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					                                               Position Description
 Directorate / Eastern Cluster
 Westmead Casual Pool                                                            Registered Nurse

 Designation:                      Registered Nurse

 Classification:                   Registered Nurse

 Award:                            Public Health Nurses’ & Midwives’ (State) Award

 Location:                         Facilities & services of Sydney West Area Health Service

 Position Number:

 Immunisation category:            A

 Grading Reference:                As per award

 Hours of work                     Casual - rotating shifts

PRIMARY OBJECTIVES
    To provide safe and effective patient-centred nursing care to the patients/clients and
     carers of Sydney West Area Health Service.
    To work collaboratively with members of the multidisciplinary health team in the
     planning, implementation, assessment and evaluation of care within the unit.
    To ensure optimal outcomes for patients/clients and carers of the service through
     the promotion of best practice.
    To effectively manage resources relevant to the service.
    To act as an advocate for the specific needs of all patients/clients and carers
     including those from the indigenous population or other multi-cultural groups
     providing appropriate care to the patient/client undergoing specialised procedures.
    To maintain and promote a professional standard evidenced by ethical nursing
     practice, adherence to the policies and standards of the Nursing Service, Sydney
     West Area Health Service and the appropriate legislation and statutory regulations.
    To provide support and education to Trainee Enrolled Nurses, undergraduate and
     post graduate nurses.

ORGANISATIONAL CONTEXT
Sydney West Area Health Service is responsible for the provision of health services to the
local government area comprised of Auburn, Baulkham Hills, Blacktown, Holroyd,
Parramatta, Penrith, Blue Mountains and Lithgow and tertiary care to the entire western
region for an estimated population of 2 million people. These services are provided
through a number of hospital and community-based facilities located strategically across
the Area Health Service.


Sydney West Area Health Service                                                                     Page 1 of 10
FINAL Reviewed – 20 October 2008                   Created by the Executive Directorate of Nursing and Midwifery
Sydney West Area Health Service is committed to achieving continuous quality
improvement in client services within a Quality Management framework, with a supporting
Strategic Plan aimed at the continuous improvement of all facilities. The Area Health
Service has individual facilities located at Westmead, Cumberland, Blacktown and Mt.
Druitt, Auburn Penrith, Springwood, Katoomba, Lithgow/Portland, Hawkesbury Private
Hospital and third schedule hospitals being St Josephs and Lottie Stewart. All hospitals
provide a range of both in-patient and outpatient services to patients/clients both from
within the boundaries of the AHS and cross border flows.

In addition to this, there are a number of facilitates strategically located across the AHS
that provide primary health care services to the community.

The primary goal of SWAHS is:

To improve the health of, and ensure comprehensive health care services for, our
community.

Its principal purposes are:

To provide relief to sick and injured persons through the provision of care and treatment.

To promote, protect and maintain the health of the community.

SWAHS Clinical Operations Directorate

The Directorate of Clinical Operations responsibilities are to plan, establish, manage,
develop, monitor and report on all aspects of the clinical services, and to oversee the
health care facilities located within the boundary of the SWAHS.

The directorate operates in accordance with the principles of SWAHS Care First:
         Culture: Promoting a culture of knowledge, transparency and service.
         Communication:        Maintaining    clear    communication    and     effective
            documentation.
         Clinical Care Models: Ensuring and developing safe, effective, flexible and
            innovative models of care.
         Capacity: Ensuring that services are accessible, appropriate and safe.
         Coordination: Maintenance of clinical information across the continuum of
            care.

SWAHS Nursing and Midwifery Directorate

The SWAHS Directorate of Nursing and Midwifery aims to develop, monitor and report all
aspects of professional activities provided by nurses and midwives employed within the
boundaries of Sydney West Area Health Service.

The Registered Nurse assists in development and implementation of planned care to
individuals, carers and their families, with the aim of maintaining and/or improving their
health. Nursing and Midwifery services are provided in a range of settings and in various
locations across the Area Health Service.




Sydney West Area Health Service                                                                 Page 2 of 10
FINAL Reviewed – 20 October 2008               Created by the Executive Directorate of Nursing and Midwifery
REPORTING RELATIONSHIPS
The Registered Nurse reports directly to the Nurse Unit Manager of the unit. The Nurse
Unit Manager is operationally and professionally accountable to the Facility Director of
Nursing and Midwifery and professionally accountable to the Executive Director of Nursing
& Midwifery Services. There is a communication line to the Network Director and Director
of Clinical Operations.

Reporting Structure

                             Director of Clinical Operations                    Executive Director of Director of Nursing and Midwifery



          Network Director                    Facility Director of Nursing and Midwifery


                        Clinical Program Nurse Manager


                               Nurse Unit Manager



     Registered Nurse                   Enrolled Nurse                 Trainee Enrolled Nurse               Assistant in Nursing




MAJOR ACCOUNTABILITIES
Personal and Professional Development
    Maintain registration with the NSW Nurses and Midwives Board and show evidence
     of currency on an annual basis.
    Practice in accordance with the ANMC competency standards.
    Participate in a performance review at 3 months after commencement, then
     annually or as required.
    Complete education/ skill development packages to meet the organisations' service
     delivery requirements.
    Maintain own clinical knowledge and skill base through: Active participation in
     continuing education programs and in-services; Participation in clinically relevant
     professional groups and organisations; Active participation in forums for review of
     clinical nursing practice; Participation in research and clinical audit project(s).
    Attend SWAHS Mandatory Training and Education requirements on an annual
     basis or as required.
    Ensure familiarity and compliance with SWAHS Policy and Procedures and
     participate in the ongoing review and development of same.
    Maintain professional conduct in all interactions with patients, members of the
     public and colleagues.
    Demonstrate collegiality and mutual respect in all interactions with colleagues.

Care Delivery
   Demonstrate effective communication through:
         - Use of appropriate language when interacting with patients, clinical and non-
            clinical partners;
         - Being courteous and considerate;
         - Use of clear, concise and legible written communications within all
            documentation.
   Involve patients and their carers in planning care to meet their needs.
   Anticipate client / carer concerns and intervene early to resolve matters.
Sydney West Area Health Service                                                                                       Page 3 of 10
FINAL Reviewed – 20 October 2008                                     Created by the Executive Directorate of Nursing and Midwifery
       Manage complaints as close to the patient interface as possible and escalated only
        as required in accordance with SWAHS Complaints Handling Policy.
       Maintain confidentiality on all issues relating to patients, colleagues and the
        organisation.
       Treat all patients/clients with respect and equality while being responsive to their
        needs.
       Practice within the clinical standards specified by the Essentials of Care framework,
        including:-
            - meeting benchmarks for documentation & communication;
            - promoting self management;
            - best practice for medications and IV products;
            - patient privacy & dignity;
            - benchmarks for clinical interventions,
            - clinical monitoring & management;
            - preventing risk & promoting safety and a learning & development culture.
       Maintain appropriate hand hygiene measures at all times.
       Participate in gathering information to identify the patient/client/carer experience
        and identify changes for implementation.

Administration and Documentation
   Undertake all administrative and documentation requirements are initiated and
     completed in a professional and timely manner.
   Complete and maintain contemporaneous documentation in the medical record that
     is objective, accurate and legible.
   Complete contemporaneous documentation in the medical record that is objective,
     accurate and legible ensuring that documentation (eg nursing history, nursing care
     plans) meet the requirements of SWAHS policies and procedures and NSW Health
     guidelines.
   Complete all documentation in relation to medication administration in accordance
     with the SWAHS Policy.
   Report incidents and document through notification report (IIMS) when appropriate
     and as per NSW Health policy.
   Participate in clinical and professional data collection as required.

Technical Skills and Application
    Demonstrate knowledge and application of the skills required of a registered nurse
     in contemporary nursing practice, including knowledge and understanding of
     appropriate equipment, legislation, policies and procedures.
    Maintain patient comfort, privacy, dignity and safety at all times.
    Utilise a proactive, problem solving approach in assessing, planning, implementing
     and evaluating all aspects of clinical care.
    Read the clinical/progress notes (whether paper or electronic) of patients allocated
     to your care at the commencement of each shift and implement and evaluate care
     accordingly.
    Maintain basic life support skills (neonate, paediatric and adult as appropriate for
     unit / position) through annual accreditation.
    Be aware of and adhere to SWAHS policies and procedures and legislative
     requirements
    Be actively involved in maintaining, implementing and updating patient care plans
     and clinical pathways.


Sydney West Area Health Service                                                                 Page 4 of 10
FINAL Reviewed – 20 October 2008               Created by the Executive Directorate of Nursing and Midwifery
       Begin the discharge planning process on admission utilising information from the
        nursing assessment, and ensure that discharge planning is completed in a timely
        manner.
       Maintain patient/client safety through an effective handover process including
        completion of the patient/client safety checklist.
       Undertake a teaching role with patients/clients, carers and colleagues, adapting
        information to the target group and involving resource people appropriately.
       Complete unit specific competency requirements
       Keep the NUM or 'In Charge of Shift' appraised of workload issues, clinical
        concerns, adverse events, critical incidents, 'near misses' and complaints.

Teamwork and Communication
    Provide leadership to a diverse team or participate as an active member of a team
    Perform as a team member through: sensitivity to workload and needs of other
     staff, patients/clients and carers; knowledge of own ability; demonstrating
     accountability for own practice, and ongoing peer and self-education.
    Support and acknowledge the achievements of colleagues.
    Actively promote the goals, purposes and strategies of SWAHS.
    Actively participate in unit meetings.
    Mentor nursing students and new practitioners in the workplace.
    Participate in the orientation of new staff to the unit.
    Act as a resource person for other nursing and midwifery staff.
    Promote and participate in multi-disciplinary care working with a diverse range of
     clinicians to plan, implement and evaluate care delivery.

Continuous Improvement
   Ensure that quality services are delivered to both internal and external clients by
      participation in continuous improvement activities.
   Be familiar with and participate in the quality based accreditation program
      (ACHS:EQuIP and OH&S Numerical Profiles).
   Review and reflect on own clinical practice to identify and act upon opportunities for
      improvement and professional development.
   Participate in forums / workshops for development and review of practice
      modalities
   Participate in the identification of Best Practice initiatives and support their
      implementation.
   Identify and initiate unit based quality improvement activities participating in
      monitoring and evaluating outcomes.

In Charge of Shift Accountabilities
    Prioritise and monitor the workload of the unit allocating staff / work as necessary
      to meet clinical need of patients.
    Ensure that an appropriate skill mix is maintained including during staff breaks.
    Assume a leadership role in promoting the maintenance of current Policies,
      Procedures and standards.
    Facilitate patient flow within the unit through ensuring that a documented plan of
      care is in place for each patient and that key milestones in the patient journey are
      achieved.
    Escalate workload issues, clinical concerns, adverse events, critical incidents, 'near
      misses' and complaints to the NUM or After Hours Nurse Manager in a timely
      manner.

Sydney West Area Health Service                                                                Page 5 of 10
FINAL Reviewed – 20 October 2008              Created by the Executive Directorate of Nursing and Midwifery
       Escalate management and clinical issues that impact on unit functioning to
        oncoming shift in-charge.
       Facilitate the implementation of changes identified within the patient/client/carer
        surveys which will improve the patient/client/carer experience.


MAJOR CHALLENGES AND PROBLEM SOLVING
   Managing the competing priorities within a busy clinical environment whilst
    maintaining a high quality of patient/client care.

INTERPERSONAL RELATIONSHIPS

The Registered Nurse works closely with all levels of the nursing team including: Nurse
Unit Managers, Clinical Nurse Consultants, Clinical Nurse Specialists, other Registered
Nurses, Enrolled Nurses, Trainee Enrolled Nurses, Undergraduate Nursing Students,
Assistants in Nursing, as well as with Wardspersons / Porters / Operations Assistants.

The Registered Nurse has a pivotal role within the clinical operations workforce and works
closely with other members of the multidisciplinary team that includes, but is not limited to:
Medical Officers, Allied Health professionals and corporate services.

The Registered Nurse has a professional link to the Executive Directorate of Nursing and
Midwifery.

SKILLS, KNOWLEDGE AND EXPERIENCE

      Current registration with Nurses’ and Midwives Board of NSW
       Registered Nurse
     Experience with clinical trials
     Experience with endocrinology patient care.
     Experience with endocrinology function and testing (blood taking, urine collection &
       IV infusions).

PHYSICAL REQUIREMENTS:

Nursing is a physically demanding job; it requires abilities which relate directly to manual
handling tasks associated with direct patient care. This involves manual handling, frequent
twisting, stretching, bending, squatting, pushing and pulling. Fine motor skills plus
adequate hearing and eyesight are required.

IMMUNISATION STATUS:
Staff who are in Category A positions are expected to be fully compliant with PD2007_006.

Category A – Contact with clients/patients AND/OR contact with blood, body substances
or infectious material and includes infectious diseases that are droplet and/or airborne
transmitted,

Staff who have contact with clients and those working in laboratories and departments of
forensic medicine/morgues. The majority of clinical and clinical support positions who are
in contact with clients/patients and other support persons who may be required to be in
clinical areas such as domestic services, catering, some ITS positions ect would be
Category A.

Sydney West Area Health Service                                                                 Page 6 of 10
FINAL Reviewed – 20 October 2008               Created by the Executive Directorate of Nursing and Midwifery
EEO RESPONSIBILITIES:

The Employee:
Must adhere to the EEO policies and procedures of Sydney West Area Health Service.

The Supervisor:
Must ensure that the principles and practices of EEO apply to all staff within the position’s
responsibilities.

The Manager:
Is responsible for the implementation and maintenance of the EEO policies and
procedures in the day-to-day management.


OCCUPATIONAL HEALTH & SAFETY RESPONSIBILITIES

Cluster Directors Clinical Operations

      Demonstrate Duty of Care by ensuring the health, safety and welfare of all people in
       the workplace.
      Demonstrate commitment of OH&S through personal involvement.
      Ensure implementation of policies and procedures to ensure workplace health and
       safety standards are provided and maintained.
      Include employee OH&S responsibilities into job descriptions.
      Ensure OH&S is a regular agenda item in management meetings.
      Will consult with employees, via agreed mechanisms, to enable employees to
       contribute to the making of decisions affecting health, welfare and safety at work.
      Ensure provision of OH&S training for all employees to enable them to carry out
       their work safely.
      Integrate OH&S systems into all aspects of departmental operations.
      Ensure management representation on OH&S Committees.
      In consultation with employees will promote the identification, assessment and
       control (including monitoring the effectiveness of control measures) of any
       foreseeable workplace hazards that have the potential to harm SWAHS employees
       or others in the workplace.

Department Managers/Supervisors

      Demonstrate Duty of Care by ensuring the health, safety and welfare of all people in
       the workplace.
      Demonstrate commitment to OH&S through personal involvement.
      Take care of others in the workplace and cooperate with employer.
      Supervise employees to ensure adherence of safety policies and procedures.
      Participate in OH&S education, instruction and training.
      Implement and review OH&S policies and procedures to ensure workplace health
       and safety standards are provided and maintained.
      Will consult with employees, via agreed mechanisms, to enable employees to
       contribute to the making of decisions affecting health, welfare and safety at work.
      Monitor employee health and safety and the conditions of the workplace.
      Regular OH&S agenda item included in employee meetings.

Sydney West Area Health Service                                                                 Page 7 of 10
FINAL Reviewed – 20 October 2008               Created by the Executive Directorate of Nursing and Midwifery
      Assist OH&S Committee members in their performance of their duties.
      Lead in the OH&S Risk Management process, eg. identification, assessment and
       control of hazards and associated risks in the workplace.
      In consultation with employees will actively identify, assess and control (including
       monitoring the effectiveness of control measures) any foreseeable workplace
       hazards that have the potential to harm SWAHS employees or others in the
       workplace.
All Employees

      Demonstrate commitment to OH&S through personal involvement.
      Do not put yourself or others at risk and cooperate with the employer.
      Follow the employer’s reasonable instructions concerning health and safety in the
       workplace.
      Participate in OH&S education and training.
      Report any workplace hazards.
      Assist in the OH&S Risk Management process, by being actively involved in the
       identification, assessment and control of hazards and associated risks in the
       workplace.
      Assist managers in establishing and monitoring OHS Consultation in the workplace.

SWAHS SMOKE FREE POLICY

Sydney West Area Health Service is a smoke free environment.

CODE OF CONDUCT AND ETHICS

Comply with NSW Health Services Code of Conduct.

PRIVACY STATEMENT

The Privacy and Personal Information Protection Act 1998 (PPIPA) and the Health
Records and Information Privacy Act 2002 (HRIPA) requires all staff/contractors and other
health service providers who, in the course of their work, have access to personal
information (PPIPA) or personal health information (HRIPA), to comply with the
requirements of these Acts and the NSW Health Privacy Manual (PD2005_362).

It is the responsibility of all staff to ensure privacy of personal information by following
SWAHS privacy and security procedures in relation to any personal information accessed
during the course of their duties.

RISK MANAGEMENT OBLIGATIONS

Definition of a Risk:              “the chance of something happening that will have an
                                   impact on objectives”

These are your general risk management obligations as an employee of SWAHS.




Sydney West Area Health Service                                                                      Page 8 of 10
FINAL Reviewed – 20 October 2008                    Created by the Executive Directorate of Nursing and Midwifery
Risk Assessment Process for Managers:

Identify, analyse, evaluate and document all risks (eg: OHS, Corporate, Clinical, Financial,
Service Delivery) relevant to your functional area. Implement treatment strategies
(controls) where necessary and action plans for all areas of concern.

Risk Assessment Process for Employees:

Report any risks identified (eg: OHS, Corporate, Clinical, Financial, Service Delivery) and
request a formal risk assessment to ensure the protection of the Area Health Service, its
staff, its patients and its resources.

ADDITIONAL FACTORS

The ability to relocate to other sites within Sydney West Area Health Service may at times
be required.


DECLARATION

As the incumbent of this position, I have noted this Job Description and agree with the
contents therein. I understand that other duties may be directed from time to time.

I also agree to strictly observe the Area Health Service’s policy on confidentiality of patient
information or such sensitive information that I may come across in the course of my
employment.

 Incumbent:                                         Manager:

 ……………………………………………………                               ……………………………………………………
 Signature:                                         >>> Manager Title
                                                    Cluster / Network / Department
                                                    Sydney West Area Health Service

Date: _____ / _____ / _____




Sydney West Area Health Service                                                                  Page 9 of 10
FINAL Reviewed – 20 October 2008                Created by the Executive Directorate of Nursing and Midwifery
                        SPECIFIC LIST OF DUTIES FOR
                     ENDOCRINE NURSE TO BE WORKED
                    IN CONJUNCTION WITH THE CURRENT
                GENERIC REGISTERED NURSE JOB DESCRIPTION



    1. Help set up a clinical trials program in the areas of diabetes, osteoporosis, thyroid
       eye disease

    2. Assist the department with their clinical research into thyroid and related disorders.

    3. Assist in endocrine testing i.e. blood taking, 24 hour urine collections, endocrine
       stimulation and suppression tests, water and electrolyte studies and other metabolic
       studies.

    4. Assist medical staff within the Department of Endocrinology with the insertion of
       oestrogen and testosterone pellets.

    5. Assist with the running of endocrine clinics within the Department of Endocrinology

    6. Assist the Professor of Medicine & other medical specialists within the department
       with e.g. fine needle aspirations, ultrasounds, collection of blood. Etc.

    7. Work as part of the dedicated endocrinology team and support the department
       generally in the areas of endocrine clinics and the endocrine service as a whole.

    8. maintaining data base for all of our research studies


    9. Help with patient education at OPD Osteoporosis clinic




Sydney West Area Health Service                                                                  Page 10 of 10
FINAL Reviewed – 20 October 2008                Created by the Executive Directorate of Nursing and Midwifery

				
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