The Salvation Army Australia Southern Territory POSITION DESCRIPTION Position Title Registered Nurse Employee Name Division/ Entity/Location James Barker House Organisational Unit / Department Nov 2014 Adult Services, Melbourne Central Division THE SALVATION ARMY INTERNATIONAL MISSION STATEMENT The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human need in His name without discrimination. AUSTRALIAN SOUTHERN TERRIOTIRES MISSION AND VALUES Mission Values The mission of The Salvation Army Australia Southern Territory is The values of The Salvation Army Australia Southern Territory are: Transforming Lives: working for personal renewal through Jesus Christ, that touches and integrates the whole person. Human Dignity: respecting the sanctity of human life as being made in image of God. We affirm the worth and capacity of all people. Caring for People: engaging with others in need, without discrimination Making Disciples: patterning lives on Jesus Justice: acting with integrity and fairness, without discrimination, and being an advocate for the disadvantaged; managing all resources responsibly as stewards. We promote healthy and whole relationships, and good society. Reforming Society: acting on the structures of society to restore justice Hope: sharing the gospel of Jesus as a gracious invitation to wholeness. We work for reconciliation, healing and transformation for all people and creation. Compassion: engaging with others in the Spirit of Jesus. We feel compelled to stand with and do something about another’s suffering. Community: owning our common humanity as we engage with people, working and journeying together, for mutual capacity building. We build community and meet with God in our encounter with others. All employees in non-ministry positions in The Salvation Army are expected to work in accordance with the Australia Southern Territory’s mission and values and comply with Official Minutes, policies and procedures. Document1 Page 1 Position reports to Clinical Care Manager Position Purpose The management of nursing and complex care for residents Qualifications/ Experience Essential: Registered Nurse (current registration with Nursing & Midwifery Board) Experience in a clinical management role within an ageing in place environment Current satisfactory police check Desirable: Registered psychiatric nurse Computer literacy in MS Office; Word and Excel Qualifications or further study in gerontology or Alcohol and other drugs Membership/participation in relevant professional organisations e.g. Royal College of Nursing Australia Prerequisites Award (if applicable) Resource Management Document1 Direct Reports EENs, Clinical Team leaders, PCA staff Employees must have a current (not more than 3 years old) Police Certificate and Commonwealth Statutory Declaration which has been assessed against the requirements of the Aged Care Act and Salvation Army policy to determine the person’s suitability to working in aged care Current Victorian Drivers Licence RN Grade Commensurate with qualifications According to the EBA TITLE and or Contract Classification and experience of candidate of Employment Total staff management (EFT) Page 2 Personal Competencies Required Job Competencies Required Willingness to work in accordance with The Salvation Army’s mission and values, and comply with Oofficial Minutes, policies and procedures Demonstrated understanding of the specialised needs of JBH residents including drug and alcohol issues Commitment to the principles of Social Justice and to working with an extremely disadvantaged client group Excellent interpersonal and communication skills. This includes the ability to provide clinical direction Ability to provide technical nursing advice, manage complex care and problem solve Experience in accreditation and compliance requirements Ability to provide clinical documentation to meet ACFI and accreditation requirements Demonstrated ability to organise care team and manage own routine/workload Commitment to lifelong learning and continuous improvement in resident care Document1 Page 3 Key Result Areas Resident Focus Key Accountabilities Understand and uphold the Charter of Resident’s Rights and Responsibilities Demonstrate an understanding of the unique needs of each resident including cultural; model an empathetic approach and positive attitude Care Delivery Document1 Consult with residents / representatives to ensure the delivery of resident focused care. Involve residents/representatives in decisions about their care and document Review all comments, compliments and complaints as these relate to care. Communicate and follow up actions to initiator and document Investigate and resolve issues of complaint regarding care and document resident level of satisfaction Assist the manager in the use of resident contracts where residents may be non-compliant (e.g. JBH smoking and alcohol programs) to discharge duty of care to all residents / staff Oversee care each shift and ensure continuity of care from previous shift. This includes checking the clinical roster and ensuring appropriate allocations i.e. delegation of care duties Ensure handovers provide effective and timely communication of care issues e.g. falls Undertake resident observations each shift (vital signs) Assess, plan, implement and evaluate care to accreditation Standard Measures Timely access to information/advocacy on rights e.g. completion of resident orientation checklist, access to current resident handbook/advocate/meetings Evidence of empathy for residents and ability to provide flexible care in accordance with residents needs and preferences Evidence of timely care consultation with residents/representatives e.g. signed consultations on care plan/resident living agreement Develop individualised care plans and resident living agreements that are person centred Resident/representative satisfaction with care & outcomes e.g. comments, complaints, survey Timely action and resolution of complaints, includes reporting of serious complaints to manager within 24 hours and actions to address Evidence of positive outcomes for residents as per residents’ goals Implementation of resident contracts and follow-up of actions in the event of ongoing non-compliance. Documentation in the progress notes Evidence of appropriate allocations/delegations each shift e.g. sick residents are allocated to more experienced staff Current, accurate handover sheet; review daily Evidence of effective handover/communication processes between RNs each shift Documentation of observations and follow up as required Evidence of appropriate clinical care e.g. current assessment and care-planning documentation, timely care Page 4 Key Result Areas Key Accountabilities Standard Measures and professional nursing standards Undertake specialised nursing assessments e.g. Cornell, pain Document1 plan review & evaluations, progress notes Monitor and manage SNC/complex care e.g. BGLs, complex pain and complex wound management All high care residents have care-plans signed off at least monthly & updated as care needs change. All complex health care is signed off by RN Liaise with doctor/allied health staff and ensure care changes are documented, communicated and implemented Specialised nursing care in progress notes, care plans and tracking via SNC register and timely referrals Ensure residents receive appropriate clinical care; ensure care for “resident of the day” (ROD) is delivered and documented Monthly resident of the day documentation; signed by RN and evidence of relevant follow up Evidence of effective monitoring and management of clinical issues / changing healthcare needs, accidents and incidents e.g. falls / violence aggression, unintended weight loss / gain Evidence of the identification / reporting of clinical risk and the prioritisation of clinical care Evidence of timely referral to medical officer, transfer to hospital Evidence of monitoring of pathology and timely reports to medical officer e.g. INR, Epilim levels, LFTs, FBE, Hb1Ac, etc As part of ROD process – evaluate care and document. This includes timely referral to other health providers e.g. G.P., physiotherapist, dietician, podiatrist, speech pathologist, APATT Timely follow up of clinical issues and identification of clinical risk e.g. falls, wounds, infections, agitation, violence, absconders, pain, and adverse change in resident condition Timely reporting of clinical issues to medical officer / care manager/relevant multidisciplinary team member Monitor the smoking and alcohol programs, provide timely advice to care manager / doctor in the event of noncompliance or evidence of Delerium Tremens (medical emergency) Effective liaison with lifestyle staff/care interface with lifestyle program Residents have terminal wishes/advanced directives completed Safe administration of medication and monitoring of complex medication management Timely and accurate completion of risk assessments e.g. smoking, falls Respect residents’ right to refuse care and treatment, document in progress notes and update care plans as may be required Timely completion of dietary change form Timely referral to dietician/speech pathologist Monitor and manage any high risk resident behaviour e.g. smoking and alcohol Communicate with the kitchen to ensure residents needs Page 5 Key Result Areas Key Accountabilities Standard Measures and preferences are met e.g. appropriate food and textures Human Resource Management / Clinical Leadership Supervise meal services; monitor resident intake and any deterioration in swallowing or ability to feed and take corrective action as may be required Provide clinical leadership and supervision to care staff Facilitate effective teamwork Ensure clinical competency of care staff; provide direction as may be required and report any skill gaps and actions taken or plans to remedy to manager Evidence of effective clinical leadership (e.g. achievement of team goals, workplace harmony) Effective delegation and monitoring of care staff Evidence of clinical supervision and teaching (e.g. input at handover, coaching sessions) Delegate appropriate care duties to team leaders. Provide daily supervision Timely reporting of staffing issues to care manager New care staff receive orientation and checklists signed off Participate in relevant committees/staff meetings as may be required Care staff attend mandatory training/evidence of follow up when non-compliant Assist care manager to review resident care needs on a daily basis and manage care roster is responsive to according to resident dependency Evidence of management support for the transfer of learning to the workplace after training Support care staff to attend mandatory training e.g. orientation, fire-safety, CPR, “No lift”, hand washing Assist the care manager in the employment and management of care staff; recruit, select, orientate, supervise and manage care staff in accordance with employment laws/SCH policies Timely and accurate completion of resident incident forms Timely and accurate completion of staff incident form Workplace safety Document1 Page 6 Key Result Areas Key Accountabilities Legislative Compliance / Accreditation including any first aid/follow up actions Promote a safe environment for residents and a safe workplace for staff Ensure the implementation of the “No lift” policy; provide guidance to staff. Report any non-compliance to the care manager Timely and accurate completion of hazard alert reports and corrective actions Evidence of incident investigation and risk management approach to reduce further incident e.g. removal of hazard in the workplace Compliance with TSA policies and procedures/laws Follow up and investigate care staff incidents and ensure a risk management approach to prevent any further incidents Ensure standards of health and safety for all residents, staff and visitors that comply with OH&S laws Monitor the workplace for evidence of bullying and act in accordance with policies and procedures Operate according to TSA policies and procedures, professional code of conduct and legislative requirements Comply with expected outcomes (especially Standards 2 and 3) as relevant to the RN role Accreditation compliance in care outcomes relevant to position Evidence of timely resolution of non-compliance Complete clinical audits and make timely corrective actions Provide timely advice to care manager in the event of serious non-compliance or inability to correct noncompliance Assist care manager in TSA annual internal audit compliance Timely completion of clinical audits Monitor care staff for compliance with clinical policies and procedures. Take corrective actions as may be required Timely exception reporting of risk to care manager Ensure staff are provided with timely advice and directions when laws (or clinical policies and procedures change) e.g. medication management Able to demonstrate competency in fire and emergency procedures Able to demonstrate competency in manual handling Timely reporting and management of notifiable issues to manager e.g. missing resident, elder abuse, gastro and influenza outbreak, key risks to the organisation Able to demonstrate competency in relevant clinical areas e.g. medication management Able to demonstrate competency in CPR Document1 Standard Measures Promote compliance awareness within care team Assist the care manager with ACSAA audits or any external Page 7 Key Result Areas Key Accountabilities Standard Measures complaints to minimise risks of non-compliance/breaches Business / Administration Contribution to the maximisation of ACFI income; Maximise ACFI income according to resident diagnoses. Timely and accurate clinical assessments to support ACFI/ ensure accurate income can be claimed Complete and accurate ACFI records Oversee care documentation; ensure ACFI claiming reflects resident diagnoses. Review of any loss of income following a DoHA ACFI review visit and provide advice to care manager Effective/efficient use of care staffing Evidence of adequacy of supplies, and their effective use – also staff satisfaction with availability of supplies Monitor and manage clinical resources; Monitor clinical supplies and usage e.g. dressings Ensure high care residents receive specified care and services (see Chapter 12 Residential Care Manual) Evidence that high care residents receive care and supplies they require e.g. podiatry, continence Assist the care manager in monitoring service contracts e.g. pharmacy, food, allied health Advice to manager on effectiveness of contractors to meet service needs/resident satisfaction e.g. pharmacy Evidence/use of IT systems e.g. data bases, etc Continuous Improvement Use information technology to manage clinical data and ensure that relevant records are available/accessible . e.g. documentation that may be required for accreditation Participate in improving clinical care for this special needs group Ongoing improvement in clinical documentation e.g. tailored resident focused care plans, refining clinical policies Monitor care trends and act upon areas for improvement Contribute to the clinical component of the CI plan; review and regularly evaluate Develop specialist knowledge e.g. drug/alcohol, related diseases e.g. ARBI, chronic medical illnesses Evidence of quality care practice e.g. audits, preventative falls management, incident and accident management and monitoring, contribution via a portfolio role/sharing of clinical knowledge Document1 Advice to care manager re human resource needs e.g. adjust roster as ACFI increases/decreases which may require a corresponding change in staffing (up or down) Encourage initiative from care staff. Provide them with positive feedback on their ideas and achievements Page 8 Key Result Areas Key Accountabilities Standard Measures Maintain knowledge and skills relevant to the position and as an RN e.g. attain minimum 20 hours continuing professional development each year in relevant areas e.g. CPR, infection control, complex healthcare, mandatory reporting Improvement logs (e.g. related to care); evidence of improvements Evidence of continuous improvement across relevant outcomes (especially in Standards 2 and 3) over 12 month period Encouragement of care staff ideas and implementation into practice Attendance at mandatory training/satisfactory staff development records (minimum 20 hours of CPD per annum) Evidence of personal/professional improvement e.g. participation in seminars, peer review Practice in accordance with ANMC RN competencies Employee’s Signature: Date: Print Name: Manager’s Signature: Date: Print Name: Document1 Page 9