Associate Clinical Nurse Manager Critical Care Complex ... · PDF fileAssociate Clinical Nurse Manager Critical Care ... patient care Provide clinical and professional support to promote

Document ID: Obtain from Objective Version: 1.0

Department: Critical Care Complex Last Updated: 5/12/2016

Document Owner: Associate Clinical Nurse Manager Next Review Date: 20/06/2020

Approved by: Name of Approval Group/Committee Date First Issued: 23/6/2010

Counties Manukau Health

POSITION DESCRIPTION

Associate Clinical Nurse Manager Critical Care Complex

(ICU & HDU)

This role is considered a core children’s worker and will be subject to safety checking as part of the Vulnerable Children Act 2014

Position Holder's Name: ........................................................................ Position Holder's Signature: .................................................................. Manager/Supervisor's Name: ............................................................... Manager/Supervisor's Signature: ..........................................................

Position description: Counties Manukau Health 2


PURPOSE OF THE POSITION

This position is responsible for: - 1 The provision of co-ordination and management across the Critical Care Complex (CCC) for both Nursing and support staff by;

Providing clinical co-ordination and management of all patients across Critical Care Complex

Ensuring the effective daily operations of the Critical Care Complex; The effective management of resources Efficient management within budget Managing toward achievement of the performance objectives of Critical Care Complex Working towards achievement of the performance objectives of the Critical Care

Complex and Acute Care Service

2 Ensuring the provision of the highest quality of nursing care for patients The effective performance of this position requires each individual Associate clinical Nurse Manager (ACNM) to exhibit consistent behaviour and superior communications in carrying out this role, both within the Critical care Complex and also across the wider organisation. A collegial and strong working relationship will be required amongst all members of the clinical charge nurse/charge nurse, educator team and between the team and the Nurse Manager.

PLACE IN THE ORGANISATION

Clinical Director

Acute Care

Service Manager

Acute Care Clinical Nurse

Director

Acute Care

Nurse

Manager

CCC

Associate Clinical Nurse Manager

Critical Care

HCAs

Critical Care

Clerical and

Administrative

Staff Critical Care

RNs

Critical Care

Clinical Head

CCC


NATURE AND SCOPE OF RESPONSIBILITIES

Key Accountabilities

Standards / Achievements

To provide clinical leadership within the Critical Care Complex

Demonstrates inclusive leadership that allows collegial working relationships across the spectrum of care within CCC (ICU & HDU)

Role models effective open leadership style that demonstrates and incorporates the Counties vision and values, which will enable growth and development of the team,

Act as an effective role model by demonstrating high level of speciality clinical competence

Be responsible for the assessment, planning, coordination, implementation and evaluation of nursing care and practice within the speciality.

Maintain a global view of activity within CCC, while working closely with medical staff to ensure safe and timely delivery of patient care

Provide clinical and professional support to promote an inter-disciplinary approach to the provision of patient care, that allows for adequate preparation for admission and discharge planning

Ensure culturally appropriate patient care by assisting staff to understand the diverse needs of CMH population and by liaising with the relevant cultural unit to provide support

Develop and maintain effective networks and partnerships with other senior nurses within the wider organisation as well as within Critical Care Complex

Work with the Nurse Manager and Nurse Educator to ensure that Critical Care services are provided in a consistent and co-ordinated manner

Assume delegated responsibility for validating One-Staff timesheets and coordinate Oracle ordering as required

Use expert knowledge and skills to assist staff as needed, including ethical and professional issues as they arise

Demonstrate ability to access and use available clinical information systems

In collaboration with the quality coordinator of CCC, actively participate in implementing and monitoring continuous quality improvement activities

To provide clinical co-ordination and management within the Critical Care Complex by:

Participating in the overall Senior Nurse roster that provides clinical leadership within Critical Care Complex (ICU & HDU)

Effectively delegate activities, taking into consideration




individuals’ knowledge and skill level and monitoring their implementation. By ensuring that patient allocations is based on appropriate skill mix and experience of staff

Co-ordinate bed management, patient and staff allocation based on available staff mix ensuring clinical safety within Critical Care Complex (ICU & HDU) through the use of WIMS and working cooperatively with Middlemore Central.

Establishment and maintenance of standards of practice/protocols/policies and ensure expectations are clearly communicated to staff

o Ensure appropriate and safe arrangements are made for internal and external high acuity transfers

o Ensure medical and nursing staff adhere to Organisational and Critical Care guidelines

o Ensure staff maintain accurate and up to date documentation at all times

o Coordinate admissions in consultation with On-Call Consultant including transfer of patients to other units

o Assist and provide patient care as required

To promote and facilitate excellent Clinical Practice

Promote innovative and creative clinical nursing practice and ensure it is validated with best practise and research activities

Initiate and/or contribute to forums that critique current practice and debate topical issues

Promote a patient focussed approach implement and promote initiatives which improve patient outcomes

Promote and participate in ongoing clinical research trials and assist in audit processes

Implement and promote new ideas, protocols and initiatives that improve patient outcomes

Facilitate organ donation process in consultation with Transplant Co-ordinator

Promotion of family centred care

To ensure the maintenance of a healthy, safe and secure environment for patients and staff by:

Creating an environment where enthusiasm, trust, support and co-operation are fostered to ensure the ongoing development of a resilient team

Recognising and defusing potential conflict situations with patients, families visitors, staff and other clinical services

Supporting staff through personal situations of stress and working with staff to find appropriate resolution

Co-ordinating the process of formal and informal debriefing sessions for staff and recognising when these processes are




required

Supervising the storage and administration of controlled drugs in accordance with CMDHB policy

Having knowledge of and implementation of O.S.H. requirements

Promoting the appropriate utilisation of the CMH Incident reporting system to encourage the evaluation and improvement of care delivery in a supportive environment

Implementing and monitoring infection control policies

Undertake sick leave reviews for Registered Nurses and Health Care Assistants as per the MECA

To ensure effective communication within the Critical Care Complex and across the wider organisation through:

Adopting a customer service philosophy and promoting good public relations through positive interaction with patients, families, visitors and other health care professionals

Positively representing the Critical Care Complex and CMh within and outside the organisation

Exhibiting consistent professional behaviour and exemplary communications skills to ensure effective liaison within the Critical Care Complex environment and across the wider organisation.

To effectively manage resources within the Unit

In partnership with the Nurse Manager, is responsible for the provision of a roster with an appropriate and balanced skill mix to cover clinical workload ensuring that the reflect the unit needs and meet employment contract requirements

Promote cost effective nursing practice by proactive use of resources with the CCC

Be responsible for the daily revision of completed staff allocation plans, on daily revision of completed appropriate levels of cover and skill mix

Be responsible after hours for ensuring that OneStaff accurately reflects the current workforce rostered

Be responsible for matching workforce requirements to workload and will liaise with the Middlemore Central as required to seek assistance or deploy as appropriate

Be responsible for ensuring that all meal breaks are taken within the MECA timeframes at all times

Be responsible for ensuring the cost effective use of equipment and supplies and for ensuring that equipment/stocks/supplies are readily available and maintained, working with the Stock Controller CCC

Manage day-to-day trouble shooting/problem solving as issues arise within the shift




Participate in workforce and developmental planning and participate in staff recruitment and selection process.

To facilitate professional development of colleagues and self

Identify deficits in clinical and professional competencies of individuals and services and take appropriate action

Provide direct and/or indirect clinical support/supervision for new staff and assist with the orientation process

Promote and develop staff for succession planning in conjunction with Nurse Manager and Nurse Educators

Encourage staff to attend relevant educational and professional development activities and share knowledge gained within MECA allowances

Work collaboratively with all members of the health care team to ensure staff receive high quality educational input and support. Provide ongoing education and support to registered nurses to develop their delegation and supervisory skills

Ensure staff performance is evaluated and monitored in accordance with CMH policies by:

o assisting staff to formulate learning objectives;

o provide informal performance feedback on a regular basis;

o ensuring a formal performance planning and review process is undertaken 3 months after every employee’s commencement date and 12 monthly thereafter

Foster a reward and recognition culture that is supportive to all staff

Actively and promptly addresses any bullying or harassment issues in line with HR guidelines

Ensures that all staff are familiar with the requirements and processes for moving through the Professional Development and Recognition Programme levels in conjunction with the Nurse Educator

Develop close links with the University and Interdisciplinary staff in developing and implementing post graduate courses and in-house training

Encourage the sharing of skills and experience brought by new staff

Encourages creativity and new ideas by valuing participation from all members of the nursing team by valuing participation

Encourage staff to attend relevant educational professional development activities and share the knowledge gained

Participate in the credentialing process for clinical and non-clinical staff within the unit

Recognise the impact of information technology (IT) on the




environment and supporting staff with their IT training needs

Liaises with Nurse Educators to ensure individuals are achieving learning objectives, identifying areas of concern and formulating plans to address these

Encourage the sharing of skills and experience brought by new staff

Participate in the competency assessment process for clinical and non-clinical staff within the Critical Care Complex.

To be responsible for own professional development in consultation with the Nurse Manager, Critical Care Complex

Participating in and contributing to in-service programmes and facilities specific educational focus groups

Undertaking relevant personal and professional development by attending educational programmes intended to maintain and extend leadership skills and knowledge

Maintaining and updating own clinical speciality knowledge by attending relevant educational programmes and maintain currency with own professional development process

Attending conferences relevant to the role and scope of practice and use this knowledge to improve nursing standards

Actively participating in relevant professional organisations

Maintaining ability to provide direct patient care within the Level III Intensive Care Unit/HDU and specialist burns / Spinal centre

Cultural Safety & Diversity Commitment to the principles of Treaty of Waitangi

Honouring Diversity

Respect, sensitivity, cultural awareness is evident in interpersonal relationships.

Our differences are acknowledged by respecting spiritual beliefs, cultural practices and lifestyle choices.




Utilise Information Technology

Demonstrate ability to access and use available clinical information systems.

Is conversant with applications required for specific discipline/role. For example, i.PM, Concerto, Outlook, etc.

Maintains own professional development by attending relevant IT educational programmes.

Ensures that any technology utilised adheres to the social media, code of ethics and conduct of conduct policies

Proactively embraces e-technology

All CM Health Managers are responsible to Work safe Act:

Zero harm

Risk management

Safety Management System Requirements

Work safely

Engage in safe workplace practices and manage the health and safety of your employees and other people in the workplace

Engage in safe work practices

Ensure all Incidents involving staff are reported, investigated and any corrective actions are completed and closed off when completed in the Incident reporting system in line with CM Health Policies and Procedures

Ensure all corrective activities are completed and controls are reviewed after incidents

Ensure all staff are Inducted/Oriented to the division/service/work area and recorded in the OneStaff database and participate in Occupational Health and Safety matters

Manage all hazards, risks and incidents in the workplace by identifying, evaluating, reporting and controlling them effectively by maintaining a Hazard and Risk Register that is reviewed and kept up to date on an ongoing basis

Stop work where there is an immediate risk of serious harm and escalate to the appropriate manager

Maintain Occupational Health of employees due to workplace hazardous exposures

Ensure you and the employees understand and follow CM Health’s Occupational Health and Safety policies and Health and Safety regulations, what your responsibilities are under the policies and implement these requirements effectively into your work area

Manage the work area’s risk profile and how these relate to the corporate risk profile and implement and resource mitigation controls

Engage your employees to participate in Occupational Health and Safety matter




Report for duty in a fit state, free from the influence of alcohol or other drugs

Provide and wear the necessary Personal Protective Equipment for yourself and your staff when undertaking specific activities, or when in nominated areas

Ensure procedures are in place for clinical and plant equipment to be operated safely

Participate in relevant safety training, manage and maintain safety related competencies for yourself and your employees

Be in possession of required and current Certificates of Competency (If relevant to your position)

COMMUNICATION AND INTERPERSONAL SKILLS

Will be required to interact on a regular basis with a range of Counties Manukau Health staff members including:

Clinical Head CCC

Consultant Intensivist team

Clinical Nurse Director – Acute Care

Medical Staff – CCC and others

Nurse Practitioner – Intensive Care/ PAR

Nurse Educators CCC

Clinical Resources Nurses (PAR)

CCC Quality Coordinator

Nursing Staff and Health Care Assistants

Professional Development Unit based in Ko Awatea

Theatre staff

Radiology, Special Procedure x-ray

Pharmacy

Middlemore Central

Clerical staff

Bereavement Care

Cultural Resource Unit – Maori and Pacific Island

Burns Team

Play Therapist

Biomedical Engineering

Laboratory

Security Services

Infection Control

Service Manager Acute Care

General Manager, Surgical Services

Allied health professional


Social Worker

Occupational Health and Safety Unit

Mental Health liaisons

Auckland Regional Spinal Unit Externally there will be contact with:

Other Intensive Care Units around New Zealand

Professional Organisations

Other health care providers

Professional training and educational providers

Organ donation coordinator

Police

Media – in conjunction with the CMH media policy

Ambulance staff

Patients, families and whanau

Clinical Trial group – research projects 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 ACNM will be regularly challenged by problems of a varied nature on a day-to-day basis within

their clinical area. These may include problems related to a wide variety of issues across/within

the Critical Care Unit and will require communication, negotiation and collaboration with

nursing/midwifery/medical colleagues and a range of other clinical and non-clinical staff. The

ACNM will be expected to actively contribute (as part of the CCC Management Team) to ongoing

planning and practice development.

A key function of the ACNM will be the day-to-day co-ordination and management of safe levels of

staffing/skill mix and bed management during her/his shift. In consultation with the Senior

Medical Staff and senior and nursing colleagues, the ACNM may limit planned and/or pending

admissions as per agreed protocol or guidelines.

Will be regularly challenged by a wide range of clinical and workforce issues. There will be a requirement to be able to prioritise issues and negotiate time frames, while still providing a quality customer service. 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 staff and safety. SCOPE FOR ACTION The ACNM will be empowered to make decisions related to their specific clinical area and staff.

Recommendations related to service decisions will be made in collaboration with the Nurse

Manager, CCC, Clinical Leader, and Clinical Nurse Director.

The ACNM is expected to use problem-solving skills to develop innovative approaches to issues on

a day-to -day basis and recommend strategies and solutions for ongoing practice development.

Problem solving will require prioritising and negotiating timeframes while still providing a quality

customer driven service. Consultation will be required across the service and division and be

related to both clinical and professional domains.

Discretion is required to be exercised in releasing confidential information to the appropriate parties.

DIMENSION OF THE POSITION

Will be responsible to the Nurse Manager, CCC for the achievement of agreed objectives and

operates within the confines of Counties Manukau Health. For additional professional support a

reporting line is to the Clinical Nurse Director.

POSITIONS REPORTING IN THIS ROLE (numbers)

Directly (numbers) : RNs, HCAs Indirectly (numbers) : Clerical staff , Students


PERSON SPECIFICATIONS (requirements for the role)

Minimum Preferred

Qualifications

Current NZ RN Annual practicing certificate

Post Graduate Certificate with ongoing commitment to education

Masters level qualification in speciality

Experience (including years)

A minimum of 3 years recent clinical experience in area of practice

Functioning at a minimum of proficient level on the PDRP

The ability to work independently and be a member of a team

Knowledge of current issues within nursing and in their speciality area

Basic knowledge and understanding of medico/legal and ethical responsibilities

Demonstrated experience in effective leadership including mentorship, conflict resolution and negotiation skills

Previous leadership role

Expert portfolio

Skills/Knowledge/ Behaviour

Experience in problem solving, Clinical Co-ordination, priority setting and planning

Ability to self-evaluate and reflect on practice

Ability to lead a team and enable excellence in professional practice

Teaching or research skills

Personal and Professional Qualities

A strong patient focus

A strong commitment and genuine interest in quality and customer service

A capacity to demonstrate strong clinical leadership

A commitment to the development of the nursing profession within Counties Manukau

The ability to communicate effectively with all levels of staff

Demonstrated ability in the development and management of staff

Evidence of successful quality initiative/improvement


and develop relevant networks

A commitment to cultural awareness and its applications to nursing practice

Active involvement in relevant professional/other organisations

Documents

Associate Clinical Nurse Manager Critical Care Complex ... · PDF fileAssociate Clinical Nurse Manager Critical Care ... patient care Provide clinical and professional support to promote