Date: May 2014 Job Title : Associate Clinical Charge Nurse (Flow Department : MHOPS Location : Emergency Department / ADU Reporting To : Charge Nurse Manager ED Direct Reports : No direct reports Functional Relationships with : Internal Nursing staff supporting the Department functioning e.g. Operations manager Charge nurse manager Clinical Director Duty nurse managers Executive Director of Nursing/midwifery He Kamaka Oranga Other ACCN s Team Leaders Other WDHB Operating Units Allied Health Staff Medical Staff Professional Advisors Clients/Customers/Patients External Patients / Families/ Whanau and caregivers Health providers outside WDHB NZ Nursing/midwifery Council University of Auckland & other tertiary providers Professional bodies and associations Clinical Training Institutions Purpose : To provide clinical support, expertise, knowledge and leadership within the ED /ADU units to ensure quality patient care. To coordinate the systems, processes and resources over a shift to ensure that staff are able to meet the needs of the patients/consumers in the most effective practice environment. Supportive role to the ACCN Support the patient s journey and uphold key performance targets.(ssed) Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 1
Our 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. Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 2
Nursing Structure ED Operations Manager Director of Nursing Head of Division Med/Hops Charge Nurse Manager ED Clinical Nurse Specialist Associate Clinical Charge Nurse Associate Clinical Charge Nurse FLOW Clinical Educator Registered Nurses Healthcare assistants KEY TASKS 1. Strategy / Business Planning Contribute appropriate clinical input into budget planning and decision making for the unit In partnership with the other CCN s/team Leaders actively promote inter-disciplinary integration at a service level, in line with organisation-wide strategic objectives Contributes to the development of integrated service delivery across the continuum of care Fosters the implementation of organisational and nursing goals and values Monitor patient occupancy levels and identify potential risks reporting any variances Acts to identify and minimise organisational risk and sentinel events to enhance patient/ consumer satisfaction EXPECTED OUTCOMES Implement service delivery plans Achieve short-term objectives within the strategic guidelines Clearly communicate strategic plans and expectations to staff Expresses information effectively, both orally and in writing, adjusts language and style to the recipients and considers their frame of reference Communicate a vision for the future inspiring commitment to the goals of the organisation/team Collaboratively work with others, within and outside of nursing to draw together a range of perspectives Creates opportunities to network internally and externally Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 3
KEY TASKS 2. Patient Care Delivery /Clinical Leadership: Leads and encourages staff to continually improve service delivery Understands the importance of the Patient Care process and actively seeks service improvements Collaborates with fellow team members and other work groups to achieve objectives for the good of the whole Recognises and respects individual differences Ability to adapt and work effectively within a variety of situations and with various individuals or groups Clearly communicates with staff and provides an environment during working hours which is supportive and positive Management of unpredictable/emergency situations efficiently and effectively Clinical resource for staff providing guidance and direction on a shift regarding patient flow EXPECTED OUTCOMES The role should have an overview of both ED and ADU. Management, co-ordination and evaluation of patientcentred care ensuring that the patient receives the right care from the appropriate service in the most clinically safe environment in a timely manner by; Be the link person and ensure the appropriate escalation to other areas such as radiology and ward if necessary and DNM, ongoing communication is vital throughout the shift. Work closely with flow specialist and follow up on ED escalation Work as a flexible team member towards achieving the shorter stay in ED targets The flow co-ordinator will be based between ED and ADU and have an overview of both ED and ADU capacity and flow issues Promote smooth seamless flow of patients through the ED /ADU to admission or discharge, by progress-chasing, updating and liaising with all staff Early identification of capacity problems Ensure proactive rather than reactive response Free nurses time by carrying out appropriate administrative tasks Improve the accuracy of audit data by the timely entry of key times and points of referral Report on breeches to the target with evidence based real time information to allow areas for further improvements to be identified Be the link person and ensure the appropriate escalation to other areas such as radiology and ward if necessary and DNM, ongoing communication is vital throughout the shift. Work closely with flow specialist and follow up on ED escalation Captures and accurately records daily KPI s and unit specific data Provides accurate information to team on requirements to enable accurate forecasting on resource / bed requirements Management of unpredictable/emergency situations efficiently and effectively in collaboration with ACCN s Ongoing consultation with the other services/ Charge Nurses to ensure effective patient and staff Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 4
KEY TASKS 3. Quality & Clinical Safety: Involved in evidence based maintenance and review of policies and procedures in the unit Actively contribute to continuous quality development in the unit Contributes to the change management projects by coaching staff, championing issues and providing feedback Actively contributes to audit and service improvement plans EXPECTED OUTCOMES management across services To champion an effective risk management programme within the service in accordance with the DHB Risk Management Framework To champion an effective continuous quality improvement programme within the service in accordance with the organisations Quality Framework Manage patient care processes and identify opportunities for improvement Assist in resolving customer complaints in a timely and effective manner, in accordance with the WDHB Compliments and Complaints Policy Contributes and supports projects that enhance the clinical implementation of evidence-based nursing practice Initiates, facilitates and implements nursing research Participate in relevant research & audit activities Active involvement in the maintenance and review of policies and procedures in the unit so that they reflect current Evidence Based Practice Uses organisational systems and processes to communicate and feedback on clinical risk critical incidents or sentinel events to appropriate senior nurses and/or medical staff Fosters inquiry, critical thinking and research among the nursing workforce to advance nursing practice and patient care Participates in audit and review of quality monitoring systems and processes 4. Professional Leadership / Development Actively takes part in induction, orientation and retention strategies in collaboration with nurse educators in line with organisation wide objectives Builds a supportive team environment through listening and being flexible within organisation guidelines Ability to develop, communicate and operationalise the vision and values a vision for the future, inspiring commitment to the goals of the organisation/team Is able to work with others, within and outside of nursing, to draw together a range of perspectives Seeks out opportunities to support others in achieving goals Teach and coach in the clinical setting both formally and informally Participating in team building Clinical knowledge is kept current through planned clinical practice opportunities Takes advantage of informal teaching and education opportunities to maintain and develop own clinical skills and knowledge Identifying improvement opportunities by involving staff and using relevant information Maintains a current knowledge of relevant issues, trends and practices Maintains and/or extends knowledge and skill base required for effective performance Participates in own performance review annually Applies critical reasoning and professional judgement to nursing practice issues/decisions Acts as a nursing resource and providing expert advice Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 5
KEY TASKS EXPECTED OUTCOMES to nursing staff and other healthcare professionals Utilising expert knowledge and clinical skills generically across the service and organisation Leads professional conduct by role modelling practicing in accordance with legal, ethical, culturally safe and professional standards Creates an environment that: Encourages individual actions and contributions Values individual effort, innovation and creativity Supports staff to report incidents, and to notify and minimise risks Enhances the success of the team/area/service/ and organisation 5 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 6 Health and safety 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 - Associate Clinical Charge Nurse (Flow Page 6
PERSON SPECIFICATION POSITION TITLE: ACCN flow coordinator role ED /ADU Minimum Preferred Qualification Registered Nurse New Zealand Nursing Registration /APC Post-graduate study Consistent practice at Level 3 (Proficient) as a minimum. RN 4 preferred, in an Emergency environment. Continued development through post-registration education and learning opportunities Masters or Post-Grad Dip. Experience Minimum of 5 years nursing experience in the specialty Advanced experience in ED nursing Recognised as an clinical expert and role model Experience in clinical leadership, especially in maintaining quality or patient care Strong commitment to quality improvement Strong teamwork reputation Knowledge of the implications of the Treaty of Waitangi with a commitment to bi-culturalism Sound understanding of professional ethics Extensive advanced practice across specialties Advanced clinical practice Previous experience in demand / capacity management in a health care environment Skills/Knowledge/Behaviors Demonstrated effectiveness in delegation and supervision of nurses Excellent communication skills Demonstrated ability to work in the interdisciplinary team Demonstrated ability to understand and implement contemporary practice Demonstrated ability to work in a complex clinical environment Advanced quality of service skills Ability to critique and use research findings as the basis for practice Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 7
Personal attributes Contemporary nursing knowledge and skill with knowledge of evidence-based practice requirements Dynamic and creative approach to nursing care and education Good communication skills and customer service practices Understanding of and commitment to the principles of the Treaty of Waitangi Initiative A positive Nursing identity and commitment to helping nursing practice develop in this organisation 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. Flexible and able to work under direction Sensitive and constructive in responding to the needs of individuals and groups An active listener has a way of valuing everyone s opinions. Committed to excellence in service delivery and continuous quality improvement Note: This job description forms part of an individual s contract of employment with WDHB and must be attached to that contract. Registered Nurses utilise nursing knowledge, reflective practice and professional judgment to provide competent care and advice in health promotion, maintenance and restoration of health, preventative care, rehabilitation, and care of the terminally ill. This occurs in a range of settings with individuals or groups (NCNZ, 2001b). VERIFICATION: Employee: Department Head: Date: Waitemata District Health Board -JOB DESCRIPTION - Associate Clinical Charge Nurse (Flow Page 8