MERCY HEALTH
/ POSITION DESCRIPTIONNurse Practitoner Candidate – Residential Aged Care Services
Core Mercy Values: / Compassion, Hospitality, Respect, Innovation, Stewardship, Teamwork
Position title: / Nurse practitioner Candidate, Residential Aged Care,
Mercy Health / Employee name:
Entity/Group:
Business Unit/Department: / Residential and Community Aged Care, Mercy Health / Date: / January 2015 (1.0 FTE)
Position reports to: / Clinical Director, Residential Aged Care, Mercy Health / Positions reporting to this one:
Position Purpose: /
- The Nurse Practitioner Candidate [NPC)] over a 2 year period of internship will work towards attaining the successful clinical and academic components under the new Nurse Practitioner Standards Framework for Practice that will enable them to be assessed and accredited as an Older Persons Nurse Practitioner. This will require the candidate to meet the Nursing and Midwifery Board of Australia [NMBA] Nurse practitioner standards for practice (2014) in order to be eligible to apply forendorsement.
- During the candidature period the NPC will be required to complete a board approved Master of Nursing-Nurse Practitioner Program for eligibility to register with the Australian Health Practitioner Regulation Authority [AHPRA]. Candidates will undertake clinical rotations across areas that have been deemed appropriate by the clinical nurse practitioner steering committee and approved by the assigned professional mentors. Clinical rotations across these areas will allow the candidate to developadvanced clinical nursing, educational, research and leadership skills in the area of extended practice that is specific to the care of older people.
- The NPC will participate in inter-professional education, teamwork and practicein order to facilitate an effectiveresident focused wellness service that aligns with the Mercy Health overall objectivesand the Commonwealth and State policies that pertain to Residential Care and Nurse Practitioner standards for practice.
Qualifications: /
- Current registration as a Registered Nurse Division 1 with AHPRA
Mercy Health Nurse Practitioner Candidate– Residential Aged Care Services 1
MERCY HEALTH
/ POSITION DESCRIPTIONNurse Practitioner Candidate –Residential Aged Care Services
Mandatory Organisational Competencies / Personal Competencies /
Job Competencies
- Orientation
- Excellent communication and interpersonal skills
- Knowledge of contemporary practices in Residential Aged Care Services
- Diversity & Equity
- Proven ability to work effectively in inter-professional practiceteams and the ability to work with a range of stakeholders including staff groups, residents and families.
- Experience in inclusive pedagogy across the health care spectrum
- Emergency Procedures
- Highly developed time management skills - ability to meet deadlines and prioritise tasks
- Demonstrated advanced practice skills and knowledge in acute/sub-acute/palliative, aged and community care
- Work Health & Safety
- Demonstrated problem-solving and analytical capability
- Ability to facilitate a learning management experience including previous involvement in planning, coordination, implementation and an evaluation environment
- Ability to work collaboratively with Mercy Initiatives that are working to enhance the care of the older person.
- Infection Control
- Demonstrated understanding of the links between the values, vision and mission of the organisation and aged care
- High level computer literacy and record keeping skills
- Demonstrate knowledge of relevant policy both internal and external and the practice implications for work with older persons.
- Recruitment & Selection
- Capacity to reflect on personal practice and understand organisational dynamics
- Extensive knowledge of Acute Care and Care of the Older person
- Understanding of the NP role and standards for practice effective from January 1st 2014
- Development of diagnostic treatment and management strategies and an understanding of the possible underlying causes of age related health issues
- Development of advanced clinical assessment, medication reviews and recommendations in accordance to meet the Drugs, Poisons and Controlled Substance Act 1981 (Victoria)
Mandatory Organisational Competencies / Personal Competencies /
Job Competencies
- Ability to bring together stakeholders with competing needs to meet organisational objectives
- Extensive knowledge and experience of Aged Care Standards, the Accreditation process through the Aged Care Standards and Accreditation Agency
- Knowledge of specialist services that might enhance the care of the older person
- Liaises with clients, families, GP’s, Specialists and other service providers regarding residential care
- Implement and facilitate effective work processes and plans
- Promote, facilitate and participate in education and research in clinical practice related to health issues associated with ageing
- Develop and implement clinical guidelines and policies related to beast practice in health and aged care
- Refer clients appropriately as required.
- Respond to requests for advanced physical assessment and pharmacy review and attend case management meetings to contribute to decision making regarding client management.
Mercy Health Nurse Practitioner Candidate– Residential Aged Care Services 1
MERCY HEALTH
/ POSITION DESCRIPTIONNurse Practitioner Candidate –Residential Aged Care Services
Key Result Areas / Key Activities / Standard Measures
Demonstrates and upholds the Values and Mission of Mercy Health. /
- Ensure the values of Mercy Health are incorporated into daily work practices for all staff
- Be compassionate and provide support to staff and customers
- Consistently shows respect and values each person’s dignity
- Seeks opportunities to be innovative for improvement
- Communicates openly and honestly as an effective team member
Leadership and Management /
- Attends Mercy Health and external meetings related to learning relevant to the organisation
- A comprehensive understanding of current practice and the impact of new directions across Residential Aged Care
- Functions in accordance with legislation, conducting practice within a professional and ethical framework to develop safe, competent and accountable care for residents and their families
- Demonstrate autonomous skills in advanced physical assessment
- Provide leadership within the inter-professional practice team specifically in the areas of education, service planning and case management
- Act as a role model for all staff and promote the role of the NPC
Ensures the program delivery and implementation of quality care /
- Development, delivery and coordination of learning programs for Residential Aged Care Staff
- Source and provide appropriate and continuing support to all learners
- Provision of a flexible, supportive learning environment for all learners
- Coordinates the implementation and evaluation of education programs that compliment work practices and clinical change initiatives
- Maintains and applies current knowledge of external and internal policies relating to clinical nursing practice in the older person
- Liaises with appropriate personnel to develop, maintain and review education initiatives
- Develops and maintain professional standards of knowledge of policy and procedure
- In conjunction with the Learning Manager
b)provide quality reports and evaluations of the NP program
c)maintain a continuous improvement register
d)maintain continuous policy and procedure review and development of the NP framework and model of care
Increase the quality of care delivered by the workforce
- Establish training benchmarks and meet agreed KPIs
- Compliance with relevant industry and professional standards
- Improved standards of care
Ensures effective lines of communication are maintained both internally and externally /
- Coordinates the development and maintenance of accurate documentation of learners
- Maintains communication with all disciplines across the facilities
- Identify and implement strategies to improve service delivery to customers
- Liaise with external stakeholders to meet training targets
- Well informed employees working in a harmonious environment
- Evidence of culture with open and transparent communication
- Effective recruitment initiatives and programs.
- Assist in speaking to internal groups training is aligned with business requirements
- Integration of training with Mercy Health (RTO)
Professional Development /
- Attends and encourages participation in ongoing education both internally and externally
- Participates on committees, boards and works with external providers to further Residential Aged Care Services practice and development of recognition of NP’s in aged care.
- Promotes and maintains professional alliances with educational and professional organisations
- Maintain professional knowledge through literature, networking, committee participation and attendance at relevant lectures and seminars
- Demonstrate a commitment to ongoing education and the standards required for the NP.
Organisational Responsibilities /
- Operates within and ensures employees compliance with the Mercy Health policies and procedures
- Conduct safe work practices and adhere to the Mercy Health Code of Conduct
- Contribute to the development of effective communication systems
- To protect the rights of clients to be treated with respect and dignity; all employees must observe the strictest confidence with regard to their duties and professional responsibilities
Takes reasonable care to protect the health and safety of themselves, fellow staff and others in the workplace. /
- Risk assessments completed and controls implemented
- Incident forms thoroughly completed
- Completion of incident investigations
- Provision of alternative duties
- Induction/orientation records
- Undertake regular risk assessments
- Actively review work procedures and supervise staff to ensure all work is performed in a safe manner
- Actively investigate incidents
Employee’s Signature: / Date:
Print Name:
Line Manager Signature: / Date:
Print Name:
Attachment:
Nursing and Midwifery Board of Australia
Nurse practitioner standards for practice - Effective from 1 January 2014
Statement 1.1: Conducts comprehensive, relevant and holistic health assessment
Cues:
•Demonstrates extensive knowledge of human sciences and health assessment
•Demonstrates comprehensive and systematic skill in obtaining relevant, appropriate and accurate data that inform differential diagnoses
•Assesses the complex and/or unstable health care needs of the person receiving care through synthesis and prioritisation of historical and available data
•Assesses the impact of comorbidities, including the effects of co-existing, multiple pathologies and prior treatments in the assessment of the person receiving care
•Demonstrates comprehensive skill in clinical examination including physical, mental health, social, ethnic and cultural dimensions
•Consistently and accurately synthesises and interprets assessment information specifically history, including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and abnormal states of health
•Critically evaluates the impact of social determinants on the person and population.
Statement 1.2: Demonstrates timely and considered use of diagnostic investigations to inform clinical decision making
Cues:
•Makes decisions about the use of person-focused diagnostic investigations that are informed by clinical findings and research evidence
•Demonstrates accountability in considering access, cost, clinical efficacy and the informed decision of the person receiving care when ordering diagnostic investigations
•Orders and/or performs selected screening and diagnostic investigations
•Is responsible and accountable for the interpretation of results and for following-up the appropriate course of action
•Uses effective communication strategies to inform the person receiving care and relevant health professionals of the health assessment findings and diagnoses.
Statement 1.3: Applies diagnostic reasoning to formulate diagnoses
Cues:
•Synthesises knowledge of developmental and life stages, epidemiology, pathophysiology, behavioural sciences, psychopathology, environmental risks, demographics and societal processes when making a diagnosis
•Considers the person’s expectations of assessment, diagnosis and cost of health care
•Acts to prevent and/or diagnose urgent and emergent and life threatening situations
•Determines clinical significance in the formulation of an accurate diagnosis from an informed set of differential diagnoses through the integration of the person’s history and best available evidence.
Statement 2.1: Translates and integrates evidence into planning care
Cues:
•Takes personal responsibility to critically evaluate and integrate relevant research findings into decision making about health care management and interventions
•Ethically explores therapeutic options considering implications for care through the integration of assessment information, the person’s informed decision and best available evidence
•Is proactive and analytical in acquiring new knowledge related to nurse practitioner practice.
Statement 2.2: Educates and supports others to enable their active participation in care
Cues:
•Respects the rights of the person to make informed decisions throughout their health/illness experience or episode, whilst ensuring access to accurate and appropriately interpreted information
•Uses appropriate teaching/learning strategies to provide diagnostic information that is relevant, theory-based and evidence-informed
•Communicates about health assessment findings and/or diagnoses, including outcomes and prognosis
•Works to meet identified needs for educating others regarding clinical and ongoing care.
Statement 2.3: Considers quality use of medicines and therapeutic interventions in planning care
Cues:
•Develops an individual plan of care and communicates this to appropriate members of the healthcare team and relevant agencies
•Exhibits a comprehensive knowledge of pharmacology and pharmacokinetics related to nurse practitioner scope of practice
•Works in partnership with the person receiving care to determine therapeutic goals and options
•Verifies the suitability of evidence-based treatment options including medicines, in regard to commencing, maintaining/titrating or ceasing interventions
•Demonstrates accountability in considering access, cost and clinical efficacy when planning treatment.
Statement 2.4: Refers and consults for care decisions to obtain optimal outcomes for the person receiving care
Cues:
•Collaborates with other health professionals to make and accept referrals as appropriate
•Consults with and/or refers to other health services, disability services, aged-care providers and community agencies at any point in the care continuum.
Statement 3.1: Prescribes indicated non-pharmacological and pharmacological interventions
Cues:
•Contributes to health literacy by sharing knowledge with the person receiving care to achieve evidence-informed management plan
•Safely prescribes therapeutic interventions based on accurate knowledge of the characteristics and concurrent therapies of the person receiving care
•Demonstrates professional integrity and ethical conduct in relation to therapeutic product manufacturers and pharmaceutical organisations
•Safely and effectively performs evidence-informed invasive/non-invasive interventions for the clinical management and/or prevention of illness, disease, injuries, disorders or conditions
•Interprets and follows-up the findings of screening and diagnostic investigations in an appropriate time frame during the implementation of care.
Statement 3.2: Maintains relationships with people at the centre of care
Cues:
•Supports, educates, coaches and counsels the person receiving care regarding diagnoses, prognoses and self-management, including their personal responses to illness, injuries, risk factors and therapeutic interventions
•Advises the person receiving care on therapeutic interventions including benefits, potential side effects, unexpected effects, interactions, importance of compliance and recommended follow-up
•Shares information with others in consultation with the person receiving care
•Coordinates care with other health, disability and aged-care providers, agencies and community resources
•Discloses the facts of adverse events to the person receiving care and other health professionals; mitigates harm, and reports adverse events to appropriate authorities in keeping with relevant legislation and organisational policy
•Advocates for improved access to health care, the health care system and policy decisions that affect health and quality of life.
Statement 3.3: Practises in accordance with federal, state and territorial legislation and professional regulation governing nurse practitioner practice
Cues:
•Defines duty of care in accordance with relevant legislation and regulation
•Remains informed of changes to legislation and professional regulations, and implements appropriate alterations to practice in response to such changes
•Contributes to the development of policy and procedures appropriate to context and specialty.
Statement 4.1: Evaluates the outcomes of own practice
Cues:
•Monitors, evaluates and documents treatments/interventions in accordance with person- determined goals and health care system outcomes
•Considers a plan for appropriately ceasing and/or modifying treatment in consultation with the person receiving care and other members of the health care team
•Applies the best available evidence to identify and select appropriate outcomes measures of practice
•Uses indicators to monitor and measure the effectiveness of strategies, services and interventions to promote safe practice
•Participates in clinical supervision and review
•Implements research-based innovations for improving care
•Contributes to research that addresses identified gaps in the provision of care and/or services.
Statement 4.2: Advocates for, participates in, or leads systems that support safe care, partnership and professional growth
Cues:
•Advocates and provides evidence for expansion to nurse practitioner service where it is believed that such an expansion will improve access to quality and cost-effective health care for specific populations
•Demonstrates clinical leadership in the design and evaluation of services for health promotion, health protection or the prevention of injury and/or illness
•Articulates and promotes the nurse practitioner role in clinical, political and professional contexts
•Acts as an educator and/or mentor to nursing colleagues and others in the healthcare team
•Critiques health care policies for their implications on the nurse practitioner role and the populations for whom they care
•Influences health, disability and aged-care policy and practice through leadership and active participation in workplace and professional organisations.
Australian College of Nurse Practitioners. (2014) 1st November 2014.
Nursing and Midwivery Board of Australia. (2014). Nurse practitioner Standards for Practice – Effective from January 1st 2014.
Accessed 1st November 2014.
Mercy Health Nurse Practitioner Candidate– Residential Aged Care Services 1