Healthcare of New Zealand Limited
Role Description
Date of last review: January 2015
Title:
Registered Nurse – Community Paediatrics
Incumbent:
Leadership
Competency Group
Business and Service
Enabler
Clinical and Specialised
Support
LOCATION:
Branch and Division:
Waikato Branch, Community Health
Geographical Location:
Hamilton
Manager’s Title:
Branch Manager Waikato
Manager Once Removed Title:
Area Manager Bay of Plenty/Waikato/Lakes
ROLE PURPOSE:
The Registered Nurse – Community Paediatrics is responsible for the service
delivery of the Short Term Transitional Respite Care for Medically Fragile
Children contract in the Waikato area. The role provides support to
families/whanau, enabling them to care for their child/children, aged from birth
to 14 years of age, in their own homes and local communities.
Healthcare NZ Community Health covers different modalities, and increasingly
more acute and complex clients are being managed in their own homes,
therefore enhancing the role of the specialist generalist with a broad range of
skills. Services need to be flexible, responsive and safe and enhance the
quality of life for the client and their family/whanau.
The Registered Nurse – Community Paediatrics will work very closely with
referrers, primary care providers, multi disciplinary teams and non government
organisations to provide support that focuses on the child within the context of
the family/whanau.
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The Registered Nurse will work closly with Healthcare NZ Community Health
Service Coordinators and Support Workers, family and whanau to provide
education, training, competency sign off and direction and delegation to ensure
the client and family/whanau needs are met as per the assessment and
service plan.
The position will identify service gaps, client/family/whanau safety and clinical
risks and seek opportunities to manage and mitigate them thereby ensuring a
consistent high quality standard of care, support and that contractual
requirements and outcomes are met.
The incumbent will provide relief cover for the Registered Nurse- Community,
covering the Medication Oversight contract, assist with the assessments and
reviews of high needs clients; to establish a client focused, home support
service plan for service delivery and provide assistance to the Community
Service division as requested.
DIMENSIONS OF THE POSITION FOR WHICH THE INCUMBENT IS
ACCOUNTABLE:
Number of direct reports
0
Geographical area of responsibility
Waikato
Operating Budget
As per company financial authority matrix
Other (delegation levels)
As per company financial authority matrix
POSITION SPECIFICS:
In general terms, this position interacts with the following stakeholders (shaded):
Internal People
Board/
Shareholders
Clients
Competitor
Organisation’s
External
Companies
Government
Agencies
Funders
Representative
Bodies
IMPORTANT RELATIONSHIPS:
Internal
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




Director of Nursing
Clinical Nurse Advisor
Area Managers
Branch Manager - Waikato
Waikato Branch Team Members
External






Referring agencies
Clients
Stake holders
GP/Pharmacists
Other health professionals
NGO’s
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PRINCIPAL ROLE ACCOUNTABILITIES AND EXPECTATIONS:
Service Delivery
 To ensure the aims and objectives of HealthCare NZ Community Health are achieved
in the provision of services for clients/family/whanau.
 Uses advanced nursing knowledge and skills to assess, plan, implement and review
referred paediatric clients; establishing a client focused, home support service plan
for service delivery.
 Monitors clinical outcomes managing variances in conjunction with the Paediatric
Home Care Nurses and multidisciplinary team providing integrated care and
support.
 Assists family/whanau with bereavement processes associated with their child’s
condition and impact on family life.
 Assists with assessments and reviews of high needs clients to establish a client
focused, home support service plan for service delivery.
 Accurately and timely documents all information in client records in accordance with
HCNZ policy and procedures/timeframes and Nursing Council requirements.

Manage rosters of Support Workers in conjunction with Service Coordinators
ensuring that clients needs are met by staff who have the appropriate skills and
experience.
Clinical and Professional Leadership

Acts as a nursing resource, providing expert advice and education to family/whanau
and support staff within scope of practice.

Practices in accordance with legal, ethical, cultural and professional standards.

Ensures best practice guidelines/policies and procedures are followed and
reviewed in relation to service delivery.

Provide relevant reports on a quarterly basis to the DHB, and other documentation to
management/ service coordinators, as may be required to meet HCNZ Community
Health contractual reporting requirements and client service delivery
External Relationships

Facilitate and manage the monthly stakeholder meeting for the Medically Fragile
Children Contract.

Develop and maintain strong relationships with referring agencies, prospective and
existing clients.
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
Work in conjunction with the Branch Manager and Community Services Division staff
to promote HealthCare NZ services.
Clinical Quality, Client Safety and Governance

Responsible for the quality of service delivery to clients, risk management and
resource utlisation.

Facilitate and contribute to carrying out clinical audits to evidence outcomes and
identify gaps.

Participate in Healthcare Holdings Ltd (HHL) Group Clinical Governance working
groups as requested.

Complies with the HHL Incident reporting process.

Review and update HHL Group Paediatric policies and procedures as requested by the
Director of Nursing or delegate, ensuring they meet best practice guidelines.
Professional Development

Leads professional conduct by example.

Maintains own professional development, contriibuting to and participating in HHL
Health Professional Forums.

Proactively engages in own performance development and review

Committed to completing Professional Development Development and Recognition
Portfolio at agreed level within the timeframe specified.
.
Health and Safety

Complies with HHL health and safety policies and procedures.

Contributes to hazard idientification, management and reporting processes.

Reports all incidents, near misses/accidents in a timely manner and follow-up
actions taken to eliminate or minimise occurrences in the future.

Demonstrate a high level commitment to and understanding of the Company’s Health
and Safety Management System by ensuring familiarity with all policies and
procedures as they affect the working environment.
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COMPETENCIES:
Leadership Competency Group
Business and Service Enabler
Coaching - Providing timely guidance and feedback to help others strengthen
specific knowledge/skill areas needed to accomplish a task or solve a problem.
Delegating Responsibility - Allocating decision-making authority and/or task
responsibility to appropriate others to maximize the organisation’s and
individuals’ effectiveness.
Focusing on
the people we
work with
Developing Others - Planning and supporting the development of individuals’
skills and abilities so that they can develop and/or enrich their capability in their
current or future job/role.
Selecting Talent - Evaluating and selecting internal and external talent to
ensure the best match between the individual and the organisation’s
requirements.
Enabling Change - Encouraging others to understand the need for change;
facilitating the implementation and acceptance of change within the workplace.
Executing the
strategy
Taking Action - Setting high goals for personal and team accomplishment;
measuring and monitoring team progress towards goals; tenaciously working to
meet or exceed team goals while deriving satisfaction from that achievement and
continuous improvement.
Building Client Loyalty - Effectively meeting client needs; building productive
client relationships; taking responsibility for client satisfaction and loyalty.
Understanding
the
environment
Problem Solving - Identifying problems or opportunities; comparing data from
different sources to draw conclusions; using effective approaches for choosing a
course of action or developing appropriate solutions; taking action that is
consistent with available facts, constraints, and probable consequences.
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Leadership Competency Group
Clinical
and
Specialised
Support
Clinical and Specialised Support
Care and Support Management—Having the knowledge and skills to
secure relevant client data and identify key issues and relationships in the
management of client care and support; understanding the relationships
among assessments, interventions, and client responses; skilled in
documentation of assessments.
Promoting Wellbeing—Supporting, providing information and advising the
client and client’s whānau/family/support network (if appropriate) in
understanding their care plan and their central role within the plan.
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PERSON SPECIFICATION:
Essential skills, knowledge and experience

Is a Registered Nurse with proven expertise in paediatric nursing

Must have a current annual practicing certificate with the Nursing Council
of New Zealand

Completed a recognised post registration qualification in paediatric
nursing or equivalent

Experience and knowledge of the primary/community health sector

Ability to coordinate care as one part of a continuum of services

Ability to take a leadership role and build excellent relationships

Competent computer skills

Self-motivated, innovative, flexible, adaptable and enthusiastic

A commitment to the restorative approach

Knowledge of client goal setting to maintain independence

Excellent communication skills with the ability to educate the
client/family/whanau and the support worker

Demonstrates a commitment to the principles of the Treaty of Waitangi

Excellent problem solving, time-management and coordination skills

Able to roster and manage staff
Desirable skills, knowledge and experience

Experience and knowledge of the home support industry

Experience with client management systems
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