POSITION DESCRIPTION Mental Health & Addictions Registered Nurse working in Community This role is considered a non-core children s worker and will be subject to safety checking as part of the Vulnerable Children Act 2014 Position Holder's Name:... Position Holder's Signature:... Manager/Supervisor's Name:... Manager/Supervisor's Signature:... Document ID: MHA_JD_Registered Nurse working in Community Version: 1.0 Department: Mental Health & Addictions Last Updated: 08/03/2016 Document Owner: Medical Resource & Management Support Administrator Next Review Date: March 2017 Approved by: Clinical Nurse Director Date First Issued: 08/03/2016 Counties Manukau Health
Registered Nurse position description: Counties Manukau Health 1
PURPOSE OF THE POSITION A mental health nurse is registered with the Nursing Council of New Zealand under the Registered Nurse or Nurse Practitioner scope of practice, and is authorised to practice in the area of mental health and addictions. This role requires the nurse to work with the MDT and other agencies to provide a collaborative service to service users family/whanau. All care provided brings a Mental health nursing and addiction perspective based on the Nursing Council Competencies. Counties Manukau Health s Mental Health Services are committed to enhancing the cultural capability of our service delivery to ensure that we meet holistic health the needs of our diverse population and thereby minimise the health disparities and advance health gain for Maaori, Pacific, Asian and the other minority service users and their families PLACE IN THE ORGANISATION General Manager Mental Health & Addictions Clinical Director Mental Health & Addictions Service Manager Clinical Head Team Manager Clinical Nurse Director Mental Health Registered Nurse Clinical Coordinator Registered Nurse position description: Counties Manukau Health 2
NATURE AND SCOPE OF RESPONSIBILITIES Key Accountability Standards / Achievements Registered nurse Plan, establish, maintain and evaluate therapeutic relationships with service users, family/whaanau and others. Establish trust by developing rapport, reducing anxiety, encouraging service user, family/whaanau participation and clarifying issues related to privacy. Establish a therapeutic environment in collaboration with other health professionals Facilitate the process of comprehensive nursing assessment. Contribute and participate in the comprehensive clinical MH & A assessment, including completion of core documentation regarding mental state assessment, risk assessment, and clinical note writing that is reflective of assessments, intervention and rehabilitative treatment planning. Provide a range of clinical interventions that support the service user s recovery. This may include Motivational Interviewing, CBT, DBT, and Sensory Modulation depending on your individual skills and training. Collaborate with service user, family/whaanau, and other colleagues to develop a nursing plan for care. Communicate nursing plan for care to service user and other members of the therapeutic team. Implement nursing care in a systematic, coordinated, caring and consistent manner. Document assessment outcomes, nursing management plan, strategies for care and outcomes. Initiate steps to address deficiencies/limitations in the nursing and therapeutic plans. Evaluate and document the effectiveness of planned interventions in consultation with the service user, and in collaboration with the multidisciplinary team. Registered Nurse position description: Counties Manukau Health 3
Key Accountability Standards / Achievements Accept responsibility for own judgements and actions. Information is managed in line with legislation and policies related to privacy and confidentiality. Reflect on own practice to analyse strengths and weaknesses. Professional accountability Knowledge and engagement with : Peer review, supervision and staff appraisal systems; Own career development plan; Own professional strengths and limitations; Education programmes, both formal and continuing education. Demonstrate the characteristics of professional practice in the context of mental health nursing practice. Describe the nature of professional accountability to self, professional bodies, peers, individual service users and the community. Accepts accountability for own practice and collective accountability for the quality of mental health nursing. Identify the relevance of selected legislation, and policies which influence mental health nursing practice. Use an ethical framework to discuss ethical issues in own practice. Values standards of practice and nursing knowledge. Discuss the standards of practice for mental health nursing and their application in own practice. Values feedback from peers, employers, service users, family/whaanau and the community, both in general and when resolving instances of unsafe practice. Attends to own requirements for reflective practice supervision and provides it to other nurses where possible. Registered Nurse position description: Counties Manukau Health 4
Key Accountability Care coordination Standards / Achievements Supports nursing student placements and preceptorship for new graduate nurses. Maintains currency with PDRP portfolio requirements. Support the service user & family/whaanau to identify the service users health goals and coordinate services to meet those goals by: Encourage self-management and self-advocacy, and advocating on their behalf where appropriate. Identify the strengths that the individual and family/ whaanau bring. Ensure documentation is accurate, timely and concise, and complies with clinical documentation policy. Ensure Care Plans are current and include both strengths and family/ whaanau as appropriate. Coordinate care delivery to include the wider health environment including community/social/ intersectoral and primary health services. Clarify responsibilities and tasks in the Care Plan for those involved with the service user (to ensure clarity of roles). Use excellent communication skills, both face to face and electronically. Communicate with and support service users to be able to confidently navigate complex systems. Role as key point of contact for service user, family/whaanau and associated services for: Regular contacts, emergency or crisis support. Utilising discipline-specific skills sets support the care plan. Regular reporting on progress and discharge planning. Where a multi-discipline approach is indicated all relevant disciplines will be included in care discussions. Registered Nurse position description: Counties Manukau Health 5
Key Accountability Standards / Achievements Promoting health and wellness Access and work with individuals, families and the community to promote health and decrease risk of illness. Cultural Safety & Diversity Working knowledge of the Mental Health and Addictions Cultural Capability Plan Commitment to the principles of Treaty of Waitangi Assist the service user, their family/whaanau and groups within the community to achieve maximum control over identification and prioritisation of their own health needs. Assist the service user, their family/whaanau and the community to attain access to accurate and relevant health knowledge. Initiate and/or contribute to professional and community activities designed to promote health. Promote mental wellness by maximising the range of lifestyle choices and informed decisions available to service users of mental health care. Work collaboratively with colleagues, other health professions, individuals and community groups to improve mental health awareness. Application of cultural competencies within the HPCA Act 2003 evidenced in annual Performance Development Review and Professional Development & Recognition Programme (PDRP). Recognise Maaori as tangata whenua. Understand the importance of equal opportunity to healthcare access and outcomes from that service. This may require differing levels and types of service provision. Respect, sensitivity, cultural awareness is evident in interpersonal relationships. Honouring Cultural Diversity Our cultural differences are acknowledged by respecting spiritual beliefs, cultural practices and lifestyle choices. Utilise information technology Demonstrate the ability to access and use available clinical information systems. Is conversant with applications required for specific discipline/role. For example, i.pm, Concerto, HCC, Outlook, etc. Maintains own professional development by attending relevant IT educational programmes. Registered Nurse position description: Counties Manukau Health 6
COMMUNICATION AND INTERPERSONAL SKILLS Will be required to interact on a regular basis with a range of Counties Manukau Health staff members including: Multidisciplinary team colleagues Members of other mental health teams Cultural advisors Family advisors Specialist advisory support e.g. AOD, eating disorders Externally there will be contact with: Family/whaanau All other relevant health professionals and intersectoral agencies involved with the service user Educational institutions Informal support networks, service users and community groups Family/whaanau support networks Situations may often call for tact, diplomacy and will require information to be handled in a discreet and sensitive manner. In conflict situations will be required to exercise sound judgement, negotiation and persuasiveness skills, toward facilitating a workable outcome. PROBLEM COMPLEXITY Will be regularly challenged by a wide range of complex mental health issues including suicide prevention and co-existing problems. There will be a requirement to be able to prioritise issues and negotiate time frames, while still providing a quality customer service. The range of problems will be diverse and require solutions customised to meet the circumstances of the service user. Therefore opportunities will arise to provide innovative options to the service user based on proven outcomes. There will be demands to meet deadlines, maintain accuracy and quality of information. Failure to do so could impact on the organisation in terms of risk to service users, colleagues or the organisation. A sound knowledge of all aspects of the Mental Health Act and relevant legislation is pivotal in this role. Registered Nurse position description: Counties Manukau Health 7
Will refer to the clinical coordinator, team manager, supervisor or professional leader for advice or second opinion. SCOPE FOR ACTION Are encouraged to use initiative and problem solving skills to develop innovative approaches to issues. Discretion is required to be exercised in releasing confidential information to the appropriate parties. This position description is not exhaustive and the incumbent may be requested to perform any reasonable task within the scope of the position as requested by the Manager /or Nurse Lead. This position description will be reviewed from time to time in consultation with the incumbent. DIMENSION OF THE POSITION Will be responsible to the Team Manager for the achievement of agreed objectives and operates within the confines of Counties Manukau Health. POSITIONS REPORTING IN THIS ROLE Directly : Indirectly : Nil Nil PERSON SPECIFICATIONS Minimum Qualification Essential a full NZ Driver s Licence with no limitations Experience Registered Nurse with scope to work in mental health and addictions Current Annual Practicing Certificate (APC) Relevant and up to date Performance Recognition Development Portfolio RN: Completed PG cert in Health Sciences MH&A or enrolled in same RMN: 2 years post registration experience Preferred PG Cert in Health Sciences MH & A speciality PDRP Competent level PG cert and 2 years post registration experience Registered Nurse position description: Counties Manukau Health 8
Skills/Knowledge/ Behaviour Minimum Values the nurse/service user partnership as the foundation for the establishment of therapeutic relationships Identifies self as an independent, accountable health professional Pursues the collaborative and consultative approach to care Values a coordinated, multidisciplinary approach Recognises and promotes the service user s right to actively participate in their own nursing care Evaluate own and peer s practice Assume responsibility and accountability for own professional practice Actively promotes a working culture that views professional development as a mandatory requirement to achieve excellence in practice Values nursing as a separate discipline and MH nursing as a specialised expression of nursing Values standards of practice Values nursing knowledge Values feedback when resolving instances of safe practice Demonstrates in practice adhering to the Vision and values of CMH Preferred Registered Nurse position description: Counties Manukau Health 9
HEALTH AND SAFETY ACCOUNTABILITIES (Management roles) Health and Safety (H&S) is a key accountability of all Counties Manukau Health (CM Health) staff. All CM Health Managers are responsible to: Zero harm Risk management Safety Management System Requirements Work safely Engage in safe workplace practices and manage the health and safety of your employees and other people in the workplace. Engage in safe work practices. Ensure all Incidents involving staff are reported, investigated and any corrective actions are completed and closed off when completed in the Incident reporting system in line with CM Health Policies and Procedures. Ensure all corrective activities are completed and controls are reviewed after incidents. Ensure all staff are Inducted/Oriented to the division/service/work area and recorded in the OneStaff database and participate in Occupational Health and Safety matters. Manage all hazards, risks and incidents in the workplace by identifying, evaluating, reporting and controlling them effectively by maintaining a Hazard and Risk Register that is reviewed and kept up to date on an ongoing basis. Stop work where there is an immediate risk of serious harm and escalate to the appropriate manager. Maintain Occupational Health of employees due to workplace hazardous exposures. Ensure you and the employees understand and follow CM Health s Occupational Health and Safety policies and Health and Safety regulations, what your responsibilities are under the policies and implement these requirements effectively into your work area. Manage the work area s risk profile and how these relate to the corporate risk profile and implement and resource mitigation controls. Engage your employees to participate in Occupational Health and Safety matter. Report for duty in a fit state, free from the influence of alcohol or other drugs. Provide and wear the necessary Personal Protective Equipment for yourself and your staff when undertaking specific activities, or when in nominated areas. Ensure procedures are in place for clinical and plant equipment to be operated safely. Participate in relevant safety training, manage and maintain safety related competencies for yourself and your employees. Be in possession of required and current Certificates of Competency (If relevant to your position). Registered Nurse position description: Counties Manukau Health 10
HEALTH AND SAFETY ACCOUNTABILITIES (non-management roles) Health and Safety (H&S) is a key accountability of all Counties Manukau Health (CM Health) staff. All CM Health Employees are responsible to: Zero Harm Risk Management Safety Management System Requirements Work Safely Engage in safe workplace practices and take care of the health and safety of themselves, other employees and people in the workplace. Identify, evaluate and report all hazards and incidents they are aware of in the workplace. Adhere to apply risk controls, identified in risk assessments, such as Safe Operating Procedures. Follow safety instructions. Stop work when there is an immediate risk of serious harm and notify the appropriate manager. Ensure nothing they do or don t do will cause harm to themselves or others. Understand and follow CM Health s Occupational Health and Safety policies, Health and Safety regulations, and personal responsibilities as outlined by these policies. Follow all Occupational Health and Safety policies and procedures. Report for duty in a fit state, free from the influence of alcohol or other drugs. Participate in consultation activities regarding matters affecting your health, safety and wellbeing. Wear the required Personal Protective Equipment when undertaking specific activities, or when in nominated areas. Operate clinical or plant equipment safely. Participate in relevant safety training, and maintain safety related competencies. If relevant to your position, be in possession of required and current Certificates of Competency. Registered Nurse position description: Counties Manukau Health 11