Position Overview
Clare Holland House provides Specialist Palliative Care Services throughout the ACT including Home-based, Inpatient, and Outpatient settings along with outreach to Residential Aged Care Facilities (RACF) and North Canberra Hospital. The Inpatient Hospice, situated on the shores of Lake Burly Griffin in Barton, provides admission for end-of-life care, symptom management & optimisation and carer respite for patients diagnosed with a life-limiting illness.
Palliative Care Nurse Practitioners within the PEACE teamwork from Clare Holland House, they provide a consultative service to people who have malignant or non-malignant life-limiting illness with specialist palliative care needs who are living in residential aged care facilities in the ACT by:
- working at an advanced level of palliative care nursing practice that includes comprehensive holistic assessment, diagnosis, therapeutic management, quality use of medicines, monitoring and evaluation of care tailored to the person’s needs.
- collaborating with multidisciplinary and other health care professional/service providers to ensure the residents and their family/carer remain the focus of care, and
- working together with GP’s and RACF staff ensuring resident’s goals of care/advance care plan are agreed upon and upheld.
The Palliative Care Nurse Practitioner will continue to develop/evolve to meet the changing clinical requirements of both CHH and the Residential Aged Care Facilities.
The Palliative Care Nurse Practitioner will be based within the Clare Holland House, within the palliative aged care (PEACE) team and will, in collaboration with palliative care consultants, general practitioners and other health professionals, clinically manage palliative care patients within aged care facilities across the territory who have complex palliative care needs.
Duties
The Palliative Care Nurse Practitioner:
- Practice in accordance with approved clinical practice guidelines, scope of practice and Nursing and Midwifery Board of Australia professional standards of practice, Code of Professional Conduct, and Code of Ethics for Nurses to deliver professional competent care in line with public expectation.
- Provides expert knowledge to the palliative care multidisciplinary team, provide direct clinical care, guidance, support, education and advice on the clinical case management of residents.
- Undertakes a comprehensive assessment, synthesizes and interprets assessment information including resident history, physical findings and diagnostic data to identify the resident’s phase of health and to make differential diagnoses.
- Practice within a model enhanced by autonomy, accountability and diagnostic reasoning to inform clinical decision making, conduct comprehensive and holistic health assessments and undertake relevant interventions, in collaboration with individual/s and multidisciplinary team to support the provision of person focused quality care.
- Identify potential adverse outcomes and implement proactive strategies to achieve risk minimisation.
- Liaise with the palliative care consultants to discuss resident referrals and outcomes.
- Collect and report individual's clinical information in a timely manner, maintain confidentiality and accurate health care documentation to ensure necessary information is available to meet legal and ongoing care requirements.
- Participate in research, maintain relevant memberships with relevant professional bodies, foster collaborative relationships with service providers and key stake holders.
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
- Individual initiative with strong problem solving and consultation skills.
- High Level communication and interpersonal skills.
- A commitment to practicing holistic health care that considers, and is sensitive to, a resident’s unique psychological, spiritual, and socioeconomic background.
- Ability to liaise effectively with staff at all levels and across disciplines.
- Organisational ability and time management skills.
Position Requirements / Qualifications
Mandatory
- Registered Nurse with the Australian Health Practitioner Regulation Agency (AHPRA) who is endorsed to practice as a Nurse Practitioner by the Nursing and Midwifery Board of Australia.
- Must hold a current drivers’ licence.
- Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.
- Have an understanding of documents such as the Aged Care Quality Standards, Charter of Aged Care Rights, Palliative Aged Care Outcomes Program (PACOP), The Aged Care Diversity Framework (https://www.agedcarequality.gov.au/older-australians/your-rights/aged-care-quality-standards, https://www.uow.edu.au/ahsri/pacop/
- 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.
- 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 experience working within the aged care sector, with an understanding of the dynamics of aging, polypharmacy, Alzheimer’s disease, other dementias, and the like.
Please note prior to commencement successful candidates will be required to:.
- Undergo a pre-employment National Police Check.
- Prior to commencing this role, a current registration issued under the Working with Vulnerable People (Background Checking) Act 2011 is required.
- Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.
- Comply with Canberra Health Services Credentialing and scope of clinical practice requirements for Nurse Practitioner.
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.
- Demonstrated comprehensive knowledge in the application of evidence-based practice in implementing individualised person-centred care, diagnostic and treatment interventions at an advanced level within the aged care sector, with a commitment to quality improvement and research.
- Demonstrated exceptional clinical communication using information technology, written and verbal means with sound interpersonal skills with the capacity to interact with others in a personable and professional manner.
- Evidence of participation in own professional development, a commitment to maintaining competence and enhancement of skills, willingness to apply and share professional expertise as a resource person and mentor others within the field of practice.
- Knowledge and understanding of current trends in palliative aged care practice and an ability to promote and influence work practice change based on evidence-based practice.
- 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.
| Administrative | Frequency |
|---|---|
| Telephone use | Frequently |
| General computer use | Frequently |
| Extensive keying/data entry | Frequently |
| Graphical/analytical based | Frequently |
| Sitting at a desk | Frequently |
| Standing for long periods | Occasionally |
| Psychosocial demands | Frequency |
|---|---|
| Distressed People e.g. Emergency or grief situations | Frequently |
| Aggressive & Uncooperative People e.g. drug / alcohol, dementia, mental illness | Occasionally |
| Unpredictable People e.g. Dementia, mental illness, head injuries | Occasionally |
| Restraining e.g. involvement in physical containment of clients/consumers | Occasionally |
| Exposure to Distressing Situations e.g. Child abuse, viewing dead / mutilated bodies; verbal abuse; domestic violence; suicide | Occasionally |
| Physical demands | Frequency |
|---|---|
| Distance walking (large buildings or inter-building transit) | Occasionally |
| Working outdoors | Never |
| Manual handling | Frequency |
|---|---|
| Lifting 0 - 9kg | Occasionally |
| Lifting 10 - 15kg | Occasionally |
| Lifting 16kg+ | Never |
| Climbing | Never |
| Running | Never |
| Reaching | Never |
| Kneeling | Occasionally |
| Foot and leg movement | Occasionally |
| Hand, arm and grasping movements | Occasionally |
| Bending/squatting | Occasionally |
| Bend/Lean Forward from Waist/Trunk twisting | Occasionally |
| Push/pull | Occasionally |
| Sequential repetitive movements in a short amount of time | Occasionally |
| Travel | Frequency |
|---|---|
| Frequent travel – multiple work sites | Frequently |
| Frequent travel – driving | Frequently |
| Specific hazards | Frequency |
|---|---|
| Working at heights | Never |
| Exposure to extreme temperatures | Never |
| Operation of heavy machinery e.g. forklift | Never |
| Confined spaces | Never |
| Excessive noise | Never |
| Low lighting | Never |
| Handling of dangerous goods/equipment e.g. gases; liquids; biological. | Never |
| Slippery or uneven surfaces | Never |
Directorate: Canberra Health Services
Division: North Canberra Hospital
Business Unit: Home based palliative care (HBPC) and Palliative aged care (PEACE)
Position number: LP7726
Position title: Palliative Care Nurse Practitioner - Registered Nurse 4.2
Classification: Registered Nurse Level 4.2
Location: Clare Holland House, Barton
Reporting relationships: Registered Nurse Level 4.2 > HBPC Manager > Palliative Care Director