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POSITION DESCRIPTION March 2010 This Position Description is a guide and will vary from time to time and between services and/or units to meet changing service needs The Canterbury District Health Board is committed to the principles of the Treaty of Waitangi and the overarching objectives of the New Zealand health and disability strategies. Organisational Vision The CDHB’s vision is to improve the health and well being of the people living in Canterbury. Organisational Values Care & respect for others Integrity in all we do Responsibility for outcomes POSITION TITLE: CLINICAL NURSE SPECIALIST REPORTS TO (Title): Charge Nurse Manager/Clinical Manager/Nurse Consultant REPORTS ON A DAILY BASIS TO: Charge Nurse Manager/Clinical Manager PRINCIPAL OBJECTIVES To provide mental health nursing leadership that is committed to the maintenance and development of high quality nursing practice To facilitate continuity and consistency of nursing care within multi-disciplinary teams. To provide nursing leadership within multi-disciplinary teams. To provide nursing input to service development To provide nursing leadership in the establishment of best practice initiatives Provide expert nursing knowledge and clinical leadership through regular involvement in direct consumer care delivery. SUPERVISORY RESPONSIBILITIES: Nursing Staff 1 Student Nurses 2 Care givers 3 FUNCTIONAL RELATIONSHIPS: () INTERNALLY: 1 Nursing Staff 2 Mental Health Nursing Directorate 3 Te Korowai Atawhai 4 Medical staff Allied Health Staff 5 Consumer/Family Advisors HR/3131.doc EXTERNALLY: 1 Relevant health and other sector/community organisations 2 Nursing Education Providers 3 Nursing Students KEY PERFORMANCE OBJECTIVES: Task 1. Expected Result HR/3131.doc TO FACILITATE HIGH QUALITY NURSING PRACTICE Actively promote nurses to work in partnership with consumers in carrying out safe, effective nursing assessment, planning, implementation and evaluation for all consumers under care. Rolemodel direct care delivery and support nursing staff in the management of defined area of speciality practice. Co-ordinate nursing team members (where appropriate) in the provision of continuity of consumer care Guide nursing staff to complete accurate, relevant and timely consumer information documentation Work with the Charge Nurse Manager/Clinical Manager and Nurse Consultant on the maintenance and ongoing development of quality nursing care standards by supporting and monitoring clinical performance of nursing staff. Promote awareness and implementation of appropriate procedures and clinical processes as per all relevant standards and policies. Ensure nursing staff practice is consistent with the principles of the Treaty of Waitangi and recognises the needs of the consumer, family/whanau/ caregivers. Identify and discuss with the Charge Nurse Manager/Clinical Manager and Nurse Consultant clinical practice and performance concerns, professional development and nursing-related issues Participate in the development and evaluation of clinical practice guidelines. Deliver and promote care based on theory and research. Nurses are familiar with and utilise relevant policies and procedures. Nursing documentation is completed appropriately. Nursing practice issues are highlighted and addressed in partnership with the Charge Nurse Manager/Clinical Manager and in consultation with the Nurse Consultant Nursing issues regarding consumer care are identified and discussed with the Multi-disciplinary Team (MDT) The Charge Nurse Manager/Clinical Manager and Nurse Consultant are kept informed of any clinical practice and performance concerns, and nurses’ professional requirements. Consumers receive contemporary evidenced based clinical nursing care. Auditing of caseloads/documentation is timely and ongoing Relevant mental health nursing and other standards are used to evaluate Mental Health Nursing practice. Task 2. TO CONTRIBUTE TO THE EFFECTIVE FUNCTIONING OF THE MDT Actively participate in meetings with all members of the MDT. Promote communication between other MDT members and nursing staff and consumers, whanau and significant others. Bring a nursing perspective to the management of consumer care within the MDT. Promote nursing leadership within the MDT Follow up on clinical nursing related issues identified by the MDT as needing CNS input. Expected Result Nursing input at all MDT meetings. Effective communication between other MDT members and nurses. Consumer treatment plans reflect nursing input. Task 3. Expected Result HR/3131.doc TO SUPPORT NURSES PROFESSIONAL DEVELOPMENT Assess competencies (knowledge, skills, and attitudes) of nursing staff. Contribute to meeting professional development needs of nursing staff. Encourage and support nurses to meet their identified professional development goals. Provide clinical guidance and mentoring. Participate in monitoring the orientation and preceptorship of new nurses. Maintain an oversight of student nurses’ clinical placements. In consultation with the Charge Nurse Manager/Clinical Manager and Nurse Consultant develop strategies and work with nurses to address clinical practice and performance issues Work with the Charge Nurse Manager/Clinical Manager to ensure orientation systems are in place and that monitoring of these systems occurs Nursing professional development needs are addressed as per stated goals from performance appraisals /professional development plans New nurses receive CNS input. Participation in nurses Performance Appraisals. Orientations systems are in place with changes made in response to ongoing monitoring and evaluations. Task 4. TO PROVIDE CLINICAL LEADERSHIP Provide a senior nursing leadership role as part of best practice initiatives/service development. Actively promote nurse’s involvement in best practice initiatives. Provide input into policy and procedure development. Actively promote nursing input into policy and procedure development. Participate in nursing staff selection processes in conjunction with the Charge Nurse Manager/ Clinical Manager. Provide leadership in supporting a culture of evaluation and the ongoing quality improvement of nursing practice. Provide leadership in working with consumers with a range of high and complex mental health needs Provide senior nursing leadership into the unit and wider service and, as appropriate, consultation to a broad range of health welfare and other community organisations. Initiate/participate in and evaluation activities as appropriate. Expected Result Nurses contribute to service development activities. Contributes to a range of clinical teaching activities Nurses are involved in clinical governance eg quality improvement and evaluation activities Actively contributes to the care of consumers with high and complex mental health needs. Participates in consultation and liaison with a broad range of health, welfare and other community organisations. Active involvement in service issues and their resolution at unit/team and wider service levels Participates in staff selection. Task 5. Expected Result HR/3131.doc TO PARTICIPATE DEVELOPMENT. IN ONGOING PROFESSIONAL Maintain a high level of professional competence in job performance by participating in clinical supervision and ongoing professional education/training as per annual professional development plan (Performance Appraisal process) Maintain clinical competence required for CNS role. Annual Performance Appraisal Maintains clinical supervision. Engaged in ongoing education/training. HEALTH & SAFETY: Implement or lead and implement emergency procedures and maintain a safe and secure work environment by following relevant Canterbury DHB and Divisional policies, protocols and standards. This includes but is not limited to: Practice safe work habits and ensure the health and safety of yourself and others Make unsafe work situations safe or, inform a supervisor or manager Is knowledgeable about hazards in the work area ant the procedures in place to identify and control hazards Use Personal Protective Equipment correctly and when required Report hazards, incidents, accidents, and near misses promptly and accurately Seek advice from manager is unsure of work practices Complete mandatory training as required Is knowledgeable of emergency procedures and evacuation plans Assists in maintenance of equipment as required, and reports faulty equipment promptly Actively practice clinical standard precautions Maintain knowledge of and promote H&S policies to staff Report to the General Manager on H&S issues, meetings, programmes and initiatives Ensure H&S programmes are sustained and adequately resourced Ensure appropriate system is in place to identify, assess and control workplace hazards Ensure accidents and injuries are reported and investigated, ensure relevant documentation is completed and forwarded to H&S Advisor Ensure all employees are provided with information about hazards and controls in the workplace Ensure all staff are induced in H&S policies and procedures relevant to their position and workplace Ensure regular audits to monitor hazard identification and control QUALITY: Every staff member within CDHB is responsible for ensuring a quality service is provided in their area of expertise. All staff are to be involved in quality activities and should identify areas of improvement. All staff are to be familiar with and apply the appropriate organisational and divisional policies and procedures. HR/3131.doc QUALIFICATIONS & EXPERIENCE: Essential Current registered nurse practising certificate. Completed minimum 3-5 years nursing practice within mental health services, with preferably three years experience in the relevant speciality, Able to communicate effectively with a wide range of people from diverse social/cultural groups. Display a commitment to ongoing professional development. Demonstrate required level of mental health nursing skills (comparable to senior nurse performance appraisal or expert level PDRP. Demonstrated ability to work in partnership with consumers/tangata whaiora, with their family whanau and with other team members. Demonstrated understanding and application in practice of principles of the Treaty of Waitangi, biculturalism, and cultural safety. Demonstrated ability as a clinical educator and mentor with nursing students and nursing staff. Ability to effectively advocate a nursing perspective within multi-disciplinary teams. Commenced/completed relevant mental health related post graduate study (or equivalent) Attending formal individual supervision. Desirable Recognised by peers in terms of skill level and ability to work as a team member. Demonstrated skills in nursing leadership. PERSONAL ATTRIBUTES: Display a high degree of confidence, assertiveness and motivation. Ability to act as a clinical role model for nurses, diplaying a passion and enthusiasm for mental health nursing Excellent communication and conflict resolution skills Well developed personal organisational skills. Resilience. MANDATORY Key Behaviours: Ability to “work together” in a truthful and helpful manner. Ability to “work smarter” by being innovative and proactive. Accepts responsibility for actions. Ability to provide inspirational and motivational leadership The intent of this position description is to provide a representative summary of the major duties and responsibilities performed by staff in this job classification. Staff members may be requested to perform job related tasks other than those specified. HR/3131.doc