JOB DESCRIPTION Associate Clinical Nurse Manager Clinical Services Whangarei Hospital Position Title: Associate Clinical Nurse Manager Organisation Unit: Clinical Services Location: Intensive Care Unit Responsible to: Clinical Nurse Manager Intensive Care Unit Primary Functions of the Position: The Associate Clinical Nurse Manager will support the Clinical Nurse Manager and will be responsible for providing clinical coordination and direction to the nursing team within the Intensive Care Unit. Functional Relationships The Associate Clinical Nurse Manager will develop and maintain excellent relationships with: Internal Clinical Nurse Manager Patients/Family/Whanau Designated Senior Nurses Bureau Coordinator Safety & Quality Facilitator Duty Managers Nursing Staff Allied Health Professionals Medical Staff Maori Health Directorate Director of Midwifery and Nursing Nursing Leadership Groups Regional hospitals External Health & Support Agencies NorthTec Maori Health providers Northland Emergency Services Trust 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 People First Tangata I te tuatahi Respect Whakaute (tuku mana) Caring Manaaki Communication Whakawhitiwhiti korero Excellence Taumata teitei (hirangi) Supporting Statement People are central to all we do We treat others as we would like to be treated We nurture those around us, and treat all with dignity and compassion We communicate safely, openly and with respect to promote clear understanding Our attitude of excellence inspires success, competence, 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 Intensive Care Unit 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: Key Responsibility Area Expected Outcomes To provide clinical expertise and direction to the nursing team to enable patient focused care within a multidisciplinary setting Contribute to and foster the use of evidenced based nursing practice Liaise with the Clinical Nurse Manager and Nurse Educator to ensure clear policies and protocols for standards of practice 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 Liaises with the Clinical Nurse Manager in the development and implementation of standards of care Provide clinical expertise to the nursing team, including teaching, supporting and guidance Key Responsibility Area Expected Outcomes To co-ordinate 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 Intensive Care Unit and staff Promote effective teamwork, building collaborative relationships within the multi-disciplinary team. Act as an advocate for conveying patient and family needs and responses to treatment to the rest of the multidisciplinary team. Ensure that documentation including multi disciplinary care plans and processes are clear and meets the standard in accordance with Northland District Health Board Nursing and documentation policies. Practice and promote a quality patient focused approach to nursing care. Act as a liaison with families / caregivers / whanau as necessary. Ensures that clear communication and prescribed processes are adhered to when transferring ICU patients to the wards. This will ensure timely and accurately documented ward transfers. Coordinate daily bed management in liaison with Clinical Nurse Manager and Duty Manager Provide daily staff allocation, including management of short notice roster changes due to annual, bereavement and sick leave in consultation with the Clinical Nurse Manager and Duty Manager as appropriate. Co-ordinate and use resources time, equipment and staff efficiently. Trendcare Super User for the Intensive Care Unit Ensure staff enter shift handover information into TrendCare that clearly identifies patient clinical risk and appropriate plans to mitigate those risks. Ensure that TrendCare use is in line with TrendCare business rules including achieving actualization and prediction rates of 95 – 100% in a timely manner where applicable. In consultation with Clinical Nurse Manager and Nurse Educator, facilitate orientation and preceptorship for all new team members. Liaise with after hour’s Duty Managers to provide twentyfour hour overview of patient care delivery. Key Responsibility Area Expected Outcomes To provide clinical leadership and supervision to the Nursing and Health Care Assistant team Provide leadership and guidance to nursing staff who are actively participating in ongoing professional development. Accept delegated authority from Clinical Nurse Manager. Demonstrate leadership skills, acting as a resource for students and team members and all other staff within the Intensive Care Unit. Delegate appropriately to staff to provide supervision and leadership when necessary. Demonstrate accountability for directing, monitoring and evaluating nursing care that is provided by Enrolled Nurses and Health Care Assistants. Make appropriate decisions when allocating care, delegating activities and providing direction to Enrolled Nurses and Health Care Assistants. Comply with Nursing Council NZ and organisational policies when making decisions regarding delegation and direction of care/activities to Enrolled Nurses & Health Care Assistants. Role model positive and professional behaviour in all relationships. Identify issues of ethical concern and assist staff in addressing these. Provide constructive feedback to staff ensuring that professional nursing practice is of a consistently high standard. Promote and actively participate in team development to ensure a cohesive, positive and professional working environment. In liaison with the Clinical Nurse Manager actively participate in recruitment processes and performance management, including performance appraisals. Liaise with Clinical Nurse Manager regarding performance concerns of individual staff members to plan appropriate performance management. Key Responsibility Area Expected Outcomes Demonstrate a commitment to quality of service delivery Treaty of Waitangi Health & Safety Develop and foster an environment of continuous quality improvement by demonstrating commitment to quality improvement, risk management and resource utilisation. Participate in audits/reviews of nursing practice and procedures, and show a commitment to the Accreditation and Certification process. Participate and lead quality initiatives in liaison with Safety and Quality Facilitator, Clinical Services and Clinical Nurse Manager. Ensure that all concerns, complaints and issues are referred to Clinical Nurse Manager and where appropriate to support agencies i.e. Health advocate, Maori Directorate. Demonstrate a working knowledge of evidence based nursing practice. Identify training and ongoing development opportunities for staff in liaison with the Nurse Educator and Clinical Nurse Manager. Promote a safe working environment by identifying hazards and applying effective risk management strategies Actively lead and/or participate in policy development/special projects/committees as directed by Clinical Nurse Manager. Participate in senior nurse groups as appropriate in liaison with Clinical Nurse Manager. Demonstrate knowledge of legislation and actively source data when needed, i.e. Privacy Act, Nurses Act, and New Zealand Nursing Council. 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. 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 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. Person Specification Education and Qualifications Essential New Zealand Registered Nurse Current practicing certificate PDRP at Expert Level-or working towards Recognised Intensive Care course Experience Essential Minimum 5 years current experience in Intensive Care nursing The ability to work independently and be a member of a team Proven leadership ability Awareness and Understanding of Essential The Treaty of Waitangi and its application to the health setting Privacy Act (1993) and Health Information Privacy Code (1994) Health and Safety in Employment Act (1992) Knowledge of quality improvement processes Knowledge of current issues within nursing and in the area of specialty Desirable Post Graduate certificate / diploma or working towards Leadership/Management course(s) Desirable Management / leadership skills Demonstrated leadership experience Desirable Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulations (1996) New Zealand Council of Healthcare Standards Skills & Personal Attributes Skills Ability to develop productive and positive relationships Ability to lead and facilitate change Communicates expectations & agreed goals, provides ongoing feedback & objectively evaluates performance Communicates effectively, listening and encouraging the viewpoints of others Applies sound reasoning in problem solving / decision making Ability to adapt and work effectively within a variety of situations, and with various individuals and groups. Confident and competent with decision making Good time management skills Personal Attributes A strong patient/client focus Excellent communication skills Ability to work in an environment which is unpredictable and ever changing Positive flexible collaborative approach Role models professionalism Ability to problem-solve and critically evaluate pros and cons of alternative solutions Good sense of humour 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. Authorised by: Clinical Nurse Manager, Intensive Care Unit Signature: Date: Acceptance Acceptance of the position implies acceptance of this position description. Position Title: Signature of employee: Date: Associate Clinical Nurse Manager