Northern Adelaide Local Health Network (NALHN) JOB AND PERSON SPECIFICATION (CLINICAL) TITLE OF POSITION: ADMINISTRATIVE UNIT: Classification: RN/RM3 Classification Reviewed: Position Created: After Hours Clinical Nursing Lead (CPC) SA Health Northern Adelaide Local Health Network Health Unit: Division: Department / Section: Position No: Job and Person Specification Approval _/ / CEO or Delegate Date JOB SPECIFICATION PREAMBLE The implementation of the National Health Reform in 2011 saw the establishment of five Local Health Networks across SA intended to promote, maintain and restore the health of the communities they serve. The Northern Adelaide Local Health Network (LHN) provides care for around 341,000 people living in the northern metropolitan area of Adelaide as well as providing a number of state-wide services, and services to those in regional areas. More than 3,000 skilled staff provide high quality patient care, education, research and health promoting services. The Northern Adelaide Local Health Network (NALHN) provides a range of acute and sub acute health services for people of all ages and covers 16 Statistical Local Areas and four Local Government Areas (one of which crosses the Central Adelaide Local Health Network) and includes the following: Lyell McEwin Hospital(LMH) Modbury Hospital (ModH) Ambulatory and Primary Health Care (including GP Plus Health Care Centres and Super Clinics) Sub-Acute Mental Health Services (under the governance of the Adelaide Metro Mental Health Directorate) Ambulatory and Primary Health Care delivers a range of primary health care services across the northern metropolitan area of Adelaide, with a focus on providing preventive and health promoting programs in the community, and transition and hospital substitution and avoidance programs targeted at chronic disease and frail aged. Clinical leadership of care systems is central to the current national and state wide health reforms. NALHN care delivery is configured within clinical divisions that are patient focused, clinically led groupings of services. Clinical Divisions are responsible for managing service delivery activities across NALHN campuses and units, bringing together empowered experts to directly make relevant decisions. After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved V Owens 20/1/17 Page 1 of 8
SUMMARY OF THE BROAD PURPOSE OF THE POSITION and its responsibilities/duties LMH will undertake a twelve months trial of an After Hours Senior Clinical Cover model of care. The After Hours Senior Clinical Nursing Lead is part of the After Hours Senior Clinical Cover (AHSCC) Team. The role will provide nursing leadership, clinical care coordination, and support for patients and staff rostered afterhours. The role involves being a clinical resource person, assisting ward based clinical staff, responding to requests for higher level clinical assistance and to provide clinical leadership and mentorship after hours, rostered over 7 nights. The RN3 After Hours Senior Clinical Nursing Lead will be part of a small team who will assist hospital staff to manage and facilitate patient care, ensuring more complex clinical issues are dealt with in a timely manner to prevent delays Employees classified at this level provide clinical nursing/midwifery expertise for specified individual patients/ clients and/or groups and/or patient/ client populations, and may work in a variety of clinical settings. Work at this level is undertaken by employees with a least 3 years post registration experience. Employees in this role accept accountability for the outcomes of nursing/midwifery practices for the specific client group and for addressing inconsistencies between practice and policy. Various practice models may be used to enact this role, including but not limited to: - Primarily providing direct expert nursing/midwifery care for an individual or group of patients/ clients; - Providing clinical leadership to nurses/midwives; - Coordination and leadership of projects and/or programs that contribute clinical expertise to improve patient/ client service outcomes. Includes but is not limited to: Working in collaboration with the After Hours Senior Clinical Medical Lead to communicate and respond effectively to clinical demands across the hospital; Providing clinical leadership, support and advice to the after hours hospital staff to work as a cohesive team, through sound communication processes and role modelling. The RN 3 After Hours Clinical Nursing lead maintains high standards of patient care by creating an environment conducive to learning, establishing a team approach, setting and meeting the standards for nursing practice and standards relating to the manner in which staff interact with others; Providing senior clinical support, education, supervision, mentoring and guidance to nursing staff; Increasing and maintaining staff knowledge and skills relating to the clinical care of designated patient groups through the provision of just-in-time and scheduled education and access to appropriate and contemporary learning resources; Supporting and leading after hours clinical staff to enable early identification of scheduled education by progressing patient care and providing clinical intervention as required; Supporting ward staff to effectively communicate patient concerns through use of ISBAR; Provide education on correct utilization and understanding of current documentation, such as RDR charts, Advanced care Directives, 7 Step Pathway etc; Supporting decision making in advanced clinical care or when appropriate contact the home team during the after-hours shift for specialist clinical advice in collaboration with the After Hours Clinical Medical Lead; Assisting in the safe management and prioritisation of the AHSCC team s clinical workload including effective management of patient s plans thorough assessment and addressing individuals needs for emergency care etc; and Providing transformational leadership and acts as an expert nursing consultant throughout the Hospital to nursing staff and other health professionals during the after-hours period. After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved V Owens 20/1/17 Page 5of 8
REPORTING/WORKING RELATIONSHIPS (to whom the person reports, staff for whom the person is responsible, and other significant connections and working relationships within the organisation) The After Hours Senior Clinical Nursing Lead: Works collaboratively with the After Hours Senior Medical Lead Professionally Reports to the Director of Nursing & Site Manager (DoN&SM) Modbury Hospital Dual operational reporting to DoN&SM and Executive Lead for AHSCC Maintains close collaborative working relationships with after-hours medical and nursing staff across the LMH Maintains close relationships with all level 3 Nurses and/or Midwives, particularly after hours staff Provides direct line support and maintains cooperative working relationships within all members of the health care team. SPECIAL CONDITIONS (such as non-metropolitan location, travel requirements, frequent overtime, etc) Job and Person Specifications are reviewed regularly as part of the ongoing Performance Development process The incumbent is required to enter into a Performance Review and Development Program for the achievement of (specific or service or program) outcomes as attached to the back of the Job and Person Specification or as defined by the Line Manager. Hours and conditions as per contract, and some out of hours work may be required. May be required to work within other locations of the Northern Adelaide LHN Must support values consistent with the aims of SA Health and the Local Health Network, including honesty, respect and integrity Appointment may be subject to a satisfactory Criminal History Report, including child related checks Must comply with the Principles of the Code of Fair Information Practice, adopted by the Department of Health, which regulate the collection, use, disclosure, storage and transfer of all personal patient/client information within the Department and throughout its funded service providers SA Health sites are smoke free. May be required to undertake a health assessment prior to commencement STATEMENT OF KEY OUTCOMES AND ASSOCIATED ACTIVITIES (group in to major areas of responsibility / activity and list in descending order of importance) 4.1 Ensures the provision of professional high quality patient care within the LMH, aimed at improving patient health outcomes through: 4.1.1 Improving nursing and/or midwifery and patient care procedures and practices by; Using advanced critical thinking skills and experiential knowledge, coordinating and overseeing nursing and/or m idwifery care and health service delivery as required; Implementing and coordinating within span of control, processes for quality improvement and continuity within corporate risk management and nursing and/or midwifery professional practice frameworks; Utilising available information systems to inform decision making, evaluate outcomes and convey information to staff; Implementing local processes to operationalise the corporate risk management framework including investigating complaints, incidents and accidents as relevant to area of practice; Changing local processes and practices in accordance with emerging service needs, care evaluation results, identified imminent systems problems and coordination of local activities with corporate systems by fostering a non-blame culture; Coordinating interdisciplinary and interdepartmental activities with an emphasis on consumer participation to facilitate continuity of customer service across LMH; As part of the AHSCC team, providing an expert Nursing/Midwifery consultancy to LMH in relation to your expert knowledge and follow up care; After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved V Owens 20/1/17 Page 5of 8
Supporting and encouraging staff to identify and implement best practice/evidence based patient care; and Enhancing skills of other after-hours hospital staff by delivering education, both ad hoc and planned. 4.2 Provides leadership to and facilitates professional development of Nurses and/or Midwives within LMH by; Leading the nursing and or midwifery team within the professional practice framework established by the Director of Nursing and/or Midwifery; Developing and maintaining a learning environment, contributing clinical expertise for staff development, individual capability development and performance management; Maintaining productive working relationships and managing conflict resolution; Contributing specific expertise to monitoring and evaluative research activities in order to improve nursing/midwifery practice and service delivery; Undertaking the nursing/midwifery care role with a significant degree of independent clinical decision making in the area of personal expertise; Contribute to the development and sustainability of nursing/midwifery skills for the needs of the specific population group using systems of resource and standards promulgation. 4.3 Contributes to the achievement of nursing and/or midwifery best practice and where relevant facilitates the development and application of relevant nursing and/or midwifery. Integrating contemporary information and research evidence with personal experience to support the decision making, innovative thinking and objective analysis that are expected at this level. 4.4 Contributed to the achievement of professional expertise through the maintenance of ongoing personal professional development/continuing education: Holding a contemporary professional practice portfolio containing evidence of postgraduate qualifications, learning and practice experience that underpin a demonstrable application of knowledge and skills commensurate with the level and type of practice expected of the role. 4.5 Contribute to the health and safety of themselves, fellow employees and clients by: Acting in accordance with their responsibilities under the Work Health and Safety Act legislation: Ensuring all staff have an understanding of their responsibilities under W o r k Health and Safety Act legislation: Ensuring staff are wearing personal protective equipment and clothing if required by the nature of the work; Reporting incidents, work injuries and potential work hazards; Understanding and adhering to operating policies, procedures and safety rules; Ensuring that a safe and healthy work environment, free from discrimination is provided for employees by: - Implementing departmental human resource policies - Ensuring that the principles of Equal Employment Opportunity and Ethical Conduct are a normal part of doing business 4.6 Demonstrate responsibility and commitment to Infection Control policy by using Standard Precautions strategies and actions as outlined in the Infection Control Manual 4.7 Provides transformational leadership to achieve the strategic goals of the organisation by: Inspiring staff towards a shared vision; Espousing the nursing values that guide our behaviour towards each other, the decisions we make and how we provide our services; Trust Being transparent in the way we work Integrity Being true to yourself Respect Being consistent both publicly and privately Valuing diversity Applauding ideas Recognition of everyone s contribution Acting as a role model of expected nursing leadership behaviours; Enabling and empowering staff Celebrating success and recognising staff for their achievements Being fair and equitable in support of staff, Building collaborative relationships with all members of the health care team. After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved V Owens 20/1/17 Page 5of 8
Working collaboratively with Executive Lead of AHSCC to develop and monitor the strategic and annual operating plans for the AHSCC team, ensuring plans are aligned with the corporate vision and strategic direction; Contributing to the promotion of nursing/ midwifery and the hospital by establishing external networks and participating in nursing and corporate promotional activities; Collaborating in the development and implementation of policies, objectives and criteria for standards of care across Northern Adelaide Local Health Network; Maintaining an effective communication system which fosters a patient centred, outcome focused approach; Acting in accordance with SA Health s Code of Conduct and Ethics; and Accepting accountability for own actions and activities delegated to others. 4.8 Managers and staff are required to work in accordance with the Code of Ethics for South Australian Public Sector, Policies and Procedures and legislative requirements including but not limited to: Work Health and Safety Act 2012 (SA) and when relevant WHS Defined Officers must meet due diligence requirements. 4.9 Contributes to patient safety and quality by adhering to the Australian Charter of Health Care Rights, understanding the intent of the Australian National Safety & Quality Health Service Standards and participating in quality improvement activities as necessary 4.10 All employees are responsible and accountable for keeping accurate, legible and complete records of their activities. Acknowledged by Occupant: _ Date: _/ / After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved V Owens 20/1/17 Page 5of 8
PERSON SPECIFICATION Essential Minimum Requirements Educational/Vocational Qualifications Registered or eligible for registration as a Nurse/Midwife by the Nursing and Midwifery Board of Australia and who holds, or who is eligible to hold, a current practicing certificate. Personal Abilities/Aptitudes/Skills Highly developed patient assessment skills Effective leadership skills including highly developed skills in communication, problem solving, conflict resolution, decision making and negotiation. Demonstrated ability to prioritise competing tasks in the health care setting to meet set timelines Demonstrated ability to foster a workplace environment that develops staff potential. Demonstrated ability to be creative, innovative and flexible when approaching clinical issues within the healthcare setting. Ability to work effectively within a multidisciplinary team. Demonstrated ability in the facilitation of change management. Demonstrated commitment to the principles and practices of Equal Employment Opportunity and Ethical Conduct. An ability to manage to the spirit and principles of the premier s safety Commitment and the legislative requirements of the Work Health and Safety Act 2012 (SA), utilising AS/NZS ISO 31000:2009 Risk Management- Principles and Guidelines, or to an equivalent set of standards Experience Registered Nurse/Midwife with at least 3 years post registration experience Demonstrated competence in the relevant area of nursing and/or midwifery practice in accordance with the appropriate standards of practice. Experience in the supervision of students, enrolled nurses and less experiences registered nurses and/or midwives Proven experience in basic computing skills, including email and word processing After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved 20/1/17 V. Owens Page 6 of 8
Knowledge Understanding of the requirements of the Health Practitioner Regulation National Law (South Australia) Act 2010, the Nursing Midwifery Board of Australia (NMBA) National Competencies for the Registered and Enrolled Nurse and Midwives and the Code of Ethics for South Australian Public Sector Employees. Knowledge and understanding of legislative responsibilities for WH&S, Workers Compensation and Rehabilitation and Equal Opportunity. Knowledge of Quality Improvement Systems as applied to a healthcare setting. Knowledge of contemporary nursing/midwifery and health care issues. Sound knowledge of Work Health, Safety & Welfare principles and procedures Sound knowledge of Quality Management principles and procedures Understanding of the Australian Commission on Safety and Quality Healthcare Standards Working knowledge of Microsoft Applications Desirable Characteristics (to distinguish between applicants who meet all essential requirements) Holds or is working towards a post graduate qualification relevant to the area of practice Current ALS 1 and ALS 2 certificates Past experience working as part of small high performing team Personal Abilities/Aptitudes/Skills Skills in using computers and software relevant to the area of practice. Ability to analyse complex data. Ability to undertake presentations to community and professional groups. Experience Experience with quality improvement activities. Experience in management and leadership roles Experience in the financial, asset and human resources management of a ward/unit/service. Experience in facilitating nursing or midwifery related research and applying findings to the area of practice. Experience in organisational strategic planning. Knowledge Knowledge of the South Australian Public Health System. Educational/Vocational Qualifications Tertiary qualifications in nursing and/or midwifery or human services related discipline. After Hours Senior Clinical Cover RN3 Nov 2016.doc Final approved 20/1/17 V. Owens Page 7 of 8
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