POSITION DESCRIPTION. Clinical Nurse Specialist. Gastroenterology & Hepatology

Transcription

1 POSITION DESCRIPTION Clinical Nurse Specialist Gastroenterology & Hepatology Date Produced/Reviewed: September 2014 Position Holder's Name:... Position Holder's Signature:... Manager/Supervisor's Name:... Manager/Supervisor's Signature:... Date:... Approval Date: Sept 2014 Review Date: Sept 2016 Position Title: Clinical Nurse Specialist Gastroenterology & Hepatology

2 PURPOSE OF THE POSITION The Clinical Nurse Specialist Gastroenterology and Hepatology position is an advanced nursing practice role that is responsible for providing specialist nursing expertise in the gastroenterology service and nursing leadership across services to support the coordination and care of patients with Irritable Bowel Disease and Hepatitis. This role will: provide nursing leadership within the service in order to ensure patient treatment and care planning is comprehensively co-ordinated and informed by specialist knowledge utilising care models that best meets the specialty whilst in partnership with the patient and family/whaanau. contribute clinical expertise for the development, maintenance and review of quality activities which include policies, procedures and wider initiatives in Gastroenterology and across services. as a senior nurse this role has the responsibility for leading and improving the quality of professional nursing practice and promoting high standards of care by supporting an environment where excellence can flourish. work closely with all members of the multidisciplinary team to ensure that Gastroenterology and Hepatology patients receive seamless, patient/family whaanau centred care across hospital and ambulatory services whilst strengthening integration initiatives already underway regionally and in localities of Counties Manukau. Vision & Values Organisational Shared Vision Our DHB shared Vision is to work in partnership with our communities to improve the health status of all, with particular emphasis on Maaori and Pacific peoples and other communities with health disparities. We will do this by leading the development of an improved system of healthcare that is more accessible and better integrated. We will dedicate ourselves to serving our patients and communities by ensuring the delivery of both quality focussed and cost effective healthcare, at the right place, right time and right setting.

3 Organisational Values Partnership Care and Respect Professionalism Teamwork Innovation Working alongside and encouraging others in health and related sectors to ensure a common focus on, and strategies for achieving health gain and independence for our population Treating people with respect and dignity, valuing individual and cultural differences and diversity We will act with integrity and embrace the highest ethical standards Achieving success by working together and valuing each other s skills and contributions Constantly seeking and striving for new ideas and solutions Responsibility Using and developing our capabilities to achieve outstanding results and taking accountability for our individual and collective actions PLACE IN THE ORGANISATION Clinical Nurse Director Service Manager Medicine Charge Nurse Manager Gastroenterology Gastroenterology Head of Department Consultant Nurse Educator Clinical Nurse Specialist Gastroenterology & Hepatology Registered & Enrolled Nurses Gastroenterology Professional Accountability Operational Accountability Working relationship

4 NATURE AND SCOPE OF RESPONSIBILITIES Key Accountability Clinical Practice Standards / Achievements Provide clinical expertise in the planning and delivery of patient care in both the hospital (including Out Patient Department) and Primary Health Care settings. Undertake Nurse led clinics under the direction of the service consultants Using a proforma and patient pathway provide assessment, treatment and ongoing care to patients via a nurse led clinic. Shared care of patients with Gastroenterology & Hepatology Consultants. Using a proforma and patient pathway organise appropriate tests and procedures to assist in patient diagnosis Deliver patient care and co-ordination of services within an integrated care model. Promote cost effective multidisciplinary health care practice. Promote innovative and creative clinical nursing practice and ensure it is validated with best practice and research activities. Working with key stakeholders in the regional service, hospital and community, in providing input into related standards of practice, protocols, policies, referrals, treatment and guidelines. Work collaboratively with all members of the health care team to ensure staff receives high quality educational input and support. Initiate and /or contribute to forums that critique current practice and research activities. Leadership Act as an effective and positive role model by demonstrating high levels of clinical competence within the multidisciplinary team and primary health care. Advocate on behalf of patient/family/colleagues as appropriate and in a culturally safe manner Work proactively and collaboratively with Medical staff and Primary Care to effectively develop a Gastroenterology & Hepatology service, maximising resources whilst maintaining a high standard of care. Act as an educational resource for clinical staff and provide coaching and leadership as required.

5 Key Accountability Standards / Achievements Participate in business, nursing and education planning processes at a strategic and service level. Professional Development Staff: Identify deficits in clinical and professional competencies of individuals and services and take appropriate action Provide clinical expertise, education, and support to multidisciplinary staff across the health care continuum. Provide direct and/or indirect clinical support for hospital and community based Registered Nurses and other Health Professionals. Self: Maintain and update own knowledge base related to clinical and/or educational speciality. Maintain currency with own credentialing process Audit own service provision on a 1-2 yearly basis to ensure best practice. Establish and maintain effective local, regional and national networks. Attend educational opportunities and conferences relevant to the role and scope of practice and use this knowledge to improve practice. Actively participate in relevant professional organisations Pro-actively contribute to presentation and the publication of issues related to clinical practice Critique research findings and use these as a basis for best practice Quality and Risk Contribute to the identification of specifications, trials and purchase of new equipment. Contribute to the identification of possible research/quality projects and participate in the development, implementation and evaluations of proposals. Work with Quality facilitators and Ko Awatea in developing and working on new ways of care to improve outcomes HEALTH & SAFETY Recognises individual Management roles: Ensure a safe working environment and safe working practices

6 Key Accountability responsibility for workplace Health & Safety under the Health and Safety Act 1992 Standards / Achievements Plan, lead, organise and control Health & Safety activities directed at preventing harm in the workplace, in consultation with employees and Health & Safety representatives for area Ensure that all accidents/incidents in the workplace are investigated, and that hazards are recognised and adequate controls put in place Non Management roles: Counties Manukau District Health Board s ( CM Health ) Health and Safety policies are read and understood and relevant procedures applied to own work activities Workplace hazards are identified and reported including selfmanagement of hazards where appropriate Can identify health and Safety representative for area CULTURAL SAFETY Commitment to the principles of Treaty of Waitangi Respect, sensitivity, cultural awareness is evident in interpersonal relationships. Honouring Cultural Diversity Our cultural differences are acknowledged by respecting spiritual beliefs, cultural practices and lifestyle choices. Utilise Information Technology Demonstrate an ability to access and use available clinical information systems. Is conversant with applications required for specific discipline/role. For example, PIMS, Concerto, Outlook, etc. Maintains own professional development by attending relevant IT educational programmes.

7 COMMUNICATION AND INTERPERSONAL SKILLS Will be required to interact on a regular basis with a range of CM Health staff members including: Clinical Nurse Manager Gastroenterology Department Clinical Nurse Directors Medicine & Clinical Support, & Acute Care Clinical Director Gastroenterology Clinical Nurse Educators Nursing / Midwifery staff Medical Staff Allied Health Team Cultural Resource Units Patient and Staff Safety Laboratory Services Externally there will be contact with: Patients/Family/whaanau General Practitioners and Practice Nurses Primary Health Organisations, Locality Leadership Teams Government agencies- ACC, Ministry of Health Health staff from other DHBs. Community Services Situations may often call for tact, diplomacy and will require information to be handled in a discreet and sensitive manner. In conflict situations will be required to exercise sound judgement, negotiation and persuasiveness skills, toward facilitating a workable outcome. PROBLEM COMPLEXITY The Clinical Nurse Specialist is expected to manage a variety of complex and unpredictable problems that are associated with the assessment, treatment and management of Gastroenterology and Hepatology patients. Coordination of care and appropriate services need to be patient /family / whaanau focused. There will be a requirement to be able to prioritise issues and negotiate timeframes while providing a quality customer service. The Clinical Nurse Specialist will provide clinical expertise for patients seen in a variety of inpatient, outpatient settings and associated phone consultations.

8 The range of problems will be diverse and require solutions customised to meet the circumstances of the client. Therefore opportunities will arise to provide innovative options to the client based on proven outcomes. There will be demands to meet deadlines, maintain accuracy and quality of information. Failure to do so could impact on the organisation in terms of patient care and treatment and increased waitlist times. Will refer to a Gastroenterology or Hepatology Consultant for advice or second opinion. SCOPE FOR ACTION The Clinical Nurse Specialist is empowered to make decisions or recommendations relating to patient care, tests/procedures required and treatment. The role requires the ability to use initiative and problem solving skills to develop innovative approaches to issues. Discretion is required to be exercised in releasing confidential information to the appropriate parties. DIMENSION OF THE POSITION Will be responsible to the Charge Nurse Manager and Head of Department for Gastroenterology for the achievement of agreed objectives and operates within the confines of Counties Manukau District Health Board. The professional reporting line is to the Clinical Nurse Director, Medicine & Clinical Support. POSITIONS REPORTING Directly Indirectly Nil Nil

9 PERSON SPECIFICATIONS Qualification Minimum Registered Nurse with current NZ Annual practicing certificate Post graduate diploma (or in progress) Preferred Relevant Post Graduate qualification (completed or in progress) Experience Skills/Knowledge/ Behaviour Personal Qualities A minimum of five years recent clinical experience in Medicine/Gastroenterology/Hepat ology. Proficient level PDRP Experience in problem solving, priority setting, and planning. Ability to self evaluate and reflect on practice. Demonstrated ability to use evidence based practice Ability to critique research and use it as the basis of practice. The ability to work independently and be a member of a team Knowledge of current issues in Gastroenterology. Basic Knowledge and understanding of medico/legal and ethical responsibilities A strong patient focus. A strong commitment and genuine interest in quality and service. A capacity to demonstrate strong clinical leadership. A commitment to the development of the nursing profession within CM Health The ability to communicate effectively with all levels of staff and develop relevant networks. A commitment to cultural awareness and its application to nursing practice. A passion for improving nursing practice and standards of care Previous experience running a nurse led clinic Expert level on PDRP Negotiation/conflict management skills. Project work experience Audit skills