, All-one-team, Responsive, Excellence The Bay of Plenty District Health Board (BOPDHB) is committed to the Treaty of Waitangi principles of Partnership, Participation and Protection, and to meaningful engagement in decision-making with Tangata Whenua at strategic, operational and service levels. Delivering this commitment is through: the implementation of our He Pou Oranga Tangata Whenua Determinants of Health framework: respect for and promotion of our Kawa and Tikanga Māori; ensuring cultural safety; seeking to eliminate disparities in health between Māori and Non Māori. All staff have a part to play in this commitment. Primary Purpose To provide direct clinical coordination and expertise, ensuring a safe, effective practice environment, this, supports the management of patient flow through the mental health inpatient unit. In conjunction with the Clinical Nurse Manager (CNM) coordinates and leads a collaborative interdisciplinary team which enhances patient centred care.
This is a designated senior nurse position Principal Accountabilities 1. Clinical Coordination and Management of Nursing Care Coordinates and monitors provision of safe, effective nursing practice, using teamwork to deliver care which meets the needs of patients and their families/whanau. Works in close collaboration with medical, nursing and allied staff to ensure timely and appropriate services to patients and provides leadership in complex patient situations. Actively manages bed occupancy numbers and safe staffing levels, Actively manages Variance Response Management (VRM) protocols as required Actively coordinates and manages staff responsibilities regarding data recording e.g. TrendCare, HoNOS and clinical documentation standards Actively monitors and ensures timely flow of patients from admission through to transfer or discharge. Actively oversees the practices of medication administration and management and Nurse led therapeutic group interventions during each shift Encourages an environment of self-accountability and responsibility for effective clinical decision making and patient outcomes Develops and maintains key communication links within MH&AS and across the wider organisation. Assists with recruitment and retention of staff. Responsible for the orientation of staff new to the unit Acts as an effective role model by demonstrating high level of clinical competence and judgment and provide direct clinical care as required Communicates effectively and utilises effective conflict resolution and negotiation skills to support a cohesive multidisciplinary team to ensure optimum patient outcomes. Demonstrates excellent customer service, collaborative practice, problem solving and priority setting skills. Incorporates Treaty of Waitangi principles into care delivery to contribute to the improvement of Maori health status In conjunction with the CNM manages legal and ethical dilemmas in a supportive, collaborative manner In conjunction with the CNM contributes to the development of safe nursing rosters and safe staffing processes managing short notice leave effectively including notification to the CNM in a timely manner Key Performance Indicators Positive results of audits on standards of clinical documentation, data collection and TrendCare is evident Treaty partners confirm appropriate consultation and liaison Feedback confirms effective functioning as Associate CNM and leadership role model Contributes to reduction in nursing staff turnover 2. Professional Development Completes delegated annual staff performance reviews and liaises with CNM on staff performance issues and agrees on strategies to resolve Liaises with the Nurse Educator (NE) regarding individual staff learning and certification needs and participates in departmental education programmes
Maintains own clinical knowledge, competence and demonstrates leadership through own professional development Maintains mandatory certifications relevant to role e.g. SPEC and HoNOS training Committed to and encourages ongoing staff competency through the Professional Development and Recognition Programme (PDRP) in conjunction with the PDRP Coordinator Participates in professional nursing and multidisciplinary departmental meetings as appropriate Key Performance Indicators Evidence of own and staff ongoing professional development Required certification skills current for self and staff Evidence of development and ongoing maintenance of professional portfolio Delegated performance reviews are completed in required timeframes Performance issues are addressed as they arise. 3. Management of the Environment Proactively maintains health and safety for clients, staff and others. Ensures compliance with health and safety protocols and reporting Actively leads the minimization of restrictive practices such as restraint and seclusion, while maintaining the safety of all patients, visitors and staff Ensures timely and appropriate initiation and leadership of issues that adversely affect the acute mental health unit. Promotes and ensures infection control standards are maintained Actively manages clinical risk, informs CNM of incidents and contributes to quality and risk planning Conducts clinical incident investigations Conducts debriefs and provides supports to staff following incidents Assists the CNM with investigation of nurse related patient complaints and incidents. Key Performance Indicators Evidence of risks identified and action taken Evidence of attendance at all relevant/mandatory training sessions Follow up recommendations from incidents are implemented 4. Continuous Quality Improvement Leads and encourages continuous quality improvement activities with ongoing monitoring Identifies and is actively involved in clinical audit activities related to clinical practice and improved patient outcomes Maintains quality standards to meet certification requirements Participates in the development of relevant specialty protocols/guidelines as appropriate Actively lead practice development and change management initiatives that affect patient and organizational outcomes
Key Performance Indicators Evidence of quality improvements implemented and evaluated Evidence of meeting MOH and other KPI targets such as HONOS and supplementary data collection, transition/discharge and Relapse prevention plans Evidence of best practice to minimise Seclusion and restraint Evidence of audits identified and completed Quality improvements to meet accreditation and certification standards actioned A function of BOPDHB is to provide a 24-hour service. This may at times necessitate you being required to change duties or transfer to another ward or department to ensure adequate coverage. This position description is not exhaustive and the incumbent may be requested to perform any reasonable task within the scope of the position as requested by the Line Manager This position description will be reviewed from time to time in consultation with the incumbent. The key performance indicators are a guide only and the relevant indicators should be agreed at annual performance appraisal. Key Stakeholders Internal Nurse Educator Nurses/Midwives/Allied Health Clients, Families Hospital Coordinator Duty Nurse Manager Medical Staff Regional Maori Health Services Speciality Nurses Nurse/Midwife Recruiter Orderlies and Security External Community based health services
Success Profile ACNM Mental Health Inpatient Unit CARE Values - Manaakitanga Who am I? Experience What have I done? Caring, empathetic, open and supportive Respect each individual, polite and nonjudgemental Able to build a rapport, actively listen to patients and whanau show understanding and make a difference An effective communicator, work as a team member, professional, calm, willing and patient focused Share knowledge, develop self and give/receive constructive feedback Involve the team/ patients/ families in decisions Self-aware, consistent, confident, flexible, pay attention to detail and plan ahead Demonstrates role modelling of excellence in clinical practice Significant clinical experience in mental health and addiction nursing Shift coordination experience Previous staff management experience Supporting Maori workforce development and advancement Successful improvement for Maori Competencies What am I capable of? Knowledge What do I know? Leadership skills, emotional intelligence and confidence to lead Excellent standard of clinical practice Well-developed human resource capabilities Well-developed problem solving, analytical and decision making skills Strong articulate communicator written and oral. Demonstrates commitment to advance the use of Te reo Maori Ability to prioritise a varied workload Commitment to Treaty of Waitangi Committed to providing a culturally safe environment for clients and whanau Demonstrates a commitment to quality and customer service Flexible, adaptable and embraces change Professional demeanor and high level of personal integrity Ability to lead a multi-disciplinary team Registered Nurse with current practising certificate Includes Mental Health Scope of Practice Relevant post graduate diploma or working towards in nursing and/or leadership/management Actively demonstrates commitment to improve equity for Maori Openness and willingness to learn and speak Te reo me ona Tikanga Achieved minimum of PDRP proficient or equivalent Computer literate Knowledge and understanding of research findings to support evidence based practice Experience as a DAO is desirable
You agree to demonstrate flexibility and a willingness to perform a variety of tasks to promote and support BOPDHB initiatives. You are required to meet the Health and Safety at Work Act 2015 requirements as set out in the BOPDHB Health and Safety policies and protocols. This includes completing successfully any health and safety training provided by the BOPDHB. You are required to maintain a standard of health which will allow for the performance of all duties and functions of the position. All BOPDHB sites are smokefree environments. Health Practitioners Competence Assurance Act 2003 1. You are required to maintain your current competency based practicing certificate. 2. You must notify your Manager of any changes to scope or conditions on practice (determined by Regulatory Authority). 3. You must complete the requirements of any competency programme. 4. You must notify your employer of concerns relating to the risk of harm to the public of another health practitioner practicing below the required standard of competence. 5. Know the provisions of the HPCA Act as the governing legislation. Vulnerable Children Act 2014 Due to this position having contact with children and the BOPDHB s commitment to child protection, you will be subject to safety checks under the Vulnerable Children Act at the time of hire and thereafter as per the relevant legislation. I certify that I have read, understand, and agree to this position description. Name: Signature: Date: