Date: November 2014 Job Title : Registered Nurse Haemodialysis Department : Renal Location : North Shore Hospital Reporting To : 1. Charge Nurse Manager Haemodialysis (line manager) and Clinical Leader for Renal Service meeting management performance objectives as regards financial, team/people management and clinical service strategies 2. Head of Department Nursing, Medicine & Health of Older People Services for practice standards and contribution to service development Direct Reports : None Functional Relationships with : Internal Consumers and Families Haemodialysis Clinical Physiologists (Dialysis) Charge Nurse Manager - Renal Clinical Leader Renal Service Operations Manager Renal Other renal physicians and junior doctors Other Nursing staff supporting the unit functioning e.g. Clinical Nurse Specialists, Nurse Educators, Director of Nursing & Midwifery Medical teams Allied Health team Our Purpose, Values and Standards External Patients and their families GP s and practice nurses Colleagues in other DHBs Government Agencies Other Healthcare providers Committees/Groups Auckland District Kidney Society (ADKS) National Kidney Foundation (NKF) National Renal Advisory Board ( NRAB) Renal Society of Australasia (RSA) New Zealand Board of Dialysis Practice 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. Waitemata District Health Board -JOB DESCRIPTION - Page 1
Waitemata District Health Board -JOB DESCRIPTION - Page 2
Purpose of the role : KEY TASKS Practices nursing to demonstrate professional responsibility Communication Cultural Safety Management of Nursing Care Management of the Environment Management of nursing care to the highest professional standard possible to provide patient focused care EXPECTED OUTCOMES Practice meets the standards of the profession, ethical and relevant legislated requirements. Nurse accepts responsibility for safety and quality of nursing practice and conduct. Nursing practice is provided in a culturally safe manner and supports the principles of the Treaty of Waitangi/Te Tiriti o Waitangi: protection, participation and self determination. The client determines care as culturally safe At all times applies the nursing process: skilled assessment, planning, implementation of best practice and evaluation. Directs, monitors and evaluates nursing care that is provided by nurse assistants, enrolled nurses and others The environment is managed to achieve client safety, independence, quality of life and health Practice reflects competence in technical skills required to meet patient needs (see service technical competencies). Has completed the haemodialysis orientation programme that assures competence in assessment, review of care plan, initiating dialysis, management of dialysis process, monitoring of complications, completion, and preparation for discharge home. All patients/clients receive a comprehensive and accurate nursing assessment to identify needs and risks/ early warning signs that will affect care plans and interventions required. Demonstrate skill in clinical health assessment in the clinical setting: Health history, health examination, Risk assessment, review of diagnostic tests, psychosocial needs, cultural needs and patient learning needs Work closely with Nursing care is provided in a reliable way, to meet needs in a timely manner, according to a documented care plan and the technical competencies for the specialty. All practice interventions are managed in a safe and appropriate manner and according to best practice guidelines. Works to Haemodialysis procedures. Safe administration of medications and use of standing orders Documentation is accurate and maintains confidentiality of information The client has adequate explanation of the effects, consequences and alternatives of proposed treatment options Nursing action is appropriate to protect the nurse and others when faced with unexpected client responses, confrontation, personal threat or other crisis situations Emergency situations are responded to promptly and interventions are appropriately coordinated with the senior medical Waitemata District Health Board -JOB DESCRIPTION - Page 3
KEY TASKS EXPECTED OUTCOMES staff, registrars, nursing and allied health. Patient/client progress/outcomes are evaluated in partnership with the client Health education is appropriate to the needs of the patients/clients within a nursing framework Evaluation/reflection/case review on the effectiveness of nursing care is undertaken with peers to achieve improvement Identify patient s readiness to learn and implements teaching appropriately Interpersonal relationships Relationships with patients/clients is appropriate and therapeutic to achieve agreed health outcomes Good customer service skills Maintaining boundaries Partnership Caring Value-oriented: respectful, open, Interprofessional health care and quality improvement Team relationships Quality Improvement compassionate, integrity Communication is effective with clients and members of the health care team in all interactions Environment is managed to facilitate calmness so the patient/client can make sense of what is happening for them. Relationships with colleagues and allied health team are professional, positive and collaborative to facilitate and co-ordinate care that achieves health outcome. Professional approach recognizes, respects and values the roles and skills of all members of the health care team in the delivery of care Clinical safety is a key priority in practice. Completes orientation, undertakes in-service education, uses the policies and procedures to guide practice. Is alert to the early warning signs and acts proactively. Policies and procedures are used to inform practice Action to improve quality of care and practice (best practice, audit, corrective action) is taken to improve the standards of nursing practice Accountability is taken for action, omissions and commissions. Delegation is appropriate. Individual responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 is recognized and appropriate action taken Professional development The Health Practitioner Competence Assurance Act obligations are adhered to: maintaining competence, updating knowledge, undergoing competence assessment and annually reapplying for a practicing certificate Complies with the WDHB Professional Development & Recognition Programme (PPQG) without prompting. Presents portfolio as per policy requirements. Annually seeks peer review and completes the competence assessment process as required. Undertakes on-going learning i.e. in-service, selflearning, study days, post graduate learning Culturally sensitive practice Shows understanding of and commitment to the principles of the Treaty of Waitangi (partnership, Waitemata District Health Board -JOB DESCRIPTION - Page 4
KEY TASKS EXPECTED OUTCOMES protection, participation) and importance of Whare Tapa Wha (the four cornerstones of health) te taha wairua (spiritual aspects); te taha hinegaro (mental and emotional aspects) ; te taha whanau (family and community aspects); and te taha tinana (physical aspects). Recognises culturally appropriate and safe practice in the nursing workforce and assists in initiatives developed to reduce inequalities and positively impact on Maori health status Assists in the leadership and management of projects to improve Maori access to healthcare services. Workplace Health and Safety Organisational health and safety policies are read and understood and relevant procedures applied to their own work activities. Refers to work practices that are evidence based, current and adhered to. Workplace hazards are identified and reported, including self-management of hazards where appropriate. Can identify health and safety representative for area. Statutory & Treaty of Waitangi obligations Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. To recognise individual responsibility for workplace Health & Safety under the Health & Safety Act 1992 & Amendments 2002 Shows sensitivity to cultural complexity in the workforce and patient population Following & complying with H&S policies & processes & applying them to their own work activities Identifying, reporting & self-managing hazards where appropriate Early and accurate reporting of incidents at work Waitemata District Health Board -JOB DESCRIPTION - Page 5
PERSON SPECIFICATION POSITION TITLE: Registered Nurse Haemodialysis Minimum Preferred Qualification Registered Nurse Registered Nurse with renal qualification or experience Experience Recent relevant clinical experience Previous haemodialysis Haemodialysis or renal nursing experience preferred but training offered Renal experience Working with people with long in another term conditions modality Cultural awareness Skills/Knowledge/Behaviour Nursing knowledge and skill learned in a formal education programme; technically competent with core treatment practices Is aware of contemporary standards and has reputation of providing good nursing care Good communication skills and customer service practices Practice shows understanding of and commitment to the principles of the Treaty of Waitangi Positive manner, able to influence without conflict Calm, even, consistent and mature personality Upholds confidentiality with a reputation for high integrity and discretion Demonstrated confident collaborative approach in team practice Able to work under direction, but also take initiative where clinical judgment suggests therapeutic intervention Sensitive and constructive in Waitemata District Health Board -JOB DESCRIPTION - Page 6
responding to the needs of individuals and groups An active listener, has a way of valuing everyone s opinions Committed to continuous quality improvement Continues education to develop skills and knowledge in the provision of nursing care Demonstrated ability to share clinical knowledge with others Seeks guidance and supervision Understands the importance of good relationships in ensuring continuity of care: hospital and community care Waitemata District Health Board -JOB DESCRIPTION - Page 7