Position Overview

Key responsibilities

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

Under direction of the ICU/CCU Assistant Director of Nursing (ADON) you will perform clinical and administrative duties in line with a RN L3.1 role.

1. Providing expert clinical advice and assessment of patients following transfer from ICU or acute deterioration.
2. Contribute to the development and maintenance of standard operating procedures, policy and procedure and other administrative and governance documents required for ICU liaison service as delegated.
3. Provide leadership, support and direction to all staff, patients and families within the hospital ward environment, including a close relationship with the After-Hours manager for the Hospital.
4. Apply clinical knowledge and experience in the clinical assessment and investigation of patients and collaborate with the treating team and the ICU multidisciplinary team in the clinical decision-making process where appropriate.
5. Conduct immediate and ongoing assessment of referred patients including advanced physical assessment, medical / surgical / psychosocial history identification, recent and current treatment regimens, and document findings appropriately. Clinical review of individual patients including but not limited to:
   • Responding to requests for assistance in both the inpatient and outpatient areas.
   • Facilitation of critical care patient transfer to the ICU/CCU.
   • Attend MET calls initiated during the shift to provide clinical assistance/leadership as required.
   • Follow up assessment of MET calls where necessary, when ongoing treatment is maintained outside the intensive care/coronary care unit.
   • Follow up assessment of HDU and ICU patients transferred from the ICU to the ward areas.
   • Follow up assessment of identified unstable patients in the ward/ED.
   • Initiate clinical intervention within scope of practise and in conjunction with the medical emergency team (MET) Communicate specific assessment/treatment concerns to, and liaising with, relevant treatment teams.
   • Participate in the TPN round.
   • Coordinate and manage complex patients utilising evidence-based practice resulting in optimal patient outcomes.
6. Provide clinical education to staff within and external to the Intensive Care Unit both formally and informally as required.
7. Participate in data collection as delegated to improve service delivery via regular evaluation of outcomes.
8. Participate in quality improvement, research projects and change management in relation to ICU liaison service.
9. Contribute to the NSQHS Standard 8 committee (Recognising and Responding to Clinical Deterioration).
10. Contribution and as required take leadership role in the MET M&M and associated reports.
11. Manage direct reports of Co-worker ICU Liaison nurse team.
12. Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

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.

Competencies

Specific responsibilities include but are not limited to the following.

1. Take reasonable care of your own health and safety and the health and safety of others in the workplace.
2. Communicate positively with families, members of the public, executive, management and staff.
3. Detailed documentation of assessment and suggested interventions.
4. Practice in accordance with CHS and relevant Government Health policies and procedures, the position description, Code of Conduct and industrial agreements.
5. Work in accordance with the values of CHS and actively participate in developing a culture that promotes values of being Reliable, Progressive, Respectful and Kind.
6. A demonstrated understanding of CHS expectations and a willingness to always behave in accordance with those expectations. This will include personal accountability for own behaviour, and demonstrated leadership in holding others to account.
7. Comply with relevant CHS WHS policies, procedures, work instructions and requests.

Position Requirements / Qualifications

Mandatory

• Tertiary Qualification or related qualification in Intensive care nursing or similar.
• Current advanced life support certification.
• Registered or eligible for registration with the Australian Health Practitioner Regulation Agency (AHPRA).
• Working rights within Australia.
• Minimum five years’ experience in Critical Care.
• 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.

Highly Desirable

• Demonstrated ability to deliver quality nursing care in accordance with the ANMC National Competency Standards for a Registered Nurse
• Prior experience as a Nurse Liaison or member of an ICU outreach team will be highly desirable.
• Experience providing leadership to a team and development of a service.
• Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework and all other related frameworks.
• Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.

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

• Undergo a pre-employment National Police Check.
• Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.

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 resumé and experience.

1. Demonstrated advanced clinical assessment skills and problem-solving ability in the management of critically ill and deteriorating patients, including advanced airway management, haemodynamic monitoring and stabilisation, electrolyte monitoring and replacement, cardiac monitoring and interpretation, and mechanical ventilation techniques.
2. Demonstrated leadership, planning and problem solving skills, and an ability to work both autonomously as well as a member of the multidisciplinary team, including, including advanced communication and interpersonal skills with the ability to use critical thinking skills in problem solving.
3. Evidence of commitment to maintaining ongoing professional development through participation in education and training activities relevant to clinical practice.
4. Demonstrated outcomes in innovation, quality improvement, and strategic planning, including demonstrated data management and analysis in the pursuit of best practice.
5. Demonstrates understanding of, and adherence to, safety and quality standards, Work Health and Safety 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.