“Mehemea ka moemoeā ahau Ko au anake Mehemea ka moemoeā e tātou, Ka taea e tātou”

Waikato District Health Board Position Description Job Title: Reports to: Professional links to: Delegation Health leadership Responsible for: (Total number of staff) Budget: Job Purpose:

Direct Reports: Date and version:

“If I am to dream I dream alone If we all dream together Then we will achieve.” Te Puea Herangi

Community Mental Health Nurse Charge Nurse Manager/ Team Leader Nursing and Midwifery Directorate Nil Staff, no delegation Nil Nil As a member of the multidisciplinary team works in a community setting to support service users/tangata whaiora achieve their maximum mental health potential. Fulfils the role and requirements of key worker in a range of clinical settings, and with specific client groups. Provides care relevant to the service user and context /setting that can include: -a therapeutic relationship and utilising recovery and strength-based approach -assessment, monitoring and evaluation of clinical management -effective service pathways and options, and seamless transition of care -providing sound advice, assessments and reports. Nil 05-12-16 v 2

Vision (Te Matakite) Healthy People. Excellent care. Mission (Te Whakatakanga) Enable us all to manage our health and wellbeing. Provide excellent care through smarter, innovative delivery Values Theme “People at Heart” – Te iwi Ngakaunui Give and earn respect - Whakamana Listen to me; talk to me – Whakarongo Fair play – Mauri Pai Growing the good – Whakapakari Stronger together – Kotahitanga

Code of Conduct The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and conduct and sets expectations relating to behaviour in the workplace.

INDIVIDUAL ACCOUNTABILITIES Authorised to deliver the accountabilities required of the Community Mental Health Nurse including: a) meeting objectives established annually with the line manager b) fulfilling specific functions for liason and partnerships, that include but is not limited to police, prison, courts, emergency department, general hospital, NGOs, primary services, community and service user groups, and health providers c) contributing mental health knowledge and skills in the assessment of health needs, planning, delivering and evaluating nursing care. d) providing support and or cover of caseloads as directed by the Charge Nurse Manager or Team Leader. Professional practice/ framework for practice accountability  Providing service user, tāngata whaiora centred partnership care. Uses the principles of the Treaty of Waitangi, and processes that support the provision of culturally responsive and appropriate care and support.  Integrating nursing knowledge/ theory into practice  Complying with legislation, policies, pathways, procedures and standards. Management of nursing care accountability. Accountable for nursing practice involving communication and collaboration with the service user/ tāngata whaiora and other health professionals, and a problem solving approach, including but not limited to the following specific areas.  Medication management  Using psychosocial therapies, and evaluating these with service users/tangata whaiora and teams.  Managing crisis as occurs for own or other client groups.  Service user/ tangata whaiora education.  Safe and effective transfer or discharge of patients.  Workload resource management and prioritisation. Has inputs as appropriate with management and delegation, and co-ordination of work, the shift and the service area.  Multidisciplinary teamwork and clinical leadership results in safe and best outcomes for the patient/ client.  As applicable to the setting or client group undertaking the role of key worker or associate worker to the identified service user/tangata whaiora population.  Undertaking responsibility for effectively managing a caseload, following the service user/tangata whaiora pathway processes.  If required, undertaking training and maintenance of knowledge to act as a Duly Authorised Officer within the requirements of the Mental Health Act 1992.  Providing inter-sectoral support, and facilitates Mental Health (Compulsory Assessment and Treatment) Act 1992 requirements/reviews as appropriate.  As applicable to the position demonstrate a specialised expertise pertaining to the requirements of the Criminal Procedures (Mentally Impaired Persons) Act 2003 and the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003 for the judiciary to consider.  Support custody staff in identifying and minimising risk of harm to self and others, whilst the individual is within the criminal justice system. Professional practice, development and performance accountability  Assuming responsibility for personal and professional work education and development, including having agreed objectives documented in the performance and development review, and an annual leave plan.  Assuming responsibilities with delegation and supervision of unregulated staff within Waikato DHB services

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Participating in education, the training of student nurses, and the development of the Registered Nurse-Graduate completing the nurse entry to practice specialist practice programme (BEST), and the care and unregulated staff within DHB services. Participates, as agreed with the Charge Nurse Manager, in groups and teams, and with the development of educational resources. Supporting and educating agencies on plans associated with service user needs (clinical provider contractual expectation). Supporting the provision of professional supervision for nurses, and undertaking supervision training if agreed. Undertaking professional supervision.

Interpersonal relationships accountability  Establishing, maintaining and concluding therapeutic interpersonal relationships with service user/tangata whaiora.  Practicising nursing in a negotiated partnership with the service user/tangata whaiora.  Communicating effectively with the service user/tangata whaiora, and members of the health care team. Interprofessional health care and quality improvement accountability 

Collaborating and participating with colleagues and members of the multidisciplinary team to facilitate and co-ordinate care.

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Recognising and valuing the roles and skills of all members of the multidisciplinary team in the delivery of care.

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Participating, as agreed with the Charge Nurse Manager/Team Leader, in quality improvement activities to monitor and improve standards of nursing.

Specific area accountability: Insert specific accountabilities for position.

TEAM RESPONSIBILITIES Quality and Patient Safety collective responsibilities  Be responsible for treating patients / service users with respect, dignity and compassion  Be responsible to the line manager for the provision of quality services; quality improvement is part of this and a fundamental duty of all staff, whatever their grade, role, service or base  Comply with DHB policies and procedures to ensure delivery of good quality care reporting risks to quality and safety to their line manager  Identify areas for improvement in their day to day work and to act upon these when appropriate and/or bring these to the attention of their line manager, in order that appropriate action may be taken.  Participate in on-going quality improvement activities throughout the year within their team, service, site or department.  Raise concerns with their line manager, if there are quality or patient / service safety issues in their area.

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ORGANISATIONAL RESPONSIBILITIES Contribution aligns with the Waikato DHB strategy. Being accountable for own work and provide a high quality service, and contributes to quality improvement and risk minimisation activities. Read and understand the organisations policies and procedures that have an impact on the role and maintaining understanding is based on the most current version. This includes but is not limited to Corporate Records Management policy, privacy, and information security policies. Follows established Health and Safety and other policies and procedures to ensure the safety of oneself and others Work in partnership with Māori patients and whānau to provide culturally responsive and appropriate care and support to improve health experience, outcomes and reduce health inequities. Knows department emergency response plan and participates in response as applicable to the role.

Professional accountabilities Domains determined by the Nursing Council of New Zealand Domain One: Professional responsibility. This domain contains competencies that relate to professional, legal and ethical responsibilities and cultural safety. These include being able to demonstrate knowledge and judgement, and being accountable for own actions and decisions, while promoting an environment that maximises client safety, independence, quality of life and health. Domain two: Management of nursing care. This domain contains competencies related to client assessment and managing client care, which is responsive to the client/ clients’’ needs, and which is supported by nursing knowledge and evidence based research. Domain three: Interpersonal relationships. This domain contains competencies related to interpersonal and therapeutic communication with clients, other nursing staff and interprofessional communication and documentation. Domain four: Interprofessional health care and quality improvement. This domain contains competencies to demonstrate that, as a member of the health care team, the nurse evaluates the effectiveness of care and promotes a nursing perspective within interprofessonal activities of the team.

QUALIFICATIONS AND EXPERIENCE QUALIFICATIONS    

Registration with Nursing Council of New Zealand; inclusive of scope of practice. A current practising certificate with the Nursing Council of New Zealand. Minimum of 12 months post registration experience completing the new graduate year within Mental Health and Addictions. Expected to meet competent level of practice on the Professional Development and Recognition Programme, but may achieve a higher level of practice.

DESIRABLE  May be desirable to be undertaking, or have completed, post graduate studies; have undertaken training in psychosocial therapies.

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SKILLS Scope of practice Nursing Council of New Zealand Registered Nurses utilise nursing knowledge and complex nursing judgement to assess health needs and provide care, and to advise and support people to manage their health. They practise independently and in collaboration with other health professionals, perform general nursing functions and delegate to and direct enrolled nurses, health care assistants, and others. They provide comprehensive assessments to develop, implement, and evaluate an integrated plan of health care, and provide interventions that require substantial scientific and professional knowledge, skills and clinical decision making. This occurs in a range of settings in partnership with individuals, families, whanau and communities. Registered nurses may practise in a variety of clinical contexts depending on their educational preparation and practice experience. Registered nurses may also use this expertise to manage, teach, evaluate and research nursing practice. Registered nurses are accountable for ensuring all health services they provide are consistent with their education and assessed competence, meet legislative requirements, and are supported by appropriate standards. There will be conditions placed in the scope of practice of some registered nurses according to their qualifications or experience limiting them to a specific area of practice. Health leadership capabilities and competencies. Contribution (national leadership framework be a values leader)   

Models and adheres to the DHBs values, vision, and code of conduct (22) DHB Values Provides safe and quality service delivery for patients/ clients/ customers (15) Completes work within required timeframes (62)

Self and others (national leadership framework engage others). 

Seeks opportunities to continuously improve, and works to learn and grow (54)

Relationships (national leadership framework develop coalitions) 

Maintains effective relationships patients/ clients/ consumers/customers, and with peers and the employer, and encourages collaboration and effective group interactions (42)

Getting results (national leadership framework leading care)  

Is open to learning new things and picks up technical skills in a reasonable timeframe (61) Is action oriented and undertakes duties with professionalism and enthusiasm (1)

Leading change (national leadership framework mobilise system improvements) 

Looks for opportunities to improve processes and uses logic and analysis to review information in order to make sound decisions (14)

The numbers in brackets are only applicable to current staff who have a career and development plan.

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SCOPE OF POSITION Relationships Internal Nursing staff Psychiatric Assistants Multidisciplinary team Director Area Mental Health Services professional leaders Clinical Directors Administrative staff Chief Nursing and Midwifery Officer Clinical Nurse Director Cultural advisors Service user advisors Managers Departments and services External Māori providers General Practitioners and primary services Community and service user agencies NGOs Government agencies, including courts and prisons National agencies Other health providers Tertiary education providers

WORK ENVIRONMENT AND WORK FUNCTION / ACTIVITY Work environment 

Works indoors in various community settings such as homes and workplaces.

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Generally works in adequately lit, heated, ventilated and clean, well maintained and hygienic workspaces that may vary depending on the nature of the community setting.

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Light to medium physical demand.

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Frequently sits during consultations and discussions with service users/tangata whaiora/ tangata whaiora and others and when writing clinical notes.

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Stands and walks frequently to care for service users/tangata whaiora, gather and use equipment, medications and deliver other interventions.

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Occassionally may be required to lift up to a heavy demand, for example in the event of collapse of service users/tangata whaiora

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Occasional bending, squatting, crouching or stretching, twisting and reaching may be required when carrying out nursing procedures.

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Contact with body fluid and materials will necessitate the use of protective clothing and gloves and safety procedures will be adhered to.

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Repetitive hand and finger movements will be necessary when using computers and writing notes.

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Mental skills necessary include a high level of cognitive functioning with nursing, observation, evaluation and assessment of baby and maternal health, communication, interpersonal, organisational, problem solving and decision-making capabilities. Source: www.acc.co.nz

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Other requirements  New Zealand full driver’s license.  May be required to work rostered duties.

DECLARATION I certify that I have read this position description and reasonably believe that I understand the requirements of the position. I understand that: a)

this position description may be amended by the employer following reasonable notice to me

b)

I may be asked to perform other duties as reasonably required by the employer in accordance with the conditions of the position.

Position holder’s name:

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Position holder’s signature:

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Manager’s name:

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Manager’s signature:

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Date of signing:

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Code of Conduct The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and conduct and sets expectations relating to behaviour in the workplace.

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