Date: December 2017 Job Title : Clinical Nurse Specialist / Nurse Practitioner The CNS / NP Intern for Women s Health works in a collaborative environment, to facilitate the development of advanced nursing skills to enable a transition to an autonomous and collaborative Nurse Practitioner position in Women s Health. Department : Women s Health Location : Waitakere / North Shore Hospital Reporting To : Women s Health Nurse Practitioner for meeting performance objectives as regards financial, team/people management and clinical service strategies Clinical Director of Gynaecology for collaborative achievement of service strategic plan Head of Division Nursing CWF and Nurse Practitioner for the safety of professional practice performance to the highest possible standard Direct Reports : Nil Functional Relationships with : Internal Lead Colposcopist Women s Health Nurse Practitioner Nursing staff Medical staff Women s Health Team Support Laboratory Staff Quality Team Women s Health Maori / Pacific Liaison Workers WDHB Nurse Practitioner Group Cancer Care CNS Gynaecology Obstetrics and gynaecology SMOs External Ministry of Health National Cervical Screening Programme (NCSP) / National Screening Unit / Central Register team Independent Service Providers Primary care providers / smear takers 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. Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 1 Page 1
Purpose of this role To ensure appropriate, safe, timely care clinical management and coordination of women referred to the gynaecology and colposcopy service in accordance with the NCSP Policy & Quality Standards. 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 Meets all registered nurse PDRP competencies at senior nurse level as a nurse leader Perceived as highly effective, progressive and knowledgeable in women s health to meet the Nursing Council nursing according to legal, ethical, cultural safety/ sensitivity and professional standards. of New Zealand Achieves C-QUIP Certification to practice colposcopy independently. competencies Practices nursing to demonstrate professional responsibility according to the national competencies Manages nursing care to achieve woman focused care and to the highest professional standard possible. Is highly visible and engaged in clinical practice monitoring with the clinical team Demonstrates exceptional interpersonal relationships Leads effective inter-professional health care and quality improvement Participates as a leader in professional activities in the service Is clinically proficient and able to assist clinically where required Role models exemplary contemporary practice and participates in professional activities to keep abreast of current trends and issues in nursing Professional Leadership and Expertise Applies critical reasoning and professional judgement to nursing practice issues and decisions for women attending the colposcopy / gynaecology service. Provides advanced practice specialist nursing care in direct care delivery, contributing to the development of integrated service delivery across the continuum of care one to one patient management and impact on practices/processes of care to women presenting the colposcopy / gynaecology service. Role models/leads by example and enhances advanced nursing practice and contributes to the profession locally, regionally and nationally Undertakes or leads specific service or organisational portfolio responsibilities, optimising patient safety Participates in formal supervision in order to prepare to meet a Nurse Practitioner competencies Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 2 Page 2
Professional Development of advanced nursing practice Clinical Nurse Specialist / Nurse Practitioner Participates in multidisciplinary case review processes and clinical supervision Self-directed in achieving learning and development plan, including PDRP responsibilities/current portfolio Actively participates in professional nursing groups, maintain effective local, regional, national and international networks contributing to the care of people with respiratory disease. Attends educational opportunities and conferences. Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 3 Page 3
Domain Two Clinical Nurse Specialist / Nurse Practitioner Management of nursing care at advanced practice level Includes accountability related to patient/client assessment and management of advanced nursing care that is supported by evidence Clinical Care/Care Coordination Provide appropriate and timely information, education, and support as required for women Support to women and their family/whanau is provided in an empathetic manner. Education and information is provided in a manner that facilitates informed decision making. Education and information activities that promote awareness of psychological issues of concern to women participating cervical screening / colposcopy. Identifies / removes barriers for women in regards to attendance utilising appropriate support services. Manages the support to services referrals for Maori and Pacific women prior to first colposcopy appointment and following non-attendance, monitors outcomes. Appropriate referrals to other support services are made Ensure high quality nursing Undertakes a systematic medical / gynaecological history which is appropriately documented. practices occur during the Provides advanced Colposcopic / gynaecological assessment and clinical decision making of women utilising diagnostic reasoning and appropriate diagnostic testing. assessment process Appropriate nursing support is provided to women during all stages of assessment and follow-up in the colposcopy / gynaecology service. Co-ordinates the assessment, planning and management of complex cases, working collaboratively with the multidisciplinary team. Informs women and primary care providers of results in a timely manner as per the NCSP guidelines and clinic processes. Management of cases requiring review and appropriate consultation / collaboration to ensure the best outcomes for women. Documentation is professional, accurate and transparent. Completion of clinical database activities related to colposcopy clinics To ensure Colposcopy / Gynaecology care expertise and adherence to quality standards is evident within the service Understanding of and commitment to meeting the NCSP Colposcopy Service Policy & Quality Standards) is demonstrated. Regular attendance at the Colposcopy team meetings. Training needs are identified and carried out as appropriate (e.g. attendance at Colposcopy Course to complete C-QUIP certification and 3 yearly attendances at a colposcopy conference). Knowledge and understanding of advances in Colposcopy and Gynaecology practice is maintained by participation in: o clinical multidisciplinary in-house sessions for case review at least every two months o programme study sessions; o nationally recognised education programmes, or; o regional, national or international seminars, conferences or courses Regular clinical supervision Completion of a Master of Nursing programme in a Nurse Practitioner pathway Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 4 Page 4
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, engages patient and family in care planning for self-care, improving knowledge of disease/illness, self-management, prevention of complications and promotion of recovery Progressively make contributions to the multidisciplinary team by taking on responsibilities, roles and functions within the team Establishes a positive partnership /relationship with the client Practices nursing in a negotiated partnership with the client Acts as an advocate to promote client needs and rights. Appropriately challenge health care practice which could compromise client safety, privacy or dignity Help the patient/client understand the treatment and care plan Leads conversations with patients and families about advance care plans Coaches and debriefs with clinical teams regarding situations where patient deterioration or management requires case review Collaborates and participates with colleagues and members of the health care team to facilitate and coordinate client care and education Maintain a professional and collaborative manner when dealing with customers,the patient comes first and customers include surgeons, anaesthetist s, nurses, booking clerks and hospital managers. Strong relationship management skills that result in professional credibility, good patient outcomes and integrated care. Communicates effectively, regularly and clearly in both oral and written messages. Maintains open and effective communication with the entire patient care team. Is courteous, diplomatic and positive in working relationships especially in stressful situations. Maintains clear, accurate and relevant records. Participate effectively and fully at team meetings. Provide and receives feedback in a constructive and assertive manner to bring about positive change. Assist with student learning and orientation of new team members. 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 To function within a Communication between other health professionals and services, especially GPs and primary care providers is facilitated regarding the care of the individual. multidisciplinary Liaison with the wider Women s Health team. team and facilitate Preparation of the monthly MDM meetings, liaison with the laboratory and case notes completed for concerto. appropriate interfaces Training and other professional development to others in relation to women s health is provided as appropriate. Collaboration & Partnership Systems are developed and implemented to promote a multi-disciplinary approach to decision-making and service delivery. Includes a shared leadership approach, working with the Nurse Leaders in the Women s Health Service. Undertakes clinical audits programme to assess and further develop service quality goals. Works in partnership with Clinical Director/Leaders and Nursing Leaders, in a clinical governance model, to ensure quality decision making and processes that support: o service delivery o healthcare improvement projects within the service o development and implementation of operational plans Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 5 Page 5
Equalities and Treaty of Waitangi Statutory Requirements Workplace Health & Safety To recognise individual responsibility for workplace Health & Safety under the Health and Safety at Work Act 2015 VERIFICATION: Employee: Manager: Date: Communication between all services and the healthcare workforce is effective and proactive. The service is continuously responding to support equality on healthcare outcomes, specifically to ensure these outcomes are equal regardless of race, age, domicile, or socioeconomic status. Recognises culturally appropriate and safe practice in the workforce and assists in initiatives developed to reduce inequalities and positively impact on Maori health status The service meets all statutory, regulatory and contractual obligations and complies with all WDHB policies and procedures including financial reporting, occupational health and safety and human resource policies. Significant requirements of the Ministry of Health, Health & Disability Commission, ACC and other statutory bodies are met Direct reports operate within appropriate authorisations and delegations according to WDHB policy Maintains C-QUIP certification to meet NCSP requirements 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. Note: This job description forms part of an individual s contract of employment and must be attached to the contract Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 6 Page 6
PERSON SPECIFICATION POSITION TITLE: Education and Qualifications Experience Skills/Knowledge/ Behaviour Personal Attributes Clinical Nurse Specialist / Nurse Practitioner Intern Women s Health Registered Nurse RCpN, RGON, BHSC with current Annual Practising Certificate Post Graduate Diploma in specialty women s health nursing with advanced assessment and diagnostic reasoning skills is desirable. Commitment is required - studying towards completion of Masters in advanced nursing practice on a Nurse Practitioner Pathway to complete Nurse Practitioner endorsement. At least five years post registration contemporary nursing practice in women s health Achieved RN Level 4 or equivalent in specialty with current portfolio Clinical expert in women s health which can be across settings such as outpatient, acute or primary care. Reputation for excellence in clinical practice in women s health specialty Able to establish a robust unit quality management system setting, clinical standards and managing the implementation of these standards Current clinical leader/unit management in a women s health environment. Advanced team management leadership experience Experience in change management and process implementation utilising exceptional inter-disciplinary relationship building and people management skills Experience in commissioning and developing healthcare services desirable Recognised as clinically expert in women s health as per professional development and recognition programme Respected by clinicians for knowledge, skill and ability to show appropriate/clinical leadership. Reputation for high standards of patient care delivery Advanced assessment skills and knowledge of nursing theory and practice in relation to women s health. Proven ability to carry out nursing and advanced health assessments. Demonstrates confident, collaborative approach, strong and self-reliant. Experience in developing systems and procedures to ensure high quality service delivery Excellent written and oral communication skills especially, listening, client support and advocacy, appropriate referrals, individual and group health education sessions Demonstrated team management skills specifically within diverse multi-functional teams. Excellent team player and experience as part of a multidisciplinary team. Well-developed interpersonal and relationship building skills Demonstrated knowledge and understanding of health system and delivery of culturally sensitive services including professional ethics, privacy, consumer rights, and Treaty of Waitangi Understanding of issues relating to population screening Understands the principles and processes of research and quality assurance including evaluation and feedback High level facilitation and negotiation skills Demonstrated analytical ability to interpret, evaluate and present diverse and complex information 1. Personal Attributes Positive and enthusiastic Possesses a good sense of humour Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 7 Page 7
Strong and self-reliant Calm and mature Consistent Realistic Some awareness of the Health and Safety impacts on an organisation Seeks advice and guidance from colleagues and other disciplines as required Self directed and motivated 2. Teamwork Sensitive and constructive to others Seeks out opportunities to support others in achieving goals Effectively shares information with colleagues Inclusive of colleagues Resilience, flexible and willing to work across a range of clinical settings 3. Self-Management Recognises and respects individual differences Develops positive working relationships with staff and managers Identifies and seeks to meet their needs. Treats them as first priority Upholds confidentiality, behaves with integrity and discretion Positive professionally mature 4. Communication skills Very strong written and verbal communication skills Excellent communicator clear and complete at all times Sets high standards and strives to achieve challenging goals Displays drive and energy and persists in overcoming obstacles Acts as a good health and safety role model to others Acts in a positive manner Copes well under pressure, is resilient to change and understands personal limitations Is proactive and displays initiative 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 5. Learning Makes effective decisions within appropriate timeframes and levels of responsibility Knows when to ask for help Women s Health Revised: Approved by: J Peach Director of Nursing & Midwifery 11/12/2017 Page 8 Page 8