Registered Nurse Radiology Service Position Description

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1 Date: April 2015 Job Title : Registered Nurse Department : Radiology Location : Waitemata DHB Reporting To : Reporting line to Radiology Associate Clinical Charge Nurse Head of Division Nursing (Surgical & Ambulatory Service) for professional conduct, quality of practice within scope of practice as defined by the Nursing Council of New Zealand. Direct Reports : None Functional Relationships with : Internal Radiologists Radiology Operations Manager Radiology Staff Theatre nursing, medical and allied health staff AIR nursing, medical and allied health staff (interim) Medical Staff Nursing Staff Support Services Laboratory Staff Allied Health Orderlies Duty Manager Quality Team External Patients and their families Volunteers and related groups Household support staff ADHB / other DHB representatives GPs Purpose : Provide safe nursing care to meet assessed needs of individuals undergoing Radiological imaging and radiological intervention and associated procedures. This involves working effectively within a multidisciplinary team. Waitemata District Health Board -JOB DESCRIPTION RN Page 1

2 Key Accountabilities 1. Practices nursing to demonstrate professional responsibility 2. Management of nursing care to the highest professional standard possible to provide patient focused care 3. Interpersonal relationships 4. Inter-professional health care and quality improvement 5. Professional development Waitemata District Health Board -JOB DESCRIPTION RN Page 2

3 Our Purpose, Values and Standards At the heart of Waitemata DHB is our promise of better care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. Waitemata District Health Board -JOB DESCRIPTION RN Page 3

4 KEY TASKS Practices nursing to demonstrate professional responsibility Communication Cultural Safety Management of Nursing Care Management of the environment Management of nursing care to the highest professional standard possible to provide patient focused care EXPECTED OUTCOMES Practice meets the standards of the profession, ethical and relevant legislated requirements. Nurse accepts responsibility for safety and quality of nursing practice and conduct. Nursing practice is provided in a culturally safe manner and supports the principles of the Treaty of Waitangi/ Te Tiriti o Waitangi: protection, participation and selfdetermination. The client determines care as culturally safe. At all times applies the nursing process: skilled assessment, planning, implementation of best practice and evaluation. Directs, monitors and evaluates nursing care that is provided by nurse assistants, enrolled nurses and others. The environment is managed to achieve client safety during the periprocedural process. Practice reflects competence in technical skills required to meet patient and procedural needs (see technical competencies). All patients receive a comprehensive and accurate nursing assessment (using pathways as a guide) to identify needs and risks/early warning signs that will influence care delivery and interventions that may be required. Nursing care is provided in a reliable way, to meet needs in a timely and economic manner, according to a documented care pathway and the technical competencies for this specialty. All practice interventions are managed in a safe and appropriate manner and according to best practice guidelines e.g. administration of interventions, treatments, medications. Documentation is accurate and maintains confidentiality of information. Handover of patient is managed skillfully in both receipt of patient into Department and discharge to inhospital environment: Discharge home requires handover to family member who will stay with and support patient overnight if interventional procedure on the day. The patient has adequate explanation of the effects, consequences and what to expect following radiological procedures. Nursing action is appropriate to protect the nurse and others when faced with unexpected patient responses, confrontation, personal threat or other crisis situation. Patient progress/outcomes are evaluated in partnership with the client during residence within Radiology. Waitemata District Health Board -JOB DESCRIPTION RN Page 4

5 KEY TASKS EXPECTED OUTCOMES Health education is appropriate to the needs of the patients within a nursing framework Evaluation/reflection on the effectiveness of nursing care is undertaken with peers to achieve improvement Interpersonal Relationships Relationships with patients are appropriate and therapeutic to achieve safe peri-procedural care: Good customer service skills Maintaining boundaries Partnership Caring Value-oriented: respectful, open, compassionate, integrity. Communication is effective with clients and members of the health care team in all interactions. Environment is managed to facilitate calmness so the patient can make sense of what is happening for them. Inter-professional health care and quality improvement Team relationships Quality Improvement Relationships with colleagues and allied health team are professional, positive and collaborative in order to facilitate and co-ordinate care that achieves appropriate procedural outcome. Professional approach recognises, respects and values roles and skills of all members of the health care team in delivery of care. Clinical safety is key priority in practice: Completes orientation, undertakes in-service education, uses policies and procedures to guide practice. Is alert to early warning signs of compromised patient status and acts proactively. Policies are adhered to (e.g. confidentiality, privacy). Action to improve quality of care and practice (best practice, audit, correction) is taken to improve the standards of nursing practice. Accountability is taken for action, omissions and commissions. Delegation is appropriate. Individual responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 is recognized and appropriate action taken. Professional Development The Health Practitioner Competence Assurance Act obligations are adhered to: Maintaining competence, Portfolio presentation, updating knowledge, undergoing competence assessment and annually reapplying for practicing certificate. Complies with the WDHB Professional Development and Recognition Programme (PDRP). Annually seeks peer review and completes the competence assessment process as required. Waitemata District Health Board -JOB DESCRIPTION RN Page 5

6 KEY TASKS EXPECTED OUTCOMES Undertakes on-going learning and is self-directed in same (i.e. inservice, self-learning, study days, post graduate learning, conference attendance and presentation. Ensures clinical and educational requirements exceed requirements of APC. Statutory & Treaty of Waitangi obligations Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Shows sensitivity to cultural complexity in the workforce and patient population Company health and safety policies are read and understood and relevant procedures applied to their own work activities Workplace hazards are identified and reported, including self management of hazards where appropriate Can identify health and safety representative for area Note: This job description forms part of an individual s contract of employment with WDHB and must be attached to that contract. Waitemata District Health Board -JOB DESCRIPTION RN Page 6

7 PERSON SPECIFICATION POSITION TITLE: Registered Nurse Minimum Preferred Qualification Registered Nurse (RGON, RCpN, RPN, BHSc) Experience Recent experience as a registered nurse in a clinical environment Recent experience working in radiology service, theatre or intensive care related clinical field AND/OR Experience as a registered nurse working with Interventional Radiology within the last five years Skills/Knowledge/Behaviour Nursing knowledge and skill learned in a formal education programme; technically competent with core treatment practices Experience working in Radiology service Knowledge of sterile technique and supplies during special examinations Requires proficiency in dealing with arterial puncture wounds Is aware of contemporary standards and has reputation of providing good nursing care Good communication skills and customer service practices Practice shows understanding of and commitment to the principles of the Treaty of Waitangi Positive manner, able to influence without conflict Calm, even, consistent and mature personality Upholds confidentiality with a reputation for high integrity and discretion Demonstrated confident collaborative approach in team practice Waitemata District Health Board -JOB DESCRIPTION RN Page 7

8 Able to work under direction, but also take initiative where clinical judgment suggests therapeutic intervention Qualified and able to handle unexpected emergencies that may occur during any radiological procedure Sensitive and constructive in responding to the needs of individuals An active listener, has a way of valuing everyone s opinions Committed to continuous quality improvement Continues education to develop skills and knowledge in the provision of nursing care Demonstrated ability to share clinical knowledge with others Seeks guidance and supervision Understands the importance of good relationships in ensuring continuity of care Waitemata District Health Board -JOB DESCRIPTION RN Page 8

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