Rural Ambulance Victoria

Position Description
Position Title: Associate Nurse Manager- Haemodialysis
Division: Nursing
Reports To:
Nurse Unit Manager – Acute Unit
Direct Reports:
Nurse Unit Manager – Acute Unit
Primary Objective:
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Manage human and material resources to deliver a high standard of nursing care commensurate with Australian Nursing & Midwifery Council Practice
Standards in nursing and the Nursing Division of Colac Area Health.
Deliver a high standard of Haemodialysis care commensurate with the Guidelines, Policies and Procedures of our Parent Unit - Barwon Health.
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 1 of 13
Position Description
Position Dimension & Decision Making Authority:
Key Communication Contacts:
Without referral to manager –
 Liase with Clinical Coordinator Home & Satellite Haemodialysis Unit
Contact/Organisation
Purpose/Frequency of Contact
Barwon Health Renal Unit
Barwon Health Bio Medical
Department
Refer any issues as they arise when
necessary
Other Health Professionals
As required to achieve optimal outcomes.
Patients/Family/Relatives
Liase with patients / primary carers and
extended family in planning care needs.
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 Liase with Barwon Health Renal technician
Provide routine nursing care/arrange admission process.
Complete electronic maintenance requisitions
Manage inter organisational transfer of patients / clients
Ensure staffing numbers are adequate to meet industrial guidelines and
patient management and safety.
Provide for all ordering and supply of haemodialysis equipment,
pharmacy, stores and pathology requirements
After Consultation with manager or Clinical Coordinator
Complex nursing issues
 Escalating clinical problems
 Use of casual nurse staff
Referred to managers or others –
 All contact with any media organisation
 Critical / Sentinel events
 Purchase requisitions and ordering of supplies outside normal stock
consumables
 Complaints
 Industrial relations issues
 Workcare issues or any injury to staff occurring at work
 Decisions outside of position delegation
 Decisions outside Colac Area Health policy
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 2 of 13
Position Description
Key Accountabilities
Key Result Area
Major Activities
Performance Measures:
Patient Care
Demonstrates the ability to: Ensures all information concerning
patients is maintained in the strictest
confidence
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Assess, plan, implement and evaluate
care for new clients entering into the
haemodialysis program.
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Provide training, supervision, on-going
education and support for colleagues.
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Work as part of a team or
autonomously in an isolated setting
within the hospital
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Demonstrate excellent documentation/
communication skills.
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Supervise, provide, mentor and be
responsible for a high standard of care
given by nursing staff
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Identification of clinical situations that
require urgent medical intervention and
ensure timely appropriate action is
taken.
Supervise, plan, implement, evaluate
and document outcomes of nursing
practice within the clinical area.
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Able to identify areas of risk
Nursing care given within accepted timeframe
Works within scope of practice
Uses assessment skills to inform decision
making.
Prioritises care
Initiates and delivers care to all patients
within acceptable time limits.
Identifies patient needs
Completes referrals
Clinical areas are restocked and equipment
checked and functioning
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 3 of 13
Position Description
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Liase with other health professionals to
achieve optimal outcomes of holistic
care.
Promotes a patient focused, customer
orientated environment.
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Liaises with patients’ carers / families
and encourages their participation in
the patients’ continuing care. Educates
patients and their significant other
persons, in order to foster their
understanding and independence.
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Initiate assessment and referral of
patients to H.I.T.H, Primary Care and/or
external agencies as appropriate.
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 4 of 13
Position Description
Management
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Assist with administrative activities of the
department as required on a day to day
basis.
Supervise, orientate and be responsible
for the standard of care given by all
nurses and students on placement in the
haemodialysis unit.
Be accountable and responsible for the
economic use of resources
Knowledge of and adherence to Colac
Area Health and Nursing Division
Policies and procedures.
Assist with the formulation and
implementation of the policies and
procedures of the Nursing Division and
recommend change, as necessary, to
the Nursing Practice Committee
Actively participate in unit, and interdepartmental meetings as requested or
nominated
Participate in committees to further
develop nursing practice at CAH.
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Liase with Clinical Coordinator
Home & Satellite Haemodialysis Unit
Barwon Health Renal Unit as required for
haemodialysis issues.
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Be familiar with current costs.
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Keep a log of biomedical equipment used
with patient transfers to ensure return.
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Be familiar with and have a working
knowledge of computer access to all
policies, rosters and risk records, and be
able to pass this knowledge on.
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Participate in the review of current policies
and contribute to the development of new
policy.
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Evidenced by minutes of meetings.
Utilise CORDIS program for electronic
documentation of haemodialysis clients and
be able to instruct others as needed
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 5 of 13
Position Description
Communication
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Fosters an interdisciplinary approach to
patient care by a high level of interaction
between medical, allied health and nursing
staff.
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Fosters good public relations with patients,
relatives, visitors and the general public.
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Provides compassion, empathy and
understanding to patients and their
families.
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Be an effective and supportive team
member ..
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Demonstrates effective communication
with patients, carers, all members of the
health team and other service staff
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Demonstrates active listening skills
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Maintains confidentiality of patient
information
Actively participates in discussion and
contributes to decision making.
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Demonstrates effective communication
with patients, carers, all members of the
health team and other service staff
Demonstrates a positive attitude and
expectations from staff
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Written and electronic communication is
clear concise and accurate.
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Ensures up to date record is available
for nephrologists review and transfer
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Provides a comprehensive handover to
continuing health care teams.
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Involves patient, family, significant others
in patient assessment management and
discharge.
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Patient privacy and confidentially is
respected.
Contributes to the Ward/Unit operation
through participation in staff meetings.
Organises and participates in patient/client
review meetings.
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Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 6 of 13
Position Description
Haemodialysis machine management
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All haemodialysis machine and
equipment are the responsibility of
Barwon Health
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Perform daily Chlorine check to ensure
safe levels for dialysis
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Perform microbial and other testing of
equipment as directed by parent unit
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Monitor the functioning and safety
systems of the machines as per Barwon
Health PROMPT protocols
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Immediately report faults to the Barwon
Health Renal technicians.
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Change filters as indicated. If no
improvement in chlorine levels, contact
renal techinician to change carbon tank.
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Report high bacterial counts and arrange
Reverse Osmosis machine change over.
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 7 of 13
Position Description
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Beware of and ensure all staff behave
and practise in line with Occupational
Health and Safety legislation
Ensure all staff is No Lift complaint and
adhere to the principles of no lift.
Participation in appropriate safety
education and evaluation activities
Ensure all broken, faulty or malfunctioning equipment is reported and
repaired in a timely manner
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Has knowledge of and adheres to the
OH&S Act
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Maintains competency in No Lift. And
adheres to the principles of No Lift.
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Has attended fire safety and evacuation
exercises.
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Each employee has a responsibility to
minimize exposure to incidents of
infection/cross infection of patients,
staff, visitors and the general public.
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Remain updated with Barwon Health renal
Dialysis Infection Control procedures on
Barwon Health Prompt system
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Report new and / or suspected infection
incidents to NUM / ANUM’s and
infection control nurse.
Adhering to and promoting the Policies
and Procedures as outlined in the Colac
Area Health - Infection Control Manual
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Attendance at annual infection control
update.
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New infections documented in clinical
notes.
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Ensures single use of equipment, gloves
and protective aprons to prevent patient
cross infection
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Remain updated with Barwon Health renal
Dialysis procedures and protocols on
Barwon Health Prompt system
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Provides updated template reflecting
ANUM portfolio at each ANUM meeting.
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Demonstrates an understanding of ISO
9000
Occupational Health & Safety
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Infection Control
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Quality Improvement
Colac Area Health is committed to a
customer focused Quality Improvement
Program. Each employee has a
responsibility to participate in ongoing
Quality Improvement activities, and
have a knowledge of the chosen
Quality Improvement tool currently in
use at CAH
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 8 of 13
Position Description
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Code of Conduct and Values
Fosters an environment of continuing
improvement as part of everyday
practice..
Demonstrates improved practice and
patient outcomes through relevant
documentation.
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Ensures that documentation is available
in report/statistical form for annual entry
into the ANZ Data register.
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Identifies opportunities for review of
nursing practice / patient care and
initiates areas of best practice that
enhance patient outcomes and
improves nursing practice
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All employees are expected to know
and abide by CAH Code of Conduct.
All employees are to know and practise
the CAH core values of Quality,
Respect, Leadership, Integrity,
Innovation, Partnership
Ensure all staff engages in behaviour
that treats staff fairly, equitably and not
subject to any form of harassment.
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Participates in Q pulse updates
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Participates in meetings and develops
guidelines.
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Monitors standards of practice and
evaluates patient care
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Ensures that individual prescription
dialysis is promoted through the process
of dialysis adequacy
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Can verbalise these values.
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Has a copy of the Code of Conduct and
demonstrates commitment
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Demonstrate fairness in dealing with all
staff
Supports a positive employee / employer
relations environment.
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Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 9 of 13
Position Description
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Staff Development
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A performance review is undertaken
after 12 weeks service and annually
thereafter
Develop and maintain a program of self
development in liaison with the NUM.
Maintain a high standard of knowledge
and expertise that reflects
contemporary nursing practise
Maintain an up to date written record of
self-development activities in
accordance with regulatory
requirements.
Superannuation
Membership to a compliant Health Services
sector superannuation fund is compulsory to
which Colac Area Health is required to
contribute an equal amount to 9% of the
employee’s salary. Employees can choose to
contribute a percentage of salary or a set
amount into the Fund.
Terms and conditions
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Attendance at In-service Education, study
days, conferences that provide training
and self development.
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Attend compulsory Barwon Health Renal
satellite study days
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Contributes to educational programs
within the renal unit by presenting inservice education programs
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Performance will be assessed against
objectives, responsibility areas and duties,
and level of skills against those listed in
this position description as being required
for the position
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Record able to be produced at Appraisal
Options are Health Super(default) or HESTA
(optional alternative)
As per employment contract
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 10 of 13
Position Description
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Appointment
Terms and conditions
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Appointment shall be provisional on the
successful outcome of a police check
and will be subject to a 3 months
probationary period.
Attend training and/or competency evaluation with
Clinical Coordinator Home & Satellite
Haemodialysis Unit at Barwon Health prior to
commencement at Colac Area Health
Haemodialysis unit
As per employment contract
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 11 of 13
Position Description
Key Challenges:
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Assist with implementation of continuous
quality improvement and risk
management systems
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Relevant reports and recommendations
presented to the NUM
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Adherence and promotion of Colac Area
Health’s core values
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Demonstrated support and partnership
with all CAH managers and staff for the
purpose of promoting quality initiatives
and creating a centre of excellence
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Compliance with the EBA and other
relevant legislation acts
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Building partnerships with internal and
external members of the health care team
Person Specification:
Qualifications & Experience –Specialist Skills and Knowledge
Registered Nurse Division 1
Current acute nursing experience including cardiac nursing
Minimum of 5 years post graduate experience including management experience
Experience in Haemodialysis Nursing or willingness to attend training provided prior to commencing
Exposure to the interpretation and application of awards and industrial agreements
Computer literacy particularly in Microsoft office software
Ability to organise work in a systematic way, accurate and timely manner and be flexible in
a changing environment
 Professional and a team player disposition who is capable of representing the
department and organisation effectively
 Demonstrated skills in leadership and teamwork
 Demonstrated ability to manage emergency conditions
Desirable
 Current competency in defibrillation or ALS equivalent
 IV cannulation
 Tertiary qualifications or working toward same
 Renal Certificate or working towards same
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Core Competencies –
 No Lift annual competency
 Automatic defibrillation +/- Manual Defibrillation
 Infection Control annual update
 Fire training annual update
 Mandatory training.
 Haemodialysis cannulation competency
I have read and understand the requirements and responsibilities of my Position Description
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 12 of 13
Position Description
Name……………………………………………………………………………signature……………………………………………..
Date………………………………………………….
Colac Area Health
Approved By: Director
Date of Issue: DATE
Number: PD ###
Page 13 of 13