Designated Position: Clinical Nurse Specialist Positon Title: Clinical Nurse Specialist Head & Neck This position is not considered a children s worker under the Vulnerable Children Act 2014 Position Holder's Name:. Position Holder's Signature :... Line Manager s Name:.. Professional Accountability:.. Line Manager s Signature :... Date.
PURPOSE OF THE POSITION (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) To provide specialist clinical nursing expertise to Head & Neck patients under the care of ORL and/or Plastic Surgery, across the perioperative journey at Counties Manukau District Health Board known as (CM Health) To promote excellence and innovation in clinical practice, ensuring the provision of high quality care that is validated by evidence based best practice. To work collaboratively across transdisciplinary teams and services through the continuum of care for the Head & Neck patient. Take a lead role and be actively involved in the communication process during the patient journey with particular emphasis on the inpatient component. Work closely with all members of the multidisciplinary team to ensure that Head & Neck patients receive seamless, patient/family centred care across the perioperative journey whilst strengthening integration initiatives already underway regionally and in localities of Counties Manukau. Provide nursing leadership and case management within the services in order to ensure patient treatment and care planning is comprehensively co-ordinated and informed by specialist knowledge, utilising care models that best meet clinical priority and service needs, working in in partnership with the patient, family/ whaanau. Provide case management and coordination of patients with complex conditions ensuring discharge planning is commenced early and works to a goal discharge date that is understood by the patient, family/whaanau and ongoing care teams Provide role modelling, education and support for the staff involved in the inpatient component of care for the Head & Neck patients.
PLACE IN THE ORGANISATION Clinical Director SACS General Manager Surgical & Ambulatory Care Services Clinical Nurse Director SACS Clinical leader H&N and Medical staff ORL & Plastic Surgery Service Manager ORL Service Manager Plastic Surgery Faster cancer Treatment team CNS Skin Cancer Clinical Nurse Specialist Head & Neck CNS ORL & O/P H&N Outpatient Clinics ORL, Plastic & combined Ward Staff Middlemore Acute Allied Health team Department Critical Care Key Professional Accountability Nursing ----------- Operational Accountability
NATURE AND SCOPE OF RESPONSIBILITIES Key Accountability Expectations Clinical Practice Demonstrate clinical nurse specialist expertise in the planning and delivery of patient care within the Head & Neck specialty. Utilise advanced clinical assessment, and critical thinking skills to identify potential or actual problems and collaborate across multidisciplinary teams, and services, to proactively address these. Participate in the review, redesign and implementation of Head & Neck referral guidelines and care pathways to better support patient care. Participate in the coordination of complex care that crosses several specialties and teams using a case management model. Liaise with the Faster Cancer Treatment team to ensure the pathway is well managed and process deficiencies addressed. Work collaboratively with all members of the health care team to ensure staff receive high quality education, based on research and best practise guidelines. Work collaboratively with the multi-disciplinary teams to ensure robust discharge planning is undertaken in a timely and appropriate timeframe Develop a robust handover process so the continuum of care is seamless, and timely to promote positive patient outcomes. Initiate and/or contribute to forums that critique current practice and treatment modalities, and debate topical issues Monitor national and international evidenced based research and trends and apply to practice as appropriate. Promote innovative and creative clinical nursing practice and ensure it is validated with best practice and research activities. Promote a patient/family/whanau focused approach by addressing practical aspects of care in response to patients needs thus ensuring great patient experience. Report monthly to Service Manager ORL and Plastic Surgery - keep CND advised on professionals issues Provide and maintain documentation including individual clinical records, referrals, request for advice and discharge. Provide timely and full information or advice back to referrers and/or in response to requests
Key Accountability Leadership Expectations Clinical Risk Management Act as an effective role model by demonstrating high levels of clinical competence and professionalism. Oversee the assessment, planning, implementation and evaluation of nursing care and practice within the speciality. Provide coaching and mentorship to staff in the speciality. Advocate on behalf of patient/family/whaanau, colleagues as appropriate and in a culturally safe manner. Assist the multidisciplinary teams with decision making related to medico-legal and ethical issues. Participate in business, nursing and education planning processes at a strategic and service level. Promote activities of the Clinical Governance and Hospital Management Committees, and ensure staffare aware of and utilise the appropriate policies and procedures. Promote cost effective, contemporary professional nursing practice Participate in budgeting/business planning process when required. Clinical Risk Management Works with the Clinical Nurse Director/Nurse Leaders across the sector to develop professional nursing, standards and competencies associated with Head & Neck surgery. Demonstrates broad knowledge of health policies, trends and directions with regard to Head & Neck surgery Provides monthly reports directly related to KPIs and including requests for advice and reports Establishes and maintains formal and informal networks at a national, regional and local level Actively involves patients and their experience in co-design of all aspects of the service. Professional Development Provide clinical advice and support for all staff working with Staff Head & Neck patients to promote practise development. Identify deficits in clinical and professional competencies of individuals and services and take appropriate action. Provide formal and informal education to staff within the clinical area and lead the process of reflective practice. Initiate teaching/learning strategies that enhance best practise and learning opportunities for colleagues. Identify potential for development in staff and assist them to progress through career pathway and/or credentialing processes Link in with Community Central and AT Risk Individual programme to provide advice and support across an integrated service. Link in with the Building Capability team to initiate teaching/learning strategies that enhance learning opportunities for staff.
Key Accountability Expectations Professional Development Maintain and develop own clinical competence and complies Self with the requirements of the Health Practitioners Competency Assurance Act (2003) and Counties Manukau Health Professional Development Recognition Programme (PDRP). Attend educational opportunities and conferences relevant to the role and scope of practice and use this knowledge to improve practice. Maintain currency with own competency assessment/credentialing process. Actively participate in relevant professional organisations. Pro-actively contribute to presentation and the publication of issues related to clinical practice. Critique research findings and use these as a base for best practice. Attend senior nurses meetings and Organisational Clinical Nurse Specialists monthly forum for personal support and growth. Link in with education from Ko Awatea for own professional development to keep abreast with changes in the health sector nationally and internationally. Quality Improvement Contribute to the development of standards of practice, protocols and policies. Contribute to the identification of research/quality projects and participate in the development, implementation and evaluation of proposals and projects. Contribute to research and quality activities through facilitating collection of information required for the ORL Service or other systems. Contribute to the identification of specifications, trials and purchase or new equipment as required. Utilise Ko Awatea for access to quality and service improvement methodology. Facilitates the development, implementation and review of best practice guidelines, procedures and policies to provide guidance and increase consistency of evidenced based care. Leads quality processes through analysis of issues, trending and auditing, to evaluate impact on own role and assist with the future planning activities. Cultural Competency Commitment to the principles of Treaty of Waitangi Honouring Cultural Diversity Maintains a current knowledge of relevant issues, trends and practices Behaviour demonstrates cultural appropriateness and sensitivity Builds and maintains productive working relationships-utilise the Cultural resources and Interpreting teams Values individual effort, innovation and creativity Promotes the organisational values in daily practise.
Key Accountability Utilisation of Information Technology Expectations Work practices are consistent with Tikanga Best Practice Demonstrates an understanding in health of barriers and disparities that affect the CMH community. Demonstrate ability to access and use available clinical information systems. Contribute to the ongoing development of information systems. Be conversant with applications required for your specific role. For example, IPM, Concerto, MS Office Suite, MS Outlook etc. Maintain own professional development by attending relevant IT educational programmes. Develop a website to support learning for staff, and for patients, around head and neck cancers and treatment modalities PROBLEM COMPLEXITY The Clinical Nurse Specialist Head & Neck is expected to manage a variety of complex and unpredictable problems that are associated with the assessment, treatment and management of Head & Neck patients. Coordination and case management of care, and appropriate services, need to be patient /family / whaanau focused.there will be a requirement to be able to prioritise issues and negotiate timeframes while providing a quality customer service. The Clinical Nurse Specialist Head & Neck will provide clinical expertise for patients seen in a variety of inpatient, outpatient settings, as well as utilising tele-health. SCOPE FOR ACTION The Clinical Nurse Specialist Head & Neck will be required to develop innovative approaches to problem solving and utilise the skills of other team members to co-ordinate, manage, and resolve problems. They will need to negotiate with and co-ordinate multidisciplinary teams across services within the organisation, and will frequently need to develop individual solutions for each issue and problem. The Clinical Nurse Specialist Head & Neck will be required to respond to referrals from regional and CMH emergency departments, outpatient clinics, wards, theatres, nursing, allied and medical staff. The Clinical Nurse Specialist Head & Neck will be required to provide nursing leadership in the speciality and contribute at an organisational and regional level including making recommendations for improvement in clinical practice within services related to quality and resource issues. This includes effective liaison/consultation with staff, appropriate external parties including patients and their families/ whaanau and contributing to effective training and development.
DIMENSION OF THE POSITION The Clinical Nurse Specialist Head & Neck is responsible to the Service Manager for achievement of objectives and goals for their service and the Clinical Nurse Director for professional nursing advice, guidance and direction. The Clinical Nurse Specialist Head & Neck will be required to provide an expert contribution at the organisational and regional level. They will make recommendations for improvement in clinical practice within the service related to quality, resource issues and performance development. This includes effective liaison with staff and appropriate external parties in localities, Co-ordination of available resources, optimisation of staff skills, as well as effective training and development. In addition to provision of direct clinical expertise and case management, the CNS Head & Neck will be the driver of service co-design and to facilitate integration of care in line with CMH strategies. POSITIONS REPORTING: Directly NIL Indirectly NIL COMMUNICATION AND INTERPERSONAL SKILLS The Clinical Nurse Specialist Head & Neck will communicate with a variety of internal staff as well as varied agencies and organisations external to. They will be required to have excellent communication, and negotiation skills, ensuring appropriate and timely clinical care can be provided in a cohesive manner from a range of services across an integrated model of care. Internal General Manager Surgical & Ambulatory Care Services Clinical Nurse Director and Clinical Director Service Manager s ORL, Plastic Surgery Clinical Lead Head & Neck Heads of Department Plastic Surgery, ORL CNS ORL, CNS Skin Cancer Module 3 & 5 staff Allied Health Team Charge Nurses / Nursing Staff ward, theatre Critical Care Complex Anaesthetic Department Faster Cancer Treatment Team/ cancer Nurse Coordinators Nurse Educators Clinical Support services Interpreters Quality and Risk Team-SACS Ko Awatea staff External Patients/Family/Whaanau Regional Head & Neck services and associated staff ADHB ORL service (regional acute & Head & Neck service) Primary health care & Community services based in the localities General Practice team Health staff from other DHBs Tertiary Education providers Other Education providers Product and equipment providers
PERSON SPECIFICATION Education Experience Skills / knowledge/ behaviour Minimum Registered Nurse with current practicing certificate Post registration course or significant clinical experience in specialty Post graduate diploma A minimum of 4-5 years post registration in surgical nursing with relevant Plastic Surgery, ORL Head & Neck nursing experience. Functioning at Proficient or Expert level on the PDRP. Clinical teaching experience Knowledge of quality assurance programmes in clinical practice environments with evidence of quality improvement initiatives Knowledge of Treaty of Waitangi Advanced nursing assessment and management skills The ability to work independently and be a member of a team. Ability to communicate effectively with all levels of staff and develop relevant networks Ability to work in a range of inpatient and outpatient settings In-depth knowledge of current issues within nursing and in their specialty area. Experience in problem solving, priority setting, and planning. Advanced communication and interpersonal skills Facilitation and negotiation skills Strong coaching and mentoring skills to provide timely feedback. Capacity to demonstrate strong clinical leadership. Ability to self-evaluate and reflect on practice. Ability to critique research and use it as the basis of practice. The ability to work independently and be a member of a team. In-depth knowledge of current issues within Preferred Clinical teaching course completed or in progress PG qualification Teaching experience including presentations Experience in a variety of surgical settings. Experience in nurse led ear clinics Experience in the management of head and neck cancer Crisis / conflict management Research skills Experience in case management or coordination. Demonstrated ability in the development and management of staff Active involvement in relevant, professional/other organisations Research skills
nursing and in their specialty area. Commitment to cultural awareness and application to nursing practice. Knowledge and understanding of medico/legal and ethical responsibilities Ability to understand differing and competing clinical perspectives Personal Qualities High standards of professionalism and integrity. Patient focused Ongoing education and career plan. A capacity to demonstrate strong leadership. A strong commitment and genuine interest in quality service delivery. A commitment and passion to the development of the nursing profession. The ability to communicate effectively with all levels of staff and develop relevant networks. A good listener. A commitment to cultural awareness and its application to nursing practice. Respect for individuals from diverse backgrounds. Active involvement in relevant, professional/other organisations. A passion for improving nursing care through evidenced based practise. Skills to manage and work within a team setting. Flexibility. Appendix HEALTH AND SAFETY ACCOUNTABILITIES (non-management roles) Health and Safety (H&S) is a key accountability of all (CM Health) staff. All CM Health Employees are responsible to: Zero Harm Risk Management 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
Safety Management System Requirements 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 Work Safely 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