Date: April 2013 Job Title : CADS Opioid Treatment - Nurse Department : Auckland Opioid Treatment Service {AOTS], Community Alcohol & Drugs Services (CADS) Location : 50 Carrington Road, Point Chevalier Reporting To : Clinical Charge Nurse [CCN] Direct Reports : Nil Functional Relationships with : Internal CADS Clinical Team Leaders (CTL s) and CCN s CADS AOTS Clinical Nurse Specialist CADS Auckland Opioid Treatment Service Manager CADS Managers CADS Doctors CADS Consumer Team CADS Quality team Other CADS Services staff Te Atea Marino Service Tupu External General practices & Primary Care Pharmacies Alcohol and Drug services Mental Health services Community agencies Purpose : To provide high quality, evidence based nursing care for all clients in the stabilization, maintenance and shared care treatment phases of Opioid Substitution Treatment (OST). To uphold WDHB and CADS Clinical Policies, Protocols, Standard Operating Procedures, Practice Guidelines and Practice Standards, in all tasks and expected outcomes. KEY TASKS Provide nursing care services to clients in conjunction with the internal and external multidisciplinary team. EXPECTED OUTCOMES Develop work practices that ensure functional membership of a multidisciplinary team, demonstrate individual responsibility and accountability; reflect adherence to CADS policy/ procedure, practice guidelines and practice standards. Prioritise clients referred for opioid substituion treatment, together with the admission team. Complete initial comprehensive assessment of clients in preparation for initial medical assessment and treatment commencement Waitemata District Health Board -JOB DESCRIPTION - Page 1
KEY TASKS EXPECTED OUTCOMES where appropriate. Coordinate obtaining of documentation such as consent, relevant laboratory tests, accessibility of patient history notes and organisation of file documentation prior to initial medical assessment and treatment commencement. Manage a caseload of clients in treatment, including admission, stabilisation, ongoing treatment and shared care phases. Manage client needs for both long-term treatment and short-term treatment options. Ensure continuous biopsychosocial assessment, planning, monitoring, co-ordination and evaluation. Ensure close liaison, consultation, co-ordination and referral occur with the internal multidisciplinary team. Ensure close liaison, consultation, co-ordination, referral and advisory networks occur with the external multi-disciplinary team From treatment onset, to place particular emphasis on networking and liaison with Primary Care services to ensure as far as possible that the client is enrolled, engages where appropriate, and communication/ coordination of treatment occurs. Undertake all administrative tasks associated with the role. Complete all scripts, drug charts, notification of changes to scripting or dispensing, clinical notes, treatment reviews, timesheets and work summaries etc, in accordance with CADS policy and procedure. Administer Opioid Substitution Treatment to AOTS clients as required. Ensure that clients are safely administered the correct dose of OST from the MS imprest stock after consultation with senior team members. Maintain administration of medications requirements where indicated. To meet organisational requirements and to undertake activities that enhance professional development. Policy and Procedures Professional Development and Recognition Programme (PDRP) Orientation Performance development and review Supervision Research Quality All WDHB and CADS Clinical Policies, Protocols, Standard Operating Procedures, Practice Guidelines and Practice Standards are upheld. Adherers to the requirements of a competency based practicing certificate and engages in the WDHB Professional Development and Recognition Programme (PDRP) for Registered Nurses. Completion of all orientation and mandatory training requirements. All CADS Performance Development System Waitemata District Health Board -JOB DESCRIPTION - Page 2
KEY TASKS Team Planning Training Cultural Safety Ensure that the principles of the Treaty of Waitangi are supported and implemented in delivery of service. EXPECTED OUTCOMES requirements are fully met and accurate records are maintained. Supervision is undertaken from an identified Supervisor in accordance with CADS policy. Involvement in approved research and evaluation activities and projects as negotiated via the management. Participate in and contribute to service quality initiatives, organizational reviews of policy/ procedure, practice guidelines and practice standards. Attend specific competency related training as specified by the manager and /or as negotiated within the Performance Development System. Educational activities via self learning and/or training courses, which ensure that the incumbent remains up to date in the fields of opioid substitution therapy field in particular and alcohol and drug services generally are undertaken in consultation with the Manager and the Clinical Team Leader. All service activities are carried out in a culturally safe manner. A demonstrated commitment to understanding the implications for Maori health that are implicit in the Treaty of Waitangi and to support and participate in the organisation s commitment to biculturalism. Appropriate referral to Te Atea Marino. Appropriate consultation with Te Atea Marino staff when working with Maori clients. Attendance at relevant WDHB bicultural/ Treaty training. Deliver services in accordance with the philosophies, priorities and objectives of WDHB and specifically Mental Health Services Group and CADS. Philosophies and values are known and supported. Consumer rights and responsibilities are actively supported. All conduct is ethical and confidential. Safety standards are known and met. WDHB s values of openness, transparency, respect, integrity and customer focus are modeled. To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Company health and safety 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 Can identify health and safety representative for area Waitemata District Health Board -JOB DESCRIPTION - Page 3
Behavioural Competencies Adheres to Waitemata District Health Boards 4 Organisational Values of: Every single person matters, whether a patient / client, family member or a staff member We see our work in health as a vocation and more than a job, We are aware of the suffering of these entrusted to our care. We are driven by a desire to relieve that suffering. This philosophy drives our caring approach and means we will strive to do everything we can to relieve suffering and promote wellness. We need to be connected with our community. We need to be connected within our organisation across disciplines and teams. This is to ensure care is seamless and integrated to achieve the best possible health outcomes for our patients/clients and their families. We seek continuous improvement in everything we do. We will become the national leader in health care delivery. Behavioural Competencies Behaviour Demonstrated Communicates and Works Cooperatively Actively looks for ways to collaborate with and assist others to improve the experience of the healthcare workforce, patients & their families and the community & Iwi. Is Committed to Learning Proactively follows up development needs and learning opportunities for oneself and direct reports. Is Transparent Communicates openly and engages widely across the organisation. Enacts agreed decisions with integrity. Is Customer Focused Responds to peoples needs appropriately and with effective results Identifies opportunities for innovation and improvement Works in Partnership to Reduce Inequality in Outcomes Works in a way that: Demonstrates awareness of partnership obligations under the Treaty of Waitangi. Shows sensitivity to cultural complexity in the workforce and patient population. Ensures service provision that does not vary because of peoples personal characteristics. Improves health Work practices show a concern for the promotion of health and well-being for self and others. Prevents Harm Follows policies and guidelines designed to prevent harm. Acts to ensure the safety of themselves and others. The above key tasks and expected outcomes are intended to describe the general nature and level of work being performed. They are not intended to be construed as a list of all responsibilities, duties and skills required of the position and the incumbent. Waitemata District Health Board -JOB DESCRIPTION - Page 4
VERIFICATION: Employee: Manager: Date: Review Date: Note: This job description forms part of an individual s contract of employment with WDHB and must be attached to that contract. Waitemata District Health Board -JOB DESCRIPTION - Page 5
PERSON SPECIFICATION POSITION TITLE: Qualification Experience CADS Opioid Treatment - Nurse Minimum New Zealand Registered Nurse with a current competency based practicing certificate Several years experience in nursing. Demonstrated case management, consultation and administrative experience. Preferred Registered nurse with clinical experience in the alcohol/ drug or related health or social service field, preferably in case management. Post graduate qualification in alcohol and drug work or in related fields. Experience in alcohol and drug work, preferably in Opioid Substitution treatment. Skills/Knowledge/Behaviour Basic computer literacy. Current drivers license, including manual drive. Good physical and emotional health. Excellent verbal and written communication skills. Demonstrated case management consultation and administrative abilities. Demonstrate a willingness and a commitment to understanding the implications for Maori health that are implicit in the Treaty of Waitangi Willingness to support and participate in the organisation s commitment to bi-culturalism Willingness to support and participate in the organisation s commitment to the Pacific Peoples Health Charter. The ability to work both independently and as a member of a multi disciplinary team. Models the values of openness, respect, integrity, customer focus and compassion. Sound knowledge of Word, Outlook and patient information applications. Waitemata District Health Board -JOB DESCRIPTION - Page 6