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Mona Vale Hospital Reconfiguration as
Urgent Care Centre Dear Member, Attached is correspondence the HSU has received from Northern Sydney Local Health District regarding the proposed reconfiguration of Mona Vale Hospital as an Urgent Care Centre. Member feedback requested The HSU industrial team is currently reviewing the potential impacts of the proposed restructure upon affected employees. We are now seeking feedback, views and comments from our members. Please review the attached documentation and provide comment and feedback by close of business 4 July 2018. You can submit it by email to [email protected] with subject line Mona Vale Reconfiguration. HSU organiser and sub-branch involvement Your HSU organiser Brendan Roberts will be visiting your workplace shortly and convening a meeting to discuss the matter with affected employees. The HSU is also seeking expressions of interest from members to be part of the consultative process as a workplace delegate in any upcoming USCC meetings regarding this proposal. The most effective way to deal with these kinds of proposals is by taking into account the concerns of the group, agreeing on a way forward and presenting that united position to management. Please distribute this newsletter to your work colleagues for their information and comments and encourage them to attend the meeting. Not a member of the HSU? Now is time to join and have your say! You can join online at www.hsu.asn.au/join or call 1300 HSU NSW and join over the phone. A union’s effectiveness and negotiation power depends upon the strength and density of its membership base. Join your work colleagues today by becoming a member of the Health Services Union and help us continue to protect and improve your working life. In unity,
Gerard Hayes Secretary, HSU NSW/ACT/QLD
Newsletter: 338/2018 Date: 21 June 2018
Distribution: Mona Vale members Contact: Your HSU Organiser
Northern Beaches Health Service Redevelopment – Consultation Document v.1 Page 1
Northern Sydney Local Health District
Northern Beaches Health Service Redevelopment
Reconfiguration of Mona Vale Hospital for Future Services - Workforce
Urgent Care Centre
CONSULTATION PAPER
24 May 2018 Version 1
Northern Beaches Health Service Redevelopment – Consultation Document v.1 Page 2
1. Introduction The purpose of this document is to provide information and create an opportunity for consultation with corporate and clinical support staff members of the Northern Sydney Local Heath District (NSLHD) at Mona Vale Hospital (MVH) about an organisational structure for the reconfiguration of Mona Vale Hospital after the opening of the Northern Beaches Hospital (NBH) in late October 2018.
2. Background Staff currently employed in acute services at MVH will transition to the NBH on 31 October 2018. 26.5 FTE of medical, nursing, allied health and clerical will be required for the Urgent Care Centre. This paper relates to the Urgent Care Centre staffing.
Clinical staff employed in Assessment and Rehabilitation Unit (ARU), Beachside Rehabilitation Unit (BRU) and Mona Vale Community Health Centre (MVCHC) are not part of a transferring function to the NBH and were not eligible to participate in the EOI process for positions at the Northern Beaches Hospital. These staff will continue to be employed by NSW Health/NSLHD and remain working on the MVH site.
Corporate and Support services will require 48.70 FTE to remain at MVH. Clinical support services will require approximately 11 FTE, (pharmacy, medical imaging and pathology) to remain at MVH.
A determination about which Urgent Care Centre staff will remain at MVH will be undertaken via an expression of interest/restructure process which includes only relevant staff currently working at MVH in the first Stage. This will be broadened out to Manly Hospital staff in Stage 2 and further beyond that, if required. This process is being completed concurrently with expression of interest process for positions at the NBH and Corporate and Support Services at MVH.
3. Service Description As part of the Northern Beaches Health Service redevelopment, all acute clinical services will transfer from MVH to Northern Beaches Hospital (NBH) and MVH will cease acute services delivery from 31 October 2018. MVH will have a rehabilitation, aged care and palliative care focus. The existing 56 inpatient rehabilitation beds will remain on site, together with community palliative care services. The Community Health Centre which was constructed in 2016 will remain on site. There is also a commitment to provide new services on site including 10 bed inpatient palliative care unit, 10 bed geriatric and evaluation management unit and an Urgent Care Centre. The Urgent Care Centre (UCC) will be a new patient care service that aims to meet the needs of people with minor injury or minor illness in an efficient, convenient and timely manner. The UCC will provide an alternative treatment approach for low complexity patients who would ordinarily present to the emergency departments (ED). The service will be 24/7 in the first 12 months with a plan to conduct an utilisation review to determine usage/demand. As an interim measure, office space and clinical space in the current ED footprint will be refurbished to provide consulting rooms and reception to be ready to operate 1 November 2018. A purpose built UCC will be commissioned in the first quarter of 2019 in the vacated ED. Patients who access the service will:
• Be ambulant or assisted by family/carer vehicle • Not require admission to a hospital • Generally be local to the Northern Beaches or visiting the area • Present with non-complex/low acuity illness or minor injury/trauma (i.e. similar to those attending
a GP) • Be of all age groups • Be provided with basic resuscitation and limited stabilisation prior to transfer to NBH or other
hospital if they present and require higher acuity care
Northern Beaches Health Service Redevelopment – Consultation Document v.1 Page 3
It is estimated that the UCC will have between 10 000 and 13 000 presentations per annum (35 presentations per day).
4. Aim The aim is to have the UCC operate as a senior doctor-lead, primary health centre to assist with the management of staff who would otherwise present to an acute facility ED.
5. Objectives The key objectives of the structure are:
• to implement an efficient and effective workforce structure to support 24/7 coverage • to ensure the right staff with the right skills are available to perform the required tasks • to effectively manage the high number of minor sporting injuries seen at Mona Vale Hospital
currently • to provide sufficient clerical support for clinical staff seven days per week
6. Consultation previously undertaken
The reconfiguration of MVH has been subject to discussion at the Union specific consultation committee meetings held every two months regarding the NBH Redevelopment. The model for the UCC and proposed staffing levels have now been finalised by NSLHD and therefore further consultation with industrial organisations is being undertaken.
7. Strengths of proposed structure The strengths of the proposed structure:
• The model being proposed supports an in-house doctor-lead service that will be receptive to local community needs
8. Positions in the UCC structure
Position Title Grade FTE
Career Medical Officer (CMO)
9.9
Registered Nurse Registered Nurse 10.6 Physiotherapist Physiotherapist Level 4 1.5 Administration Officer Administration Officer 3 4.5 Total 26.5
9. Key Services
9.1 Medical The medical staffing model will provide for two CMOs working from 0800-1800 and two from 1300 to 2300. An on-site CMO will be ‘on call’ from 2300-0800 hours. Each CMO will see approximately 8-9 patients per shift. 9.2 Nursing The nursing staffing profile will provide two Registered Nurses on duty per shift 24/7. 9.3 Allied Health The allied health staffing profile will provide one physiotherapist seven days per week, with weekend shifts from 1000 to 1830 (to accommodate the number minor sporting injuries presenting to Mona Vale Hospital currently). 9.4 Administration The administration staffing profile will provide for administration support from 0800 – 2300, seven days per week. 9.5 Other Services: 9.5.1 Pharmacy – Pharmacy services will be provided to the UCC as part of the site-wide service provision model. The proposed Pharmacy services will be provided by ‘hub and spoke’ model with the ‘hub’ at Hornsby and the ‘spoke’ at Mona Vale. Staffing profile:
Northern Beaches Health Service Redevelopment – Consultation Document v.1 Page 4
Pharmacy Pharmacist Grade 2 Year 3 2.50 Pharmacy Technician Grade 2 1.00
There should be minimal pharmacy required by the UCC. Initial doses of some drugs will be provided e.g. antibiotics but ongoing pharmacy requirements will be facilitated via a prescription to be filled at a community pharmacy 9.5.2 Medical Imaging – On site Medical Imaging will be provided to UCC patients. The Medical Imaging service will be provided by NSLHD Medical Imaging Business Unit. The proposed staffing profile:
Radiographer, 0800-1600, Mon-Fri 1.10 Radiographer, 1200-2000, Mon-Fri 1.10 Radiographer, 0900-1700, Sat & Sun 0.42 Assistant in Nursing, 0900-1700, Mon-Sun 1.42
9.5.3 Pathology – Limited pathology services will be provided on site at Mona Vale Hospital to the UCC 9.5.4 Sterilising Services –Disposable products will be used where possible. It is proposed that any equipment requiring sterilising will be contracted to NBH (under negotiation). 9.5.5 ICT Services - ICT services will be provided by NSLHD via base at Brookvale CHC.
10. Implementation / change management plan
• MVH has sought the assistance of Human Resources to implement this proposed structure and all new roles have had new position descriptions created
• In consultation with the NSLHD, Workforce and NSW Ministry of Health (MoH) guidelines for restructures, positions will initially be advertised internally via Expression of Interest (EOI) at Mona Vale Hospital, and if suitable candidates cannot be appointed then advertising will be further extended to employees at Manly Hospital and then to the rest of the NSLHD.
11. Proposed Structure
See Appendix 1
12. The Consultation Process In accordance with the Restructuring in Northern Sydney Local Health District Procedure (PR2014_016) the consultation period with key stakeholders will commence on 12 June 2018 and will conclude on 22 June 2018 (close of business). If you wish to provide any feedback, issue or concerns on the proposed structure please contact Christine Tait Lees, A/Human Resources Manager on telephone 0430 375 330 or email [email protected]
APPENDIX 1: MONA VALE HOSPITAL – Organisational Chart
June 2018
Deputy Director Nursing
• Finance and Performance • ICT • Workforce • WHS • HIS • Clinical Technology Service • Librarian • Clinical Technology • Medical Imaging • Pharmacy
General Manager
Mona Vale Hospital
• Nursing • Admissions • Multicultural Access • Standards of Professional Nursing
Practice • Nursing Education • Kiosk • Volunteers • Urgent Care Centre • Rehabilitation Wards
• JMO Coordinators • Education Support
Officer
Manager Facilities
Manager Quality & Safety
Director of Nursing
• Engineering and Maintenance
• Fire Safety • Security • Contract Management • Brookvale CHC • Dalwood • Hydrotherapy
• Accreditation • Complaints
Management • Community
Participation • RCAs
Manager Junior Medical
Officer Unit
*NSLHD In-reach
Services
• After Hours Nurse Managers • Wardspersons • Patient Flow • Clinical Redesign • Wound Care • Infection Control • Disaster Management
Environmental Services
Supervisor
• Linen • Waste
Management • Food Services • Cleaning • Fleet
* NSLHD services provided to Mona Vale Hospital
POSITION DESCRIPTION
POSITION TITLE NSLHD – Administration Officer (Level 3)
STAFFLINK POSITION NO.
COST CENTRE
CLASSIFICATION Admin Off Lvl 3
AWARD Health Employees Administrative Staff (State) Award
REGISTRATION/LICENCE REQUIREMENTS
Not Applicable
VACCINATION CATEGORY
Category B
PRE-EMPLOYMENT SCREENING CHECKS
National Criminal Record Check
RESPONSIBLE TO Operationally: Director of Nursing
RESPONSIBLE FOR
PRIMARY PURPOSE OF THE ROLE
The Administration Officer provides a comprehensive range of administration support and customer service to the staff and customers of NSLHD, in the pursuit of unit and department outcomes.
KEY ACCOUNTABILITIES (Maximum of 8)
Level Specific Responsibilities As part of the normal duties, the Administration Officer will partake in the decision making of the day to day operational matters and assist more senior officers in complex tasks or projects. The Administration Officer will perform work under broad supervision and require some independent action. Scope exists in regards to the incumbent exercising initiative in the application of established work practices and procedures. The Administration Officer is required to carry out routine pay office duties involving the calculation of employee pays and entitlements together with provision of direct advice on pay and conditions to employees.
Responsible for the efficient clerical operation of the Urgent Care Centre Reception and updating of all personal information. Registering patients as required ensuring the correct identification from patients and obtaining any other relevant information, date of birth; if possible obtain two contact names (NOK and Emergency) and phone numbers, country of birth, religion and if interpreter required etc. Responsible for identifying Medicare Ineligible patients according to NSLHD Policy. Ensure Clerical work station is kept tidy and organised
Education, Training and Research The Administration Officer will maintain an up-to-date knowledge of clinical service delivery whilst preserving professional competency standards and ethics. The Administration Officer will complete all mandatory training and attend any lectures, tutorials, programs and development activities that management deems necessary. Part of the responsibility of the Administration Officer is to assist with the education and training of staff within the unit. The incumbent must develop and
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maintain a continuous program of self-improvement in conjunction with the Head of Department.
Information Management It is the responsibility of the Administration Officer to comply with and maintain access to relevant data bases and information systems. The incumbent must check their work email on a daily basis and reply to queries in a timely fashion.Safe Practice and Environment. The Administration Officer will work according to the Departmental safe work methods and guidelines. The incumbent must adhere to all NSWHealth and NSLHD Policies and Procedures.
Work Health Safety You must take all reasonable care for yourself and others and comply with any reasonable instruction, policies and procedures relating to work health safety and wellbeing.
KEY CHALLENGES (Maximum of 3)
Managing a varied and busy workload with competing demands and priorities Ensuring appropriate communication within a fast pace environment. Working autonomously to resolve issues that arise and ensure escalation.
KEY INTERNAL RELATIONSHIPS (Maximum of 3)
WHO WHY
Management To report on day to day tasks and any issues.
Relevant NSLHD Department
Communication purposes, to ensure a high level of service.
Administration Staff Communication purposes, to ensure a high level of service.
Patients, Carers, Visitors and Staff To build a friendly rapport.
External Service Providers To share information.
KEY EXTERNAL RELATIONSHIPS (Maximum of 3)
WHO WHY
SELECTION CRITERIA (Minimum of 3 maximum of 8)
Consistently demonstrates behaviours that reinforce the CORE Values of our organisation; Collaboration, Openness, Respect and Empowerment. Demonstrates these behaviours with all stakeholders; colleagues, direct reports, as well as our patients and consumers, and those that care for them.
Highly professional phone manner and excellent communication and interpersonal skills. Ability to be self-motivated with good time management skills. Excellent oral and written communication skills.
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Well-developed computer skills including accurate data entry skills. Demonstrated flexibility with work duties and location. Managing a varied and busy workload with competing demands and priorities. Ensuring appropriate communication within a fast pace environment.
Working autonomously to resolve issues that arise and ensure escalation
POSITION DESCRIPTION
POSITION TITLE NSLHD – Primary Contact Physiotherapist
STAFFLINK POSITION NO.
60555
COST CENTRE
CLASSIFICATION Level 4 Senior Primary Contact Physiotherapist
AWARD NSW Health Service Health Professionals (STATE) Award
REGISTRATION/LICENCE REQUIREMENTS
AHPRA - Physiotherapist
VACCINATION CATEGORY
Category A
PRE-EMPLOYMENT SCREENING CHECKS
Working with Children and Aged Care Check
RESPONSIBLE TO Operationally: TBC Professionally: TBC
RESPONSIBLE FOR
PRIMARY PURPOSE OF THE ROLE
The occupant of this position is responsible for providing a primary contact physiotherapy service to the Emergency Department (including EDSSU) of Hornsby Hospital for a period of 13 weeks over winter 2016 working Fridays to Sundays 10am to 8pm and Mondays 8am to 430pm. The position involves carrying an advanced practice clinical load, the provision of clinical supervision to junior staff working in emergency (including physiotherapists) and the provision of education & training to medical, nursing & allied health staff.
KEY ACCOUNTABILITIES (Maximum of 8)
PROVISION AND DELIVERY OF CLINICAL CARE
General
Provide primary contact specialist musculoskeletal physiotherapy service (collaborative model of care) for the independent diagnosis, management, and discharge of clients presenting to the Department of Emergency Medicine, utilising expert Physiotherapy clinical knowledge, skills and critical reasoning based on high level clinical evidence and professional development to facilitate novel solutions to complex clinical problems across the continuum of care.
Identify patients suitable for Physiotherapy through consultation with ED/EDSSU medical officers and nursing practitioners and by independently screening patients in triage.
The scope of the role would include assessment and management of: o Musculoskeletal injuries with minor skin tear/abrasions, o Simple and complex casting and plastering o Ordering xrays (Nb. Collaborative review of xray with medical
staff) o Isolated soft tissue injuries such as joint, ligament, tendon or
muscle pain Lumbar, thoracic and cervical spine pain with
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definite non-traumatic mechanism of injury and without neurological change or suspected fracture
o Closed peripheral fractures which do not require manipulation or orthopaedic fixation,
o Spontaneously reduced joint dislocations without evidence of fracture.
Completion of discharge summaries with medical sign off. Providing a secondary Physiotherapy role in ED/ EDSSU by early
assessment, treatment and planning of patients who require Physiotherapy care, particularly with the geriatric population, high falls risk and stroke patients.
Where appropriate order and interpret x-rays of the periphery Ensure the accuracy of X-ray interpretation through consultation with
senior medical officers. Obtain consultations from plastic, orthopaedic or surgical teams as
necessary Prescribe and utilise mobility aids, equipment and appliances as
required. Provide leadership, direction and change management skills in the
development and implementation the Advanced Scope Physiotherapist in ED.
Carry an advanced practice clinical caseload and be responsible for delivering the highest quality care to the Emergency Department of Hornsby Hospital.
Use clinical knowledge and skills to perform a comprehensive assessment of each patient.
Plan and implement appropriate treatments based on assessment findings.
Ensure planning of care involves the patient and the attending senior emergency medical officer, with appropriate preparation for discharge and referral to other services.
Supervise, instruct, demonstrate and assist patients in the performance of prescribed exercises, movements and activities.
Observe the patient’s condition and progress, and report as necessary to appropriate medical officers.
Liaise with physiotherapists in other clinical areas/ facilities as required. Liaise with other members of the multidisciplinary team in order to
provide optimal patient care. Instruct patients, relatives and carers in relevant physiotherapy goals,
objectives and treatment plans Where appropriate, issue sick leave certificates on discharge as per
Emergency guidelines Act as a consultant to junior staff on the physiotherapy management of
complex/ difficult patients in the Emergency Department setting. Efficiently manage a busy patient caseload by effectively prioritising
patients according to clinical need. Investigate all complaints in conjunction with Level 5 Team Leader
relating to Emergency Department Physiotherapy Service and take steps
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to rectify and prevent further problems. Act as an appropriate and effective role model and promote a culture
and supporting practices that reflect the organisational values through demonstrated behaviours and interactions with patients/clients and employees
Maintain strict confidentiality in relation to patient/client matters Actively place the patient/client at the centre of all plans and decisions
regarding therapy Attend the 4pm (Fri- Sun) and 8am (Mon) medical ward rounds and other
handovers as appropriate. Ensure handovers are completed at beginning and end of working week.
CLINICAL GOVERNANCE
Comply with and abide by the principles within the NSW Health Code of Conduct
Perform all delegated tasks appropriately and in line with qualifications, skills and competencies
Ensure that all patients provide consent to their treatment Respect patient/client rights and support their engagement in their care Ensure that patient safety and quality incidents or complaints are
reported Promote and uphold the values and behaviours described within the
NSLHD Values and Behaviours Charter Comply with state and local policies, procedures and guidelines relevant
to role
SAFETY STANDARDS OF CARE
Ensure patient identification is verified (utilising at least three approved patient identifiers) at each step in their journey and prior to the treatment commencing
Monitor and report changes in the patient/client health status to the treating team including falls and pressure injury prevention strategies and deterioration of patient
Ensure infection control standards are adhered to during the treatment of patients/clients, in the preparation of the area and the cleaning of equipment between patients
Assist with cleaning, storage and general maintenance of equipment and resources
Keep therapy and storage areas tidy and organised
PROFESSIONAL, RESEARCH AND PRACTICE DEVELOPMENT
Maintain responsibility for personal and professional development by participating in supervision, training/education activities and performance reviews/appraisals in order to continuously improve the level of service provided to patients/clients
Participate in departmental staff meetings and other meetings relevant to the position
Attend annual mandatory training Maintain a professional portfolio
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SUPERVISION
Method
NSLHD Allied Health Supervision Policy Receipt of
Maintain responsibility for personal and professional development by actively participating in clinical supervision including:
Preparing for supervision Monitoring and evaluating own work Reflecting on own work Applying learning from supervision to own work Direct supervision by Team Leader Physiotherapist Provision of
Provide Direct supervision of physiotherapists working in ED and EDSSU Participate in recruitment panels for Level 1 / 2 / 3 as requested. Assist in the clinical orientation of Level 1 / 2 / 3 Contribute to undergraduate and work experience student placement
options on a regular basis.
QUALITY
Provide high level expertise and clinical leadership in the development of clinical practices, competencies, procedures and protocols that support the continuum of care engaging cross-discipline referencing, and integration of post-graduate professional development, best practice and clinical evidence, within the areas of Musculoskeletal and Emergency Medicine Physiotherapy.
Implement, clinically manage and evaluate quality, professional competence, research and service improvement activities including clinical data collection and monitoring of the service.
Identify and report areas to service managers where improvements in process efficiency could be made
Collect and report on KPI’s listed below Develop and monitor business rules and work flows for the management
of high risk presentations in consultation with ED/EDSSU medical and nursing staff
Identify, develop, provide, evaluate and co-ordinate expert training and guidance, succession planning and development opportunities for less experienced and advanced level physiotherapists, medical staff, nursing staff, and members of the multidisciplinary team in the areas of Musculoskeletal and Emergency Medicine Physiotherapy.
Provide a high level of customer service to the patient/client May also conduct clinical research Provide expert contribution to the professional body of knowledge
influencing National service delivery and education of Advanced Scope of Practice Physiotherapists in Hospital Emergency Departments (ED).
Conduct regular clinical education sessions for junior physiotherapy staff and students
Provide continuing education and support in musculoskeletal injury management to Emergency Department medical and nursing staff.
Provide continuing education and support in casting, splinting and taping
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techniques for Emergency Department staff
WORK, HEALTH & SAFETY
Comply with LHD work health and safety policies and procedures including manual handling, infection control, emergency procedures and the reporting of identified hazards
Be familiar with safety and emergency procedures including fire, bomb threat, internal and external disasters, personal threat and medical emergency
Report unsafe working conditions or potential workplace hazards to the work health and safety representative for correction
Maintain a clean and safe work environment for self and patients/clients Take reasonable care for your own health and safety and take reasonable
care to ensure that your acts or omissions do not adversely affect the health and safety of others.
INFORMATION MANAGEMENT
Document treatment in the patient medical records (Firstnet), in accordance with Ministry of Health Policy Directive - Health Care Records - Documentation & Management (PD2012_69)
Complete daily workload statistics in eMR via the Physiotherapy Service Contact Form
Undertake administrative duties as required for example, filing, preparing materials and computer tasks
Maintain strict confidentiality of all work matters of a sensitive nature and ensure appropriate security of documents and files.
Use only the computer software supplied and not load other software onto computers owned by NSLHD.
Ensure that accurate reports, records and client/activity statistics are maintained and reporting deadlines met.
PERFORMANCE INDICATORS
Number of PCP-type patients treated in per shift
Time to patient treatment by PCP from triage or registration - (focusing on cat 4 and 5)
Time to PCP-type patient discharge following triage or registration (benchmark is 4 hours)
Number of patients assessed, treated and discharged within 4 hours
ED Staff satisfaction survey
Patient satisfaction survey post discharge via a follow up phone call
Number of incidents/complaints/compliments
Number of referrals into the community (e.g Physio RDT), etc to show improved continuum of care
Turn around times for treatment of admitted patients, especially patients presenting with falls or patients >65 years with the aim of demonstrating
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decreased length of stay and improved outcomes as commenced the planning process in ED as opposed to when they reach the ward.
Documented evidence of regular formal supervision sessions
Demonstrated commitment to ongoing professional development as evidenced by:
o Annual performance appraisal Recent records of formal and informal learning relevant to the position
KEY CHALLENGES (Maximum of 3)
Providing a timely patient focussed service in a high patient turnover environment with competing service demands requiring the ability to organise and prioritise workload and time
Diverse activities and key accountabilities requiring the ability to work as a member of a team
Working around people who may display aggressive, distressed or unpredictable behaviour Maintaining professional boundaries when responding appropriately to patient/client and family/carer expectations
Maintaining professional boundaries when responding appropriately to patient/client and family/carer expectations
KEY INTERNAL RELATIONSHIPS (Maximum of 3)
WHO WHY
Medical Officers, Nurse Practioners, Physiotherapists, Other ED/EDSSU Staff and broader multidisciplinary teams
Communicate effectively with medical officers, nurse practitioners, physiotherapists, other ED/EDSSU Staff and broader multidisciplinary team throughout the hospital and RDT regarding patient/client function and status, program implementation, progress, evaluation and future direction
Provide accurate, clear and concise written and verbal feedback regarding individual patients to appropriate team members
Patients
Develop and maintain effective communication facilitating two-way communication with patients
Employ excellent communication skills both verbal and written
KEY EXTERNAL RELATIONSHIPS (Maximum of 3)
WHO WHY
Patients/Clients, carers and relatives, external referring organisations, GPs and suppliers.
Communicate with patients/clients, carers and relatives, external referring organisations, GPs and suppliers.
SELECTION CRITERIA (Minimum of 3 maximum of 8)
Consistently demonstrates behaviours that reinforce the CORE Values of our organisation; Collaboration, Openness, Respect and Empowerment. Demonstrates these behaviours with all stakeholders; colleagues, direct reports, as well as our patients and consumers, and those that care for them.
Demonstrated current and substantial clinical knowledge of orthopaedic and
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musculoskeletal Physiotherapy and a high level of contemporary intervention physiotherapy skills. Must have experience at a minimum Level 2. Demonstrated ability to deliver patient education in a variety of settings (including group sessions), experience acting as a resource to other staff through provision of information, advice or an opinion. Knowledge and clinical expertise in casting, splinting and the physiotherapy management of patients with hand injuries/ disorders
Demonstrated effective interpersonal, written and verbal communication skills with the ability to communicate across all levels with internal and external stakeholders Capacity to provide staff supervision, clinical and service consultation. Previous experience is preferred. Demonstrated experience in leading and conducting program development, quality improvement activities and professional education. Demonstrated ability to prioritise workload, meet deadlines and complete activities (including ability to work within scope of practice and seek assistance when required) and demonstrated computer literacy skills and knowledge of Microsoft Office and email applications
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JOB DEMANDS CHECKLIST
The purpose of this checklist is to manage the risk associated with the position in relation to the occupant. It may be used to provide information about the position to a Health Professional required to perform a pre-employment medical assessment. Identification of possible risk can also assist with the development of a training plan for the occupant to ensure the risks are minimised.
Each position should be assessed at the site as to the incumbent’s (or future incumbent’s) OHS responsibilities specific to the position. This form is to be completed in consultation with the manager/supervisor of the position being recruited for.
Infrequent: intermittent activity exists for a short time on a very infrequent basis Occasional: activity exists up to 1/3 of the time when performing the job Frequent: activity exists between 1/3 and 2/3 of the time when performing the job Constant: activity exists for more than 2/3 or the time when performing the job Repetitive: activity involved repetitive movements Not Applicable: activity is not required to perform the job
Physical Demands Frequency
Sitting - remaining in a seated position to perform tasks Frequent
Standing - remaining standing without moving about to perform tasks Frequent
Walking - Floor type: even / uneven / slippery, indoors / outdoors, slopes Frequent
Running - Floor type: even / uneven / slippery, indoors / outdoors, slopes Occasional
Bend/Lean Forward from Waist - Forward bending from the waist to perform tasks Constant
Trunk Twisting - Turning from the waist while sitting or standing to perform tasks Frequent
Kneeling - remaining in a kneeling posture to perform tasks Frequent
Squatting / Crouching - Adopting a squatting or crouching posture to perform tasks Frequent
Leg / Foot Movement - Use of leg and / or foot to operate machinery Not applicable
Climbing (stairs/ladders) - Ascend / descend stairs, ladders, steps Frequent
Lifting / Carrying - Light lifting & carrying: 0 - 9 kg Frequent
Lifting / Carrying - Moderate lifting & carrying: 10 - 15 kg Frequent
Lifting / Carrying - Heavy lifting & carrying: 16kg & above Frequent
Reaching - Arms fully extended forward or raised above shoulder Frequent
Pushing / Pulling / Restraining - Using force to hold / restrain or move objects toward or away from the body
Constant
Head / Neck Postures - Holding head in a position other than neutral (facing forward) Constant
Hand & Arm Movements - Repetitive movements of hands and arms Constant
Grasping / Fine Manipulation - Gripping, holding, clasping with fingers or hands Constant
Work At Heights - Using ladders, footstools, scaffolding, or other objects to perform work
Not applicable
Driving - Operating any motor powered vehicle Infrequent
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Sensory Demands Frequency
Sight - Use of sight is an integral part of work performance e.g. Viewing of X-Rays, computer screens
Constant
Hearing - Use of hearing is an integral part of work performance e.g. Telephone enquiries
Frequent
Smell - Use of smell is an integral part of work performance e.g. Working with chemicals Infrequent
Taste - Use of taste is an integral part of work performance e.g. Food preparation Not applicable
Touch - Use of touch is an integral part of work performance Repetitive
Psychosocial Demands Frequency
Distressed People - e.g. Emergency or grief situations Repetitive
Aggressive & Uncooperative People - e.g. drug / alcohol, dementia, mental illness Repetitive
Unpredictable People – eg dementia, mental illness, head injuries Repetitive
Restraining - involvement in physical containment of patients / clients Constant
Exposure to Distressing Situations - e.g. Child abuse, viewing dead / mutilated bodies Occasional
Environmental Demands Frequency
Dust - Exposure to atmospheric dust Occasional
Gases - Working with explosive or flammable gases requiring precautionary measures Not applicable
Fumes - Exposure to noxious or toxic fumes Not applicable
Liquids - Working with corrosive, toxic or poisonous liquids or chemicals requiring PPE Not applicable
Hazardous substances - e.g. Dry chemicals, glues Occasional
Noise - Environmental / background noise necessitates people raise their voice to be heard
Frequent
Inadequate Lighting - Risk of trips, falls or eyestrain Occasional
Sunlight - Risk of sunburn exists from spending more than 10 minutes per day in sunlight Infrequent
Extreme Temperatures - Environmental temperatures are less than 15C or more than 35C
Infrequent
Confined Spaces - areas where only one egress (escape route) exists Infrequent
Slippery or Uneven Surfaces - Greasy or wet floor surfaces, ramps, uneven ground Infrequent
Inadequate Housekeeping - Obstructions to walkways and work areas cause trips and falls
Infrequent
Working At Heights - Ladders / stepladders / scaffolding are required to perform tasks Not applicable
Biological Hazards - e.g. exposure to body fluids, bacteria, infectious diseases Frequent
Position Description– Urgent Care Centre CMO
Position Number:
Position Title: Career Medical Officer – Urgent Care Centre
Cost Centre:
Organisation: Northern Sydney Local Health District
Geographical Locations/Suburbs:
Coronation Street, Mona Vale NSW 2103
Facilities/Hospitals: Mona Vale Hospital
Multiple Awards? Y/N
No
Award Grouping(s): Career Medical Officers (State) Award
Classification(s): Career Medical Officer CMON 101 - 204
Registration/Licence Requirements
Registration or registrable with the Medical Board of Australia
Specialty Coding - MEDICAL:
Professional Category Primary Function Client Group Speciality Code
Medical Basic training med / other Advanced / Comb Training
medicine / other Paed - Adv/Combined Training Medicine / Other Paed & Child Health Surgery - Basic Training Surgery - Advanced Training Surgery - Other Un-streamed
Adult Paediatric Mixed
081 - Emergency
Vaccination Category: Category A Category B
Exposure Prone Procedures: Y/N
Yes
Responsible To: Operationally: General Manager, Mona Vale Hospital Professionally: (TBC)
Responsible For (staff): Nil
Purpose of Position:
To carry out the assessment of patients presenting to the Urgent Care Centre at Mona Vale Hospital. To co-ordinate and facilitate diagnosis, management and discharge for patients presenting to the Urgent Care Centre at Mona Vale Hospital. To co-ordinate transfer of patients who require admission to the Northern Beaches Hospital. To attend overnight clinical reviews and rapid response calls from the Aged Care Rehabilitation Unit and Beachside Rehabilitation Unit, implement appropriate management and care in consultation with the Admitting Medical Officer and transfer to the Northern Beaches Hospital as appropriate. Carry out such other duties not inconsistent with the Award or terms of employment as may be specified or implied from time to time. Any other duties at the direction of the General Manager / Director of Medical Services. Liaise with the General Manager / Director of Medical Services / JMO Manager regarding any problems which may arise in the exercise of these duties.
Key Responsibilities Clinical • Attend hand over at designated times. Provide clear and detailed hand
over to other CMOs at the end of each shift. • Responsible for timely assessment and management for patients
presenting to the Urgent Care Centre. • Communication with the patient, or with immediate family, where
appropriate about his/her condition and management. • Carry out medical procedures necessary for patient care and order
investigations / examinations relevant to the patient’s presenting symptoms.
• Exercise a high degree of independence and management of the Urgent Care Centre without supervision.
• Maintain familiarity with relevant policies, procedures, protocols and guidelines and regularly update these as required.
• Provide accurate and timely documentation. Ensure that medical record documentation adheres to NSLHD policies and guidelines. Ensure that relevant discharge summaries are completed in a timely manner.
• Provide education and training as required for Nursing and other multidisciplinary staff as required.
• Co-ordinate transfer of patients who require admission to the Northern Beaches Hospital.
• Attend overnight clinical reviews and rapid response calls from the Aged Care Rehabilitation Unit and Beachside Rehabilitation Unit, implement appropriate management and care in consultation with the Admitting Medical Officer and transfer to the Northern Beaches Hospital as appropriate.
Responsibilities to Patients • Communication with the patient about his /her condition and
management or with the immediate family if the patient is unable to comprehend.
• Hand washing • Infection prevention and control • Correct labelling
Administrative Matters: • Responsible for ensuring that all management decisions are accurately
and comprehensively documented in the patients notes in accordance with policy. Be aware of relevant policies and procedures and work in accordance with these.
• Attend clinical meetings and other specified meetings as required. • Participate in informal instruction and formal teaching of nursing staff
and other multidisciplinary team members. • Liaise with the General Manager / Director of Medical Services
regarding any problems which may arise, especially with regard to- toxicological issues retrievals/transfers traumas medicolegal issues disasters To check all radiology and pathology results, and follow up with patients or their GPs as necessary
Quality and Research Activities:
• Audits • Attendance at Mortality and Morbidity Meetings for the Department • Research activities as appropriate
Supervision, Training and Education: • The CMO is responsible for education and training as required for
Nursing and other multidisciplinary staff.
Professional Development, Continuing Education and Maintenance of Standards In addition to the core competency standards, the CMO is expected to comply with legislative, policy/protocol requirements as they relate to: • The supervision requirements as set out by the Medical Board of
Australia; • The Local Health District's Performance Management Policy; • Occupational, health and safety requirements as an employee • The District’s Code of Conduct. • The District’s Patient Identification Policy/Procedure • Infection Control Policy • Participate in the Urgent Care Centres rosters as required General Duties • Participate in Quality improvement activities and provide a high level
customer service to patients, staff and others. • Comply with the Code of Conduct, OHS, EEO, Smoke Free, Bullying
and Harassment and other LHD policies and procedures. • Maintain strict confidentiality in relation to all patient, staff, workplace
and LHD matters. • Use LHD resources efficiently, minimising cost and wastage, and
ensure waste products are disposed of in line with LHD waste management guidelines.
• Report any risk identified (eg: OHS, Clinical, Financial, Technology, Public Image) to the manager and request a risk assessment. Participate in risk management activities.
• Implement the principles of Multiculturalism in their work by ensuring services within their Local Health District’s responsibility are accessible and culturally appropriate to consumers.
• Co-operate with other staff members to ensure that duty requirements and standards are being met and maintained.
• Perform all other delegated tasks appropriately and in line with grading and capabilities.
Scope of Clinical Practice (including credentialing & procedures): • Able to independently manage all patients presenting to the Urgent Care Centre • Venous Blood Gas and other pathology as required • Plastering • Suturing
Challenges / Problem Solving • To communicate in a clear, concise and professional manner. • To maintain a professional role and responsibility for patient care. • To work collaboratively with other staff in a multi-disciplinary team.
Communication Internal Deal with matters of an urgent or sensitive nature.
Must have the ability to exercise discretion, sensitivity and maintain
confidentiality.
Works co-operatively within a team environment and actively contributes to
team activities including pro-actively participating in team meetings and
decision making processes
External General Practitioners Families, significant others External practices, e.g. Medical Imaging, Pathology
Other hospitals Consultants
Decision Making To exercise independent judgement, initiative and problem solving skills. To ensure appropriate input from key decision makers and achieve consensus when possible. To deal with matters in a confidential manner. To respect the professional values of staff
Selection Criteria (max 8 criteria)
Medical Degree and current General Registration with the Medical Board
of Australia
At least 5 years post graduate experience with previous clinical experience
in Emergency Medicine, General Medicine, Orthopaedics and or General
Practice.
Demonstrated clinical competency and ability to independently manage
patients
Demonstrated ability to provide leadership to a multi-disciplinary treatment
team
Blood gas analysis
Plastering and suturing
Position Dimensions
Staffing Nil
Budget Nil
Financial Delegation
Nil
Pre Employment Screening Check – select one
What pre-employment screening check is required for this position: National Criminal Record Check Working With Children Aged Care
Attachments – provide as a separate document(s)
Attachment 1: Competency Framework Attachment 2: Organisational Profile <Auto Generated> Attachment 3: Organisational Chart Attachment 4:Medical Board Information
Network Nil
ANZSCO Code Career Medical Officer
Specialty
Sub-Specialty Nil
Rotation / Network Urgent Care Centre – Mona Vale Hospital
Position Requirements The Career Medical Officer will be responsible for the management of ambulant patients presenting with a wide range of minor illnesses or injury presentations.
Local Background and Environment
The UCC at Mona Vale Hospital will be a new patient care service to treat non-complex, low acuity patients with minor injury and illness not requiring hospital admission in an efficient, convenient and timely manner with the intent to see and treat most patients within 60 minutes. The UCC will provide an alternative treatment approach for low complexity patients who would normally present to the ED. The UCC will care for patients who are ambulant or assisted by family/carer vehicle who do not require admission to the hospital and are generally local Northern Beaches residents or visiting the area. Medical Staffing The staffing model will consist of career medical officers, registered nurses and physiotherapy staff of Northern Beaches Health Service. The medical staffing model will provide for two Career Medical Officers (CMOs) working from 0800-1800 hours and then two CMOs working from 1300 hours to 2300 hours. An on-site CMO will be available ‘on call’ from 2300–0800 hours. It is estimated that the UCC will have between 10,000 and 13,000 presentations per annum which provide for an average of 35 presentations per day. Each CMO will see between 8 and 9 patients per shift. Model Patients attending the Urgent Care Centre are ambulant patients who present of their own accord and require care for minor illnesses and injuries. The patient should receive all assessment, investigations and treatment and be discharged home for follow-up with their general practitioner within 60 minutes. The UCC will open 24 hours per day, 7 days per week. Inclusion Criteria Patients should be ambulant and generally well with any of the following illnesses or injuries: • Bruises or scratches • Minor cuts needing stitches or glue • Minor sports injuries • Sprains or strains • Bites or stings • Minor head injury • Broken bones • Skin infections • Minor burns or scalds • Earache • Wound review • Foreign body (e.g. swallowed, in nose or ear) • Facial pain • Migraine • Sore throat
• Sore or red eye • Mild abdominal pain • Rash • Mild asthma or chest infection • Minor illnesses including fever, infections and rashes • Urinary tract infections Exclusion Criteria Patients presenting with conditions out of scope for the urgent care centre model require early identification and prompt transfer to the NBH or Royal North Shore Hospital (RNSH) according to agreed transfer policies. This includes but is not limited to the following: • Any vital sign in the red zone of the BTF observation chart • Chest pain or chest tightness • Acute respiratory distress • Severe abdominal pain • Severe headache • Collapse or sudden fall • Decreased level of consciousness • Acute severe headache • Acute neurological deficit • Uncontrollable bleeding • Seizure • Serious assault • Severe burns particularly in young children • Traumatic injury post high risk mechanism • Persistently abnormal vital signs • Acute complications of pregnancy eg significant PV bleeding,
concerning hypertension, premature labour • Acute behavioural problems including mental health issues, acute
confusional states • Drug overdose with abnormal vital signs or requiring prolonged
period of observation • Nursing or medical concern re potential to deteriorate rapidly Transfer out of the Urgent Care Centre All patients requiring transfer to NBH or RNSH should be assessed for the appropriate transfer method. Options include: • Private transport • Non-emergency patient transport (NEPT) • Ambulance Electronic Medical Record (eMR) • The eMR will be an outpatient medical consult clinic • Each patient episode of care will be a single encounter • Patients will be automatically discharged from the system at
midnight • The system will ensure interoperability with the NBH and an ability
to view (only) records and results. Pathology • Pathology services will be provided by NSW Pathology to the UCC
as part of a comprehensive site-wide service provision model • Point of Care testing will be available to support the UCC. • There will be an accessible collection centre within the UCC Medical Imaging • Medical Imaging will be available to the UCC as part of a
comprehensive site-wide service provision model • Plain X-ray will be available adjacent to the UCC. Pharmacy • Pharmacy services will be provided to the UCC as part of a
comprehensive site-wide service provision model • There should be minimal pharmacy required by the UCC • Initial doses of some drugs may be provided. For example
antibiotics or pain killers. • Ongoing pharmacy will be facilitated via a prescription to be filled at
a community pharmacy.
All CMOs should apply for Medicare provider numbers to facilitate referrals and prescribing.
Key Internal and External Relationships
General Manager
Director of Medical Services
JMO Manager
Nursing and Allied Health Staff
Consultant Medical Staff
General Practitioners
Families, significant others
External practices, e.g. Medical Imaging, Pathology
Supervision arrangements The CMO is expected to work independently.
Performance Monitoring The Director of Medical Services is the primary supervisor for the CMO and is responsible for monitoring performance.
Job Demands Checklist
Physical Demands
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Sitting - remaining in a seated position to perform tasks
Standing - remaining standing without moving about to perform tasks
Walking - Floor type: even / uneven / slippery, indoors / outdoors, slopes
Running - Floor type: even / uneven / slippery, indoors / outdoors, slopes
Bend/Lean Forward from Waist - Forward bending from the waist to perform tasks
Trunk Twisting - Turning from the waist while sitting or standing to perform tasks
Kneeling - remaining in a kneeling posture to perform tasks
Squatting / Crouching - Adopting a squatting or crouching posture to perform tasks
Leg / Foot Movement - Use of leg and / or foot to operate machinery
Climbing (stairs/ladders) - Ascend / descend stairs, ladders, steps
Lifting / Carrying - Light lifting & carrying: 0 - 9 kg
Lifting / Carrying - Moderate lifting & carrying: 10 - 15 kg
Lifting / Carrying - Heavy lifting & carrying: 16kg & above
Reaching - Arms fully extended forward or raised above shoulder
Pushing / Pulling / Restraining - Using force to hold / restrain or move objects toward or away from the body
Head / Neck Postures - Holding head in a position other than neutral (facing forward)
Hand & Arm Movements - Repetitive movements of hands and arms
Grasping / Fine Manipulation - Gripping, holding, clasping with fingers or hands
Work At Heights - Using ladders, footstools, scaffolding, or other objects to perform work
Driving - Operating any motor powered vehicle
Sensory Demands
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Sight - Use of sight is an integral part of work performance e.g. Viewing of X-Rays, computer screens
Hearing - Use of hearing is an integral part of work performance e.g. Telephone enquiries
Smell - Use of smell is an integral part of work performance e.g. Working with chemicals
Taste - Use of taste is an integral part of work performance e.g. Food preparation
Touch - Use of touch is an integral part of work performance
Psychosocial Demands
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Distressed People - e.g. Emergency or grief situations
Aggressive & Uncooperative People - e.g. drug / alcohol, dementia, mental illness
Unpredictable People - e.g. Dementia, mental illness, head injuries
Restraining - involvement in physical containment of patients / clients
Exposure to Distressing Situations - e.g. Child abuse, viewing dead / mutilated bodies
Environmental Demands
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Freq
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Dust - Exposure to atmospheric dust
Gases - Working with explosive or flammable gases requiring precautionary measures
Fumes - Exposure to noxious or toxic fumes
Liquids - Working with corrosive, toxic or poisonous liquids or chemicals requiring PPE
Hazardous substances - e.g. Dry chemicals, glues
Noise - Environmental / background noise necessitates people raise their voice to be heard
Inadequate Lighting - Risk of trips, falls or eyestrain
Sunlight - Risk of sunburn exists from spending more than 10 minutes per day in sunlight
Extreme Temperatures - Environmental temperatures are less than 15C or more than 35C
Confined Spaces - areas where only one egress (escape route) exists
Slippery or Uneven Surfaces - Greasy or wet floor surfaces, ramps, uneven ground
Inadequate Housekeeping - Obstructions to walkways and work areas cause trips and falls
Working At Heights - Ladders / stepladders / scaffolding are required to perform tasks
Biological Hazards - e.g. exposure to body fluids, bacteria, infectious diseases
Position Holder Name_________________________________ Signature_________________________ Date__________________
