Position Description

Role Title: Registered Nurse (RN)

Report To: Line Manager

Accountable to: Executive Director of Nursing and Midwifery

Location: Southland/Otago

Role of the District Health Board

Our Vision:  Better Health, Better Lives, Whanau Ora. Our Mission:  We work in partnership with people and communities to achieve their optimum health and wellbeing.  We seek excellence through a culture of learning, enquiry, service and caring. Our Values:

Kind Looking after our people: we respect and support each other. Our hospitality and kindness foster better care. Manaakitanga

Open Being sincere: we listen, hear and communicate openly and honestly. Treat people how they would like to be treated. Pono

Positive Best action: we are thoughtful, bring a positive attitude and are always looking to do things better. Whaiwhakaaro

Community As family: we are genuine, nurture and maintain relationships to promote and build on all the strengths in our community. Whanaungatanga

Our Statutory Purpose:  To improve, promote and protect the health of our population.  Promote the integration of health services across primary and secondary care services.  Seek the optimum arrangement for the most effective and efficient delivery of health services.  Promote effective care or support for those in need of personal health or disability support services.  Promote the inclusion and participation in society and the independence of people with disabilities.  Reduce health disparities by improving health outcomes for Maori and other population groups.  Foster community participation in health improvement, and in planning for the provision of, and changes to the provision of services.  Uphold the ethical and quality standards expected of us and to exhibit a sense of social and environmental responsibility.

Page 1 of 8 Purpose of the Role Registered Nurses use nursing knowledge and judgment to assess health needs, provide care and to advise and support people to manage their health.

They practise independently and in collaboration with other health professionals, perform general nursing functions, delegate to and direct enrolled nurses and healthcare assistants and others. They provide comprehensive assessments to develop, implement and evaluate an integrated plan of health care, and provide interventions that require substantial scientific and professional knowledge, skills and clinical decision making. They do this in a range of settings in partnership with individuals, families, whanau and communities.

Registered nurses may practise in a variety of clinical contexts depending on their educational preparation and practice experience.

They may also use this expertise to manage, teach, evaluate and research nursing practice.

Registered nurses are accountable for ensuring that all the health services they provide are consistent with their education and assessed competence, meet legislative requirements and are supported by appropriate standards.

Some registered nurses will have conditions on their scope of practice, if their qualifications or experience limit them to a specific area of practice. http://nursingcouncil.org.nz/Nurses/Scopes-of-practice/Registered-nurse Organisational Competencies Customer Focus Is dedicated to meeting the expectations and requirements of internal and external customers; gets first hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect. Integrity and Trust Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain. Drive for Results Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom line oriented; steadfastly pushes self and others for results. Managing Diversity Manages all kinds and classes of people equitably; deals effectively with all races, nationalities, cultures, disabilities, ages and both sexes; hires variety and diversity without regard to class; supports equal and fair treatment and opportunity for all. Role Specific Competencies Priority Setting Spends his/her time and the time of others on what’s important; quickly zeros in on the critical few and puts the trivial many aside; can quickly sense what will help or hinder accomplishing a goal; eliminates roadblocks, creates focus. Managing and Measuring Clearly assigns responsibility for tasks and decisions; sets clear Work objectives and measures; monitors process, progress, and results; designs feedback loops into work. Interpersonal Savvy Relates well to all kinds of people - up, down, and sideways, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact; can defuse even high-tension situations comfortably.

P a g e | 2 Key Relationships Internal External Executive Director Of Nursing and Patients, Families and Whanau Midwifery Nursing Council/Midwifery Council Nurse Directors Unions Nurse Manager Other District Health Boards Directorate Leadership Team HWNZ Clinical Nurse Coordinators NZNO and other relevant professional colleges of Nursing staff nursing and midwifery Medical staff Community Members Allied Health Educational Institutions Administration staff PHO Southern DHB wide staff GP’s Duty Manager NGO’s and Aged Care Sector Knowledge, Experience and Skills Required  Be registered with the Nursing Council of New Zealand as a Registered Nurse  Hold a current Nursing Council of New Zealand annual practising certificate  Have advanced communication techniques such as conflict resolution, diffusion and mediation skills.  Be a critical consumer of research and embrace evidenced based practice when carrying out any task/function.  Demonstrate professional accountability within scope of practice  Have a commitment to ongoing development of nursing skills and in-service education.  Have as a minimum a competent Professional Development and Recognition Programme (PDRP) profile/portfolio or equivalent  Adhere to the DHB’s policies and procedures  Have the ability to work as part of a team.  Have ability to ‘work together’ in a collaborative manner  Have ability to ‘work smarter’ by being innovative and proactive  Accept responsibility for actions  Be prepared to undertake other duties as reasonably requested by Nursing Director

Fitness  A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required.

KEY ACCOUNTABILITIES DELIVERABLES (based on NCNZ EXAMPLE MEASURES (Not all competency) measures will be met. Area specific measures may also be included) To demonstrate  Accepts responsibility for  Meets and maintains professional responsibility, ensuring that his/her nursing organisational mandatory complying with DHB practice and conduct meet the requirements for nurses vision, purpose, values, standards of the professional,  Attains and maintains area policies and procedures. ethical and relevant legislated specific mandatory requirements. requirements and key  Demonstrates the ability to accountabilities apply the principles of the  Engages in appraisal Treaty of Waitangi to nursing systems with manager practice.  Professional Portfolio current– PDRP preferred Portfolio

Page 3 of 8  APC KEY ACCOUNTABILITIES DELIVERABLES (based on NCNZ EXAMPLE MEASURES (Not all competency) measures will be met. Area specific measures may also be included)  Demonstrates accountability  Adhere to policies and for directing, monitoring and procedures evaluating nursing care that is  Respect for others provided by enrolled nurses  Partakes in regular team and others, and utilises more meetings engaging in experienced RNs to assist discussion with problem solving and  Presents self in a tidy and setting priorities. professional manner  Promotes an environment that  Promotes health utilising enables patient safety, teachable moments independence, quality of life  Adheres to policy – ID and health. badge worn on person at all  Practices nursing in a manner times that the patient determines as being culturally safe.  Reads and adheres to DHB vision, values, policies and procedures.  Represents the organisation and the nursing profession in a committed manner, projecting a professional image of nursing. To demonstrate  Provides planned nursing care  Professional Portfolio professional accountability to achieve identified maintained(PDRP preferred) in the management of outcomes.  Engages in appropriate audit nursing care embodying  Undertakes a comprehensive  Mandatory certification the Code of Health & and accurate nursing current Disability Services assessment of patients in a  Ensures documentation is Consumer Rights and HIP variety of settings. accurate and maintains Code and HDC  Ensures the patient has confidentiality of information adequate explanation of the  Meets NCNZ requirements effects, consequences and for APC alternatives of proposed  Proactive in sourcing treatment options. appropriate information  Acts appropriately to protect and/or referral for patients oneself and others when and families faced with unexpected patient  Seeks and engages in responses, confrontation, professional development of personal threat or other crisis self and others  Use of appropriate situations. assessment tool  Evaluates patient’s progress  Assessment reflects current toward expected outcomes in health status partnership with patients.  Completed restraint/de-  Validates and documents escalation workshop/training decision-making and  Use of appropriate referrals outcomes based on nursing  Utilises ISBAR and knowledge and clinical escalates as appropriate experience.  Aware of own scope and  Recognises early and subtle scope of others changes in the patient’s health  Engages in peer review status and/or circumstances procedures and intervenes appropriately  Accesses and utilises… and promptly. appropriate resources to

Page 4 of 8 educate patients and families KEY ACCOUNTABILITIES DELIVERABLES (based on NCNZ EXAMPLE MEASURES (Not all competency) measures will be met. Area specific measures may also be included)  Acknowledges own limitations  Accesses and utilises of knowledge in complex appropriate resources to situations and utilises educate patients and appropriate resource people families when necessary.  Observed sharing  Provides health education knowledge with others appropriate to the needs of  Engages in education of the patient within a nursing peers framework.  Completes incident reports  Teaches patients and family to identify and manage risk groups effectively by  Maintains professional assessing learning readiness; development. providing teaching; evaluating  Data entry and accurate knowledge and lifestyle  Is responsible in appropriate changes and maximising use of technology and social opportunities for patient media within clinical settings learning and independence. (as per NCNZ Code of  Reflects upon, and evaluates Conduct and social media with peers and experienced policy) nurses, the effectiveness of  Participates in teaching nursing care. others, including students of  Continues to advance clinical nursing. knowledge and skills through  Shares patient information self-learning, ward teachings, appropriately with other in-service education and involved health external programmes as professionals approved by his/her line  Actively teaches and manager. supports patients in  Works collaboratively with all independence and self-care members of the health care as appropriate team to ensure staff receives  Identifies deficits in clinical high quality education input and professional and support. competencies of individuals  Promotes cost effective clinical and takes appropriate action nursing practice. to support achievements of  Promotes a collaborative the same and raise model of care, teamwork, appropriately to nurse handover practices, and rapid manager. rounding strategies to  Uses technology to enhance patient delivery as communicate effectively appropriate. To demonstrate effective  Establishes, maintains and  Communicates in an interpersonal relationship concludes therapeutic appropriate and professional skills interpersonal relationships manner, verbal and written with patient.  Privacy Act, Informed  Practises nursing in a Consent and Code of Rights negotiated partnership with adhered to the patient and family/whanau  Abides by NCNZ Code of where and when possible. Conduct and Professional  Communicates effectively with Boundaries guidelines patients and family/whanau and members of the health care team.  Maintains privacy and confidentiality in accordance

Page 5 of 8 with HIP Code, DHB policies and procedures etc.

KEY ACCOUNTABILITIES DELIVERABLES (based on NCNZ EXAMPLE MEASURES (Not all competency) measures will be met. Area specific measures may also be included)  Behaves respectfully and with tolerance towards patients, colleagues and members of the wider healthcare team To participate in inter-  Collaborates and participates  Initiates timely referrals to professional health care with colleagues and members other services in timely and and quality improvement of the health care team to thorough manner facilitate and co-ordinate care.  Engages in team and MD  Recognises and values the meetings as appropriate roles and skills of all members  Engages in and initiates of the health care team in the appropriate audit processes delivery of care.  Attends MDT meetings to  Initiates referrals to other progress patient through members of the health care health care journey team in a timely manner.  Consistently participates and  When required, assists in where appropriate co- formulating and reviewing ordinates multi-disciplinary nursing standards, procedures team meetings and family and guidelines. conferences, representing the nursing perspective of patient needs, and enacting outcomes appropriately.  Appropriate representation eg. infection control, quality role, pressure injury  Participates in activities which monitor/audit delivery of quality patient care eg, certification processes, and current or retrospective nursing audits.  May be the ward/department representative on professional nursing and/or other committees.  Shares s knowledge and networks with nursing colleagues within and external to DHB.  Engages in submission processes  Develops and/or participates in activities which monitor and audit nursing practice and quality patient health outcomes. Quality and Risk  Adherence to Southern DHB  Demonstrates competence Performance Excellence and in emergency procedures, Quality Improvement Strategy. e.g. fire, and CPR

KEY ACCOUNTABILITIES DELIVERABLES (based on NCNZ EXAMPLE MEASURES (Not all

Page 6 of 8 competency) measures will be met. Area specific measures may also be included)  Works collaboratively with  Completes Fire, CPR Occupational Health, Quality training and updates and Risk and Infection Control regularly as required by to maintain organisational DHB’s policies and standards. procedures. Identifies, takes  Reviews and implements appropriate action and systems to ensure that promptly reports clinical, processes to establish monitor Occupational Safety & and review the service specific Health and security standards of practice and incidents indicators of clinical practice  Evidence of assisting in the for nursing are established maintenance of ward and maintained. equipment and where  Demonstrates an necessary, promptly reports understanding of risk, unsafe or malfunctioning identifying emerging risks and equipment ensuring risk mitigation action  Maintains standards for plans are developed and safety, hygiene and medico- followed through. legal requirements  Demonstrates a sound understanding of the Southern District Health Board quality management framework, contributing to and leading quality initiatives. Self-Management  Develops logical and complete  Relationships are developed plans to resolve issues. and maintained with own  Manages own time adopting a peer group for robust peer disciplined approach to review and support. establishing and following priorities of work.  Exhibits self-confidence.  Engages in appraisal. Health and Safety  Southern District Health Board  Meets and maintains is committed to achieving the organisational and area highest level of health and specific mandatory safety for its staff. You are requirements. expected to take initiative and  Familiar with hazard register identify report and resolve for area. issues that may cause harm to themselves or others in the organisation. As an employee of the Southern District Health Board, the health and safety of clients and colleagues, as well as your own, are your responsibility. You are expected to work safely at all times, and to actively participate in health and safety programmes in your area. It is expected that you will report all accidents or potential hazards to your manager.

KEY ACCOUNTABILITIES DELIVERABLES (based on NCNZ EXAMPLE MEASURES (Not all

Page 7 of 8 competency) measures will be met. Area specific measures may also be included) Cultural  Committed to and practices in  Practices ensure Maori have a way that meets obligations equitable access to under the Treaty of Waitangi, appropriate health care giving effect to the principles  Recognises tikaka best of Partnership, Participation practices and Protection and apply  Have attended cultural these principles to practice education training as per  Understands cultural safety as organisational requirements. embracing and encompassing  Familiar with NCNZ cultural a wide range of beliefs and safety document ethnicities, gender, sexuality,  Ensures ethnicity is religious beliefs completed accurately  Cultural beliefs/values are identified and included in care planning  Works collaboratively with Pacific Island and Maori Health workers  Utilises cultural resources to meet patient/whanau needs

Note: The above example measures are provided as a guide only. The precise performance measures for this position will require further discussion between the job holder and manager. I have read and understand the above job description:

Name: ______(Please Print)

Signed: ______

Date: ______

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