Position Description s23

POSITION DESCRIPTION

Position Title: Palliative Care Nurse Specialist (Aged Residential Care)

Reporting To: Clinical Manager

Position Size: 30 – 40 hrs (flexi-time)

Functional Relationships: All Hospice Southland staff All Aged Residential Care Facility staff GP and Practice Nurses Southland Hospital and Community Pharmacists Southland Hospital Palliative Care Team Southland Hospital discharge planning team.

Primary Objectives: . To implement a programme to support and empower aged residential care facilities to ensure all residents have access to quality palliative care. . Improve understanding and integration of palliative care into aged residential care facilities . To provide support, advice, education and training to primary providers . Be instrumental in ensuring appropriate referrals for residents with palliative needs through the use of best practice guidelines. . Provide specialist palliative care services to patients whose needs exceed those provided by primary providers and meet the criteria for specialist palliative care

Key Tasks Expected Outcomes Service Delivery . Maintain a significant presence in aged residential care Implement a support programme facilities to act as a resource, providing support and to aged residential care facilities advice to staff providing palliative care. to ensure all residents have . To act as a role model and mentor in palliative care access to quality palliative care nursing practice across aged care facilities . To raise awareness of including family members in the palliative care approach where appropriate . Participate in facility multi-disciplinary meetings where appropriate and encourage the consideration of the palliative approach. . Support the development of care plans for patients with palliative needs. . Support the use of appropriate end of life pathways and/or documentation including pre-emptive prescribing. . Develop an effective communication network between ARC, GP’s and Hospice Southland to ensure a

D:\Docs\2018-01-09\00103206d292c1ade4838aafb8bad649.doc Page 1 4/9/2018 coordinated approach palliative care provision. . Continue to develop and maintain the relationships between all providers. . Be instrumental in the development of best practice guidelines for palliative care. . Ensure relevant resources remain current and up-to- date. . Assist ARC staff to recognise indication/ reason for referral to specialist palliative care services. . Information and statistics are accurately collected to report on service delivery. . Demonstrates a clear understanding of the risk factors as they pertain to palliative nursing care. . Respect and abide by the guidelines and regulations of the respective facility. . Specialist palliative assessment and planning will be Specialist Palliative Care in Aged carried out in accordance with Hospice Southland policy Residential Facilities and procedure . Residents referred to specialist palliative care service will have their identified needs assessed in a timely manner . Accurate data collection will ensure the identification of patients with specialist palliative needs as opposed to residents with generalist palliative needs . Attend appropriate facility meetings and Hospice Liaison and communication with Southland multi-disciplinary meetings ARC and GP’s . Supportive and responsive relationships are built with aged care facility staff . Act as a liaison between facilities, GP’s, Southern District Health Board and Hospice Southland as required . Be mindful of multi-agency involvement and work towards a coordinated approach to patient care . Working alongside aged care staff and use each Education and training interaction as an opportunity for on-going teaching and learning . Liaise and support facility education plans . Identify and coordinate education and training programmes in consultation with aged residential care managers and Hospice Southland Education Team . Liaise with and support GP education programme in consultation with Hospice Southland Education Team . Teaching resources are developed collaboratively with Hospice Southland education team. Organisational requirements Expected outcomes . Take an active part in the review of policy and Service Development and Quality procedure in relation to the role Improvement . Participates in annual and strategic planning activities . Understands relevant legislation and standards that impact on quality improvement such as H&D Sector standards, Hospice New Zealand palliative care standards . Participate in service development initiatives at a local and national level . Complete required education and competencies to meet Maintains clinical competency the requirements of all Nursing Council domains and professional . Maintain a current portfolio at expert level development . Have or working towards a palliative post graduate diploma or masters. . Actively participate in review of job description and personal appraisal annually, setting personal and professional goals – the first of which will be within 6 months of commencement. Internal Communication . Maintains harmonious and positive working relationships with all members of the Hospice team. . Attends all relevant staff meetings, or apology registered, minutes read and understood. . Provide education tutorials to Hospice Southland staff

External . Ensures all messages and relevant information are relayed promptly and accurately . Maintain productive working relationships with outside agencies whilst being mindful of client confidentiality. . Liaise with other hospices and palliative care teams / nurse specialists . A confident public speaker, and ability to deliver educational tutorials . Be aware of own workload pressures, personal Maintains an awareness of own responses to stress and maintain a strategy for personal health needs management of the same. . Undertake regular clinical supervision in line with the Hospice Southland Policy on clinical supervision. . Observe and practice safe work methods, complying Health and Safety with organisational policy and procedure . Proactively reports and remedies any unsafe work condition, incident or injury. . Displays commitment through actively supporting health and safety initiatives Hospice Southland Values

We respect life and peoples’ quality of life. . Promote the values of the organisation in personal and We value the opportunity to make a working relationships you have with all staff, patients, positive difference. families and other health professionals and the wider As a team, we value our individuality and community. affirm the principles of trust, respect and integrity in our relationships with each other, the people we care for and the work we do.

Patients and families are the focus of the individualised care and services we provide.

We value the pride and confidence the community has in Hospice Southland and we will strive to ensure this is on-going

Treaty of Waitangi . Understanding Te Whare Tapa Wha model of care, with the concepts of tinana (physical) hinengaro (emotional) Hospice Southland acknowledges the Treaty of Waitangi as a foundation whanau (social) wairua (spiritual) and how these can document of New Zealand. In recognising be incorporated into service delivery in meeting our the three principles of the Treaty – commitment to the Treaty of Waitangi, Maori Partnership, Protection and Participation, we will deliver our services at all levels of community, patients and their whanau the organisation within the spirit of the Treaty.

Fun and humour . Embraces each day and takes an enthusiastic approach to the days challenges with a sense of humour . Communicates and celebrates our successes. PERSON SPECIFICATION

Registered Nurse

Knowledge and Experience

Qualifications:  The appointee must be a New Zealand Registered Nurse RCpN, RGON or RGN (New Zealand recognised equivalent) and hold a current practicing certificate  Relevant post graduate qualification  Current drivers licence

Experience: . Minimum of 5 years palliative clinical experience essential . Experience in aged care is essential . Experience public speaking desirable . Experience in preparation and delivery of clinical education essential.

Essential Competencies:

Is able to demonstrate the core competencies of palliative care nursing as defined in the national professional development framework for palliative care nursing in Aotearoa New Zealand

Patient and Family Focus Has the desire and willingness to meet and exceed patients/family members’ expectations.

Self-Management Can effectively plan and organise their work to achieve desired outcomes. Is proactive, remains focused and can take action to overcome obstacles and follow through to completion.

Integrity Is open, honest and consistent in behaviour and can be relied upon. Able to generate confidence in others through their professional and ethical behaviour.

Innovation Question the way things are done, learn from past mistakes and generate new and creative ideas to improve service delivery.

Teamwork Ability to show a genuine intention to work co-operatively with others in a team setting in order to achieve results and team goals.

Communication Effectively communicate with a wide range of people in all situations, both orally and in writing.

Analysis & Judgement Able to identify and analyse issues and problems, consider alternatives, make sound decisions and commit to a course of action.

Strategic Thinking Demonstrate an understanding of the big picture and is concerned with forward thinking, seeking and accepting challenges and opportunities.