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Position overview

Canberra Health Services (CHS) is focused on the delivery of high quality, effective, person-centered care. It provides acute, sub-acute, primary, and community-based health services, to the Australian Capital Territory (ACT) and surrounding region. More information can be found on the CHS website: https://www.health.act.gov.au/

The Walk-in Centres are a nurse-led primary health service that provides episodic care for minor injury and illness to the community. They are part of the national network of Medicare Urgent Care Clinics. The Walk-in Centres are staffed by Advanced Practice Nurses and Nurse Practitioners. Advanced Practice Nurses work within the scope provided by Clinical treatment Protocols (CTP) and Medication Standing Orders (MSO).

Nurse Practitioners provide autonomous care to our patients, using advanced clinical assessment skills, experience, and expertise to assess, diagnose and treat patients who present to the WiCs. Nurse Practitioners have a scope of practice which extends beyond the WiC CTP and MSOs enabling them to treat a broader range of conditions. Nurse Practitioners are expected to undertake relevant education and training to demonstrate competence in any expanded scope of practice.

Note: Credentialing through the CHS Nursing and Midwifery Clinical Scope of Practice and Credentialing Committee is mandatory prior to employment as a Nurse Practitioner and the successful candidate/s will be eligible for appointment to an RN 4.2 Nurse Practitioner position/s on evidence of completion of the WiC competency program. Competency is to be met within four weeks and assessed via Objective Structured Clinical Exams (OSCE).

A preliminary temporary Advanced Practice Nurse (RN 3.1) contract will be issued while the WiC competency program is undertaken, and upon successful completion of the OSCEs and CHS credentialling, an RN 4.2 Nurse Practitioner contract will commence.

The successful applicant will work collaboratively and report directly to the Assistant Director of Nursing.

Key responsibilities

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

  • Provide a comprehensive Nurse Practitioner service, effectively managing the safe clinical care of patients presenting with non-differentiated acute minor illness and/ or injury.
  • Develop and maintain agreed Walk-in Centre Nurse Practitioner credentialing, including the medication formulary to support the highest level of clinical nursing practice and leadership as an autonomous health professional.
  • Provide advanced comprehensive and holistic nursing assessment, diagnosis, planning and implementation of treatment, utilising a patient-focussed model of care, which is evidence-based alongside relevant opportunistic health promotion, education, and support to patients to enable their active participation in their care.
  • Communicate effectively, including liaison and collaboration with other health care professionals and agencies to accept or redirect patients adhering to Walk in Centre Clinical Treatment Protocols.
  • Participate and provide leadership in the clinical governance and clinical risk management in the Walk in Centre. Including participation in and provision of education, mentoring and clinical leadership to the other staff of the Walk-in Centre.
  • Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

Competencies

Specific responsibilities include but are not limited to the following.

  • Successful completion of the Objective Structured Clinical Exams (OSCE) is to be met within four weeks of commencement and are based on practical demonstration of understanding the Walk-in Centre Clinical Treatment Protocols.
  • Strong organisational skills with a high degree of drive and ability to critically think.
  • Adaptability and flexibility to accommodate change and provide responsive services to meet service and patients’ needs.
  • Provide clinical leadership and guidance, working respectfully in partnership with the Walk-in Centre team and stakeholders.
  • Provide high-level operational and clinical advice to senior management.
  • Assist in formulation and delivery of the areas operational, business and clinical plans and protocols.
  • Capacity to work a rotating roster with weekend, Public Holidays, and evening work.
  • Availability to work across all Walk-in Centre sites.

Qualifications

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

Essential

  • Tertiary Qualification or related qualification in Nursing
  • Be registered or be eligible for registration with the Australian Health Practitioner Regulation Agency (AHPRA)
  • Be credentialled or eligible for credentialling as a Nurse Practitioner at CHS.

Desirable

Experience

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

Essential

  • Experience in working across the 5 domains of RN 4.2 Nurse Practitioner Work Level Standards
  • A minimum 5 years’ full-time experience as a Registered Nurse

Desirable

Prior to commencement

Appointment to this position is conditional on being granted and retaining appropriate clearances.

  • 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.

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.

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 and autonomous clinical practice, including comprehensive assessment, synthesis of clinical and diagnostic information, diagnostic reasoning, formulation of differential diagnoses, and implementation of evidence-informed management for patients presenting with acute and/or minor illness and injury.
  2. Demonstrated ability to develop and implement person-centred management plans through safe prescribing, therapeutic interventions, health education and health promotion, enabling consumers to participate in informed and shared decision-making regarding their care.
  3. Demonstrated highly developed communication, interpersonal and clinical consultation skills, with the ability to collaborate effectively within nurse-led and multidisciplinary teams, coordinate care, facilitate referral and escalation pathways, and optimise consumer outcomes within clinically recommended timeframes
  4. Demonstrated leadership in clinical practice and participation in clinical governance, quality improvement, risk management and service development activities that promote safety, evidence-based practice and improved consumer outcome
  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.

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

Travel

Frequency

Frequent travel – multiple work sites

Frequently

Frequent travel – driving

Frequently

Physical demands

Frequency

Distance walking (large buildings or inter-building transit)

Occasionally

Working outdoors

Never

Psychosocial demands

Frequency

Distressed People e.g. Emergency or grief situations

Occasionally

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

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

Occasionally

Low lighting

Occasionally

Handling of dangerous goods/equipment e.g. gases; liquids; biological.

Occasionally

Slippery or uneven surfaces

Occasionally

Manual handling

Frequency

Lifting 0 – 9kg

Occasionally

Lifting 10 – 15kg

Occasionally

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

Occasionally

Directorate: CHS

Division: Community Health and Integrated Care

Business Unit: Walk-in Centres

Position number: P61563, Various

Position title: Nurse Practitioner

Classification: Registered Nurse Level 4 Grade 2

Location: Walk-in Centres

Reporting relationships: Direct Manager: Assistant Director of Nursing Ambulatory Support Manager +1: Director of Nursing Cancer and Ambulatory Support

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