MERCY HEALTH POSITION DESCRIPTION Psychiatric Enrolled Nurse Level 3 Mercy Values: Compassion, Hospitality, Respect, Innovation, Stewardship, Teamwork Position title: Entity/Group: Psychiatric Enrolled Nurse Level 3 Location: Employee name: Date: Mercy Public Hospitals Incorporated (MPHI) Mental Health Services Community Care Units. Position reports to: Unit Manager Responsible to: Position Purpose: Program Manager Mental Health Services Mercy Health Positions reporting to this one: Not applicable The role of the PEN Level 3 is to practice at an advanced level with a complex and critical approach to clinical care that encompasses an increased breadth of knowledge, skill and clinical judgment. Roles undertaken may include specialist domains such as Education, Quality and Liaison roles, including leadership. An understanding of the legal and ethical responsibilities under relevant legislation including the Mental Health Act 2014, is essential and scope of practice remains within these provisions. The PEN3 will act as a role model and practice within the core values of MPHI. Overall, the clinician will form an integral part of a multi-disciplinary team and will be required to provide highly responsive and flexible service to consumers and carers, whilst upholding a high level of professionalism. Psychiatric Enrolled Nurse Level 3 1 Qualifications & Requirements: Registration with AHPRA, Division 2 with Psychiatric endorsement. Can provide evidence of achievement of four out of the ten Advanced Enrolled Nurse Level 3 Competency Standards (as per Victorian Public Mental Health Services Enterprise Agreement 2012-2016) AND Either: (i) A minimum of five years post registration experience as a PEN; or (ii) A post registration qualification (of at least 6 months or 200 hours duration) a component of which is relevant to current environment/role. Excellent interpersonal skills Proven ability to work successfully in a multi-disciplinary team Genuine interest in all aspects of service specialty Flexible and adaptable approach Valid police check and Working With Children’s Check Resource management: Total staff management (FTE): Annual Operating Expenditure: Annual Capital Expenditure: Mandatory Organisational Competencies Orientation Diversity Personal Competencies n/a Job Competencies Consistently shows respect and compassion to all including other team members Client focused with strong communication and interpersonal skills Knowledge of the philosophy of Mercy Health & Aged Care and legislative requirements within nursing practice Fire and Emergency Procedures Able to show initiative within scope of practice Able to show a high level of expertise in the assessment and monitoring of client’s mental and physical state Work Health & Safety Able to approach conflict openly and with a problem solving approach Accepts accountability for a high standard of care provision for clients and colleagues Infection Control Seeks opportunities for ongoing professional development and improvement of self and colleagues Demonstrated ability to effectively liaise with the multidisciplinary treating team and relevant external agencies including referral and discharge Recruitment & Selection Training Professional and reliable, accountable for own practice Ability to provide optimal client care through collaborative practice with clients and carers Mercy Health Proficient in use of information systems including computer literacy Psychiatric Enrolled Nurse Level 3 2 Key Result Areas Mercy Health Values Demonstrates and upholds the Values and Mission of Mercy Health. Key Activities Values of Mercy Health are incorporated into daily work practices for all staff. Assists with orientation and/or preceptorship programs for new staff members on a regular basis Attends Mercy preceptorship training Facilitates documentation and completion of orientation package for undergraduates/ students or new graduate Enrolled Nurses/Trainee Enrolled Nurses Evidence of completion of preceptorship training. Evidenced in minutes of attended meetings Regular reports to Unit Manager and portfolio holders. Contributes to the development of other staff members Standard Measures Be compassionate and provide support to staff and customers Consistently shows respect and values each person’s dignity Seeks opportunities to be innovative for improvement Communicates openly and honestly as an effective team member. Is involved and contributes to committees and working parties within the team and service as required. Distribution of minutes/written information to other staff members as appropriate. Contributes to quality improvements within their work area or workplace and/or changes in enrolled nursing practice initiatives. Identifies risks and potential outcomes during assessments Provide regular feedback of identified risks to senior staff to ensure immediate/prompt follow-up Identifies clinical risk and implements harm minimization strategies Completion of Risk Assessment & Management form URWO701 Completes mandatory risk assessments tools/documentation For environmental risks, liaises with OHS representative and Unit Manager Strategies implemented as per Risk Assessment tools. Mercy Health Communicates/reports both verbal and written outcomes to staff meetings and individuals as required Psychiatric Enrolled Nurse Level 3 3 Key Result Areas Key Activities Standard Measures Assists in the coordination of delegated activities of other staff under the guidance and direction of the Registered Nurse. For example, guides and supports activities of other PENs and junior staff Evidenced by improving performance standards and satisfaction/feedback from staff under guidance. Act as a resource to others Takes responsibility for a specific tasks/ portfolios, as required e.g. team specific equipment maintenance schedules, rosters, stock control, medications, aggression management, optimal health program. Completion of allocated portfolio responsibilities Practices using specialized or advanced knowledge and skills in a clinical area within the enrolled nursing scope of practice Is aware of and functions in accordance with legislation, policies and procedures affecting enrolled nursing practice Applies acquired knowledge of recovery and rehabilitation, management of clinical aggression, or other specific areas of clinical practice consistent with their educational preparation. Articulates to peers the implications of legislation governing practice. Has working knowledge of Office of the Chief Psychiatrist guidelines and publications. Mercy Health Evidence of training and knowledge of clinical and legal requirements related to the specific tasks/portfolios. Provide psycho-education to clients and carers. Conduct mental state examination and risk assessments. Implement and evaluate management/ treatment plans. Complete metabolic monitoring. Comprehensive knowledge of the Mental Health Act and other relevant legislation & Mercy procedures Acts in a way that complies with legislation governing practice Active encouragement of others to comply with legislation governing practice Informs senior staff of any breeches or noncompliance with legislation and procedures Completion of mandatory competencies Psychiatric Enrolled Nurse Level 3 4 Key Result Areas Acts as a Primary Nurse/Clinician Key Activities Modifies practice to accommodate patient/client health care needs of individuals and groups in different environments Undertakes an additional responsibility either individually or as part of a clinical/quality team Responsibilities are additional to their main portfolio for which they act as a resource to others Active participation in team leadership and decision making Mercy Health Standard Measures Independently implement and evaluate management/treatment plans in the community and inpatient settings, under the general supervision of an RPN. Prepare for client related case presentation/reviews and participate in clinical case conferences and other related clinical meetings Contributes to the effective utilisation of resources in the context of changing workloads or responds effectively to changes in clinical situation within scope of practice required This additional responsibility may include acting as a resource nurse for occupational health and safety initiatives; AOD portfolio, infection control, rehabilitation and recovery, Optimal Health, Clozapine and Metabolic Monitoring. Participates in quality improvement activities Attends staff meetings Contributes to agendas Attends and contributes to planning days Undertakes new staff orientation Completion of management/treatment plans Including discharge planning Presentation of documentation at clinical reviews/handovers. Attendance/participation with the treating team in all treatment planning meetings Evidence of communication to the treating team via emails, notes in communication books etc. Evidence of flexibility and adaptability to changing clinical situations in the treating team Evidence of supporting senior staff in managing resources effectively Holds a portfolio. Attends relevant meetings. Provides education and encourages professional development. Gives feedback in relevant forums e.g. staff meetings, clinical review etc. Observable participation in key activities Evidence of attendance and contribution documented in minutes of meetings Member or working parties and ongoing projects Evidenced in the successful orientation of new staff Completion of annual mandatory MHPI competencies Psychiatric Enrolled Nurse Level 3 5 Key Result Areas Takes reasonable care to protect the health and safety of themselves, fellow staff and others in the workplace. Key Activities Employee’s Signature: Standard Measures Reports hazards, near misses and injuries immediately. Elect and support health and safety representatives. Contributes to OH&S risk assessments. Participates in training and meetings regarding safety. Evidenced in clinical notes and reports to ACN / Manager/ OH&S rep. Completed VHIMS incident reports. Uses personal protective equipment Compliance with risk management policies and procedures and instruction Attendance at all safety meetings and training sessions. Date: Print Name: Line Manager Signature: Date: Print Name: Mercy Health Psychiatric Enrolled Nurse Level 3 6