POSITION DESCRIPTION. Position title: Duty Nurse Manager. Middlemore Central. Position Holder's Signature :...
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1 POSITION DESCRIPTION Position title: Duty Nurse Manager Middlemore Central Position Holder's Name: Position Holder's Signature :... Line Managers Name : Professional Accountability : Line Managers Signature :... Date :...
2 PURPOSE OF THE POSITION The Duty Nurse Manager is responsible for the safe, effective and efficient management of resources for Counties Manukau District Health Board (CM Health) 24 /7, this includes the provision of clincal support for medical and nursing staff especially after hours, the leadership of the medical handover and the equal allocation of tasks at this handover.. One focus of this role is to provide clinical insight into the allocation of the right patient, right bed, right time working between the Patient at Risk team and the after hours. This role will work with MMC staff to provide senior assistance with proactive management of key tasks associated with acute Demand, Bed Management and to support improved patient care after hours. The role is also to ensure that there is improved communication and sharing of tasks after hours between medical and nursing staff through professional leadership and support. Duty Nurse Managers are the main point of contact for coordinating emergency responses, maintenance requests and bed and staffing management in line with the vision and values of CM Health. Bed and Outlier Management Manage Staffing Requirements Providing clinical support and leadership especially after hours Disaster Management Seasonal Planning Task Manager Patient Throughput Incident Management Team
3 PROFESSIONAL RELATIONSHIPS Director of Hospital Services Director of Nursing CM Health Manager Middlemore Central Clinical Nurse Director Middlemore Central Governance Group Operations Manager Nurse Coordinater Bed management Duty Nurse Manager Bureau Coordinator Key: Professional Accountability Operational Accountability NATURE AND SCOPE OF RESPONSIBILITIES
4 Clinical resource management/ professional practice Provide a visible single point of contact professional presence in the organisation that is associated with Resource Management beds, staffing and Emergency Management. Coordinate and manage inpatient bed allocation using bed management policies and procedures. Maintain the reporting mechanism associated with the CM Health Escalation plan and alerting system Coordinate and deploy nursing/midwifery staff to provide adequate and appropriate staffing numbers and skill mix on wards at all times Manage and deploy permanent and bureau nursing/midwifery staff by flexing staff within and across services in consultation with Service Managers, Women s Health Afternoon Coordinator and Paediatric Afternoon Coordinators as required to meet the needs of in patient services. Advise wards and inform person in charge of alternative nursing care delivery models if staffing shortage occurs(as per Escalation plan flow chart) Maintain Data integrity in Cap plan and ipms to reflect occupancy. Work with the Information Systems team of MMC to be predictive around patient flow. Ensure effective and efficient inpatient bed utilisation by identifying bed shortage triggers, promoting discharge planning, and communicating an organisational view of bed availability to charge nurses, ward staff, unit managers and medical staff and utilisation of the organisational Escalation plan. Manage efficiently the utilisation and deployment of nursing/ midwifery staff. Manage efficiently the utilisation of bed resources. Liaise with external bureau agencies, PAR, Service Managers, Afternoon coordinators and
5 charge nurses regarding skill mix and staffing requirements Promote cost effective nursing practice Participate in the daily inter-service Resource Management meetings. Identify trends with respect of bureau usage and roster shortfalls and report back accordingly Organise the inter hospital transfer of patients through the use of St Johns Ambulance Demonstrate key role in staffing resolution to situations involving challenging behaviours Coordinate the provision of locum medical staff between after hours. Ensure equal allocation of tasks for RMOs after hours using Task Manager after hours. Provide After Hours Pyxis support Coordinate and deploy terminal Cleaners Undertake other coordination role as directed. Clinical Coordination Visits all wards and departments and assesses clinical acuity, staffing requirements and liases with MMC to ensure appropriate staffing levels and bed management for clinical safety Collaborates with nursing and medical teams within Medicine and Surgical wards especially to ensure communication and coordination of bed availability. Supports and coordinates nursing staff within the wards to deliver appropriate nursing care by coordinating after hours resources. Identifies and reports clinical risk with both the PAR team and the. Works proactively with the MMC, the PAR team or CNM and medical staff to identify patients suitable for outlying taking clinical acuity, skill mix and nursing clinical workloads into consideration. Provides clinical coordination and support after hours between Emergency Care HDU, ICU,
6 CCU, SDU, NBC and MMC. Provides clinical coordination and support for staff and the PAR team after hours in response to emergency calls or other clinical incidents Emergency Management Liaise with after hours maintenance staff, regarding maintenance requests Liaise with police, fire service, media and on call manager as required. Initiate and coordinate first line response disaster situations eg. Utilities failure, communication failure, civil emergency and multi trauma. Take the lead using the CIMS model in all emergency response and manage on-going as required. Be familiar with the setting up and running of an EOC ( Emergency Operations Centre) Work with the Emergency Response Coordinator as required. Ensure that staff are familiar with Fire and emergency response and advise line manager/charge nurse of any shortfalls in knowledge Participate in training and exercises for internal and external disaster management. Leadership Takes the lead in allocation of tasks at 2200 hour RMO handover to ensure equity of tasks. Use initiative in proactive problem solving Acts as first point of contact for after-hours management. Acts as first point of contact for Media enquiries afterhours Communicate effectively with staff at all levels of organisation Deal effectively with conflict Role model excellence in communication, customer service and problem resolution
7 Quality and Risk Education Professional Development Actively participate in planning and drive processes that involve and within Middlemore Central. Work with staff to identify hazards within the clinical area and their responsibility in minimising these for self, patients, colleagues and public protection Contribute to the identification of possible research/quality projects and participate in the development, implementation and evaluations of proposals Actively participate in quality issues to ensure efficiency and smooth operational flows within Middlemore Central.. Participate in data collection and audit processes using the Information technology within Middlemore Central.. Promote best practice admission and discharge processes within the organisation. Ensure that all CM Health policies, procedures and guidelines can be accessed and complied with and that staff are familiar with these Promote and ensure correct One Staff, PIMS and WIMs Cap plan utilisation and data entry. Maintain and update own knowledge base related to professional and managerial speciality Attend educational opportunities and conferences relevant to the role and scope of practice and use this knowledge to improve practice Maintain currency with own credentialing process Actively participate in relevant professional organisations. Monitor national and international trends in the area of nursing/midwifery practice and resources management.
8 Maintain effective communication and support networks with others in similar roles Copes with stress is resilient to change and understands limitations Is proactive and displays innovation Seek resolutions to problematic issues Develops and utilises a customer focussed approach to problem resolution. PROBLEM COMPLEXITY The will be regularly challenged by problems of a varied and complex nature over a 24 hour period basis in the area of operational and resource management. There will be a requirement to be able to prioritise issues and negotiate time frames, while still providing quality customer service. SCOPE FOR ACTION The will be empowered and supported to make decisions or recommendations in their area of practice, using initiative and problem solving skills to develop innovative approaches to issues on a day to day basis, 24/7. Consultation will be with the PAR, Team leaders and On Call Manager after hours with a professional reporting line to the Clinical Nurse Director, MMC Governance Group and operationally to the Manager Middlemore Central through the Operations Manager. COMMUNICATION The will be required to communicate with varied groups of staff at every level of the organisation and across services. They will also be required to liaise with colleagues and other staff from external organisations/agencies related to management of resources within CM Health. DIMENSION OF THE POSITION The will be responsible to the Manager Middlemore Central through the Operations Manager.for the achievement of agreed objectives and operates within the confines of CM Health.
9 The will work closely as part of a multidisciplinary team within their area of practice, working very closely with the Charge Nurse Managers, Clinical Nurse Directors and the PAR team on a daily basis POSITIONS REPORTING Directly Indirectly Nil Nil PERSON SPECIFICATION ESSENTIAL HIGHLY DESIRABLE EDUCATION EXPERIENCE/ KNOWLEDGE SPECIFIC SKILLS Registered Nurse/ Registered Comprehensive Nurse or Bachelor of Nursing/Midwifery or equivalent completed or in progress. Current Practicing Certificate A minimum of five years current experience in acute hospital setting functioning at proficient level.. Evidence of ongoing professional development The ability to work independently and be a member of a team. Knowledge of current issues within nursing and in their specialty area. Basic Knowledge and understanding of medico/legal and ethical responsibilities. Functioning at a proficient level Proven experience in problem solving, priority setting, and planning. Ability to self evaluate and reflect on practice. Ability to critique research and use Post Graduate qualification or equivalent in relevant area. Functioning at Expert level on the RN CCP Experience with Wims, Pims. Onestaff and Concerto CIMS trained Ibeds Capplan EC Whiteboard
10 PERSONAL and PROFESSIONAL QUALITIES it as the basis of practice. Experience in negotiation/ conflict management skills Computer Literacy Excellent interpersonal skills Excellent time management skills Ability to work well under pressure Stress management skills A strong patient focus. A strong commitment and genuine interest in quality and service. Commitment to Customer Service Consistency in management Ability to follow process. Skilled in decision making, especially when under duress. A capacity to demonstrate strong clinical leadership. A commitment to the development of the nursing profession within CM Health. A professional development plan. The ability to communicate effectively with all levels of staff and develop relevant networks. A commitment to cultural safety and its application to nursing practice and resource management. Active involvement in relevant, professional/other organisations. A passion for improving nursing practice and standards of care. Task manager Demonstrated ability in the development and management of staff.
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