Position Overview

HITH NCH is a multidisciplinary inpatient unit providing acute medical care of patients in their own homes. It is a progressive unit known for its multidisciplinary approach and will give trainees exposure to a rapidly expanding service model across the world for inpatients with acute illnesses, not requiring treatment based in a hospital ward. Whether you are interested in general medicine, general practice, emergency medicine, geriatric medicine or infectious diseases this term provides an excellent broad experience in acute medicine and management of chronic comorbidities.

As the unaccredited registrar, you will work as part of the HITH multi-disciplinary team assisting consultants with clinical management of patients and applying medical knowledge and experience in the clinical diagnosis, investigation, treatment and ongoing management and appropriate discharge of patients.

You will also provide clinical support for all staff members of the HITH Service including but not limited to more junior medical staff and nursing staff. You will maintain effective communication with patients and their relatives, hospital staff, medical colleagues, general practitioners and other community care providers to ensure the best provision of care, education and effective handover of ongoing patients care. You will ensure medical records are appropriately updated and with the HITH senior medical staff ensure cost-effective use and wise stewardship of hospital resources.

You will contribute to quality assurance and/or research activities within the unit to fulfill training requirements. You will also be provided with education and training by your supervising staff.

You will also have a role in supporting management of patients in the outpatient day infusions service, ZM (Zita Mary clinic), including patients with acute deterioration during treatment. This which will expose you to a broad range of patients with gastroenterological, rheumatologic, renal and other chronic diseases in the setting of an ambulatory care outpatient service. You may also have the opportunity to participate in ambulatory care clinics depending on training level

Key responsibilities

Specific responsibilities include, but are not limited to, the following.

Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

Under direction of the HITH term Supervisor and other HITH Specialists, you will perform the day to day management of patients within   the HITH unit at NCH. You will:

1. Assess patients for admission or transfer to the HITH unit with respect to both their clinical and psychosocial capacity to be safely admitted to HITH.
2. Holistically manage patient’s primary condition as well as other co-morbidities which may be affected during their illness.
3. Identify discharge goals and timelines for patients admitted to the HITH service.
4. Ensure discharge communication, supports and processes are in place for safe discharge of patients back to their GP and community services from HITH.
5. Participate in HITH multidisciplinary handover and meetings on a twice daily basis.
6. Assess acutely deteriorating patients in the ZMC day infusions service and provide management as required in consultation with their admitting specialist and/or MET team if required.
7. Appropriately document in the DHR as required.
8. Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

About you

CHS is committed to workforce diversity and to creating an inclusive workplace. As part of this commitment, we welcome applications from all diversity groups. Aboriginal and Torres Strait Islander peoples, people with disability and people who identify as LGBTQIA+ are particularly encouraged to apply.

Behavioural Capabilities

1. Enthusiasm for clinical excellence.
2. Sound written and verbal communication skills.
3. Ability to work collaboratively in a clinical team.
4. Commitment to continued professional development, including ongoing teaching and learning.

Position Requirements / Qualifications

Mandatory

• Be registered or be eligible for registration with the Australian Health Practitioner Regulation Agency (AHPRA).
• The successful applicant will need to be available for weekend and after-hours work.
• Relevant Medical qualifications (MBBS or equivalent) and a minimum of 2(two) years’ experience working professionally in medicine.
• CHS is leading the drive to digitally transform health service delivery in Australia through the implementation of a territory wide Digital Health Record. Computer literacy skills are required which are relevant to this role as you will be responsible for completing required documentation and becoming a proficient user of the Digital Health Record and/or other Information Technology systems; once proficient, you will need to remain current with changes, updates and contingencies.

Desirable

• Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.
• Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework and all other related frameworks.

Please note prior to commencement successful candidates will be required to:

• Prior to commencing this role, a current registration issued under the Working with Vulnerable People (Background Checking) Act 2011 is required.
• Undergo a pre-employment National Police Check.
• Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.
• Comply with Canberra Health Services Credentialing and scope of clinical practice requirements for medical professionals.

Important information

All employees are required to:

• Adhere to the Canberra Health Services Values and the ACT Public Service Code of Conduct
• Act in accordance and comply with all relevant Safety and Quality policies and procedures.
• Comply with all relevant clinical and/or competency standards.
• Be available for weekend and/or after-hours work.

What you Require (Key Selection Criteria)

These are the key selection criteria for how you will be assessed in conjunction with your CV and experience.

1. Demonstrated ability to work effectively as part of a multi-disciplinary team.
2. Ability to apply theoretical knowledge and experience in determining the appropriate clinical diagnosis, investigations and treatment of patients.
3. Ability to work within personal level of expertise and seek assistance as needed from senior staff.
4. Ability to assist interns and residents to extend their clinical skills and knowledge.
5. Demonstrates understanding of, and adherence to, safety and quality standards, work, health and safety (WH&S) and the positive patient experience. Displays behaviour consistent with CHS’s values of reliable, progressive, respectful and kind.

Work Environment Description

The following work environment description outlines the inherent requirements of the role and indicates how frequently each of these requirements would need to be performed. Please note that the ACT Public Service is committed to providing reasonable adjustments and ensuring all individuals have equal opportunities in the workplace.