Charge Nurse Manager Adult Mental Health Services Acute Inpatient

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Date: February 2013 DRAFT Job Title : Charge Nurse Manager Department : Waiatarau Acute Unit Location : Waitakere Hospital Reporting To : Operations Manager Adult Mental Health Services for the achievement of service, operational and financial KPIs Head of Division Nursing for the maintenance of professional standards, the development of professional practice and the development of the professional workforce. Direct Reports : All health professionals (excluding medical staff), Health care assistants and administrative staff within the unit Functional Relationships with : Internal Service users and their family and whanau Medical staff Consumer Advisors MHSG Family/ Whanau Advisor Other Charger Nurse Managers and senior ward staff Community service team managers Allied Health Professional Advisors MHSG educators Senior Administrator Duty Nurse Managers Quality and HR Advisors Cleaning and orderly staff Support Services: Cultural, security, pharmacy, radiology, laboratory, facilities, and recruitment. External Other Mental Health Services NGO Providers Primary Care Providers Professional and Union Organizations District Inspectors Police Health Advocates Schools of Nursing tutors Mental Health colleagues in other DHBs Purpose : To provide clinical leadership and operational management, which supports the delivery of quality care, and the efficient and effective management of systems and resources that will promote partnership with, and meets the needs of, service users, their families and whanau. Waitemata District Health Board -JOB DESCRIPTION - Page 1

[1] Effectively manage systems, processes and resources that will assist the nursing staff to meet the needs of the service user / tangata whaiora in an efficient and cost-effective manner Management of nursing care to achieve patient focused care to the highest professional standard possible Leads planning and management of people, the inpatient unit, systems, processes and resources to ensure that service and service user needs are met within allocated resources in an efficient and effective manner. Referrals, admissions and discharges are managed efficiently and effectively. Caseloads are managed effectively Schedules workforce and resources to deliver a responsive and efficient service 24 hrs a day 7 days a week. Service delivery is monitored to ensure that nursing care is planned and delivered to achieve identified outcomes. Nursing workload is monitored and staff encouraged to discuss workload management Proactively communicates across the adult mental health teams throughout the day to ensure efficient and effective admission and discharge planning. Situational Awareness - knows what is happening across the whole specialty monitoring and assessing waitlists to proactively plan for admissions. Monitors length of stay and addresses clinical and process issues including delays. Waitemata District Health Board -JOB DESCRIPTION - Page 2

[2] Manage people, the Waiatarau Unit Team, systems and resources to ensure that service delivery is of a high standard, efficient and effective. Team Management / Clinical Leadership Establishes and reviews appropriate staffing profiles for nursing and support staff. Ensures an annual workforce plan is developed and regularly monitored for the unit. Identifies and implements strategies to recruit and retain staff Manages staff recruitment, induction, professional development, feedback, PDRP and retention. Ensure staff are employed with the skills and attitudes that align with the Mental Health competencies and the 7 Real Skills. Initiates, develops and implements flexible workforce models that are responsive to the changing needs of patients and staff Knows where to access and how to follow and implement HR policies, processes and guidelines. Sets up and applies employment contracts consistently Ensures that all staff have annual appraisal, development plan, coaching and feedback Coordinates resources present [right people/skill mix in the right place/roster] with staff doing the right things [standards & supervision], at the right time [monitoring] to achieve the right outcome. Coordinates day to day staffing and resources; is involved in assessing changing patient needs and putting strategies and resources in place to meet those needs. Monitors that rostering is safe and cost effective. Is proactive in addressing planned absences and roster shortfalls. Staff absences are monitored and addressed to support the staff member and support the team. Develops leaderships skills in staff to effectively manage the team after hours Vacancies are maintained at a minimum. Turnover trends are monitored closely and issues addressed Staff absences are monitored and addressed to support the staff member and support the team. Sickness and absenteeism is addressed and cover managed effectively Rostering is compliant with guidelines: is safe, fair, balanced and cost effective. Skill mix is appropriate and cost effective Performance is managed using clear expectations, coaching, goal setting and feedback. All nursing staff have annual appraisals. Follows the performance management process All staff have a plan which ensures development of their expertise and potential e.g. resource role, levels of practice, access to education opportunities Graphs are monitored and show that all staff have a current level of practice and a plan to progress from competent to proficient (and expert as appropriate). There is a good spread of nurses at each level Identifies training needs and matches appropriate learning interventions for team. Maintains a record of when nurses annual practising certificates and portfolios are due and keeps the Clinical Nurse Director informed of changes and any issues. Waitemata District Health Board -JOB DESCRIPTION - Page 3

[3]Contributes to service strategic planning and implements changes [4] Provide strong, consistent and effective professional leadership to the Waiatarau Team Operational Reports are provided monthly WDHB delegated authority is provided in the absence of the manager Engages with OA&HH and MHS to ensure that practice is based on best practice guidelines and meets legislative requirements for the population served Establishes, maintains and concludes therapeutic interpersonal relationships with service users. Practices nursing in a negotiated partnership with the service user and their family and whanau where and when possible. Communicates effectively with service users and members of the health care team Builds an environment of excellence and innovation that empowers nurses and other team members to be active participants in the multidisciplinary team. Facilitates and leads staff to continuously review and improve practice. Leads improvement and change programmes Implements innovative initiatives to create positive team relationships to be a magnet setting There is contribution to strategic planning processes through service clinical quality meetings and operational meetings The strategic plan is communicated and disseminated to the multidisciplinary team Strong relationship management skills that result in professional credibility, good service user outcomes and integrated care Demonstrates highly developed communication and change management leadership skills Creates strong morale and spirit in the team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging. Excellent awareness and understanding of the public sector issues/context and initiatives in which WDHB operates Communicate to a wide range of people using reports, meetings, and forums. Clear, formal and informal communication 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. Supports and reinforces the standards expected of the team Manages the interaction of team members through facilitation and motivation Uses participative decision-making procedures whilst maintaining overall control of the team. Understands individuals abilities and limitations and manages these effectively. Waitemata District Health Board -JOB DESCRIPTION - Page 4

[5] To encourage and promote professional development for the Waiatarau Team [6] Quality and Risk Management Provides feedback and guidance to team members whilst empowering them to be responsible for their own results. Tension and conflict is managed positively and issues resolved to the satisfaction of all involved. Explores the needs, concerns and interests of others. Communicates clearly/succinctly in appropriate style and presents effectively in various situations. Demonstrates a willingness to participate as a member of the mental health service group senior nursing team, and implements clinical practice initiatives, systems and processes related to mental health and general health directives, and as agreed by the team, to ensure consistency of best practice across the service. Participates in the on call coordinator manager roster for the service group Nursing and Allied Health clinicians are assisted to attend learning opportunities annually to ensure competence in practice and to ensure progress through the Levels of Practice/Merit Steps as indicated. Clinicians are supported to maintain professional development. Participates in professional discussions in order to influence development of the profession and services Promotes a quality practice environment that supports the health professional s ability to provide safe, effective and ethical nursing practice. Regular auditing. Regular input into OA&HH Nursing Practice Committee practice reviews Ensures all nurses participate in the PDRP processes Promotes professional development in accordance with the Lets Get Real 7 Real Skills Framework. Is seen by staff and peers as an effective facilitator of meetings, discussions and processes. Seeks advice from Clinical Nurse Advisor/ Allied Health Professional Advisor in a timely manner regarding professional issues as required. Develop and maintain quality systems and professional standards. Reinforce a strong customer-focused service. There is a coordinated and timely response to a service crisis. Input into the development of policy, standards and procedures is provided. Leads the development and delivery of the Quality and Risk Management plan and audit program. Actively implements improvement initiatives to achieve targets and identified KPI to show that the service is achieving safety standards There is collaboration with Quality personnel to meet requirements, and ensure ongoing service improvement. Implements a structured risk management approach to identify clinical risks and implement processes and practices to monitor and mitigate these risks. Manages incident and complaint investigations and audits/review of practice standards in a timely manner and the necessary corrective actions are implemented and evaluated. Schedules audits to monitor practice performance and communicates results so that staff are motivated to attain a high standard of practice Waitemata District Health Board -JOB DESCRIPTION - Page 5

outcomes. Includes meeting the HDSS standards Sets and clearly communicates clinical standards and behavioural expectations and holds staff accountable for meeting these expectations. Policies, procedures and guidelines are accessible for staff reference. Ensures that clinical standards are met. Monitors that clinical practice is at the highest standard possible: nurses undertake comprehensive and accurate nursing assessment. Documentation is accurate and maintains confidentiality. The service user receives explanation of the effects, consequences and alternatives of proposed treatment options. Staff receive education that ensures they act appropriately to protect self and others when faced with unexpected patient responses. Systems are in place to evaluate patients progress towards expected outcome in partnership Health education is appropriate to the needs of the service user within an appropriate mental health nursing or allied health framework. Staff reflect upon and evaluate with peers and experienced staff the effectiveness of care Ensures that appropriate equipment is available and is maintained to allow for appropriate monitoring and care delivery when required. Ensures that nationally mandated safety procedures are implemented in the acute mental health older adult environment including the intensive care suite. Ensures that there are appropriate quality processes to support the implementation and use of the Mental Health Act within the unit. Undertakes and leads improvement projects to identify and address gaps in practice. Projects are well scoped, researched, planned, implemented and evaluated to show continuous quality improvement. Change is managed appropriately. Staff satisfaction with the process is articulated. Ensures that an active OH&S program is in place in the unit. Manages workplace Health and Safety under Health and Safety Act 1992. Ensures that the Waitemata s Health and Safety Policies are understood and relevant procedures applied to own work activities. Works with the Health & Safety rep on workplace hazards to ensure these are identified and reported. Communication processes are in place to facilitate feedback from staff. Consumer rights and responsibilities are actively supported. Reports arising issues as appropriate. Makes changes to minimize risks. There is liaison with Occupational Health. [7] Finance The annual budget is monitored and prepared accurately and within required timeframe Manages budget within allocation Resources and impress processes meet needs and minimize cost. Recommends and introduces changes in operational processes to minimize cost & wastage in use of resources Monitors expenditure, interacting with Business Manager. Explains variances and trends. Takes appropriate action in response. Identifies opportunities for savings/efficient utilisation of resources Monitors use of casuals/agency and overtime and manages within budget Actively manages absenteeism and annual leave balances Waitemata District Health Board -JOB DESCRIPTION - Page 6

[8] Personal and professional Development [9] Recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Monitors expenditure, interacting with Business Analyst and MHSOA Unit Manager Explains variances and trends. Takes appropriate action in response. Manages the resources and imprest processes to meet needs and minimise cost. Recommends and introduces changes in operational processes to minimise cost & wastage in use of resources Monitors use of resources and recommends approaches that will improve efficiency Monitors use of equipment and devices and is proactive in planning replacement Undertakes evaluation of new products and seeks ways to minimise costs and support standardisation Correctly completes capital expenditure submissions Professional development is actively pursued through participation in in-service or post graduate education, keeping up to date with relevant literature or using other resources to maintain knowledge Participates in nursing and organisational activities and committees Has a reputation of proficient practice. Is able to provide skilled nursing care for a wide range of clinical needs, role modeling advanced assessment skills and care planning ability. Maintains clinical skills to be able to provide clinical assistance in care delivery, especially in times of staff shortage. Conduct in the workplace is ethical and professional according to the NCNZ Code of Conduct Seeks feedback on own performance, then acts on it. Seeks monthly professional supervision with Clinical Nurse Advisor to discuss how to address areas of difficulty and review quality of practice. Seeks own professional supervision to discuss how to address areas of difficulty and review quality of practice. Has presented own portfolio for assessment that meets the accepted standard Opportunities to network with other health managers are pursued. 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 VERIFICATION: Employee: Manager: Date: Note: This job description forms part of an individual s contract of employment with WDHB and Waitemata District Health Board -JOB DESCRIPTION - Page 7

must be attached to that contract. Behavioural Competencies Adheres to Waitemata District Health Boards 4 Organisational Values of: Every single person matters, whether a patient / client, family member or a staff member We see our work in health as a vocation and more than a job, We are aware of the suffering of these entrusted to our care. We are driven by a desire to relieve that suffering. This philosophy drives our caring approach and means we will strive to do everything we can to relieve suffering and promote wellness. We need to be connected with our community. We need to be connected within our organisation across disciplines and teams. This is to ensure care is seamless and integrated to achieve the best possible health outcomes for our patients/clients and their families. We seek continuous improvement in everything we do. We will become the national leader in health care delivery. Behavioural Competencies Behaviour Demonstrated Communicates and Works Cooperatively Actively looks for ways to collaborate with and assist others to improve the experience of the healthcare workforce, patients & their families and the community & Iwi. Is Committed to Learning Proactively follows up development needs and learning opportunities for oneself and direct reports. Is Transparent Communicates openly and engages widely across the organisation. Enacts agreed decisions with integrity. Is Customer Focused Responds to peoples needs appropriately and with effective results Identifies opportunities for innovation and improvement Works in Partnership to Reduce Inequality in Outcomes Works in a way that: Demonstrates awareness of partnership obligations under the Treaty of Waitangi. Shows sensitivity to cultural complexity in the workforce and patient population. Ensures service provision that does not vary because of peoples personal characteristics. Improves health Work practices show a concern for the promotion of health and wellbeing for self and others. Prevents Harm Follows policies and guidelines designed to prevent harm. Acts to ensure the safety of themselves and others. Waitemata District Health Board -JOB DESCRIPTION - Page 8

PERSON SPECIFICATION POSITION TITLE: Charge Nurse Manager Essential Requirements Qualification Registered Nurse Scope with current practising certificate Post graduate certificate/diploma in specialty practice nursing, Post Graduate Diploma and Masters in Nursing or equivalent and relevant in leadership and or management [preferred] Experience Minimum of 5 years post registration nursing practice at minimum Level 3 (Proficient). RN 4 [preferred] Contemporary clinical practice in acute adult mental health care Experience in clinical professional leadership Experience in working in an acute admitting mental health inpatient unit in a large or complex organization Personal Attributes Positive manner, flexible, able to influence without conflict Demonstrates resilience Strong teamwork reputation Excellent communication skills, highly articulate and excellent listening skills; has a way of valuing everyone s opinions. Good customer service practices Calm, even, consistent and mature personality. Professional approach. Manages personal stress effectively Sensitive and constructive in responding to the needs of individuals and groups Self-directed, uses initiative, confident skill in negotiation and consultation. Nursing identity. Skills/Knowledge/ Behaviour Contemporary nursing knowledge and skill with knowledge of evidence-based practice requirements. A positive Nursing identity. Knowledge of, and an ability to, apply the Lets Get Real Dynamic and creative approach to nursing care and education Understanding of and commitment to the principles of the Treaty of Waitangi People Management in a complex environment High professional standards and motivates a team to achieve expectations Evidence of strong commitment to quality improvement Financial management Participant in strategic developments across the continuity of care, integrating, hospital community and primary health care Quality Management at Service level. Includes incident and complaints management Able to work with patients and families with complex needs. Skilled to address patient learning needs Waitemata District Health Board -JOB DESCRIPTION - Page 9

Date: February 2013 DRAFT Job Title : Charge Nurse Manager Department : Waiatarau Acute Unit Location : Waitakere Hospital Reporting To : Operations Manager Adult Mental Health Services for the achievement of service, operational and financial KPIs Head of Division Nursing for the maintenance of professional standards, the development of professional practice and the development of the professional workforce. Direct Reports : All health professionals (excluding medical staff), Health care assistants and administrative staff within the unit Functional Relationships with : Internal Service users and their family and whanau Medical staff Consumer Advisors MHSG Family/ Whanau Advisor Other Charger Nurse Managers and senior ward staff Community service team managers Allied Health Professional Advisors MHSG educators Senior Administrator Duty Nurse Managers Quality and HR Advisors Cleaning and orderly staff Support Services: Cultural, security, pharmacy, radiology, laboratory, facilities, and recruitment. External Other Mental Health Services NGO Providers Primary Care Providers Professional and Union Organizations District Inspectors Police Health Advocates Schools of Nursing tutors Mental Health colleagues in other DHBs Purpose : To provide clinical leadership and operational management, which supports the delivery of quality care, and the efficient and effective management of systems and resources that will promote partnership with, and meets the needs of, service users, their families and whanau. Waitemata District Health Board -JOB DESCRIPTION - Page 1

[1] Effectively manage systems, processes and resources that will assist the nursing staff to meet the needs of the service user / tangata whaiora in an efficient and cost-effective manner Management of nursing care to achieve patient focused care to the highest professional standard possible Leads planning and management of people, the inpatient unit, systems, processes and resources to ensure that service and service user needs are met within allocated resources in an efficient and effective manner. Referrals, admissions and discharges are managed efficiently and effectively. Caseloads are managed effectively Schedules workforce and resources to deliver a responsive and efficient service 24 hrs a day 7 days a week. Service delivery is monitored to ensure that nursing care is planned and delivered to achieve identified outcomes. Nursing workload is monitored and staff encouraged to discuss workload management Proactively communicates across the adult mental health teams throughout the day to ensure efficient and effective admission and discharge planning. Situational Awareness - knows what is happening across the whole specialty monitoring and assessing waitlists to proactively plan for admissions. Monitors length of stay and addresses clinical and process issues including delays. Waitemata District Health Board -JOB DESCRIPTION - Page 2

[2] Manage people, the Waiatarau Unit Team, systems and resources to ensure that service delivery is of a high standard, efficient and effective. Team Management / Clinical Leadership Establishes and reviews appropriate staffing profiles for nursing and support staff. Ensures an annual workforce plan is developed and regularly monitored for the unit. Identifies and implements strategies to recruit and retain staff Manages staff recruitment, induction, professional development, feedback, PDRP and retention. Ensure staff are employed with the skills and attitudes that align with the Mental Health competencies and the 7 Real Skills. Initiates, develops and implements flexible workforce models that are responsive to the changing needs of patients and staff Knows where to access and how to follow and implement HR policies, processes and guidelines. Sets up and applies employment contracts consistently Ensures that all staff have annual appraisal, development plan, coaching and feedback Coordinates resources present [right people/skill mix in the right place/roster] with staff doing the right things [standards & supervision], at the right time [monitoring] to achieve the right outcome. Coordinates day to day staffing and resources; is involved in assessing changing patient needs and putting strategies and resources in place to meet those needs. Monitors that rostering is safe and cost effective. Is proactive in addressing planned absences and roster shortfalls. Staff absences are monitored and addressed to support the staff member and support the team. Develops leaderships skills in staff to effectively manage the team after hours Vacancies are maintained at a minimum. Turnover trends are monitored closely and issues addressed Staff absences are monitored and addressed to support the staff member and support the team. Sickness and absenteeism is addressed and cover managed effectively Rostering is compliant with guidelines: is safe, fair, balanced and cost effective. Skill mix is appropriate and cost effective Performance is managed using clear expectations, coaching, goal setting and feedback. All nursing staff have annual appraisals. Follows the performance management process All staff have a plan which ensures development of their expertise and potential e.g. resource role, levels of practice, access to education opportunities Graphs are monitored and show that all staff have a current level of practice and a plan to progress from competent to proficient (and expert as appropriate). There is a good spread of nurses at each level Identifies training needs and matches appropriate learning interventions for team. Maintains a record of when nurses annual practising certificates and portfolios are due and keeps the Clinical Nurse Director informed of changes and any issues. Waitemata District Health Board -JOB DESCRIPTION - Page 3

[3]Contributes to service strategic planning and implements changes [4] Provide strong, consistent and effective professional leadership to the Waiatarau Team Operational Reports are provided monthly WDHB delegated authority is provided in the absence of the manager Engages with OA&HH and MHS to ensure that practice is based on best practice guidelines and meets legislative requirements for the population served Establishes, maintains and concludes therapeutic interpersonal relationships with service users. Practices nursing in a negotiated partnership with the service user and their family and whanau where and when possible. Communicates effectively with service users and members of the health care team Builds an environment of excellence and innovation that empowers nurses and other team members to be active participants in the multidisciplinary team. Facilitates and leads staff to continuously review and improve practice. Leads improvement and change programmes Implements innovative initiatives to create positive team relationships to be a magnet setting There is contribution to strategic planning processes through service clinical quality meetings and operational meetings The strategic plan is communicated and disseminated to the multidisciplinary team Strong relationship management skills that result in professional credibility, good service user outcomes and integrated care Demonstrates highly developed communication and change management leadership skills Creates strong morale and spirit in the team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging. Excellent awareness and understanding of the public sector issues/context and initiatives in which WDHB operates Communicate to a wide range of people using reports, meetings, and forums. Clear, formal and informal communication 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. Supports and reinforces the standards expected of the team Manages the interaction of team members through facilitation and motivation Uses participative decision-making procedures whilst maintaining overall control of the team. Understands individuals abilities and limitations and manages these effectively. Waitemata District Health Board -JOB DESCRIPTION - Page 4

[5] To encourage and promote professional development for the Waiatarau Team [6] Quality and Risk Management Provides feedback and guidance to team members whilst empowering them to be responsible for their own results. Tension and conflict is managed positively and issues resolved to the satisfaction of all involved. Explores the needs, concerns and interests of others. Communicates clearly/succinctly in appropriate style and presents effectively in various situations. Demonstrates a willingness to participate as a member of the mental health service group senior nursing team, and implements clinical practice initiatives, systems and processes related to mental health and general health directives, and as agreed by the team, to ensure consistency of best practice across the service. Participates in the on call coordinator manager roster for the service group Nursing and Allied Health clinicians are assisted to attend learning opportunities annually to ensure competence in practice and to ensure progress through the Levels of Practice/Merit Steps as indicated. Clinicians are supported to maintain professional development. Participates in professional discussions in order to influence development of the profession and services Promotes a quality practice environment that supports the health professional s ability to provide safe, effective and ethical nursing practice. Regular auditing. Regular input into OA&HH Nursing Practice Committee practice reviews Ensures all nurses participate in the PDRP processes Promotes professional development in accordance with the Lets Get Real 7 Real Skills Framework. Is seen by staff and peers as an effective facilitator of meetings, discussions and processes. Seeks advice from Clinical Nurse Advisor/ Allied Health Professional Advisor in a timely manner regarding professional issues as required. Develop and maintain quality systems and professional standards. Reinforce a strong customer-focused service. There is a coordinated and timely response to a service crisis. Input into the development of policy, standards and procedures is provided. Leads the development and delivery of the Quality and Risk Management plan and audit program. Actively implements improvement initiatives to achieve targets and identified KPI to show that the service is achieving safety standards There is collaboration with Quality personnel to meet requirements, and ensure ongoing service improvement. Implements a structured risk management approach to identify clinical risks and implement processes and practices to monitor and mitigate these risks. Manages incident and complaint investigations and audits/review of practice standards in a timely manner and the necessary corrective actions are implemented and evaluated. Schedules audits to monitor practice performance and communicates results so that staff are motivated to attain a high standard of practice Waitemata District Health Board -JOB DESCRIPTION - Page 5

outcomes. Includes meeting the HDSS standards Sets and clearly communicates clinical standards and behavioural expectations and holds staff accountable for meeting these expectations. Policies, procedures and guidelines are accessible for staff reference. Ensures that clinical standards are met. Monitors that clinical practice is at the highest standard possible: nurses undertake comprehensive and accurate nursing assessment. Documentation is accurate and maintains confidentiality. The service user receives explanation of the effects, consequences and alternatives of proposed treatment options. Staff receive education that ensures they act appropriately to protect self and others when faced with unexpected patient responses. Systems are in place to evaluate patients progress towards expected outcome in partnership Health education is appropriate to the needs of the service user within an appropriate mental health nursing or allied health framework. Staff reflect upon and evaluate with peers and experienced staff the effectiveness of care Ensures that appropriate equipment is available and is maintained to allow for appropriate monitoring and care delivery when required. Ensures that nationally mandated safety procedures are implemented in the acute mental health older adult environment including the intensive care suite. Ensures that there are appropriate quality processes to support the implementation and use of the Mental Health Act within the unit. Undertakes and leads improvement projects to identify and address gaps in practice. Projects are well scoped, researched, planned, implemented and evaluated to show continuous quality improvement. Change is managed appropriately. Staff satisfaction with the process is articulated. Ensures that an active OH&S program is in place in the unit. Manages workplace Health and Safety under Health and Safety Act 1992. Ensures that the Waitemata s Health and Safety Policies are understood and relevant procedures applied to own work activities. Works with the Health & Safety rep on workplace hazards to ensure these are identified and reported. Communication processes are in place to facilitate feedback from staff. Consumer rights and responsibilities are actively supported. Reports arising issues as appropriate. Makes changes to minimize risks. There is liaison with Occupational Health. [7] Finance The annual budget is monitored and prepared accurately and within required timeframe Manages budget within allocation Resources and impress processes meet needs and minimize cost. Recommends and introduces changes in operational processes to minimize cost & wastage in use of resources Monitors expenditure, interacting with Business Manager. Explains variances and trends. Takes appropriate action in response. Identifies opportunities for savings/efficient utilisation of resources Monitors use of casuals/agency and overtime and manages within budget Actively manages absenteeism and annual leave balances Waitemata District Health Board -JOB DESCRIPTION - Page 6

[8] Personal and professional Development [9] Recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Monitors expenditure, interacting with Business Analyst and MHSOA Unit Manager Explains variances and trends. Takes appropriate action in response. Manages the resources and imprest processes to meet needs and minimise cost. Recommends and introduces changes in operational processes to minimise cost & wastage in use of resources Monitors use of resources and recommends approaches that will improve efficiency Monitors use of equipment and devices and is proactive in planning replacement Undertakes evaluation of new products and seeks ways to minimise costs and support standardisation Correctly completes capital expenditure submissions Professional development is actively pursued through participation in in-service or post graduate education, keeping up to date with relevant literature or using other resources to maintain knowledge Participates in nursing and organisational activities and committees Has a reputation of proficient practice. Is able to provide skilled nursing care for a wide range of clinical needs, role modeling advanced assessment skills and care planning ability. Maintains clinical skills to be able to provide clinical assistance in care delivery, especially in times of staff shortage. Conduct in the workplace is ethical and professional according to the NCNZ Code of Conduct Seeks feedback on own performance, then acts on it. Seeks monthly professional supervision with Clinical Nurse Advisor to discuss how to address areas of difficulty and review quality of practice. Seeks own professional supervision to discuss how to address areas of difficulty and review quality of practice. Has presented own portfolio for assessment that meets the accepted standard Opportunities to network with other health managers are pursued. 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 VERIFICATION: Employee: Manager: Date: Note: This job description forms part of an individual s contract of employment with WDHB and Waitemata District Health Board -JOB DESCRIPTION - Page 7

must be attached to that contract. Behavioural Competencies Adheres to Waitemata District Health Boards 4 Organisational Values of: Every single person matters, whether a patient / client, family member or a staff member We see our work in health as a vocation and more than a job, We are aware of the suffering of these entrusted to our care. We are driven by a desire to relieve that suffering. This philosophy drives our caring approach and means we will strive to do everything we can to relieve suffering and promote wellness. We need to be connected with our community. We need to be connected within our organisation across disciplines and teams. This is to ensure care is seamless and integrated to achieve the best possible health outcomes for our patients/clients and their families. We seek continuous improvement in everything we do. We will become the national leader in health care delivery. Behavioural Competencies Behaviour Demonstrated Communicates and Works Cooperatively Actively looks for ways to collaborate with and assist others to improve the experience of the healthcare workforce, patients & their families and the community & Iwi. Is Committed to Learning Proactively follows up development needs and learning opportunities for oneself and direct reports. Is Transparent Communicates openly and engages widely across the organisation. Enacts agreed decisions with integrity. Is Customer Focused Responds to peoples needs appropriately and with effective results Identifies opportunities for innovation and improvement Works in Partnership to Reduce Inequality in Outcomes Works in a way that: Demonstrates awareness of partnership obligations under the Treaty of Waitangi. Shows sensitivity to cultural complexity in the workforce and patient population. Ensures service provision that does not vary because of peoples personal characteristics. Improves health Work practices show a concern for the promotion of health and wellbeing for self and others. Prevents Harm Follows policies and guidelines designed to prevent harm. Acts to ensure the safety of themselves and others. Waitemata District Health Board -JOB DESCRIPTION - Page 8

PERSON SPECIFICATION POSITION TITLE: Charge Nurse Manager Essential Requirements Qualification Registered Nurse Scope with current practising certificate Post graduate certificate/diploma in specialty practice nursing, Post Graduate Diploma and Masters in Nursing or equivalent and relevant in leadership and or management [preferred] Experience Minimum of 5 years post registration nursing practice at minimum Level 3 (Proficient). RN 4 [preferred] Contemporary clinical practice in acute adult mental health care Experience in clinical professional leadership Experience in working in an acute admitting mental health inpatient unit in a large or complex organization Personal Attributes Positive manner, flexible, able to influence without conflict Demonstrates resilience Strong teamwork reputation Excellent communication skills, highly articulate and excellent listening skills; has a way of valuing everyone s opinions. Good customer service practices Calm, even, consistent and mature personality. Professional approach. Manages personal stress effectively Sensitive and constructive in responding to the needs of individuals and groups Self-directed, uses initiative, confident skill in negotiation and consultation. Nursing identity. Skills/Knowledge/ Behaviour Contemporary nursing knowledge and skill with knowledge of evidence-based practice requirements. A positive Nursing identity. Knowledge of, and an ability to, apply the Lets Get Real Dynamic and creative approach to nursing care and education Understanding of and commitment to the principles of the Treaty of Waitangi People Management in a complex environment High professional standards and motivates a team to achieve expectations Evidence of strong commitment to quality improvement Financial management Participant in strategic developments across the continuity of care, integrating, hospital community and primary health care Quality Management at Service level. Includes incident and complaints management Able to work with patients and families with complex needs. Skilled to address patient learning needs Waitemata District Health Board -JOB DESCRIPTION - Page 9