Date : May 2015 Job Title : Associate Clinical charge Nurse Department : Intensive Care / High Dependency Unit : Location : North Shore and Waitakere Hospital Reporting To : Unit Nurse Manager Direct Reports : Unit Manager Functional Relationships with : Internal Operations Manager ICU/HDU. Consumers & their families Clinical Director Nursing staff supporting the unit functioning e.g. Clinical Charge Nurses, Clinical Nurse Educators, RN colleagues, Clinical Coaches Director of Nursing & Midwifery Medical teams Allied Health team Support Services: pharmacy, nutrition, laboratory, clinical engineering, facilities External Colleagues in other DHB s Committees/Groups Unit Meetings M & M Meetings ICU/HDU Senior Nurse Quality Group Governance Purpose of the role The management of patients, family, staff, systems and resources to ensure that service delivery is efficient, effective and of a high standard. 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.
Professional Development of specialty practice Professional Leadership and Expertise 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 Practice nursing in a manner that respects the boundaries of a professional relationship Provide an environment of trust and respect Work to understand the patient/family/ whanau s interpretation of the illness to consider the options and goals Acts appropriately to protect self and others when faced with unexpected client responses, confrontation, personal threat and other crisis situations Is courteous, diplomatic and positive in working relationships especially in stressful situations Appropriately challenge health care practice which could compromise client safety, privacy or dignity Ensure that action is taken where problems and safety issues are identified Following & complying with H&S policies & processes & applying them to their own work activities Identifying, reporting & self-managing hazards where appropriate Early and accurate reporting of incidents at work 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 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 Provide thoughtful, constructive evaluation in peer review Consistently exhibits fair, dependable and ethical conduct; ensuring others reflect on the WDHB core values Preceptor and support new staff to ensure they become an effective team members Is self-directed and shows initiative in care delivery and teamwork Involves an advocate when the client requests support or has limited abilities in decision making Utilizes critical thinking and managerial skills, mentoring and offering educational guidance To work progressively and constructively towards clinical levelling and to take on adjunctive responsibilities. Develop and role model the ethos of team work and collegial support Respond to patient/client inquiries in an accurate and timely manner. Demonstrates a commitment to professional development and meet the requirements of the DHB s Professional Development Recognition Programme (PDRP). Manage a team of registered nurses, ensuring each has an annual appraisal and personal development plans that align with the unit s educational strategy.
Education and clinical teaching Clinical Care/Care Coordination Domain Two 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 Demonstrate expertise in clinical health assessment in the clinical setting Identifying changes in patient/client condition Take appropriate actions and acts to prevent deterioration Effectively identify changing needs and refer appropriately Demonstrate technical competence in undertaking relevant treatments and practices Assess patients with multiple problems to provide immediate care and assess when other team members need to be called / referred to Co-ordinate and prioritise the care for a number of patients. Care is adapted to respond to multiple priorities utilizing resources effectively with innovation. Help the patient/client understand the treatment and care plan Assist patient/family/whanau to participate in care as desired Assist patient/family/whanau cope with the implications of the situation and adapt the care plan accordingly Integrate knowledge of bio-science and patho-physiology when evaluating patient response to intervention/therapy Support staff in delivering high standards of care for their patients. Use, develop and introduce informal and formal methods of teaching appropriate to the individual or group abilities Identify patient s readiness to learn and implements teaching appropriately 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. Act as referral point for Critical Care staff for clinical advice and senior opinion Participate and lead multi-disciplinary meetings / clinical rounds Seek guidance from other specialist nurses / medical colleagues when a new situation arises Care is managed to adapt to input from the multidisciplinary team Patient progress is reviewed and appropriate referral or adjustment of the care plan made in consultation with the client and health care team Seek feedback from colleagues about the consistency and standards of own practice Participate and lead the multidisciplinary clinical decision making process Provide feedback in a constructive, assertive manner, completing and supporting the appraisal process. 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
Workplace Health & Safety Research & Audit; Evidence based practice Service Development Quality Improvement: Supports Professional Activity Lead manage a team study day Co-ordinate and lead the education programme that meets the needs of your team members. Make suggestions and take action to improve the quality and reduce the cost of services Contribute and lead in service planning and quality improvement Co-ordinate and ensure appropriate staff are available to support the WDHB quality agenda Deliver and develop education to improve student learning and orientation of new team members Participate in peer review and case review to ensure that the client receives the best care possible Maintain and review ongoing clinical audit processes, ensuring useful and accurate data is made available to the wider WDHB team. Is involved in quality improvement activities/auditing including applying the Health & Safety policies to own work activities, identifying hazards and reporting self-management of hazards VERIFICATION: Employee: Manager: Date: Note: This job description forms part of an individual s contract of employment and must be attached to that contract.
PERSON SPECIFICATION POSITION TITLE: Minimum Preferred Qualification RCpN, RGON, BA Nursing Post-graduate Certificate in Intensive Care Nursing Working towards Masters level nursing qualification Experience Registered Nurse with 5 years intensive care nursing experience with demonstrated nursing leadership experience at this level Highly proficient clinician in nursing practice including skills, knowledge and ability to provide direction for and evaluate nursing care Ability to demonstrate clinical leadership Demonstrated expertise in setting standards and managing practice to achieve these Coaching Skills Experience in using patient management systems and Microsoft office products Advanced team management skills Operations Management experience Financial management experience Skills Knowledge Behavior Contemporary nursing knowledge and skill in this specialty Dynamic and creative approach to nursing care Excellent communication skills Shows initiative Calm, even, consistent and mature personality A positive nursing identity and ability to act as role model for other nursing staff Good facilitation skills Upholds confidentiality with reputation for high integrity and discretion An active listener, has a way of valuing everyone s opinions