This role is part of a Registered Nurses (RNs) lead team in the North Canberra Hospital (NCH) Geriatric Rapid Acute Care Evaluation (GRACE) Service. GRACE liaise between Residential Aged Care Homes (RACH) residents, their family and carers, GPs, Emergency Department (ED) staff, inpatient units of North Canberra Hospital, Canberra hospital, University of Canberra Hospital and ACT Ambulance Service (ACTAS), for improved care delivery to acutely unwell residents.

The primary aim of the position is to provide assessment and clinical management of residents of Residential Aged Care Home (RACHs) to prevent avoidable presentations to public Emergency Departments (EDs). The position will report to Level 3.2 CNC, GRACE Service.

GRACE services include:

• An outreach service including advice / support / education resource to RACH staff,
• Acute assessment and clinical support to acutely unwell RACH residents at their place of residence,
• A co-ordinated single-entry point for those residents requiring transfer for acute care to an ACT public hospital,
• Advocacy and support for RACH residents within the ED, with post-discharge support, and

Advocacy and support for RACH residents admitted to hospital, with post-discharge support.

1. Participate as part of the clinical GRACE team to provide high quality and evidence based, clinical care, in RACHs, ED and acute facilities
2. Liaise with GPs, the primary clinical governance for resident care
3. Provide care within the scope provided in the GRACE MoC, relevant facility policies, procedures and guidelines and any other guiding documents
4. Work in collaboration with other members of the team and operationally report to the CNC,
5. Assist with identification of RACH educational needs, and participate in the delivery of an educational program,
6. Comply with and contribute to operational reporting requirements, including data entry where required
7. Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

• Strong organisational skills and high degree of drive.
• Strong communication skills and interpersonal skills.
• Ability to work with a high degree of autonomy.
• Adaptability and flexibility to accommodate change and provide responsive service to meet the needs of residents.

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

Essential

• Be registered with the Australian Health Practitioner Regulation Agency (AHPRA).
• Hold a current drivers license without restriction

Desirable

• Holds or is working towards relevant post-graduate qualifications.
• Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.

Specific responsibilities include but are not limited to the following.

Essential

• A registered nurse with a minimum of 5 years’ experience working professionally in acute nursing.
• Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework and all other related frameworks.

Desirable

• An understanding of the residential aged care system and associated stakeholders.

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

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.

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.

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

1. Ability to build productive relationships with internal and external stakeholders to deliver timely access to clinical services for residential aged care residents
2. Ability to provide high quality clinical assessment and planning for acutely unwell residents in the residential aged care setting.
3. Demonstrated ability to work flexibly, with minimal supervision and individually to meet competing clinical demands across community and acute care settings,
4. Demonstrated participation in improving care through quality improvement activities, education and policy and procedure development
5. Demonstrates understanding of, and adherence to, safety and quality standards, work, health and safety (WH&S) and the positive patient experience. Displays behavior consistent with CHS’s values of reliable, progressive, respectful and kind.

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	Occasionally
Sitting at a desk	Occasionally
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	Frequently
Restraining e.g. involvement in physical containment of clients/consumers	Never
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)	Frequently
Working outdoors	Never

Manual handling	Frequency
Lifting 0 - 9kg	Frequently
Lifting 10 - 15kg	Never
Lifting 16kg+	Never
Climbing	Never
Running	Never
Reaching	Occasionally
Kneeling	Occasionally
Foot and leg movement	Frequently
Hand, arm and grasping movements	Frequently
Bending/squatting	Frequently
Bend/Lean Forward from Waist/Trunk twisting	Occasionally
Push/pull	Occasionally
Sequential repetitive movements in a short amount of time	Never

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	Occasionally
Handling of dangerous goods/equipment e.g. gases; liquids; biological.	Never
Slippery or uneven surfaces	Never