Date: November 2017 Job Title : Registered Nurse - Clinical Coach, Department : Assessment and Diagnostic Unit, North Shore Hospital Location : North Shore Hospital Reporting To : [Line) Charge Nurse Manager for service performance Direct Reports : None [Professional] Head of Division Nursing Medical Services - for achievement of quality & professional standards (patient safety, effectiveness and patient experience), development of professional practice and support of the development of the professional workforce Functional Relationships with : Internal CNM Nurse Educators RN Clinical coach in other services ACCN s Other Charge Nurse Managers Duty Managers On-call Medical Staff Head of Division Nursing various divisions Director of Nursing and Midwifery Nurse Consultant Workforce Development Nurse Educators in other services RN Clinical Coach in other services Multi-disciplinary team members External Nurse Educators in other DHBs Lecturers from Schools of Nursing Clinical support staff Our DHB Purpose, Values and Standards 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. Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 1
The purpose of the Registered Nurse Clinical Coach role: : To support the clinical education & practice development needs of nursing staff undertaking the Nursing Entry to Practice programme and new to the. To provide clinical teaching at the bed side with nurses. The Registered Nurse Clinical Coach for : Works in clinical practice settings alongside nurses in direct clinical care delivery to role model good nursing practice [80%] Uses clinical teaching/coaching skills to support clinical decision making in practice for all nurses Ensures that nurses receive the assistance and support that they require to be safe Ensures that nurses apply the learning plan and are assessed as competent Support facilitation of study days. KEY ACCOUNTABILITIES Domain One Professional responsibility Includes accountabilities for professional, legal, ethical and culturally safe practice. This includes being able to demonstrate advanced critical thinking, judgement and accountability for own actions and decisions Practices nursing to demonstrate professional responsibility Meets the domains of competent practice as outlined by Nursing Council of New Zealand. Includes demonstrated ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice Role models professional practice to a high standard to support nurses practice with competent professional standards of the professional, ethical and relevant legislated requirements. Supports preceptors to direct, monitor and evaluate new nurses Works as a highly proficient /expert registered nurse at Level 3/4, to assist nurses assess patient needs, plan care and evaluate effectiveness. Assists with clinical care delivery, as nurses undertake interventions in a safe manner Supports nurses to ensure that there is a safe environment to enable client safety, independence, quality of life and health is achieved. Coaches new nurses about health and safety, infection control and quality and risk management. Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 2
Personal and professional development Is highly clinically proficient and respected for ability to support the team with clinically difficult situations Seeks regular professional supervision to discuss how to address areas of difficulty and review quality of practice. Seeks advice from Nurse Consultant Nursing Development and Nurse Consultant Professional Advisor in a timely manner regarding professional issues Pursues a program of self-development to broaden critical thinking and leadership skills. Engages in activities of continuous learning, including in-service, self-learning, study days, post graduate study. Participates in nursing and organisational activities and committees Has presented own portfolio for assessment that meets the Nursing Council of New Zealand competencies Understands support structure available for staff in PRDP processes and provides assistance and encouragement Domain Two Management of nursing care Includes accountability related to patient/client assessment and management of advanced nursing care that is supported by evidence Supports and coaches nurses in the management of nursing care Coaches nurses to undertake a comprehensive and accurate nursing assessment of clients in a variety of settings, using organised and systematic assessment and tools and methods to collect data. Applies relevant research to underpin nursing assessment. Coaches nurses in critical thinking/ clinical reasoning to enable early intervention for the sickest / deteriorating patients Role models skilled administration of interventions, treatments and medications within legislative, codes and scope of practice and according to authorised prescription, established policy and guidelines Coaches so that timely care / appropriate medical assistance is achieved for patients whose condition is assessed as of concern. Encourages escalation of concerns to the to appropriate others Models communication of issues to the right people at the right time, including documentation of emergency situations (incident report) Shows good clinical teaching/coaching skills to achieve change in clinical practice Documentation of new graduate progress is accurate and maintains confidentiality of information. Coaches staff to maintain clear, concise, timely and current client records within legal and ethical framework. Undertake competence assessments by working alongside nurses. Documents observations to provide the CNM and HOD with insight into issues requiring follow-up. Links with the after-hours support team to ensure there is continued support for staff providing complex clinical care across the 24 hours Assists with nurse teaching and assessment Work with the senior nurses in particular NE / to plan learning opportunities for the service to meet current and strategic priorities Facilitate and deliver learning opportunities Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 3
Focus learning on clinical competence development Prepares and leads teaching sessions that achieve learning outcomes Completes assessments with the Nurse Educator in a timely and systematic manner Feedback shows respectful style/manner Leads defusing and debriefing processes with nurses and teams, involving multi-disciplinary team members Works with other health providers to enhance the skill and knowledge of nurses caring for patients across the hospital-community interface Models referral and discharge processes for new graduate nurse learning, engaging the interdisciplinary team Assist the Service Nurse Educator and S&A Senior nurses with programme evaluation Domain Three Interpersonal relationships and enhancing the patient experience Includes accountability for interpersonal and therapeutic communication with clients/patients and members of the health care team. Demonstrates clinical and professional leadership through effective teamwork and collaborative relationships Role models advanced therapeutic communication when establishing, maintaining and concluding relationships with staff, patients, families / whanau Demonstrates strong relationship management skills that result in professional credibility, good patient outcomes and integrated care. Uses highly developed communication, change management and leadership skills to support strong morale and spirit in the team Communicates in a clear, formal and informal style at all levels using a professional, diplomatic and concise approach using oral and written communication. Can get messages across that have the desired effect. Demonstrates a non-confrontational approach and an ability to open up communication lines so that issues can be addressed. Domain Four Interprofessional healthcare and quality improvement to deliver organisational objectives Includes accountability for evaluating the effectiveness of care and promotion of nursing perspective within the health care team Contributes to continuous quality improvement to achieve care of the highest standard possible Assists nurses use standards that are contemporary and evidence-based Challenges practice in a constructive manner using a strengths based approach Undertakes assessments and audits of practice Assists Senior nurses with programme evaluations Initiates ideas for improvement and leads projects that align with programme priorities Gathers quality indicators for monitoring and supports corrective actions Contributes to consultation on policy development processes and helps develop resources with the Service Educators to support improved practice Contributes to interdisciplinary health care using professional knowledge and effective interpersonal relationships Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 4
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. Shows sensitivity to cultural complexity in the workforce and patient population To recognise individual responsibility for workplace Health & Safety under the Health and Safety at Work Act 2015 Contribute to a safe and healthy workplace at WDHB by: All Employees Following & complying with H&S policies & processes & applying them to their own work activities, including using/wearing Personal Protective Equipment as required. Participating in activities directed at preventing harm & promoting well-being in the workplace Identifying, reporting & self-managing hazards where appropriate Early and accurate reporting of incidents at work and raising issues of concern when identified. VERIFICATION: Employee: Department Head: Date: Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 5
PERSON SPECIFICATION POSITION TITLE: Registered Nurse - Clinical Coach Assessment and Diagnostic Unit Registered Nurse [RCpN, RGON, BHsC] with current annual practicing Qualification certificate in New Zealand Continued development through post-registration education and learning opportunities, e.g. commenced post graduate education at PG Certificate level Experience Minimum of 5 years post registration experience across acute care setting in Medical and/or surgical nursing, preferably has worked in the Assessment & Diagnostic Unit for some time and achieved RN 3 in this setting Preferably Level 4 or Level 3, applying for Level 4 recognition Contemporary nursing knowledge and skill at a senior level with knowledge of evidence based practice requirements, with advanced assessment skills and critical thinking in this acute challenging environment Has reputation for providing good nursing care and ability to share evidence based clinical knowledge with others, both one-to-one and group learning within the clinical area. Ability to effectively share clinical knowledge with others and help transform practice Previous experience of clinical coaching and teaching. Reputation of selfinitiated behaviour Dynamic and creative approach to nursing care and education Excellent communicator, highly articulate, excellent listening skills. Good writing skills Upholds confidentiality with a reputation for high integrity and discretion. Able to cope with professional confidences and problem solving Skills/Knowledge / Behaviour / Personal Attributes Leadership People management Teamwork Cultural safety Self-management Patient focused Communication / interpersonal skills Innovation Flexibility Planning & monitoring Advanced physical assessment skills, history taking, diagnostic reasoning and pharmacology knowledge Patient and family focused/centered practice, that considers participation, partnership and protection as well as Te Whare Wha Evidence-based and confident in using contemporary research to inform practice Operational management/care coordination skills Clinical professional leadership, confident decision making and advocacy for patient needs Strong teamwork reputation, motivated positive can-do attitude Must be a credible role model 1. Personal Attributes Mature, positive, proactive and enthusiastic attitude Possesses a good sense of humour Strong and self-reliant Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 6
Manages personal stress effectively Awareness of how Health and Safety impacts on an organisation Seeks advice and guidance from colleagues and other disciplines as required Self directed and motivated Innovative, takes initiative in patient focused approach to practice Displays drive and energy and persists in overcoming obstacles Articulate, good presentation skills Committed to own professional and personal development Receives and processes constructive feedback related to own performance 2. Teamwork Sensitive and constructive to others Seeks out opportunities to support others in achieving goals Strong teamwork reputation, confident collaboration and Inclusive of colleagues Resilience, flexible and willing to work across a range of clinical settings Is able to manage conflict constructively 3. Self-Management Recognises and respects individual differences Develops positive working relationships with patients, whanau, staff and managers Upholds confidentiality, behaves with integrity and discretion Positive professionally mature 4. Communication skills Demonstrated strong written and verbal communication skills Sets high standards and strives to achieve challenging goals Copes well under pressure, is resilient to change and understands personal limitations Is able to communicate effectively on the phone and via computer and face to face with a variety of people Is able to communicate without engendering conflict Excellent communicator Articulate, good presentation skills 5. Learning Makes effective decisions within appropriate timeframes and levels of responsibility Escalates issues appropriately Knows where to go and when to ask for help Accepts constructive feedback Diagnostic Unit. Approved by the Director of Nursing & Midwifery 20/11/2017 Page 7