Nurse Practitioner - Full Time

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9-11 Charlotte Street, PO Box, 46, Balclutha
03 419 0500
******
www.cluthahealth.co.nz
Position Description
Location: General Practice
Reports To: Team Leader – Practice Nurses
Number of Direct Reports: Nil
Date: August 2023Our PurposeCollaborate – Innovate – Advocate … for a healthy community.
Our Shared Values• We value honesty and respect.• We value the environment we live in.
Purpose of RoleTo provide advanced clinical expertise and leadership in order to enhance patient treatment and care planning in South Otago for Clutha Health First patients within the area. This is provided within an interdisciplinary model that best meets the patient requirements and is in line with the vision and values of Clutha Health First.
Key RelationshipsInternal: • General Practitioners and Medical Officers
• Nursing staff• Reception and Administration Staff• Inter-disciplinary members of the health service team including independent contractors
in other sectors.External: • Clutha Health First service providers and tenants
• District Health Board Managers and Representatives• Primary Health Organisation Client Managers and staff• Ministry of Health/ACC and other Government Agency representatives• Other General Practitioners

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Person SpecificationEssential DesirableTraining, WorkExperience andQualifications
• Clinically focused Masters Degree inNursing
• Registered as Nurse Practitioner withNZNC
• Current Practising Certificate
• Prescribing
Skills and Knowledge • A minimum of five years recent clinicalexperience in General Practice nursing
• Functioning at Expert level on theSenior Clinical Career Pathway
• Knowledge of current issues withinnursing and in General Practice nursing
• Sound knowledge and understanding ofthe medico/legal and ethicalresponsibilities
• Advanced clinical assessment andmanagement skills in General Practicepatient care.
• Skills in problem solving, prioritysetting, delegation and planning
• The ability to communicate effectivelywith all levels of staff and develop
• The ability to work in a wide range ofpatient settings across the continuumof care.
• Advanced communication andinterpersonal skills
• Facilitation and negotiation skills• Ability to self evaluate and reflect on
practice• Ability to critique research and use it as
the basis of practice• A strong patient/family focus• A strong commitment and genuine
interest in quality and service• A capacity to demonstrate strong
clinical leadership• The ability to work independently and
be a member of a team• A commitment to the development of
the nursing profession• A commitment to cultural awareness
and its application to nursing practice• Able to work within Clutha Health
First's aims, objectives and values.• Able to maintain confidentiality and use
discretion.• Able to maintain accurate and up-to
date records, in accordance with theClutha Health First documentationstandards.
• Ability to plan own workload so thatpriority tasks are carried out on timewith a minimum of supervision.
• A commitment towards ongoing selfdevelopment.
• Demonstrated ability to articulatenursing advice to the multidisciplinaryteam
• Demonstrated ability in thedevelopment of staffActiveinvolvement in relevant,professional/other organisations

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• Ability to work as an effective memberof a team.
• Flexible attitude to work outsideboundaries of the position whenrequested.
• Alert, reliable , thorough, mature, haveintegrity and initiative.
• Have an appropriate presentation andstandard of personal care andgrooming.
• Able to maintain a current New Zealanddriver's licence.
•Physical TaskRequirements
• A reasonable level of fitness isrequired to cope with thedemanding physical requirementsof the job.
• The following denote the keyphysical requirements for theposition including Standing,walking, bending, sitting, stairs,operating machinery/equipment,lifting, overhead reaching, carrying,pushing / pulling, twisting, climbing/ balancing, crouching / squatting,manual handling of people, otherreaching, and ability to participatein personal restraint if required.
Key Tasks / Accountabilities and Performance IndicatorsKey Tasks/ Accountabilities: Performance Indicators:Clinical PracticeEstablishes and promotes effective models of care
• Demonstrates effective clinical management ofPrimary Care patients within scope of practise
• Utilises current research and evidence-based,advanced holistic assessment and diagnosticreasoning to form sound professionaljudgements in practice and consults as required.
• Uses knowledge of pathophysiology andpharmacology, and advanced holistic clinicalassessment skills to perform diagnoses and to
• Orders and interprets appropriate diagnostic andlaboratory tests and explains the necessity,preparation, nature and anticipated effects ofprocedure(s) to patients, patient's family, staff,and other members of the health care team
• Effectively manages own caseload and utilisesrobust time management strategies to ensurepatients are seen within their appointment timeslots
• Perform therapeutic or diagnostic proceduresbased upon patient's clinical status anddocuments the patients response to the

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procedure(s)• Ensures timely referral to other specialty services
where required ensuring documentation meetsexpected standards
• Triages and allocate patients appropriately andin a timely manner
• Liaises with external services, e.g. St JohnsAmbulance Service and advise on theappropriate disposition of patients beingreferred to primary care
• Participates and engages in peer reviewmeetings
• Upholds the Treaty of Waitangi and culturalsafety in nursing
• Identifies educational needs of the patient,patient's family and nursing staff andparticipates in teaching opportunities.
• Maintains and supports expertise in nursingpractice
• Advocates on behalf of patient/family/colleagues as appropriate
• Assists the interdisciplinary team with decisionmaking related to medico-legal and ethical issues
• Innovative approaches are utilised as necessaryto meet client needs
Clinical Leadership andConsultancyDemonstrates effective clinical leadership andconsultancyInter-professional health care
• Takes a leadership role in complex clinicalPrimary Care situations across settings anddisciplines and follows through with requiredchange to systems and processes as necessary
• Is recognised as an authority on Primary Carepractices locally and nationally
• Represents CHF at the local and national levelwhere required as an ambassador the role of NPwithin primary care
• Acts as a mentor to nursing staff engaging in the
• Collaborates and leads effectively within themultidisciplinary team
• Briefs CD/Team Leader and colleagues onrelevant trends and issues
• Demonstrates skilled mentoring/ coaching andteaching
• Acts as a consultant for Primary Care and
management within the scope of practice• Recommends appropriate Primary care products• Acts a specialty consultant nationally and
internationally• Promotes nursing contribution to health care• Collaborates across the care continuum with
relevant multidisciplinary and intersectoralgroups to take a co-ordinated and evaluativeapproach to care delivery

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Conducts and/or participates in relevant researchDevelops and influences health/socio-economicpolicies and nursing practice at a local, national andinternational levelDevelops self and others
• Relevant nursing and related research is
critiqued and reflected in education and practice• Presents and publishes research which
challenges practice at local, national andinternational level
• Contributes to policy development related to
Primary Care locally and contributes nationally• Represents nursing at a strategic level in
planning
• Performance management is regularlyundertaken and feed back is utilised
• Conducts and documents regular case reviewNursing Practice Development/Quality ActivitiesWorks with nursing staff to continuously improvenursing practice and patient outcomes in all areasrelated to Primary CareReflects and critiques the practice of othersActively manages risk
• Participates in relevant education programmesand improvement projects
• Continuously improves care processes toimprove patient outcomes and documents
• Champions quality improvement methodologywith a focus on high standards of care
• Aligns with CHF strategic direction as outlined inthe organisational Strategic Plan
• Participates in peer review, case review anddebriefing activities
• Provides expert advice to investigations,assessment of practice and reviews outcomes.Collaborates on changes to practice and followsup required
Health & Safety: Recognises individual responsibility forworkplace Health & Safety under the Health and SafetyAct 1992
• Contributing to the identification ofspecifications, trials and purchase of newequipment
• Contributing to the identification of possibleresearch/quality projects and participate in thedevelopment, implementation and feedback
• Contributing to the development and reviewingof standards of practice, protocols and policies
• Works with the Quality Coordinator to facilitateevent meetings designed to promote qualityimprovement and compliance in the GeneralPractice
Non Management roles:
• Clutha Health First Health and Safety policies areread and understood and relevant proceduresapplied to own work activities
• Workplace hazards are identified and reportedincluding self-management of hazards whereappropriate
• Can identify Health and Safety representative forarea
Cultural Safety: Honouring Cultural Diversity • Respect, sensitivity, cultural awareness is evident

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Actively demonstrates commitment to the Treaty of
in interpersonal relationships.• Our cultural differences are acknowledged by
respecting spiritual beliefs, cultural practices andlifestyle choices.
• Demonstrates commitment to the Clutha Health
• Promotes strategies for Primary Care that assiststo positively impact on health disparities forMaori and Pacific Island populations.
The staff member will perform such other duties asreasonably required by the manger in accordance withthe conditions of the position.
• That all other additional duties are performed inan efficient manner, at the required time andwithin a negotiated timeframe.
Maintain high standards of performance • Meet the performance expectations as identified in the Staff Development Performance Appraisalprocess.
• Undertake annual CPR, OOS, Fire Training andany other service requirement training as perClutha Health First CQI plan and procedures.
• Perform all duties in a responsible manner; withdue care for the health and safety of self andother employees, patients and the generalpublic, within the limit of his/her knowledgebase
Ensure the provision of a safe and clean environmentfor patient, staff and visitors
• Ensure maintenance and responsible use ofconsumables and equipment.
• Ensure appropriate reporting of incidents,equipment faults and problems to the Manager.
• Practice is safe and meets legal requirements.• Practice protects and enhances individual rights.• All records are maintained to meet policy and
procedure requirements.• Maintain knowledge of fire and Civil Defence
proceduresMaintain good communication and interpersonalrelationships within Clutha Health First
• Act in a professional manner in relationshipswith all staff to enhance interdisciplinaryharmony within the hospital.
Adopt a philosophy which encourages flexibility,cooperation, collaboration and co -ordination of servicedelivery in an integrated patient orientated system
• Ensure all policies, procedures and standards ofpractice of CCHCL, relevant Acts, Regulations,Employment contracts and statutory obligationsare adhered to, in the interest of client safety,good employer requirements of the Health &Disability Services Act and within the principlesof Equal Employment Opportunity, the Treaty ofWaitangi and recognition of Tangata Whenua.
• Actively participate in quality assuranceactivities.
• Be flexible and prepared to work outsidetraditional boundaries to develop flexibility and
Assumes responsibility for personal professional/workeducation and development
• Maintains and/or extends knowledge and skillbase required for effective performance.
• Negotiates with management to attendappropriate education and training.

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• Participates in own performance appraisalannually
Performance Measures• Set realistic measurable goals for own performance and assume responsibility for acquiring
knowledge/experience to meet those goals.• Plans for growth and undertakes change based on regular self-evaluation and the Staff Appraisal process.• Participates in an annual Staff Appraisal with the Team Leader and Clinical Director.• Meets the performance expectations (actual and implied) of a Nurse Practitioner working within the CHF
General Practice.Treaty of Waitangi• Clutha Health First recognises the special relationship between Maori and the Crown and has an
understanding of the articles/principles of the Treaty of Waitangi.• As an employee you will be required to develop an understanding of the cultural concepts, values and
tikanga that might affect the well being of Maori patients.
Health and SafetyClutha Health First is committed to achieving the highest level of health and safety for its staff. All employees are expected to take initiative and identify, report and resolve issues that may cause harm to themselves or others in the organisation. As an employee of Clutha Health First, the health and safety of clients, patients and colleagues, as well as your own, are your responsibility. You are expected to work safely at all times, and to actively participate in the health and safety programs. It is expected that you will report all accidents or potential hazards to your manager.Clutha Health First employees will participate in and comply with the requirements of the Health & Safety at Work Act 2015 plus amendments and associated CHF procedures.• Work practices ensure safety for self and others• Advice or assistance is sought before commencing an unfamiliar work practice • Hazards are identified, control plans documented, hazards eliminated, minimised or isolated.• Comply with Clutha Health First incident reporting and Health & Safety policy • Emergency management procedures and compulsory/compliance education and training completed.
Quality and RiskClutha Health First is committed to continuous quality improvement. Our focus is to improve our practice and the quality of care received by patients. Our goal is to embed continuous improvement in our daily activities, by focusing on improving systems and processes, enhancing our communication with other health providers and increasing consumer involvement.
Changes to Position DescriptionFrom time to time it may be necessary to consider changes to the position description in response to the changing nature of our work environment – including technological requirements or statutory changes. This Position Description may be reviewed as part of the preparation for your annual performance and development review.

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Acknowledged / Accepted:Employee Name
Employee Signature Date

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