Key Task 1 – Clinical Services

1.1 Nursing Services

• Provide personal health and disease management services to patients at first point of contact including triage, acute care, case management, and rehabilitation as required.
• Demonstrates effective clinical assessment skills and shows evidence of sufficient clinical experience in assessment skills across the life span.
• A plan of action is formulated with the individual.
• according to the assessment and clinical findings, their informed choices and circumstances, the degree of self-management appropriate and the services available
• The plan of action and interventions are based on best practice guidelines and utilise relevant Standing Orders/clinical guidelines.
• Initiates clinical programmes and initiatives to support the objectives in the Primary Health Care Strategy, including screening for on-going medical conditions such as cardiovascular disease and Diabetes.
• Nursing care is supported by appropriate documentation.
• Demonstrates ability to perform appropriate clinical procedures and treatment regimens within scope of practice.
• Referrals and consultations with all health professionals and other colleagues are made to provide the best available information and timely care to the individual.
• Demonstrates the use of time management skills to plan and prioritise own workload.

1.2  Maintaining and Improving Health
Provide timely clinical and culturally appropriate health services through:

• On-going well-health education and advice, including counselling to improve health and prevent disease.
• Use of recall and reminder systems and referral, as appropriate, to national screening programmes.
• Education to assist people to reduce or change risky and harmful lifestyle behaviour.
• Family planning services, provision of contraceptive advice and sexual health services.
• Delivery of immunisation programmes.
• On-going care and support for people with chronic conditions.
• Health promotion, linking to public health programmes at a national, regional and local level and utilising such programmes to target specific populations.

1.3  Coordinating Care
In particular:

• Advocating on behalf of patients with external agencies to communicate patient care and support needs where appropriate.
• Coordinating an individual’s rehabilitation process and participating where appropriate in providing recovery-oriented services to restore normal functioning.
• Developing collaborative working relationships with community health services, DHB and non-Government public health providers, ACC and relevant non-health agencies.

Key Task 2 – Clinical Management

2.1  Stocks of materials

• Maintain adequate levels of stock for materials and equipment in all treatment and consulting rooms, ensuring no item is past its expiry date.

   

2.2  Medication Management

• All medications are stored and dispensed within the documented procedures, ensuring minimum levels of supply are maintained.
• Ensure safe custody and accounting for controlled medications.
• Demonstrates responsibility, accountability, competence and knowledge of medication administration, evidence-based treatments and interventions used in patient care.

Key Task 3 – Documentation

3.1  Accuracy of information

• Information entered into the Patient Management System (PMS) complies with nursing documentation standards and is accurate, appropriate and in accordance with agreed protocols.
  
  

3.2  Consultations

• All consultations (including telephone consultations) with or about patients is documented.
  
  

Key Task 4 – Communication

4.1  Communication

• Ensure appropriate follow up for normal or abnormal investigations in collaboration with the GP.
• Relates to patients in a professional manner and communicates effectively to support the patient through the healthcare experience.
• Ensure the appropriate health professionals are kept informed with regarding patients and the delivery of nursing care.
• Acts as a patient advocate as required.
• Professional collaboration with other health professionals is maintained.
• All staff problems or issues are referred to the Clinical Nurse Manager in the first instance.
• Is an active, engaged team member, working collaboratively with all staff within the medical centre.
• All complaints are referred to the Clinical Nurse Manager.

Key Task 5 – Financial