Title: Senior Physiotherapist POSITION DESCRIPTION POSITION DETAILS Service: Intermediate Care, Community Services Reports To: Team Leader, Community Services Reports Professionally To: Physiotherapy Professional Leader Location: All ADHB sites Authorised By: Allied Health Director, CLTC Directorate Date: September 2018 PURPOSE OF POSITION The Senior Physiotherapist has proven clinical competence within the clinical area and works with a specific client group to provide client / family / whanau-centred care within an interdisciplinary team setting. The role is primarily clinical, but incorporates clinical education and clinical leadership components relevant to the area of specialty. They provide comprehensive assessment and outcome focussed innovative care, applying evidence-based practice, interventions and education within the area of specialty. The Senior Physiotherapist is an experienced practitioner with the responsibility for contributing to quality and service improvements and development of team members and students, as well as themselves. Specific objectives for the role will be agreed separately with the Team Leader (or their delegate) as part of your annual performance planning process. SERVICE & ROLE DESCRIPTOR Intermediate Care Services work across the community and hospital interface. Intermediate Care includes the R-CAT (Rapid Community Access Team) and Interim Care Beds in the community. The focus of Intermediate Care is to support urgent response, admission avoidance, early discharge, patient safety in the home and timely hospital discharge over 7 days. This role will undertake discipline specific as well as interdisciplinary activity, both in the community and in-reaching into the hospital setting. They will undertake interdisciplinary assessments, and interventions as well as setting-up and monitoring reablement plans in the community, fully utilising the breadth of community staff, based on patient need. There will be a particular focus on utilising the assistant workforce under a delegated model.
Key Result Area Professional & Clinical Practice Clinical Leadership KEY ACCOUNTABILITIES Expected Outcomes / Performance Indicators Maintains a clinical caseload, as agreed with the Practise Supervisor and Team Leader. Demonstrates sound clinical reasoning and professional judgement at the level of an experienced practitioner within the area of practice. Demonstrates an ability to make sound clinical judgements in complex situations, with heightened level of knowledge and critical thinking. Acts as a mentor for others, supporting clinical reasoning and clinical practice in others of own profession. Acts as an experienced mentor for consultation by others, internal and external to the DHB. Demonstrates a contribution to the continuum of care, by working in partnership with clients, key stakeholders, and agencies. Models being an effective and positive team member, who works collaboratively with others for the patient s best interests. Models application of the ICF to clinical practice and demonstrates skill and in-depth knowledge of patient needs, goal-setting and structuring outcome focussed programmes, to achieve goals. Maintains clinical and statistical records to organisational and professional body standards. Models clinical and professional competencies at the level of an experienced practitioner, specific to service needs, position and profession. Models the application of evidence-based practice and assists others to become evidence-based practitioners, through reflection, mentoring and supervision. Provides clinical leadership within the service area that ensures high-quality clinical and inter-professional care for patients, families and whanau. Identifies gaps in service delivery or model of care and provides solutions to improve efficiency. Acts as a role model for others and a clinical resource in the clinical area. Represents the profession and Allied Health at interdisciplinary forums. Manages / co-ordinates student placements in own work setting, as delegated by Practise Supervisor / Team Leader. Acts as a mentor coach for staff taking students for the first time, or those with struggling students. Takes on delegated duties from Practise Supervisor, as required.
Key Result Area Professional Governance Quality Improvement Policy & Risk Management Research & Learning KEY ACCOUNTABILITIES Expected Outcomes / Performance Indicators Demonstrates in practice the principles of the Treaty of Waitangi - Partnership, Participation & Protection. Demonstrates culturally safe practice that encompasses a diverse range of beliefs, values and practices. Works collaboratively to improve cultural responsiveness of the team and service area. Adheres to professional standards of practice and code of ethics. Adheres to organisational policies and procedures and legislative requirements, including those of the relevant professional body. In partnership, fulfil your own responsibilities within ADHB s performance review process. Understands and articulates the ADHB Quality Framework. Implements change in practice, as a result of clinical audit, review, benchmarking. Supports and coaches others in conducting quality projects. Develops clinical resources relevant to own work area, to assist staff and students in orientation and care delivery. Works collaboratively and proactively to overcome barriers to healthcare, facilitating positive change in own work area. Identifies clinical risk and takes appropriate action, to ensure safety of patients, family / whanau. Adheres to the supervision process, as outlined by the ADHB Allied Health Supervision Policy and the profession, specific to the service needs. Acts as a supervisor for others. Leads the development of local policies and guidelines relevant to the clinical area. Undertakes critical literature review, to effect change in practice. Consistently evaluates own performance through reflection, supervision and feedback. Supports the development of others through facilitating self-reflection, mentoring, peer review and supervision. Evaluates clinical practice through clinical audit and open enquiry, and presents findings in own work area. Undertakes post-graduate study, relevant to work area. Provides DHB-wide teaching to health professionals of own and other professions.
MATTERS TO BE ESCALATED TO LINE MANAGER Health & Safety concerns. Situations that place patients, staff or yourself at risk without support. FTE Direct Reports: Nil. AUTHORITIES Budget Accountability (if applicable): Nil. RELATIONSHIPS External Internal Committees / Groups Relevant training institutions. Professional Association. Other healthcare providers, including Primary Care, HCSS and ARRC. Manawhenua and other significant cultural representatives. Clients / Patients / Family / Whanau. Practice Supervisor. Team Leader. Allied Health Unit Manager. Professional Leaders. Clinical Multidisciplinary Team. Kai Atawhai. Allied Health Director. Service Clinical Director. He Kamaka Waiora. Pacific Team. Other ADHB Operating Units. Allied Health Staff. Multi-disciplinary Teams. Practice Supervisors across ADHB. Quality & Clinical Safety. Health & Safety. Any other relevant Committees / Groups.
Education & Qualifications PERSON SPECIFICATIONS Essential NZ Registered Physiotherapist. Current Annual Practicing Certificate. Evidence of relevant ongoing learning. Experience A minimum of 4 years post-graduate experience, including a minimum of 2 years within an area relevant to the role. Evidence of translating evidence into practice. Experience in using Knowledge and Skills standardised assessment tools and outcome measures. Previous experience in relevant clinical area. An understanding of bicultural issues and The Treaty of Waitangi. An understanding of Clinical Governance and evidence-based practice. An understanding of healthcare in New Zealand. Ability to prioritise using effective timemanagement and delegation skills. Desired Member of professional association. Post-graduate study / qualification in relevant clinical area. Experience in supervising staff and students. Experience in interdisciplinary assessments. Experience in teaching and facilitating staff. Experience in clinical audit / research. Experience of on-call or weekend working. Experience working in both community and hospital settings. Ability to facilitate team working. Ability to motivate and develop others. PERSONAL CHARACTERISTICS Strong inter-personal and communication skills. Resourceful and resilient; able to cope under pressure. Ability to resolve conflict. Outcome / solution focussed. Team player. Adaptable. Honest and trustworthy.
Competency Clinical Knowledge & Skills Bicultural Approach CRITICAL COMPETENCIES Description Demonstrates a high level of clinical practice by using a range of comprehensive assessments; developing, implementing and reviewing action plans for client care and utilising a range of appropriate interventions across the continuum of care. Applies theory and models as a rational for assessment and intervention. Understands the significance of the Treaty of Waitangi. Displays cultural sensitivity and a willingness to work positively with organisational strategies, to improve opportunities for Maori health gain. Demonstrates knowledge of culturally-centred practice and practices in a culturally safe manner. Client Focus Develops positive working relationships with clients and families / whanau. Identifies and works collaboratively to address issues. Adapts to work effectively, within a variety of situations and with various individuals or groups. Teamwork Collaborates with team members and other Professional and Community groups to achieve objectives. Seeks-out opportunities to support others in achieving goals. Recognises and respects individual differences. Articulates the role and function of the profession within an area of practice. Organising Establishes a plan of action and achieves priority goals. Manages workload / flow, recognises and addresses barriers to the workflow, and takes account of changing priorities. Utilises and has knowledge of local resources. Selfmanagement Quality / Orientation Sets high standards and strives to achieve. Displays energy and drive and persists in overcoming obstacles. Copes with stress, is resilient to change and understands personal limitations. Is pro-active and displays initiative. Practices ethically. Supports continuous improvement through commitment to meeting ADHB goals and values. Adheres to ADHB policies, procedures and professional standards.
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 & 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 time-frame. 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.