POSITION DETAILS: POSITION DESCRIPTION TITLE: Clinical Charge Midwife REPORTS TO: Charge Midwife LOCATION: Women s Health Directorate AUTHORISED BY: Midwifery Director DATE: June 2016 PRIMARY FUNCTION: The Clinical Charge Midwife (CCM) is accountable to support the Charge Midwife In delivery of safe quality evidence based maternity care that meets the needs of women and their whanau In day to day operational management with optimal use of resources within budget Through clinical midwifery leadership, promoting midwifery professional standards As a leader to enable an environment that makes Women s Health a great place to work and learn. KEY ACCOUNTABILITIES Key Result Area Expected Outcomes/Performance Indicators Midwifery Promotes pregnancy and birth as normal life events, empowering women Clinical and and whanau through partnership, participation and protection Professional Promotes and leads Women s Health priorities and ADHB Values to promote Leadership a positive culture Leads integrated, family centred and safe midwifery care on a day to day basis across the continuum improving perinatal outcomes Role models the 10 Standards of Midwifery Practice as outlined by NZCOM Handbook for Practice Contributes to the development, implementation and evaluation of pathways, guidelines/protocols, care models and processes Contributes to the development of strategic and operational plans for the service and as a lead for improvement initiatives. Maternity care / operational management Actively manages day to day service flows, access, workforce and resources in collaboration with the wider maternity service Coordinates day to day delivery of maternity care, actively managing and monitoring quality, risks and safety Coordinates timely transfers and discharge planning Manages the women s journey across the continuum and where necessary manages the interface between primary and secondary care fostering and supporting collaborative relationships Follows ADHB handover principles and involves women and whanau at the bedside On a shift by shift basis, leads a nurturing, supportive team environment (including students) that promotes the retention and recruitment of midwives and nurses Recognises and acknowledges excellent performance and behaviours and manages of inappropriate behaviour in a timely way to improve team
Quality Safety and Evidence based Education and Clinical Teaching Professional Development and Clinical Competency performance and working environment On a daily basis monitors and evaluates midwifery care and provides clinical supervision to staff. Assists the Charge Midwife in the annual performance review process Supports the effective use of planned leave and manages unplanned leave. Participates in developing, implementing and evaluating quality improvements, clinical guidelines and clinical audits Proactively manages risks and complaints (where required), reports appropriately and takes action to ensure a safe environment for all In partnership with the Maori midwifery team and/or Tikanga advisors leads midwifery care that reflects Turanga Kaupapa standards Complies with regulatory, OH&S requirements and accreditation processes as required Actively participates in and/or leads MOS meetings, reviewing performance against standards and KPIs Effectively uses resources to ensure the delivery of safe quality services at the right time and in the right place Contributes to clinical governance processes as directed. Fosters inquiry, critical thinking and research skill acquisition within the maternity service to advance midwifery and improve outcomes for women and babies Works to ensure that recommended best guidelines/policy are current and evidence based Participates in and supports research. Models expert midwifery skills within the clinical area Demonstrates skilled mentoring/coaching, teaching and supervision of midwifery staff, students and other health professionals Participates in case review and debriefing as required Acts as a midwifery resource, providing expert advice and education to women, midwives, and other health care professionals Identifies and supports staff education and professional development needs Liaises with internal and external stakeholders of the health service such as mental health, social work, wahine ora, SANDS etc, as required. Maintains and develops own clinical expertise and knowledge in midwifery Practices in accordance with legal, ethical and professional standards Participates in professional supervision as required Participates in own performance development and review Pursues educational opportunities/conferences relevant to the CCM role, scope of, professional interests and goals Actively engages with other areas within the maternity service, working collaboratively to maintain competence across the scope of. MATTERS WHICH MUST BE REFERRED TO CHARGE MIDWIFE IN HOURS /DUTY MANAGER OUT OF HOURS Identified major risks (quality and safety, reputation) Performance issues Escalation of access and flows Authorities: FTE Direct Reports: NIL Budget Accountability (if applicable): $NIL
Relationships External Internal Committees/Groups Women, families/whanau LMCs Other DHBs Primary health care providers Ambulance/transport service Consumer advocates & agencies. Auckland University Technology School of Midwifery Other agencies Charge Midwives and CCMs Midwifery Unit Manager Duty Manager Midwifery Educators Medical team Maori midwifery team Allied Health Professionals Kai Atawhai / Cultural Staff Women s Health Directorate leaders As delegated by Charge Midwife Person Specification Education Qualifications Essential Desired Professional NZ Midwifery registration/ APC Expert midwifery practitioner Achieved advanced qualification such as leadership domain Current knowledge and understanding of NZ professional midwifery issues and maternity legislation Experience/Knowledge Demonstrated leadership capability Minimum 3 years post graduate midwifery experience across the scope of Knowledge and understanding of the Treaty of Waitangi and its importance in midwifery Sound understanding of Specific clinical competencies professional midwifery ethics Philosophy of pregnancy and birth as normal life events Demonstrated effective delegation and supervision skills Demonstrated ability to influence and work collaboratively within the multidisciplinary team Compliance with Section 88 Commitment to BFHI Knowledge of quality improvement principles and processes Masters degree or postgraduate qualification relevant to maternity service provision Expertise relevant to clinical area Demonstrated ability to facilitate and manage change Experience in use of evidence based and improvement methodologies including clinical audit, critical appraisal and research skills
Personal Characteristics For Success Woman centred Collaborative Accountable Innovative thinker; solution focused Passionate midwifery leader Enjoys developing others CRITICAL COMPETENCIES COMPETENCY Patient / Client / population focused DESCRIPTION Takes action to fully comprehend the needs of women, whānau and populations Creates environments where family centred care can flourish Actively promotes women and whanau needs and priorities Teamwork Collaborates with other key players and work groups to achieve objectives Seeks out opportunities to support others in achieving goals Actively contributes to and accepts consensus decisions Recognises and respects individual differences Values Diversity Displays cultural responsiveness and a willingness to work positively with organisational strategies to improve access and health outcomes for Maori Self Management Sets high personal standards and strives to achieve goals Displays drive and energy and persists in overcoming obstacles Is proactive and displays initiative Is resilient, flexible and adaptable Understands personal limitations Communication/ Interpersonal Skills Expresses information effectively, both orally and in writing, adjusts language and style to the recipients and considers their frame of reference Actively listens, drawing out information and checking understanding Empathises with others and considers their needs and feelings Creates opportunities to network internally and externally Innovation Actively questions old ways of doing things, thinks outside the square and develops creative and effective solutions to improve outcomes Applies skilled analysis and sound reasoning in problem solving/decision making Quality Orientation Pays attention to detail and initiates self-checking procedures Ensures high levels of accuracy and consistent quality Monitors quality and devises systems to support continuous improvement Flexibility Ability to adapt and work effectively within a variety of situations, and with various individuals or groups Planning and Monitoring Uses action plans to accomplish goals and establishes timeframes Identifies and removes barriers Able to monitor progress and address problems to achieve outcomes
WORKING FOR ADHB EXPECTATIONS OF EMPLOYEES CITIZENSHIP All employees are expected to contribute to the innovation and improvement of Auckland District Health Board as an organisation. This means: Using resources responsibly Models ADHB values in all interactions Maintaining standards of ethical behaviour and Meeting ADHB s performance standards Participating in organisation development and performance improvement initiatives Helping to develop and maintain Maori capability in ADHB, including developing our understanding of the Treaty of Waitangi and ways in which it applies in our work Raising and addressing issues of concern promptly THE EMPLOYER AND EMPLOYEE RELATIONSHIP We have a shared responsibility for maintaining good employer/employee relationships. This means: Acting to ensure a safe and healthy working environment at all times Focusing our best efforts on achieving ADHB s objectives A performance agreement will be reached between the employee and their direct manager and/or professional leader containing specific expectations. CONSUMER/CUSTOMER/STAKEHOLDER COMMITMENT All employees are responsible for striving to continuously improve service quality and performance. This means: Taking the initiative to meet the needs of the consumer/customer/stakeholder Addressing our obligations under the Treaty of Waitangi Involving the consumer/customer/stakeholder in defining expectations around the nature of the services to be delivered and the timeframe Keeping the consumer/stakeholder informed of progress Following through on actions and queries Following up with the consumer/customer/stakeholder on their satisfaction with the services PROFESSIONAL DEVELOPMENT As the business of ADHB develops, the responsibilities and functions of positions may change. All staff are expected to contribute and adapt to change by: Undertaking professional development Applying skills to a number of long and short term projects across different parts of the organisation Undertaking such development opportunities as ADHB may reasonably require