POSITION DESCRIPTION POSITION TITLE: DEPARTMENT/SERVICE: REPORTS TO: Registered Nurse MENTAL HEALTH ASSESSMENT & HOME TREATMENT TEAM (MHAHT) MENTAL HEALTH AND ADDICTIONS SERVICE SERVICE MANAGER MENTAL HEALTH AND ADDICTIONS WDHB Manager Date ACCEPTED: Employee Date ROLE SUMMARY This position works principally within the department or service specified above, however all employees at Whanganui District Health Board may be required to undertake duties in other areas of the organisation which promote the efficient and effective operation of Whanganui District Health Board which reasonably fall within the general parameters of this position PURPOSE OF THE POSITION To provide quality mental health assessments, implement crisis interventions that are therapeutic, minimizing risk to service user/tangata whaiora and their family/whanau. The position will also provide home treatment to service user/tangata whaiora and their family/whanau in accordance with operational procedures. The position has rostered and rotating shifts and has an overnight on call component. The position will meet professional standards, legislative requirements and Whanganui District Health Board policy and follow the values and attitudes of Let s get real DIRECT REPORTS nil 1
DELEGATED AUTHORITIES Financial nil Staff nil ORGANISATIONAL VALUES Working within and role modeling the values of the Whanganui District Health Board is an expectation of the role and will form part of performance monitoring. The Whanganui District Health Board Our Vision: Our Mission: Better health and independence To improve health and independence through a responsive and integrated health system Our Values: Co-operation: Working collaboratively and positively with others Social Equity: Valuing people, respecting diversity, and responsiveness in reducing disparities in health Adaptability: Being flexible and able to respond to change and new circumstances, or initiate change Development: Growing and learning, empowering people and communities to achieve goals Integrity: Acting honestly and openly, following ethical principles, serving the public interest Responsibility: Having concern for the consequences of our actions, prioritising and allocating resources in the best interest of the community Respect: Respecting all people, the rule of law, institutions of democracy and the Treaty of Waitangi. FUNCTIONAL RELATIONSHIPS Key Contacts (internal): Nature or purpose of contact: Director of Nursing Professional responsibility/accountability Patient Safety & Quality Delivery of strategy and advice on clinical related issues Clinical Nurse Educator Professional Development & Recognition Programme Nursing Entry to Practice Programme Guidance and advice for clinical related issues Emergency and medical Develop and maintain working relationships services WDHB Support education around Mental health and addiction Implementation of relapse plans and WRAP Director of Area Mental Guidance and advice on MHA 199 and other relevant information
Health Services (DAMHS) Maintain legislative requirements of MHA 199 & Subsequent amendments Associate Director of Nursing Participates in the development of MHA service strategic and operational plans Participates in organisational development and evaluation of nursing practice within MHA Service Community Mental Health & Addiction Service Effective interaction and communication related to the day to day operating service delivery and clinical related issues The multi-disciplinary Referral to specialist care health care team Clinical advice on care planning/evaluating appropriate services, supports and risks Other health care services Referral of service user/tangata whaiora and their family/whanau and co-ordination of services Administration Support Staff To maintain effective efficient MH service delivery Key Contacts (external): Nature or purpose of contact: Service user/tangata whaiora and their family/whanau To develop effective relationships in providing management of nursing care and recovery focused partnership of care and support External community agencies Referral of service users/tangata whaiora from and to other health service providers and community agencies Development and maintenance of ongoing shared care arrangements with relevant providers Police Assessment and joint planning for service user/tangata whaiora Safe detention and uplifting of service user/tangata whaiora Maintenance of legal obligations by both parties REGISTRATION/SCOPE OF PRACTICE You must be able to demonstrate that you are registered with the Nursing Council of New Zealand and that your scope of practice enables you to undertake the duties of this position. Key Accountabilities (Key areas of focus) KEY PERFORMANCE INDICATORS Tasks Key Performance (How it is achieved) Indicators (How it will be measured) Professional Responsibility Accepts responsibility for ensuring that his/her practice and conduct meet the standards of the professional, ethical and relevant legislated requirements. Able to demonstrate knowledge, judgment and accountability for own actions and decisions, while promoting an environment that maximizes service users/tangata whaiora safety, independence, quality of life and health as evidenced though individual performance reviews with the Clinical Manager, and the Professional Development Recognition Programme 3
Where the Position holder is authorised by the DAMHS for this purpose: Maintains Duly Authorised Officer (DAO) status within the WDHB for the purpose of the application of the Mental Health Act 199 (MHA) (PDRP) Health Professional is able to act as a DAO for WDHB Mental Health Service. The Registered Nurse is able to act as a ready point of contact for any aspect of the MHA 199 to provide assistance, advice or reassurance on the application of the MHA 199 in accordance with statutory guidelines Maintains registration and a duly authorised officer updating training Uses clinical knowledge and experience to determine the least restrictive outcome of interventions with service user/tangata whaiora Demonstrates the ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice. To ensure that nursing care is conducted in accordance with the Articles contained in the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice Supports and facilitates the implementation of Let s get real across inpatient units Demonstrates accountability for directing, monitoring and evaluating nursing care that is provided by nurse, enrolled nurses, students and others. Uses knowledge and skills to support night staff with Let s get real and role models commitment by being a champion for Let s get real Supervises enrolled nurses, students and others on a day to day basis. Promotes an environment that enables service user/tangata whaiora and their family/whanau safety, independence, quality of life, and health. Reviews current service user/tangata whaiora health records all WEBPAS documentation entered by enrolled nurses, students and others. Countersigns, analyses and finalises entries Practises nursing in a manner that the service user/tangata whaiora and their Evidence that the service user/ tangata whaiora and their family/whanau are 4
family/whanau determine as being culturally safe. Demonstrate cultural awareness / sensitivity to service users /tangata whaiora and their family /whanau needs in particular when working with people who have an affiliation to Maori practices. involved with the recovery care planning process and that a range of helpful options are explored. Recognises and respects the uniqueness of all cultures and safely meets their needs, expectations and rights. Interpersonal relationships Establishes, maintains and concludes therapeutic interpersonal relationships with service user/tangata whaiora and their family/whanau. Inter professional health care & quality improvement Practices in a negotiated partnership with the service user/tangata whaiora and their family/whanau where and when possible. Communicates effectively with service user/tangata whaiora and their family/whanau and members of the health care team. Collaborates and participates with colleagues and members of the health care team to facilitate and coordinate care. Recognises and values the roles and skills of all members of the health care team in the delivery of care. Provides evidence through the individual performance reviews through submission of PDRP portfolio which supports interpersonal and therapeutic communication with service user/tangata whaiora and their family/whanau, the health care team and demonstrates inter professional communication documentation. Positive feedback from service users, community agencies and colleagues demonstrates effective functional relationships and communication. Effective conflict resolution is demonstrated and the registered nurses communication and relationships reflects positively on the mental health service. Inter professional healthcare and quality improvement that is evidenced through the individual performance reviews and portfolio submission for PDRP, which demonstrates an ability to evaluate the effectiveness of care and promote a nursing perspective within the interprofessional activities of the 5
Instigates and maintains active relationships with night shift health care team DHB wide Leads or participates in quality improvement activities to monitor and improve standards of nursing. team. Support and education to colleagues and other services that interface with the acute mental health services (such as ED, GP s, and NGO partners) Demonstrates positive and knowledgeable relationships with ED, duty nurse managers and the police. Provides evidence that systems and processes used of ED and police are understood and used to the advantage of the service user/tangata whaiora Demonstrates a commitment to service user/tangata whaiora and continuous quality service improvement through interaction with service user/tangata whaiora and their family/whanau, internal and external customers, supporting the development of new MHAHT staff and participating in audits and quality improvement initiatives. Health and Safety in Employment Comply with all safe work procedures, policies and instructions. Report all incidents hazards and injuries to supervisors in a timely manner. Actively participate in the ongoing development of safe workplace practices in Whanganui District Health Board. Completed the WDHB Health and Safety Orientation Course and updates Attendance at workplace safety meetings (indicated by minutes) Demonstrated by signed training records Active Involvement in, and completion of, rehabilitation programmes as required Timely, full and accurate completion of accident and hazard forms if and when required. 6
IDEAL PERSON PROFILE QUALIFICATIONS, SKILLS AND EXPERIENCE Essential New Zealand Registered Nurse Extensive experience in mental health clinical setting with a minimum of 3 years acute/community mental health nursing. Current Annual Practicing Certificate Post Graduate qualifications relevant to the position Current driver s license Proven computer literacy Possess sound knowledge on mental illnesses, crisis, talking therapy, psychiatric medications and the management of Qualified Duly Authorized Officer or commitment to undertake DAO training within 3 months Police clearance in terms of Vulnerable Children s Act PHYSICAL ATTRIBUTES Under the Human Rights Act 1993 discrimination based on disability is unlawful. Whanganui District Health Board will make all reasonable efforts to provide a safe and healthy work place for all, including persons with disability. Every effort has been made to outline requirements clearly. If a potential applicant has uncertainties about their ability to fulfill these physical requirements, enquiry should be made whether it would be possible to accommodate a particular issue by obtaining advice from Occupational Health Unit/Infection control team. Must be able to function in rapidly changing and demanding conditions when required. Hearing and speech sufficient to communicate clearly with patients and co-workers, monitor patient status and equipment, recognize impending emergencies relating to patients and equipment and hear emergency alarm. Ability to wear face masks and rubber gloves for protection against infectious disease. Absence of a health condition which could increase appointee's susceptibility if exposed to infections more frequently than usual Skin condition should allow frequent contact with water, soap/disinfectant soap, chemicals and latex rubber. Skin should not be fissured, scaly, cracked on hands, forearms, face or neck. The appointee must not have infection or colonization with MRSA. The appointee must not have a health condition that will put others at risk. Manual dexterity sufficient to operate a variety of specialized equipment used within wards/departments at Wanganui Hospital as required, including syringes and intravenous pumps together with safe administration of drugs and use of clerical items including personal computers. A high degree of physical capacity is required as the work is physically demanding, involving standing, walking, sitting, stretching, twisting bending and lifting/moving weights up to and above 15 kilograms frequently. (Stature extremes may increase hazard of shared activities). A high degree of mental concentration is required. Ability to move about and undertake necessary duties (sometimes in restricted spaces) in wards / departments / community settings within Whanganui District Health Board. Visual ability sufficient to read, write/record, operate equipment, safely administer medications, monitor equipment and patient status enabling accurate performance of essential job duties 7
Successful interviewees will need to know their "Hepatitis B" status and have available recent documented MRSA clearance. BEHAVIOURAL COMPETENCIES Whanganui District Health Board has a Competency Framework that describes the behavioural competency levels required for each role within the organisation. One = high level of competency required to perform this role five = low level of competency required. Competency Description Level Required Communication All communication has a clear purpose, is well structured, uses appropriate language and grammar and conveys the information in a clear and concise manner. Responsibility/Accountability Conflict Resolution Initiative Customer Responsiveness Teamwork and Co-operation Cultural Awareness Asks questions and summarizes key points to ensure understanding. Accepts responsibility for implementation and completion of a task/action. Learns from mistakes to ensure improvement in future performance. Accepts accountability for outcomes and seeks to improve future performance. Discusses conflict openly and honestly with affected parties. Acknowledges alternative viewpoints. Weighs up importance of resolution from a long term strategic perspective rather than on a short term operational basis. Acts quickly and decisively in a crisis. Creates opportunities or minimizes potential problems in the short term by a unique extra effort, e.g., implementation of a training program. Anticipates current and future customer needs by seeking information about the underlying needs of the service user, beyond those initially expressed. Regularly introduces work practices designed to improve service quality Invites all members of a group to contribute to a process. Understanding and appreciative of different and opposing perspectives on an issue. Actively promotes a friendly climate, good morale and co-operation within the team. Accepts responsibility for the effectiveness of the team. Has an understanding of the Articles and Principles of Te Tiriti O Waitangi / the Treaty of Waitangi. Is aware of the Maori Model of Health Te Whare Tapa Wha. Attempts to pronounce Maori words correctly. Is aware of Kaupapa/tikanga Maori. Demonstrates some understanding of health gains. 3 8