Associate Clinical Nurse Manager

JOB DESCRIPTION

Associate Clinical Nurse Manager District Nursing - Whangarei

Position Title: Associate Clinical Nurse Manager, District Nursing -Whangarei

Organisation Unit: Health of Older People and Clinical Support

Location: Whangarei

Responsible to: Clinical Nurse Manager, District Nursing- Whangarei

Primary Functions of The Associate Clinical Nurse Manager will assist the Clinical the Position: Nurse Manager to deliver the required outcomes for the service and will be accountable for providing clinical coordination of the team to ensure the provision of high quality health care. The role requires the use of expert knowledge and skill in the management of patients, providing direct care as required, including the effective leadership and management of patient outcomes.

Functional Relationships The Associate Clinical Nurse Manager will develop and maintain excellent relationships with:

Internal External

 Patients / Family / Whanau  General Practice  General Manager  PHO  Medical, Nursing and Allied Health  Health & Support Agencies Professionals  NorthTec  Maori Health Directorate  Primary Health Care providers  Director of Midwifery and Nursing  Rest home and private hospitals  Clinical Director  Maori Health providers  Nurse Consultant  Company representatives  Nursing Leadership Groups  Hospice  Regional hospitals  Home Based Support Services

of 10 Key Responsibilities and Expected Outcomes Northland District Health Board has established a set of values by which the organisation will respond, in part, to achieving its goals and objectives through their workforce. The following Values and supporting statements are expected behaviours of each individual employed with NDHB:

Values Supporting Statement People First People are central to all we do Tangata I te tuatahi Respect We treat others as we would like to be treated Whakaute (tuku mana) Caring We nurture those around us, and treat all with dignity and Manaaki compassion Communication We communicate safely, openly and with respect to promote clear Whakawhitiwhiti korero understanding Excellence Our attitude of excellence inspires success, competence, Taumata teitei (hirangi) confidence and innovation

The position of Associate Clinical Nurse Manager encompasses the following major functions or key result areas:

 To provide clinical expertise and direction to the Nursing Team to enable patient focused care within a multi-disciplinary setting  To coordinate effectively and efficiently the provision of quality care which is professional and patient focused to ensure quality patient outcomes  To effectively coordinate the day to day activities of the ward and staff  To provide clinical leadership and supervision of the nursing team  To facilitate the development of nursing skills and knowledge of the nursing team  Demonstrates a commitment to quality of Service Delivery  Treaty of Waitangi  Health and Safety

The outcome requirements of the above key responsibility areas are outlined below:

of 10 Key Responsibility Area Expected Outcomes To provide clinical  Contribute to, research and foster the use of evidenced expertise and direction based nursing practice. Engages support in undertaking to the nursing team to research, audit and/or internal validation studies. enable patient focused  To be accountable with the Clinical Nurse Manager to care within a multi- ensure clear policies and protocols for standards of practice disciplinary setting and procedures exist and are regularly reviewed and updated in accordance with NDHB policy.  Use advanced nursing knowledge and skills to ensure that all nursing practice is safe, legal, effective and responsive to the needs of the patients and their significant others. Maintains mandatory training and performs technical skills expertly  Provide clinical expertise to the nursing team, including teaching, supporting and guidance.  Proactive in identifying own annual professional development practice needs and negotiating appropriate resources with Clinical Nurse Manager.  Promote excellence in nursing by sharing knowledge, ideas and care that is based on best practice.  Identify opportunities to advance nursing practice, develop and implement advancement in conjunction with CNM.  Promote the service from a nursing perspective through presentation and /or publication.  Use professional organization / specialty group membership to benefit the practice environment and/or nursing services.

of 10 Key Responsibility Area Expected Outcomes To co-ordinate  Liaise with families / caregivers/ whanau as necessary. effectively and  Support a high standard of practice based on agreed service, efficiently the provision clinical standards and patient feedback and address any of quality care which is deviation. professional and  Ensure information, education, care and discharge planning patient focused to is effective for patient / family and caregiver. ensure quality patient  Consistently applies access criteria to referrals and outcomes undertakes regular review of patient activity, care planning and patient discharge requirements  In collaboration with MDT, responds to and prioritises patients with complex needs and works with other team members to achieve good patient outcomes.  Lead and motivates staff to ensure cohesive team function.  Activate and implements contingency plan when required.  Reinforce regular clinical review as per the service policy and this is to be completed in partnership with the direct care nurses.  Allocate staff according to professional/ competency requirements and ensures direction and delegation activities provide safe care.  Promote and enables nurse participation in the multidisciplinary team including participation in meetings and care planning.  Support nurses to use independent judgement and apply ethical principles to resolve patient care issues.  Take a lead role in building a partnership approach with general practitioners to the care of patients.  Ensure service documentation and record keeping meets Northland DHB Nursing, legal, contractual and professional requirements.  Provides high quality direct patient care as required.  Use initiative and clinical judgment in the application of department policies, procedures, clinical guidelines and standing orders.  Identifiy and is involved in development and review of service based clinical guidelines policy, procedures and standing orders.

of 10 Key Responsibility Area Expected Outcomes To effectively co- Staff Management ordinate the day to  Development, implementation and review service specific day activities of orientation programme of staff and students new to Service. the service and  Participate in the orientation of staff and students new to staff Service in collaboration with others.  Complete a training needs analysis for all new staff members  Assist in competence assessment of all new staff and setting of performance objectives at three months.  Work in conjunction with the CNM and others to facilitate an in-service education programme.  Work in conjunction with the CNM and others to facilitate nurses’ professional development, in line with PDRP requirements and the Workforce Development Plan.  Provide staff with timely, accurate and constructive feedback on performance.  Participate in annual appraisal of staff in collaboration with CNM and others  Raise concerns about conduct/competence issues with CNM in timely manner.  Promptly and proactively addresses issues, conflict and tensions. Systems & Resources  Actively participates in recruitment process.  Work with CNM to establish/maintain a system for determining skill mix.  Work with CNM to ensure rosters are prepared and managed within the budget and in reference to acuity, skill mix, and scope of practice and Safe Staffing guidelines.  Report sick leave and requests cover on a shift-by-shift basis to meet patient care needs.  Provide timely information in relation to staffing, resource management, and equipment and patient concerns to the CNM. Contribute to identifying equipment for purchase under Capital Expenditure. To provide clinical  Visible and accessible to all members of the team. leadership and  Establish and maintain effective working relationships with supervision of the colleagues and a range of internal and external stakeholders. nursing team  Support the nursing vision and achievement of goals and priorities of the service, which includes meeting ACC and Service Specification contractual requirements.  Set expected standards of behaviour by modelling expert clinical skills and professional nursing practice to ensure there is excellence in the provision of care.  Facilitates direct care nurses participation in MDT and case conference, participation in forums and service activities.  Readily shares knowledge and skills and provides coaching and supervision of staff as required.  Identify and utilise staff strengths, valuing their unique contributions  Maintain a positive image of the service with existing and potential users of the service.  Accept delegated responsibility for day-to-day clinical management of the service in the absence of the Clinical Nurse Manager. Assume responsibilities for delegated activities as requested by the Clinical Nurse Manager.

of 10 Key Responsibility Area Expected Outcomes Demonstrate a  Support a culture of quality improvement with all staff. commitment to quality  Assist with the development and implementation of of service delivery policies/standards/clinical guidelines and patient information that reflects best practice.  Work collaboratively with the Nursing Directorate, Workplace Governance Group and Quality Units to continuously improve standards of clinical practice.  Work in partnership with cultural advisors to provide appropriate services as determined by patient’s family and caregivers.  Participate in and support staff and patients / families / caregivers feedback in the ‘plan, do, study, act’ (PDSA) cycle to improve patient care, nursing practice and/or the work environment.  Support attainment of organisational Certification.  identify and propose quality improvement initiatives using data-driven decision-making.  Promote clinical care that is provided on the basis of measurable quality outcomes for patients, families and the community.  Promote standards of practice by monitoring through clinical audit against current standard of best practice guidelines with a particular focus on nurse sensitive indicators.  Demonstrate knowledge of legislation and actively source data when needed, i.e. Privacy Act, Nurses Act, and New Zealand Nursing Council. Treaty of Waitangi  Contribute to the promotion of the principles of Treaty of Waitangi and the involvement of Maori within the decision making process for their health and independence, within District Health Board management processes and procedures.  Include the principles of the Treaty of Waitangi within all aspects of the role and its outcomes.  Ensure that consultation and engagement processes include appropriate mechanisms to meet the need of Maori in a culturally appropriate and safe manner.  Attend the NDHB Maori Health Cultural Quality Programme.

Health & Safety  Ensure compliance with designated responsibilities detailed in Northland District Health Board’s Health and Safety Policy and annual objectives.  Promote an environment of physical, occupational, cultural, ethical and legal safety.  Participate in the organisation’s Health and Safety Management training programme.  Observe and promote safe work practices, rules and instructions relating to work, and be pro-active in hazard management.  Willingly co-operate in the achievement of all health and safety goals and initiatives by:  Practicing and observing safe work methods;  The use of safety equipment;  Reporting unsafe conditions or equipment; and  Reporting and documenting all accidents or incidents

of 10 Variation of Duties Duties and responsibilities described above should not be construed as a complete and exhaustive list as it is not the intention to limit in any way the scope or functions of the position. Duties and responsibilities may be amended from time to time, in consultation with the employee, to meet any changing conditions and service requirements.

of 10 Person Specification

Education and Qualifications Essential Desirable  Registration and a current practicing  Holds or is working towards a Clinical certificate with the Nursing Council of Masters in Nursing incorporating Health New Zealand Assessment and Diagnostic Reasoning  New Zealand Driving License and Applied Science for Nurses  Post Graduate study in Chronic Care  Willingness to participate in the DHB  Teaching/Assessing certificate PDRP or similar  Post Graduate study in  Management/Leadership

Experience Essential Desirable

 Minimum five years Post Graduate  Experience in adult teaching or nursing experience counseling  Recent experience District Nursing  Experience of Nursing in Primary Care  Experience in an Nursing Educator or  Range of Adult Nursing experience leadership Role  Experience in writing service reports,  Experienced in the development and recommendations and action plans. implementation of protocols policies Experience of working in an effective guidelines, pathways that are evidence Multidisciplinary team based/best practice  Evidence of working at an expert level  Management / leadership skills  Demonstrated excellence in a leadership role  Budget/Resource Management

Awareness and Understanding of Essential Desirable  The Treaty of Waitangi and its application  Health and Disability Commissioner to the health setting (Code of Health and Disability Services  Privacy Act (1993) and Health Consumers’ Rights) Regulations (1996) Information Privacy Code (1994)  New Zealand Council of Healthcare  Health and Safety in Employment Act Standards (1992)  Knowledge of quality improvement processes  Knowledge of current issues within nursing and in the area of specialty

of 10 Skills & Personal Attributes

Skills  Able to work both autonomously and collaboratively within a wider team and community  Advanced assessment skills  Advanced communication and computer skills

Personal Attributes  Able to work both autonomously and collaboratively within a wider team and community o Develops constructive working relationships with other team members. o Has a friendly manner and a positive sense of humor. o Works cooperatively - willingly sharing knowledge and expertise with colleagues. o Shows flexibility - is willing to change work arrangements or take on extra tasks in the short term to help the service or team meet its commitments. o Supports in word and action decisions that have been made by the team. o Shows an understanding of how one’s own role directly or indirectly supports the health and independence of the community.

 Ability to from therapeutic relationships with people from a wide variety of social/ethnic/cultural backgrounds: o Recognises and respects individual differences o Understands the significance of the Treaty of Waitangi o Demonstrates cultural sensitivity o Able to adapt and work effectively within a variety of situations and with various individuals or groups.

 Effective time management skills: o Can work to deadlines to achieve outcomes o Spends time on what is important o Displays energy and drive and persists in overcoming obstacles o Uses action plans and focus to accomplish goals o Establishes timeframes and can realistically allocate resources.

 Genuineness and concern for the well-being of clients and whanau o Takes action to fully comprehend the needs of patient/client populations and actively promotes such needs and priorities o Is able to monitor progress and address problems to achieve outcomes o Is able to assess and manage crisis situations and refer appropriately as indicated o Is proactive and displays initiative.

 Expresses information effectively, both orally and in writing: o Adjusts language and style to the recipients o Active listening, drawing out information and checking understanding o Empathises with others and considers their needs and feelings o Understands personal limitations o Applies skilled analysis, sound reasoning and logic in problem solving/decision making for effective solutions

of 10 Performance Development Review An initial review of performance will be conducted after three months, with an annual review thereafter.

An individual Development Plan will be developed to reflect the contribution this position is expected to make towards achieving the team’s objectives and measures. Key result areas will be developed and agreed at this time.

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