GIPPSLAND SOUTHERN HEALTH SERVICE (GSHS) Mission Statement: Vision Statement: We Care For You Dedicated to Health Corporate Objectives: 1. Maintain and develop services to meet our community s needs 2. Remain Accredited 3. Remain committed to having a staff that is skilled and motivated 4. Ensure financial viability 5. Maintain and improve facilities and infrastructure 6. Ensure quality health services are provided in a safe environment. NAME: CLASSIFICATION: SALARY & CONDITIONS: As per award Grade 7 (50-100) beds AWARD: Nurses (Victorian Health Services) Award, 1992 FACILITY: Nursing Division DATE JOINED SERVICE: RESPONSIBLE TO: RESPONSIBLE FOR: Director of Nursing Gippsland Southern Health Service Providing professional nursing services consistent with Nursing Division philosophy & objectives, current position description and accepted standards of nursing practice. Nurses employed at Gippsland Southern Health Service shall be conversant with and practise according to the: ANCI Code of Ethics For Nurses In Australia ANCI Code of Professional Conduct For Nurses In Australia PERFORMANCE MONITORING: An initial formal review of performance will be undertaken within three months following appointment and then at least every 12 months based upon this position description. LAST APPRAISAL DATE: NEXT APPRAISAL DATE: REVIEW OF POSITION DESCRIPTION: This position description will be reviewed annually in conjunction with Performance Appraisal, when the position becomes vacant or as deemed necessary for on-going and effective performance management.
KEY SELECTION CRITERIA: To competently perform in this position, the person should possess the following knowledge, skills and experience based upon the 6 Key Performance Indicators as indicated: 1. PERSONAL & PROFESSIONAL DEVELOPMENT. Demonstrated experience and understanding of the continuation of both personal development & professional development in their career and industry. 2. CUSTOMER SERVICE. Excellent communication and interpersonal skills including demonstrated experience in liaising with a wide range of internal and external clients. 3. ADMINISTRATION & DOCUMENTATION Using the processes that are in place to ensure that all administration and documentation requirements are initiated and completed in a professional and timely manner. 4. TECHNICAL SKILLS & APPLICATION. Demonstrated knowledge and understanding in the application of the skills required for this position. This includes knowledge and understanding of appropriate equipment, legislation, policies and procedures. 5. TEAMWORK & COMMUNICATION Demonstrated ability to lead and develop a diverse team or participate as an active member of a team, which is consistent with the philosophy and policies of GSHS. 6. CONTINUOUS IMPROVEMENT. Commitment to ensuring quality services are delivered to both internal & external clients through continuous improvement activities. QUALIFICATIONS: ESSENTIAL: A Registered Nurse, Division One, with current registration in the State of Victoria. Skills required for the position are: - Senior nursing experience in a range of disciplines - The ability to drive change throughout the organisation - Provide support to the Director of Nursing Gippsland Southern Health Service and the Executive Team - Excellent people skills with the ability to communicate at all levels - A commitment to high quality patient care DESIRABLE: Additional post graduate studies. POSITION OBJECTIVE: The scope of this position will include undertaking project work, daily management of a diverse rural hospital, responsibility for advancing nursing practice plus assisting the Director of Nursing Gippsland Southern Health Service to drive change strategically for the organisation across multiple campuses
POSITION TITLE: KEY RESPONSIBILITIES PERFORMANCE INDICATORS P.I. 1 Personal & Professional Development DESCRIPTION Demonstrate ability to continually develop both personally & professionally to meet the changing needs of your career & industry. Demonstrate ability to attend all mandatory training sessions provided by the organisation and be actively involved in other training & development as required. Demonstrate ability to meet the minimum training target per year as set by the organisation. Demonstrate ability to actively participate in the Performance Appraisal as required. Belong to appropriate associations that promote the development of the nursing profession and health care. Encourage and motivate staff to increase their personal and professional development. Encourage, support and make recommendations for training and educational needs to all nursing staff. Is committed to continual personal and professional development to meet the changing needs of this position, career, GSHS & health care industry overall; Readily and consistently seeks out and accesses opportunities for learning; Minimum requirements:- C.P.R., Fire safety & evacuation procedures, No Lift (Back Injury Prevention) training yearly in addition to meeting the minimum hours in service training target per year as set by the organisation (2008: 16 hours) Reflects on & critically evaluates own standards of practice and outcomes of practice to continually improve and promote high levels of quality care; Acts as a positive role model through a readiness to share knowledge and experience with the nursing team, through inspired leadership and effective coaching and supervising skills Maintains professional networks and affiliations to enhance awareness of current professional issues; Takes responsibility and can account for the results of actions taken by self and other staff whom you supervise, including exercising of good judgement and sound thinking in the discharge of your supervisory duties ( accountability ); Recognises the need for care of self and nursing team and acts to promote same; Values environmental ethics and social, economic and ecologically sustainable environment that promotes health and wellbeing through the community; Refrains from engaging in exploitation, misinformation and misrepresentation in regard to health care products, nursing staff under your direction and nursing services. Knows, recognises and maintains professional boundaries of the nurse client relationship; Conducts oneself in a professional manner at all times.
POSITION TITLE: KEY RESPONSIBILITIES PERFORMANCE INDICATORS P.I. 2 DESCRIPTION Customer Service Demonstrate ability to develop, manage and maintain systems to improve customer service and deliver best practice. Acts as a resource person to others. Respect is shown for all individuals needs, values, culture and vulnerability in the discharge of your nursing duties and customer service; Facilitates access to necessary information for individuals/groups to support informed decision-making, and their active participation in all stages of the care process; Holds in confidence any information obtained in a professional capacity, complying with GSHS Privacy Policies in relation to the obtaining, accessing, security, use and disclosure of private and health information; Promotes and preserves the trust that is inherent in the privileged relationship between the nurse and their patients/customers with respect to both their person and their property; Acts to positively promote GSHS both internally & externally; Provides prompt and courteous service to staff, clients, families/ carers and colleagues; Assists internal and external customers in the timely reporting and effective resolution of problems/concerns; Works to support and maintain a safe and therapeutic environment within GSHS for customers and colleagues; Identifies and reports instances of unsatisfactory customer service and responds appropriately to support improved outcomes; Refers patient / family, Unit/Work area grievances/problems to the NUM and supports the NUM in effective resolution of same where required Promotes an environment that facilitates excellence in nursing practice and individual staff performance -
POSITION TITLE: KEY RESPONSIBILITIES PERFORMANCE INDICATORS P.I. 3 Administration& Documentation DESCRIPTION Ensure that all documentation is accurate and completed in a professional and timely manner. Demonstrate ability to adhere and commit to cost effective/approved rosters following appropriate funding and rostering guidelines. Demonstrate ability to plan, maintain and provide input into budgetary matters and accepting responsibility for remaining within budgetary constraints as required by Management. Demonstrate ability to ensure that the Health Care facilities comply with the statutory requirements of both State and Commonwealth Health authorities and associated regulating bodies. Demonstrate ability to ensure that all nursing care staff, clients and visitors incidents are reported, actioned and forwarded administration and for clients incidents to be filled in clients file. As a senior manager on site, to inform other managers of incidents that have occurred regarding their staff. Attend Committee Meetings and present appropriate reports. Attend designated meetings assisting in the development of Policy and Recommendations to the Director of Nursing Gippsland Southern Health Service and Executive. Make appropriate recommendations concerning Services provided. Actively deputise for the Director of Nursing Gippsland Southern Health Service as required. Formulate and implement sentinel events process and Adverse Event Analysis. Report and document all clinical practice issues to DON Gippsland Southern Health Service. Provide accurate and timely monthly reports as requested / required by DON Gippsland Southern Health Service / Department Heads. Responsible for policy & procedure development and review formulations within the - Nursing Division - Liaise with NUM s to ensure compliance with same and review of same. Supports resource acquisition to enhance patient management and quality service delivery through submission-writing, data collection and research activities Delegates responsibilities/tasks to others appropriately, that is, consistent with their educational preparation, experience, knowledge, and physical/emotional ability ( competence and readiness ); Assists the NUM to acquire and/or maintain resources/systems/processes necessary to enhance patient management and quality service delivery Development and Review of Clinical Nursing Practice Guidelines throughout the organisation i.e. Policies and Procedures. Collation and review of Clinical Risk Management, Critical incidents, Adverse Event Analysis and Sentinel Event Analysis throughout the organisation. The development and review of the patient care process, inclusive of documentation of nursing care plans, nursing histories / assessments and clinical nursing audits. Representation of Nursing Division on various committees as delegated by Director of Nursing Gippsland Southern Health Service. Collaborates with the Quality Improvement Coordinator to ensure the meeting of required Accreditation standards and Improvement thereof where appropriate.
POSITION TITLE: KEY RESPONSIBILITIES PERFORMANCE INDICATORS DESCRIPTION P.I. 4 Technical Skills And Application Demonstrate ability to take on the overall responsibility and tasks of the Director of Nursing Korumburra Hospital. Responsible for the development and review of the total care process, nursing care plans, nursing assessments/histories and nursing audits. To verify time sheets as required. Responsible for developing and maintaining with the Education Team an in-service education program for the care staff. Demonstrate ability to provide a high standard of nursing care and well-being that provides for physical, emotional, spiritual and social needs of the clients, in accordance with the GSHS philosophy and resources. Support clients in the maintenance of links with family, friends and community activities and interest groups outside the family. Ability to use administration protocols implemented by the Organisation. Carry out audits of Quality Systems & patient care trends to monitor adherence of and to maintain desired outcomes. Other duties as directed. Promotes reflective nursing practice within the team; Computer skills particularly in Word and Excel program, use of Outlook Express and internet health links. Monitoring and development of clinical nursing practices throughout the organisation incorporating Effective Discharge Procedures. Management of Education Unit and delegation of duties to staff within this unit. Ensuring appropriate Research and Planning practices are encouraged to promote safe enhanced Nursing Practices.
POSITION TITLE: KEY RESPONSIBILITIES PERFORMANCE INDICATORS DESCRIPTION P.I. 5 Teamwork & Communication Ability to coordinate and chair the various meetings within the Acute and Aged Care facilities and ensuring that the minutes are circulated appropriately throughout the various Divisions. Liaise with other Divisions / Department Heads to enhance all aspects of care and quality systems making appropriate recommendations to the Director of Nursing Gippsland Southern Health Service /Executive/Equip Team Leaders Utilises appropriate communication and interpersonal skills to meet psychosocial needs of individuals/groups for whom you are responsible and with whom you interact in your role and manager Communicates effectively with colleagues, individuals and groups, using the appropriate formal or informal channels of communication. Works harmoniously with other GSHS staff and managers and according to established team and organisational goals to achieve service delivery excellence Demonstrates ability to work cooperatively with and support the decisions and roles of DON Gippsland Southern Health Service, Assistant Director Of Nursing, Nursing Supervisors (incl. cross campus) and NUMs Clearly and promptly communicates any issues of concern related to the work environment and/or clinical practice to the DON Gippsland Southern Health Service and CEO Collaborates and participates with other members of the healthcare team, and the individual/group in decision making. Maintains good public relations with client's relatives, friends and the community Liaise with relevant members of the health care team to support the individual s rights to change and/or refuse care and to ensure the delivery of quality health care P.I. 6 Continuous Improvement Demonstrate commitment, participate and contribute to quality improvement programs and other facility activities to meet Service/Accreditation Standards Participate and contribute to occupational health and safety activities to ensure a safe work environment for clients, staff and visitors. Participation in ensuring that the Organisation develops and maintains quality assurance systems whereby the Organisation has an overriding philosophy of continuous improvement. Participates in ensuring that the Health Care facilities achieve and maintain their Accreditation to comply with the State and Commonwealth Health authorities. Collection of data pertaining to adverse advents, analysing data and compiling reports, to formulate change, if and where necessary. Ensure Occupational Health and Safety audits are carried out and reported on. Ensure OH & S incident reports are correctly completed and that appropriate action has been taken to prevent further incidence of same or similar occurring. Carry out appropriate performances to identify potential hazards within the ward area. Make recommendations for new equipment purchases, & organise appropriate training were necessary. Sign to verify agreement with this Position Description: Incumbent: Date: Manager: Date:
APPENDIX A Assumed Competencies Include: Basic nursing care and assistance with Activities of Daily living Admission/discharge of patient commensurate with level of practice Vital signs monitoring baseline T,P,R,B/P, O2 saturations Perform sound physical assessments of systems- cardiovascular, respiratory, neurological, neurovascular integument and genitourinary using palpation, percussion, auscultation and inspection Appropriate checking of medications and drug calculations Use of IMED pumps Active / Passive range of movement and pressure area care Documentation T.P.R., F.B.C., Care Plans and Progress Notes Making appropriate referrals to organisational and community services. Basic C.P.R and use of heart stream monitor Care of unconscious patient No Lift techniques and use of associated equipment, slides & sheets. Collection of basic pathology samples MSU, CSU, sputum, stools & wound swabs Completion of RCS assessment and classification paperwork Phlebotomy venipuncture and collection of blood and blood culture samples for pathology Safe management of blood and blood product infusions. Health promotion Simple Wound dressings / sterile technique Active and Passive Range of Motion Exercises Administering Eye Drops or Ointment Administering Intravenous Medications (bolus) Administering Intravenous Medications (burette) Administering Intravenous Medications (IV Container) Administration of a blood transfusion Ambulating the patient Aseptic Technique Positioning of a dependent patient Blood Glucose Measurement including care of equipment Cardiovascular Assessment Cardiovascular Assessment 12 Lead ECG, including basic arrhythmia recognition Care of unconscious patient Complex Wounds Wound Irrigation Daily care of the Neonate
APPENDIX A Assumed Competencies Include: Dry Dressing Technique Gowning and Gloving Hand washing Management of Complex Wounds Drain Removal Managing a patient who requires seclusion Managing a patient with a Central Venous Line Managing a patient with Chest Drains/Underwater Seal Drainage Managing Patient Controlled Analgesia or other Syringe Driven Medication Measuring Blood Pressure Measuring Temperature (oral), pulse and Respiration Medication Administration Oral Medications Medication Administration: Parenteral Medication Mental Status Assessment Monitoring with Pulse Oximetry Nasogastric Tube Insertion and care of (include PEG feeds) Neurological Assessment Neurovascular Observations Packing a Wound Pain Assessment Patient Teaching Personal Hygiene Bed Bath or Dependent Shower Personal Hygiene Mouth care, Shaving, Hair care, Nail care Physical Assessment Post-operative Care Pre-operative Care Providing Oxygen Therapy via Nasal cannula or various masks Recovery Room Care and handover Respiratory Assessment Suctioning of endotracheal tube or tracheostomy Suctioning of oropharynx/nasopharynx Surgical Scrub Tracheostomy Care Urinary Catheteristion
APPENDIX A Assumed Competencies Include: Use of Non-Pharmacological Interventions for Pain Relief TENS Venipuncture Triage of Emergency presentations & first line emergency management Peripheral IV cannulation. Understand and use appropriate equipment such as cardiac monitors, telemetry and O 2 Humidifier Use and understand PCA pumps and there orders Complex wound dressings- CVC & PICC lines, packing wounds, removal of drain tubes Preceptorship Advanced Life Support incl. semi-automatic defibrillation & airway management Management of implantable venous access devices i.e. Hickman s/picc lines Patient Controlled Analgesia Safe management of cytotoxic materials and waste Ventilatory support use of BiPAP/CPAP Advancing Middle Management Skills MIDWIFERY SPECIFIC (FOR REGISTERED MIDWIVES) Antenatal Education Care of Patient Antepartum haemorrhage Care of Patient ARM, Artificial Rupture Membranes Artificial (complementary) feeding Care of Patient Augmentation of labour Breast pump Care of Patient Breastfeeding problems Care of Patient Caesarean section Cardiotocograph (CTG) Cord blood collection Dummies and pacifiers Epidural pain management in labour Examination of the newborn Care of Patient Foetal Heart rate monitoring Gavage feeding Care of Patient Group B Streptococcus
APPENDIX A Assumed Competencies Include: Care of Babe Administration of Hepatitis B Care of Patient Hydralazine infusion Care of Babe Hypoglycaemia Maintenance of equipment - Insulcot Care of Patient Misoprostol Administration (Vaginal) Care of Babe Neonatal nutrition and hydration Care of Babe Neonatal oxygen therapy Care of Babe Neonatal screening test Care of Babe Phototherapy Care of Patient Post natal observations Care of Patient Post partum haemorrhage Care of Patient Pre-labour rupture of membranes Care of Patient Pre-term labour Care of Patient Prostin E2 vaginal gel Care of Patient Salbutamol Care of Patient Shoulder dystocia Care of Patient Trial of scar Care of Patient Vacuum extraction Care of Patient Vaginal breech delivery Care of Patient Vaginal examination Care of Babe Vitamin K (Konakion) administration Nursing Process Competencies Legal and bio-ethical issues in nursing Competencies related to the key management functions of: Planning Organising Staffing Directing Controlling including critical thinking, assertiveness, conflict resolution, problem solving and motivating Human Resource Management including education, training, performance improvement, staffing selection and rostering, staff retention. Health Services Management incl. Financial management in health services Research methods Risk and Quality Management
Responsible for: Duty Statement Grade 7 To be read in conjunction with Position Description Monitoring and development of clinical nursing practices throughout the organisation incorporating Effective Discharge Practices. Development and Review of Clinical Nursing Practice Guidelines throughout the organisation i.e Policies and Procedures. Collation and review of Clinical Risk Management, Critical incidents, Adverse Event Analysis and Sentinel Event Analysis throughout the organisation. The development and review of the patient care process, inclusive of documentation of nursing care plans, nursing histories / assessments and clinical nursing audits. Management of Education Unit and delegation of duties to staff within this unit. Ensuring appropriate Research and planning practices are encouraged to promote safe enhanced Nursing practices. To deputize for Director of Nursing Gippsland Southern Health Service required. as Other duties/portfolios as directed/negotiated with Director of Nursing Gippsland Southern Health Service. In conjunction with Director of Nursing: Coordination and overseeing of postgraduate, undergraduate and work experience programs and allocations thereof. Representation of Nursing Division on various committees as delegated by Director of Nursing Gippsland Southern Health Service. To work with the Quality Improvement Coordinator to ensure the meeting of required Accreditation standards and Improvement thereof where appropriate for the Nursing Division. Liaison with Assistant Director of Nursing with regard to Residential Care Practices Policy & Procedures. Work between both Korumburra and Leongatha Hospitals with the Director of Nursing Gippsland Southern Health Service providing day to day management of Nursing Division and related areas. I:\Executive\GHA Website\Duty Statement Director of Nursing -Korumburra Hospital.doc