JOB AND PERSON SPECIFICATION Position Title: Associate Clinical Services Coordinator (Mental Health Consultation Liaison Nurse) Classification Code: Registered Nurse (Level 2) Department : Mount Gambier & District Health Service Inc. Division: SA Health Branch: Country Health SA Type of Appointment: Section: MG&DHS o Ongoing Position Number: o Temporary Position Created: o Other Term Job & Person Specification Approval ______________________________ ___/___/___ CE or delegate PREAMBLE: Underpinning the Department of Health Strategic Directions are the agreed values that reflect honesty, respect and integrity for every individual. These values drive how we conduct our business and how we behave. We aim to make the values “live”. It is important that we incorporate the values into our behaviour systems and processes. The Department has a “Commitment to Workplace Values” attached to Job and Person Specifications that all staff are required to uphold. (Please refer to the back of this document). Australia has one of the most culturally and ethnically diverse populations in the world. Having a diverse workforce (inclusive of bi-lingual, bi-cultural and employees who have a disability) can enhance the department’s ability to negotiate with, and meet the needs of, the full range of its clients and customers. Such employees also add to the diversity of the workforce, and give added opportunities to fully capitalise on difference as a valuable asset in an increasingly competitive environment. 1 JOB SPECIFICATION 1.Summary of the broad purpose of the position in relation to the organisation's goals: In the course of fulfilling the role of Associate Clinical Service Coordinator (Mental Health Consultation Liaison Nurse) provides specific support to the Nursing Clinical Service Coordinator – Mental Health role in the leadership of nurses in the hospital unit/s. This position is appointed through a merit based selection process. The Associate Clinical Service Coordinator (Mental Health Consultant Liaison Nurse) works as part of the Emergency Department team and is responsible, as a specialist clinician, for the planning and coordination of care for people with identified mental health problems who present to the Emergency Department. The Associate Clinical Service Coordinator (Mental Health Consultant Liaison Nurse) will assist in all clinical areas with patients who have new or pre existing mental health changes in the course of a hospital admission. This will include education, support and follow up of staff and patients concerned. The role also requires participation in evaluation of the clinical service and the undertaking of appropriate education and research activities. 2. Reporting/Working Relationships (to whom the person reports, staff for whom the person is responsible and other significant connections and working relationships within the organisation). The Associate Clinical Service Coordinator (Mental Health Consultation Liaison Nurse) : Reports to the Clinical Nurse Consultant – Mental Health (Level 3). Will be expected to establish and maintain a close working relationship with the Emergency Department medical and nursing staff, including the Clinical Nurse Consultant – Emergency Department, the Emergency Triage and Liaison Service, the SE Regional Mental Health Team, other units within the Service, health services within the region and state, General Practitioners and other community services 3. Special Conditions. (such as non-metropolitan location, travel requirements, etc) The appointee may be subject to a Criminal History Check prior to confirmation of appointment. The incumbent may be required to enter into an annual performance agreement for the achievement of (specific or service or program) outcomes. Some travel within the Region or State may be necessary Relieves the Clinical Services Coordinator – Mental Health in his/her absence May be required to provide nurse relief in other units within the Service and/or Region This is a part-time position working 64 hours per fortnight. Some out of hours work may be required. Some on call hours may be required. Current driver’s licence is essential. 2 4. Statement of Key Outcomes and Activities (group into major areas of responsibility/activity and list in descending order of importance - continue on next page) 4.1Assists with the provision of professional high quality patient care within the ward/unit/service aimed at improving patient health outcomes through: 4.1.1 Improving nursing/midwifery and patient care procedures and practices by; Providing proficient clinical nursing care and/or individual case management to mental health patients/clients in all clinical areas; Assessing mental health patients/clients needs, planning, implementing and coordinating appropriate service delivery options and communicating changes in condition and care; Overseeing the provision of nursing care within teams or units where mental health patients/clients are located in the hospital; Providing health education, counselling and rehabilitation programs to improve the health outcomes of individual mental health patients/clients or groups; Planning and coordinating services including those of other disciplines or agencies as required to meet individual and/or group mental health care needs; Developing new and strengthening existing partnerships between the community, consumers, carers, hospital based Medical and Nursing staff and the South East Regional Mental Health Team and key stakeholders; Monitoring client care plans and participating in clinical auditing and/or evaluative research to ensure appropriate mental health patient/client care outcomes are achieved on a daily basis; Ensuring a high quality, effective mental health service that results in positive, measurable outcomes for consumers; Integrating advanced theoretical knowledge, evidence from a range of sources and own experience to devise and achieve agreed mental health patient/client care outcomes; Demonstrating and promoting a risk minimisation approach to practice and supporting implementation and maintenance of systems to protect mental health patients/clients and staff; Working within and promoting a nursing model of client centred care and support for self determination in life processes Participating in ensuring that appropriate standards of service are maintained through active participation in Nursing Research and Quality Improvement Program that includes a variety of outcome measures to ensure best practice Enhancing the implementation of mental health promotion, prevention and early intervention programs. Improving access to mental health care across all clinical areas and ensuring continuity of mental health service provision. Collecting required data to evaluate clinical service effectiveness Being involved in the development, implementation and review of team policies. 3 4. Statement of Key Outcomes and Activities (contd) 4.1.2 Providing comprehensive mental health assessment and care to people presenting to the Emergency Department by: Undertaking initial assessment, including risk assessment of all people referred to the Emergency Department for mental health assessment/intervention Working collaboratively with patients/clients and their families/carers and other community services/agencies to provide crisis intervention and short-term management Facilitating the development of management plans for patients/clients awaiting admission in liaison with the Clinical Nurse Consultant – Mental Health Expeditiously facilitating the Staff Medical Officer’s admissions to acute inpatient services as required and liaising with inpatient units on matters relating to the clinical background and suggested management plans for people being referred for admission Planning early intervention strategies and arranging post discharge follow up Advocating on a patient’s/client's behalf in order that they may access relevant community services Making recommendations to the Staff Medical Officers regarding non-detained clients who may be referred to other services Promoting access and equity of services for people for Indigenous and nonEnglish speaking backgrounds and engaging the participation of a professional interpreter to facilitate communication if required Providing services that are culturally sensitive to the needs of people and enables them to make decisions concerning their mental health Demonstrates the ability to problem solve and to communicate effectively with all members of multi disciplinary health team, mental health patients/clients and their families 4.1.3 Contributing to the human resource management of the unit/service by. Acting to resolve local and/or immediate nursing care or service delivery problems; Supporting change management processes; Contributing to communication processes that effectively deal with challenging behaviours and the resolution of conflicts; 4.2 Contributes to the achievement of nursing best practice and where relevant facilitates the development and application of relevant nursing research by; Working within a local nursing leadership team to attain consistency of nursing practice standards and local service outcomes; Participating in clinical teaching, overseeing learning experiences, and goal setting for students, new staff and staff with less experience; Acting as a resource person within an area based on knowledge, experience and skills; 4.3 Contributes to the achievement of professional expertise through the maintenance of ongoing personal professional development/continuing education by : Managing own professional development activities and portfolio, support the development of others and contribute to learning in the work area. 4.4 Contributes to the leadership of the unit/service through undertaking an Associate Coordinator (Mental Health Consultation Liaison Nurse) portfolio by: 4 Promoting continuity and consistency of care in collaboration with other Associate Clinical Service Coordinators (Mental Health Consultation Liasion Nurses) and the Clinical Service Coordinator –Mental Health; Assisting the Clinical Service Coordinator – Mental Health in ongoing communication and implementation of practice changes; Assisting the Clinical Service Coordinator – Mental Health to maintain and record monitoring and evaluative research activities in the wards/units where mental health clients may be located; Assisting the Clinical Service Coordinator – Mental Health and Nursing/Midwifery Educators to maintain a learning culture by encouraging reflection and professional development and assisting others to maintain portfolios/records of learning; Assist the Clinical Service Coordinator- Mental Health, as required, in undertaking performance management processes and/or rostering and/or oversight of supplies and/or equipment;. Maintaining and disseminating current information about the wider mental health system; Maintaining and disseminating information about community service agencies and the services that they provide; Providing advice for management of acute crisis in the area for both psychiatric and drug and alcohol affected patients/clients; Providing mental health specific expertise to assist in the planning and coordination of care for people with identified mental health needs in all clinical areas; Being actively involved in the formulation, review and supervision of mental health patients/clients management plans and contributing towards their attainment; Participating in the planning and facilitating of staff development sessions in all clinical areas. 4.5 General Requirements Safe Practice and Environment: Responsible and accountable for providing employees under their supervision and control with a safe and healthy working environment free from discrimination by; Functioning in accordance with Nurses Board of South Australia regulations and complies with legislation and regulations applying to nursing and patient related activities. Demonstrating and maintaining a satisfactory knowledge for safe practice by assessing own performance and identifying own learning needs. Taking responsibility for their own health, safety and welfare, and taking reasonable care to avoid adversely affecting the health, safety and welfare of any other person through any actions in the workplace Participating in team meetings, and reading and listening to relevant information Participating in the consultation process Following OHS&W Policy and procedures, and using safe work practices to maintain safe working conditions.. Reporting and investigating all incidents, accidents and near misses, using the appropriate forms, and, in consultation with the Occupational Health and Safety Representative, ensuring preventative actions are identified and implemented. to avoid, reduce or eliminate identified hazards Reporting on a monthly basis to their relevant Manager all incidents and the outcomes of the investigation 5 Using, and ensuring all staff make proper use of all safeguards, safety devices and personal protective equipment, and ensure all staff comply with health and safety practices Carrying out any reasonable instruction in relation to health and safety in the workplace Being familiar with fire and emergency procedures Consult with the appropriate OHS Representative, as appropriate, when changes are planned which may affect the health, safety or welfare of employees. Ensuring that you do not interfere, or cause another employee to interfere with, remove, displace or render ineffective any safeguard, safety device, personal protective equipment or other appliance provided for the health and safety of employees, except when necessary as part of an approved maintenance, repair or emergency procedure Ensuring all staff have a working knowledge and understanding of their Occupational Health Safety & Welfare requirements and responsibilities Participating in the development, implementation and review of OHS&W policy, procedure, work instructions and standard operating procedures Ensuring the implementation of the Occupational Health Safety & Welfare Program, including the implementation, review and update of action plans as required Participation in workplace inspections, and audits for their department, in consultation with the Occupational Health Safety & Welfare Representative Ensure standards of housekeeping are met and maintained Developing and reviewing key performance indicators for their area of responsibility Actively participate in the rehabilitation of injured workers and in the identification of modified duties as required Professional Development: Contributing to an environment where professional collaboration is fostered by: Functioning in accordance with Nurses Board of South Australia regulations and complies with legislation and regulations applying to nursing and patient related activities. Demonstrating ongoing commitment to personal and professional development. Representing the nursing profession in all interactions with other consumer and provider groups. Practicing within the confines of the professions legal ethical and competency standards. Remaining informed about current nursing practise, and research in nursing and health care. Evaluating own practice through annual performance planning and review Maintaining confidentially as stated in Section 64 (1) of the South Australian Health Commission Act 1976 Practicing in accordance with the philosophy, objectives, policies and procedures of the Mount Gambier & Districts Health Service Inc. Functioning in accordance with all legislation affecting the Mount Gambier & Districts Health Service Inc and professional bodies Maintaining current professional knowledge and skills for management competency Being an effective role model for staff Practicing within own abilities and qualifications 6 Ensuring that appropriate standards of service are maintained through active participation in Quality Improvement programs Contributing to the well-being of people in South Australia through participation in Counter Disaster activities including attendance, as required, at training programs and exercises to develop the necessary skills required to participate in responses in the event of a disaster and/or major incident. Contributing to the promotion and implementation of the General Public Sector management aims, personnel management standards and employee conduct standards and in particular Equal Opportunity and Occupational Health Safety and Welfare by adhering to the provisions of relevant legislative requirements such as: - Delegations of Authority - Disability Discrimination Act - Privacy Act 1988 - Freedom of Information Act 1982 - SA Information Privacy Principles - Code of Conduct for Public Employees - Code of Conduct for Mount Gambier & Districts Health Service Employees - Code of Fair Information Practice Approved by Line Manager: _________________________ ___/___/___ Acknowledged by Occupant: _________________________ ___/___/___ 7 PERSON SPECIFICATION ESSENTIAL MINIMUM REQUIREMENTS (Those characteristics considered absolutely necessary) PLEASE NOTE: It is recommended that a Maximum of 15 criteria only (in total) be included in this section (ie the number of Essential and Desirable criteria combined should not exceed 15). Educational/Vocational Qualifications (include only those listed in Commissioner’s Standard 2, Attachment C as an essential qualification for the specified classification group) Registered or eligible for registration as a General Nurse and a Mental Health Nurse by the Nurses Board of South Australia and who holds, or who is eligible to hold, a current practicing certificate Personal Abilities/Aptitudes/Skills: (related to the job description and expressed in a way which allows objective assessment): Ability to work effectively within a multidisciplinary team, carers and other agencies/community services. Proven advanced skills in bio-psychosocial assessment, including mental state examination Proven advanced skills in the management of people in the acute phase of mental illness Effective communication, conflict resolution and negotiation skills. Advanced skills in communication/crisis intervention for people in psychosocial crisis Proven advanced skills in coordinating comprehensive care for people who have complex needs Proven ability to make clinical decisions through problem solving and developing appropriate strategies Experience Registered Nurse/Mental Health Nurse with at least 3 years post registration experience or currently classified as a Clinical Nurse. Demonstrated competence/experience in an acute mental health service in accordance with the appropriate standards of practice. Experience in management and leadership roles including supervision of student nurses, enrolled nurses and less experienced registered nurses. Demonstrated experience in direct patient care, including acute mental state assessment, planning, intervention and evaluation Proven successful participation in a multidisciplinary environment 8 Knowledge Understanding of the requirements of the Nurses Act 1999 and a sound general knowledge of the South Australian Mental Health Act, and the Guardianship and Administration Act Comprehensive understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered and Enrolled Nurse and Midwifes in Recommended Domains. Knowledge and understanding of the ANMC Code of Professional Conduct for Nurses/Midwifes in Australia (2003) and the Commissioner for Public Employment Code of Conduct for Public Employees. Knowledge and understanding of legislative responsibilities for OHS&W, Workers Compensation and Rehabilitation and Equal Opportunity. Knowledge of Quality Improvement Systems as applied to a hospital setting. Proven knowledge and understanding of contemporary mental health issues Demonstrated sound understanding of psychiatric diagnostic formulations and medication management, including knowledge of medications Proven understanding of the mental health problems associated with substance abuse Demonstrated awareness of cultural diversity issues, including those of Indigenous Australians, and what services are available to minority groups Proven general knowledge of community services and agencies and their roles Proven knowledge of current National Mental Health Plan 9 DESIRABLE CHARACTERISTICS (To distinguish between applicants who have met all essential requirements) Educational/Vocational Qualifications ((include only those listed in Commissioner’s Standard 2, Attachment C, as an essential qualification for the specified classification group) Where applicable, qualifications relevant to practice setting. Tertiary qualifications in mental health nursing or human services related discipline. Personal Abilities/Aptitudes/Skills: (related to the job description and expressed in a way which allows objective assessment): Ability to work within a team framework that fosters an environment that develops staff potential. Skills in using computers and software relevant to the area of practice. Ability to identify and focus on current critical issues when working with people in crisis Experience Experience with quality improvement activities. Experience in applying evidence based practice to mental health nursing. Experience in short-term therapeutic models Experience in a community mental health setting Knowledge Knowledge of the South Australian Public Health System. Knowledge of contemporary professional mental health nursing issues. Other Details: 10 COMMITMENT TO WORKPLACE VALUES The Department of Health values have an influence on the people we employ Every organisation has values that govern the way people are treated and the way decisions are made. The Department’s Strategic Plan identifies the values that guide our behaviours. These behaviours apply to all employees and govern the way people in the organisation are treated, the way decisions are made and how we provide our services. These values are used in day to day communication and interaction between all employees and are linked to the whole of government Code of Conduct, Performance Development, Job and Person Specifications and Department of Health Employment Conditions. Department of Health Organisational Values are: Honesty We show honesty by speaking truthfully, within the boundaries of confidentiality. This is shown in our dealings within the Department and with our consumers and partners by: saying what we mean and meaning what we say, keeping our promises, telling the truth tactfully, providing honest feedback and answers and admitting to mistakes. Respect We show respect by speaking and acting with courtesy. We treat others with dignity and use culturally appropriate ways of communicating. This is shown in our dealings within the Department and with our consumers and partners by: treating everyone fairly, communicating so people can understand, listening to others, and seeking and providing feedback. Integrity We show integrity by honouring our values and the rules of our department, government and nation. This is shown in our dealings within the department and with our consumers and partners by: doing the right thing, abiding by the values, standing up for what we believe in, and taking responsibility for our mistakes. I ___________________________________ have the ability and commitment to behave consistently with the stated values of the Department of Health. __________________________________ Signature / / Please complete and return attached to your application to the nominated person “The right people with the right skills in the right place at the right time” 11