Hospital in the Home (HITH) is a unique Inpatient service of CHS.

HITH provides access to acute healthcare for patients, generally in their own home. The HITH nurses drive to patient’s homes to deliver clinical care. As well HITH nurses do ward rounds to coordinate patient referrals from wards to transfer patients to HITH and promote patient flow. HITH nurses also work on campus in the HITH unit. The Intravenous Access Team also sits under the HITH service.

The HITH service operates from 0730 to 2200, seven days a week. After 2200, a HITH nurse is “On-Call” for patient support.

Patients admitted to HITH are classified as “Inpatients” of CHS. They have been identified as medically stable and meet the criteria to be with the HITH service. Simply put, HITH is hospital substitution.

The Registered Nurse Level 2 (RNL2), in this role will plan and provide complex clinical care to adult patients, usually in their own home. This includes both working independently and as part of a comprehensive Multidisciplinary Team. The RNL2 will conduct advanced clinical assessments of patients, apply critical thinking skills, support and provide guidance to junior nursing staff, coordinate and troubleshooting complex care needs of patients within the HITH service. Any patient concerns will be escalated to medical staff as needed.

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

1. Provide client focused holistic care to CHS patients referred to the HITH service, using innovative, evidence-based nursing practice.
2. Assess, plan, implement and evaluate nursing care for clients, including patient education on complex health needs. Work collaboratively with other members of the Multidisciplinary Team to achieve planned clinical patient outcomes.
3. Provide education to patients, their families and other CHS staff on all aspects of the HITH service, participate in, contribute to, and deliver professional development programs.
4. Provide leadership and supervision to new and less experienced staff as well as nursing students.
5. Actively participate in and promote a culture of continuous quality improvement, policy development and clinical research that is evidence based in accordance with the CHS Quality and Clinical Governance Framework
6. Maintain required clinical core competencies and skills, accessing appropriate education and staff development opportunities. Provide education and promotion of the HITH service across CHS.
7. Participate and contribute to HITH data collection and Ket performance Indicators.
8. Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

Specific responsibilities include but are not limited to the following.

• Strong organisational skills with a high degree of drive and autonomy and as part of a multidisciplinary team.
• Adaptability and flexibility to accommodate change and provide responsive services to meet patient needs.
• High level communication and interpersonal skills.
• Negotiation skills and the ability to facilitate open communication with other clinical areas in regard to the provision of a high level of patient care and patient flow.
• Leadership qualities to provide expertise by guiding, coaching and mentoring where appropriate.
• Ability to think critically and practice within professional scope of practice.

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

Essential

• Registered or eligible for registration as a Registered Nurse with the Australian Health Practitioner Regulation Agency (AHPRA).
• Have a current Drivers Licence without restrictions

Desirable

• Venepuncture and IV Cannulation skills would be highly desirable
• 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 minimum of 5 years relevant clinical nursing experience in acute medical and/or surgical nursing care of patients in an inpatient, ambulatory, or community care setting.
• Prior CVAD knowledge and skills.

Desirable

• A proactive and enthusiastic willingness to learn all things HITH.
• Prior experience in a HITH service or community care service desirable.
• Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework, and all other related frameworks

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.

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.
• The successful applicant will be required to work morning and evening shifts on a 7-day roster that DOES include weekends and Public Holidays. As well, staff participate in an overnight “On call” roster, once identified suitable to do so.

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. Extensive demonstrated competence in planning and providing holistic patient care at an advanced level by utilising the nursing process and implementing appropriate care strategies to patients with complex health needs.
2. Demonstrated leadership and organisational skills to determine priorities and meet deadlines to ensure effective and efficient service provision.
3. Proven ability to communicate effectively and appropriately (orally, non-verbally and in writing), in a diverse range of situations, including negotiation and consultation.
4. Demonstrated commitment to ongoing quality improvement, clinical research, education and professional development of self and others.
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.

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	Frequently
Standing for long periods	Frequently

Travel	Frequency
Frequent travel – multiple work sites	Frequently
Frequent travel – driving	Frequently

Physical demands	Frequency
Distance walking (large buildings or inter-building transit)	Frequently
Working outdoors	Occasionally

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	Never
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	Occasionally
Operation of heavy machinery e.g. forklift	Never
Confined spaces	Occasionally
Excessive noise	Occasionally
Low lighting	Occasionally
Handling of dangerous goods/equipment e.g. gases; liquids; biological.	Never
Slippery or uneven surfaces	Occasionally

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