Common use of Within Southern DHB External to Southern DHB Clause in Contracts

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges Executive Director of nursing and midwifery • All Nursing and Midwifery • Patients, Families and Whānau • Directors of Nursing • Community Members • Associate Directors of Nursing • Unions • Directorate Leadership Team • Clinical Nurse Co-ordinators • Nursing Staff • Nursing Council/Midwifery council Medical Staff • Allied Health Staff • Nurse Educators • Medical Administration Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current wide staff • Duty Manager(s) Professional Responsibility Demonstrate responsibility, complying with DHB vision, goals purpose, values, policies and objectivesprocedures. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership • Meets and maintains organisational mandatory requirements for Health Care Assistants • Attains and maintains area specific mandatory requirements and key accountabilities • Engages in appraisal systems with manager • Adhere to policies and procedures • Respect for others • Partakes in regular team meetings engaging in discussion • Presents self in a tidy and professional manner • Adheres to policy – ID badge citing designation worn on person at all times Management of Care Demonstrate responsibility with clinical and non-clinical activities within the xxxx/ unit environment with an understanding of the Code of Health & Disability Services Consumer Rights and HIP Code and HDC. The Health Care Assistant is accountable for assisting with routine activities for patients under the direction and delegation from a registered nurse or midwife including attending to • Personal hygiene • Mobilising and position patients • Assisting with nutritional needs • Assisting with elimination • Assisting with rehabilitation • Answering call beds • Participate in intentional rounding • Patient watches • Escorting patients who do not need a clinical handover • Provides chaperone • Contributing to falls prevention and rehabilitation strategies • Attends patient handovers in clinical areas when appropriate or as directed • The Health Care Assistant is accountable for assisting with non-direct patient care activities within the xxxx/ unit including Ordering Cleaning Restocking Tidying and checking of equipment including oxygen and suction Assigned administrative tasks Bed making Maintain relevant sluice, stores, kitchens and linen rooms Removing rubbish and linen Setting up isolation rooms and arranging terminal cleaning. Undertake fluid and morning and afternoon tea rounds as required Keep the xxxx tidy and bed spaces accessible Relevant monitoring activities for example fridge monitoring • Works collaboratively to achieve within the organisation, nursing job description confines • Work under the direction and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes delegation of a registered nurse advising the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership registered nurse if they have not been trained for the specialty service activity and consultation to ensuring that they don’t accept an activity if it is beyond their capabilities. • Work under the direction and delegation of a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and registered nurse advising the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to registered nurse if they have concerns about the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management healthcare status of patients/consumer care within a defined area of speciality practice, working non- patient related activities or environmental issues. • Works productively to support the nursing team with clinical and non-clinical activities. • Attends mandatory training workshops as determined by the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. organisation Interpersonal Relationships To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumerskills. Practices nursing in a negotiated partnership with Welcomes patients to the patient/consumer and family/whanau where and when possible. xxxx Communicates effectively with patients/consumer patients and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP HDC Code, DHB policies and procedures etc. Behaves respectfully and with tolerance towards patients, colleagues and members of the wider healthcare team • Welcomes patients to the xxxx • Communicates in an appropriate effectively with patients and professional manner, verbal family/whanau and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team. • Maintains privacy and confidentiality in accordance with HDC Code, DHB policies and procedures etc. • Behaves respectfully and with tolerance towards patients, colleagues and members of the wider healthcare team in Inter-professional healthcare and quality improvement To participate as a timely mannerteam member and promote a collaborative environment. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes Welcomes patients to the development xxxx Communicates effectively with patients and family/whanau and members of interdisciplinary the health care team. • Welcomes patients to the xxxx • Communicates effectively with patients and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HDC Code, DHB policies and procedures etc. Behaves respectfully and with tolerance towards patients, colleagues and members of the wider healthcare team • Maintains privacy and confidentiality in accordance with HDC Code, DHB policies and procedures etc. • Behaves respectfully and with tolerance towards patients, colleagues and members of the wider healthcare team Can describe and demonstrate use and care of assistive and moving equipment Describing and applying safe manual handling principles and techniques Uses any equipment or supplies resourcefully and responsibly and reports any faulty or damaged equipment Have a good knowledge of Infection Prevention and Control measures and provides assistance to the team ie, setting up isolation rooms. • Demonstrates knowledge in procedures, e.g. fire • Completes Fire, CPR, and manual handling training and updates regularly as required by DHB’s policies and procedures. Identifies, takes appropriate action and promptly reports clinical, Occupational Safety & Health and security incidents • Evidence of assisting in the maintenance of xxxx equipment and where necessary, promptly reports unsafe or malfunctioning equipment • Infection prevention and control representative in conjunction with a registered nurse • Maintains standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and for safety and continuity hygiene Can manage own time but also responds to direction from the nursing team. Adopts a disciplined approach to establishing and following priorities of care. Initiates timely referrals to other services in a timely and thorough mannerwork. Engages in team and MDT meetings as appropriatesperformance appraisal. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing • Can manage own time but also responds to direction from the nursing perspective team. Adopts a disciplined approach to establishing and following priorities of patient/consumer needs, and enacting outcomes appropriatelywork. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. • Engages in submission processesperformance appraisal. Education Assists Identifying areas for personal and professional development. • Training and development goals are identified/agreed with your manager. • Performance objectives reviewed annually with your manager. • You actively seek feedback and accept constructive criticism. Taking all practicable steps to ensure personal safety and the safety of others while at work, in providing accordance with the Southern DHB’s Health, Safety and Wellbeing policies, procedures and systems. • You understand and consistently meet your obligations under Southern DHB’s Health and Safety policy/procedures. • You actively encourage and challenge your peers to work in a safe manner. • Effort is made to strive for best practice in Health and Safety at all times. Giving effect to the educational needs principles of staff within the specialised area Treaty of practiceWaitangi – Partnership, Participation and Protection through your interaction with others on a day to day basis. Collaborates • Partnership – You interact in good faith and in the development nature of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issuespartnership. There is evidence a sense of staff participation shared enterprise and mutual benefit where each partner takes account of the needs and interests of the other. • Participation – You work in research related activities where appropriate partnership with our treaty partners to enable our organisation to prosper. You are mindful of the varying socio- economic conditions that face our people and authorised.work hard to remove barriers of access to health and education. • Protection – You work proactively to protect the rights and interests of Māori, including the need to proactively build the capacity and capability of Māori. Note: the above example measures are provided as a guide only. The precise performance measures for this position will require further discussion between the job holder and manager. From 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. Acknowledged / Accepted: .............................................................................................................. ..................................................................... Employee Date .............................................................................................................. .....................................................................

Within Southern DHB External to Southern DHB.  Nurse Manager •  Relevant associated groups, local and regional •  Service Manager •  Healthcare providers •  Unit team managers •  Healthcare patients/consumer •  Clinical Charge Nurse •  National Speciality groups •  Clinical Leaders •  NZNO, PSA and other relevant professional colleges of nursing and midwifery •  All Nursing and Midwifery Staff •  Nursing Council/Midwifery council •  Allied Health Staff •  Nurse Educators •  Medical Staff •  Clinical Support Staff •  Infection Prevention and Control •  Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) •  Be registered with the Nursing Council of New Zealand as a registered Nurse •  Hold a current Nursing Council of New Zealand annual practising certificate •  Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree •  Advanced learning and contemporary knowledge in area of specialist practice. •  Prime Trained preferred or willing to undertake Prime Training  Vaccinators Certificate.  Current driver’s license with clean driving record.  Current professional; development portfolio or completion within 12 months. Experience •  Experience and credibility with the health care team as a professional resource in speciality/practice area •  Networking effectively in area of specialty/ practice. •  Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. •  Minimum of 3 years practice within the defined scope of clinical speciality/practice  Would be beneficial to have Accident and Emergency experience.  ICU/CCU experience.  Experience in dealing with small rural communities.  Public Health experience.  Cannulation, suturing experience.  Paediatric experience. Knowledge and Skills •  Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. •  Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. •  Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. •  Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. •  Be champions for, and promote the profession of nursing. •  Current issues for nursing and health in NZ and international context. •  Current government policies, codes, guidelines, and legislation impacting on area of speciality. •  Current nursing professional standards and codes. •  Southern DHB current vision, goals and objectives. •  Principles of the Treaty of Waitangi and biculturalism.  Genuine interest and experience in working in an isolated community.  Drug and alcohol experience or have worked with same  Sound communication skills eg working with Police, ambulance and volunteers. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: •  quality improvement activity reports •  patient/consumer feedback •  contractual/ legislative changes •  treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required.  To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing care perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Leads system change to improve health outcomes through evidence based practice. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in collaborative educational networks to meet professional and service needs. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager Executive Leadership Team (ELT) • Relevant associated groupsMinistry of Health • Chief Operating Officer team • Patients, local families and regional whānau • Service Manager • Healthcare providers • Unit team Other senior managers • Healthcare patients/consumer Unions • Clinical Charge Nurse • National Speciality groups • Senior Clinical Leaders • NZNORural Health Trusts • Clinician Management Partnerships • Other District Health Boards • Corporate Services Directorate • Other related agencies, PSA including ACC, NHB, HWNZ • Māori Health Directorate • Community Members • Admin staff • Universities, Polytechnics and other relevant professional colleges of nursing educational institutions • Relevant South Island Alliances, Networks and midwifery Forums • All Nursing PHO • NGOs and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety Aged Care Sector The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with Diploma or Bachelor qualification in commerce, health or business management. Experience • Significant experience in management preferably within the Nursing Council of New Zealand as a registered Nurse health sector. • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum Extensive experience and leadership in operational management of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practicehospital. • Experience Proven experience in managing staff. • Experience Relevant experience in patient safety, maintaining performance and credibility with the application to the health care team as a professional resource in speciality/practice area sector. Knowledge and Skills • Networking effectively in area Relevant knowledge of specialty/ practicepatient safety, maintaining performance and the application to the health sector. • Demonstrated ability to articulate evidence based nursing advice support and grow a team to a Multidisciplinary Team. • Minimum ensure the needs of 3 years practice within both patient and the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalismorganisation are met. Personal Qualities A reasonable • Commitment and personal accountability. • Excellent interpersonal skills, including ability to work effectively with people at all levels of the organisation. • Acts with discretion, sensitivity and integrity at all times. • Is adaptable and flexible – open to change (positive or negative). • Maintains an exceptionally high level of fitness confidentiality. Strategic and Operational Planning To provide strategic and operational leadership in planning within the multidisciplinary context for the provision of patient focused services. • Xxxxxx an environment which puts the patient first and recognises the health continuum across community and hospital services. • Support the development and implementation of the Patient Safety framework. • Communicate the Southern DHB vision and objectives to all groups. • Champion the Southern DHB’s operational, financial and clinical direction alongside Directors of Nursing and Midwifery, and directorate management teams. • Patient Safety framework developed and implemented. • Evidence of contemporary models of care in partnership with clinical partners. • Leadership and management capability is required developed. Quality Service and Resource Management Manage the delivery of health and disability services within the DHB to cope agreed specifications, ensuring that all financial and performance targets are achieved within the resources allocated and ensuring promotion of the continuum of care through integration of community and hospital care services. • Ensure effective patient flow is maintained across Dunedin Hospital on a day to day basis both in the moment and looking forward • Coordinate and lead the necessary daily operations meetings to ensure that resourcing is deployed in the most effective manner to optimise patient flow and patient safety. Where there are constraints ensure that you work in partnership with GMs and Clinical Leaders to make timely decisions which optimise patient flow and access to services • Responsible for the functioning of the hospital escalation plan. • Maintain awareness of district wide capacity cooperating with the demanding physical requirements Patient Flow / Operations Manager Southland Hospital to ensure best utilisation of resourcing and optimal patient safety is achieved. • Ensure compliance with all quality, safety, legal and statutory organisational policy requirements. • Quality improvement is understood and imbedded in the jobway we operate. The following denote • New models of care with a seamless transition between hospital and community services are implemented. • Patient Flow indicators demonstrate continuous improvements • CCDM compliance achieved and effective utilisation of VRM resourcing • Minimal cancellation of activity due to capacity constraints is achieved • Health and disability services delivered to contract in a timely, efficient and effective manner within the key physical requirements budget parameters. • Positive clinician management partnerships are established and maintained. • Continually support, monitor and improve systems, methods, efficiency, effectiveness and the quality of services provided for safe patient care. • Ensure decision making is delegated appropriately, close to where care happens, to enable effective and timely delivery of our services. • Ensure the clinical management partnership is modelled. • Comprehensively manage within allocated resources of time, people and money, by promoting efficiency, productivity and patient safety. • Maintain effective knowledge of CCDM / Trendcare to ensure compliance with Safe Staffing Standards are optimised within available resources • Perform all such other duties as are reasonably necessary for the position: standingproper performance of Southern DHB and the provision of health and disability services. • Regular reporting and timely escalation of issues (financial, walkingoperational, bending& clinical) to the Chief Operating Officer with remedial actions proposed. • Implementation of systems, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling standards and procedures that support and enhance hospital services and district clinical services establishment and delivery. Managing Relationships Ensure that all relationships are managed in such a way as to promote the desired image and positively support the activities of people, other reaching, and ability Southern DHB to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality deliver optimum patient outcomes. InspiresIn collaboration with Directors of Nursing and Midwifery, motivates ensure the Clinician Management partnership model is implemented. • Liaise with Chief Nursing & Midwifery Officer for professional guidance and encourages nurses leadership on changes to initiate nursing/midwifery units. • Liaise with General Managers and Service Managers on issues pertaining to service development and direction. • Xxxxxx an environment where the people within our organisation work actively together to promote an optimum patient experience. • Develop effective internal relationships. • Liaise with the community, agencies, service groups, organisations and individuals who have associations with the DHB to keep up to date with trends and identify new service and activity opportunities. • Positively represent the Southern DHB, fostering its interests by participating in discussions with individuals, sector forums, community groups and business organisations on relevant matters. • Patient Satisfaction Survey. • Constructive and effective relationships. • Effective representation of the interests of the DHB. • Recognised as an effective contributor to South Island Alliance initiatives, as requested. Team Performance and Development In collaboration with the Directors of Nursing and Midwifery and directorate management teams champion the clinician management partnership model to develop and maintain best practice a team environment in their specialty areawhich the Southern DHB performance is optimised. Takes • Promote the leadership role through both philosophy of the Southern DHB vision and values among all employees by ensuring that the patient is at the forefront of everything we do. • Organise functional teams to ensure the completion of all organisational and directorate goals, and ensure effective team management and communications are developed and maintained. • Development and performance reviews completed annually for all direct reports. • Active professional development programme for staff in place. • Evidence of a team-based approach within the functional groups for who line accountability is held. • Personal development plans documented for reports. • Place decision making processes as close to where care happens to empower our people to deliver our services as one population. • Provide a safe, supportive environment that encourages the highest level of personal development and indirect patients/consumer care deliveryperformance of team members. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team • Ensure team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, managed in accordance with professional preparation, institutional good employer practices and current staffing policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedagreements.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Prime Trained preferred or willing to undertake Prime Training • Vaccinators Certificate. • Current driver’s license with clean driving record. • Current professional; development portfolio or completion within 12 months. Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice • Would be beneficial to have Accident and Emergency experience. • ICU/CCU experience. • Experience in dealing with small rural communities. • Public Health experience. • Cannulation, suturing experience. • Paediatric experience. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope • Genuine interest and experience in working in an isolated community. • Drug and alcohol experience or have worked with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, same • Sound communication skills eg working with the patientPolice, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others ambulance and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedvolunteers.

Within Southern DHB External to Southern DHB. Nurse Manager Executive Leadership Team (ELT) • Patients, families and whānau • General Managers- Community Services and Primary and Population Health • Community Service Providers (GP Practices, NGO, Aged Residential Care etc) • Directors of Nursing • Health and Welfare Agencies • Specialist Services leadership teams • Relevant associated groups, local and regional Support Groups • Service Manager Other senior leadership teams • Healthcare providers • Unit team managers • Healthcare patients/consumer Other services as necessary • Clinical Charge Nurse Managers • National Speciality groups Nursing Council of New Zealand • Clinical Leaders Other senior clinical leaders • NZNO, PSA and NZCOM, College of Nurses Aotearoa • Senior Nurses/other relevant professional colleges of nursing and midwifery nurses • All Nursing and Midwifery Staff Other District Health Boards • Nursing CouncilOther managers/Midwifery council team leaders • Allied HWNZ • Māori Health Staff Directorate • Nurse Educators Community Members • Medical Staff Finance, Procurement & Facilities Directorate • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety Educational Institutions The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered RN Registration with the Nursing Council of New Zealand as Nursing Council. • Bachelor of Nursing or equivalent. • Current practising certificate. • Completing or completed a registered Nurse post graduate tertiary and or working towards a qualification at Masters level. • Hold a current Nursing Council Current PDRP or working towards completion/renewal within 6 months of New Zealand annual practising certificate appointment. Experience • Working towards Post graduate qualifications at a minimum of a Diploma or/Extensive experience in the health sector. • Extensive experience in clinical quality and a masters degree • Advanced learning and contemporary knowledge in area of specialist safety, best practice. Ideally in the Community or Older Persons Health or Child /Community Nursing • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practiceNursing leadership experience. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgementExtensive knowledge of the health sector. • Extensive knowledge of clinical quality and safety, apply advanced assessment best practice Personal Qualities • Commitment and personal accountability. • Excellent interpersonal skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area including ability to work effectively with people at all levels of speciality/practicethe organisation. • Work independently Acts with discretion, sensitivity and in the interdisciplinary team, using evidence based evidence and international best practice, in area of specialityintegrity at all times. • Initiate health promotion activities Is adaptable and flexible – open to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staffchange (positive or negative). • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area Maintains an exceptionally high level of specialityconfidentiality. • Be champions forForward thinker, and promote the profession of nursingflexible, courteous, self-motivated. • Current issues for nursing and health in NZ and international contextCommitted to continuous quality improvement. • Current government policies, codes, guidelines, Ability to liaise and legislation impacting on area of specialitynetwork at all levels. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / machinery/equipment, lifting, overhead reaching, carrying, pushing / pulling/pushing, twisting, climbing / climbing/balancing, crouching / crouching/squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively • Be responsible for leading, facilitating and supporting Clinical Nurse Managers (CNMs) to achieve effectively manage service delivery in their respective areas. • Work with Clinical Nurse Managers and Clinical Nurse Educators (CNEs) to maintain a nursing delivery model that reflects contemporary practice in consultation with the organisation, nursing and specialty vision and values, and promotes quality patient outcomesDirector of Nursing. Inspires, motivates and encourages nurses to initiate • Participate in and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical consensus decision making. • Ensure a consumer/patient service focus is adopted and maintained at all levels of service management and delivery. • Ensure appropriate standards of care are maintained with a focus on quality and safety. • Provide expert advice, implementation, evaluation support and documentation coaching for CNMs and designated senior nursing positions managing complex and difficult situations. • Support the Director of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes Nursing in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into championing the development of care co-ordination clinical services across the district. • Identify opportunities for nursing innovation and initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements within the services, putting forward business cases for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational these initiatives when/where appropriate. • Nursing leadership and national policiesmanagement capability is developed. • Evidence of effective strategies and methods to engage nurses in decision making. • Evidence of effective strategies and methods to engage the nursing workforce. • Actively manages riskparticipates in meetings, projects and committees as required. Assess the quality • Staff engagement in active education and professional development. • Performance appraisals of nursing practice workforce will be completed as per organisational requirements. • Evidence nursing staff will have current PRDP as per agreed targets set. • Maintain overview of the clinical/professional issues affecting nurses, assisting CNMs with any implementation of action plans to address and monitor these issues. • Oversee management of all nursing staff, ensuring the consistency in preparation and implementation of annual appraisals and ensuring compliance with all Southern DHB annual updates and certification requirements. • Ensure that all CNMs are familiar with credentialing requirements of nursing staff and comply with legislative, professional and organisational requirements. • Be responsible for effective communication strategies across all services within areas of responsibility. • Ensure regular meetings with CNMs and CNEs within the clinical settingareas of responsibility to improve effectiveness, efficiency, promote communication and resolve issues. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal • Establish strong collegial working relationships with patient/consumerclinicians and managers throughout the areas of responsibility, across the directorate and wider organisation in order to: o Enable two-way communication o Contribute to relevant service and organisation wide initiatives o Continuously review processes and systems as needed. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code• Ensure, DHB policies and procedures etc. Communicates in an appropriate and professional mannerby excellent leadership, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective that CNMs advocate on behalf of patient/consumer needs, family/colleagues as appropriate and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of a culturally safe practicemanner. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge • Support ongoing teaching activity at both a Local undergraduate and National/International post graduate level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to by nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedstaff.

Within Southern DHB External to Southern DHB. Nurse Internal Members of Medical, Surgical, Dialysis and Intensivist Teams: medical and nursing  Other service / department SMOs, junior doctors, nursing staff  Allied health professionals  Patients, their family and whanau  General Manager • Relevant associated groupsand Medical Director, local Medicine  Heads of departments/other Clinical Directors/Managers  Community service staff External  Staff from other District Health Boards and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNOCommunity Trusts  Dunedin School of Medicine, PSA and other relevant professional colleges University of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety Otago The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with  The Specialist will hold a university degree in recognised by the Nursing Medical Council of New Zealand and be registrable as a registered Nurse • Hold medical practitioner under the Medical Practitioners Act 1995  Be a current Nursing holder of FRACP for Nephrology or an equivalent qualification as recognised by the Medical Council of New Zealand annual practising certificate • Working towards Post graduate qualifications Experience  The level of experience at a minimum least equivalent to that expected of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice newly conferred FRACP Knowledge and Skills • Exercise independent  Knowledge of the health sector and disability in New Zealand and/or other similar health sectors Personal Qualities Resilience and tenacity Empathy Commitment and personal accountability Excellent interpersonal skills Acts with discretion Is adaptable and flexible Maintains and exceptionally high level of confidentiality  Provision of specialist renal services for the population of Southern District Health Board  Inpatient care for renal patients  Renal outpatient clinics undertaken in both Southland and Dunedin Hospital  Out of hours (including weekend) on-call provision for the renal service on a rotational roster shared between all renal SMO  Supervision and direction of the home haemodialysis service and the renal unit  Provision of specialist advice for other services for patients with renal dysfunction across the Southern DHB  Supervision and support of nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and staff in the interdisciplinary teamrenal service  Education, using evidence based evidence supervision and international best practicesupport for junior medical staff  Participate in and support the quality activities of the renal service  Participate in and support the development of the renal service  Explain and discuss with patients their treatment options including the risks, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions forbenefits, and promote the profession alternatives of nursingsuch treatments. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines Be available to consult on in-patients within Dunedin Hospital on an urgent basis when their clinical condition warrants it, and legislation impacting to provide telephone support to SDHB physicians around the District.  See patients promptly and advise on area of specialitytheir management when referred for a specialist opinion. • Current nursing professional standards  Participate in post-acute and codesother regular xxxx rounds. •  Provide teaching to junior medical staff  Be available for in person (as appropriate) and telephone consultations with health professionals about patients throughout the Southern DHB current vision, goals region.  Provide cover for when other renal physicians absent  Provide outpatient clinics in both Southland and Dunedin Southern District Health Board is committed to developing self-managing teams. The Physician will participate in developing these to meet service and organisational objectives. • Principles All Renal Physicians will participate in the following:  Demonstrate a personal commitment to meeting Southern District Health Board service and team objectives.  Ensure comprehensive, accurate and up to date clinical records are maintained for all patients seen.  Ensure reports and letters are completed and dispatched in a timely manner or by due date.  Ensure procedure and policy documents that you are responsible for are updated when necessary.  Attend review sessions, including strategic development sessions, budgetary meetings, and other service meetings as appropriate.  Work as part of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments allocated team(s) to meet the needs of patients/consumer, families throughput and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts budget targets for that team as a mentor, guides and supports others contained in the speciality operating plan.  Prepare reports for outside agencies as required – for example Accident Compensation Corporation, WINZ, Health and Disability Commissioner. Where this task is carried outside in scheduled work time payment should be arranged through Southern District Health Board.  Prepare reports for management as required Southern District Health Board is committed to the concept of continuous quality improvement. All Southern District Health Board services, teams and staff have responsibilities both at a professional level and at a service level to understand and participate in CQI activities as an integral part of their assessment, clinical decision making, implementation, evaluation and documentation of careposition. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence All Renal Physicians will participate in the following:  Carry out review of drugs, equipment and methods of clinical area management as agreed within the service.  Participate in Continuous Quality Improvement projects undertaken by the service.  Participate in audits of Renal care related to morbidity / mortality and critical incidents.  Demonstrate a resourcewillingness to achieve service and organisational objectives in an innovative manner.  Research and investigate areas relevant to specialty and service, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others decided in nursing practice that is evidenced based and consistent conjunction with the principles of the Treaty of WaitangiService Manager, Clinical Director or Medical Director. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice Participate in Southern District Health Board credentialing process. Participates  Attend and participate in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to specialityregular clinical audit. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus  Advise on the area implementation of speciality practice, to ensure content is evidence based systems for monitoring and reflective of current thinkingreporting on quality. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills  Participate in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedactively promote research activities.  Promulgate research results to other staff in the service, and present or publish as appropriate.  Participate in regular peer review meetings including generation and maintenance of clinical guidelines.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Prime Trained preferred or willing to undertake Prime Training • Vaccinators Certificate. • Current driver’s license with clean driving record. • Current professional; development portfolio or completion within 12 months. Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice • Would be beneficial to have Accident and Emergency experience. • ICU/CCU experience. • Experience in dealing with communities. • Public Health experience. • Cannulation, suturing experience. • Paediatric experience. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. • Genuine interest and experience in working in an isolated community. • Drug and alcohol experience or have worked with same • Sound communication skills e.g. working with Police, ambulance and volunteers. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. care Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas nurses etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters master’s degree • Advanced learning and contemporary knowledge in area of specialist practice. • Prime Trained preferred or willing to undertake Prime Training • Vaccinators Certificate. • Current driver’s license with clean driving record. • Current professional; development portfolio or completion within 12 months. Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice • Would be beneficial to have Accident and Emergency experience. • ICU/CCU experience. • Experience in dealing with small rural communities. • Public Health experience. • Cannulation, suturing experience. • Paediatric experience. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, for and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. • Genuine interest and experience in working in an isolated community. • Drug and alcohol experience or have worked with same • Sound communication skills e.g., working with Police, ambulance and volunteers. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, into and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. [Description where applicable] Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] • Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within Communicates in an appropriate and across departmentsprofessional manner, hospitalsverbal and written. Privacy Act, primary Informed Consent and secondary health to promote optimal patient/consumer health Code of Rights adhered to. Abides by NCNZ Code of Conduct and safety and continuity of careProfessional Boundaries guidelines. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. e.g., Certification processes, and current or retrospective nursing audits. Engages in submission processes. Employer’s initials: Page 6 relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. e.g., general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, practice and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups▪ Southern Māori Health Directorate ▪ Tangata Whaiora (patient) and whānau ▪ Southern DHB Kaumātua ▪ Local Rūnaka ▪ Southern DHB secondary/tertiary services ▪ Kaupapa Māori Health Providers ▪ Southern DHB Home Team ▪ General Practice ▪ Managers at all levels of the organisation ▪ WellSouth Primary Health Network ▪ All Southern DHB staff ▪ Community Pharmacies ▪ SDHB Contracted provider services ▪ University of Otago ▪ Otago Polytechnic Education, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education Experience and Qualifications (▪ Tertiary qualification in Māori studies or equivalent level experience with Kaupapa Māori Systems. ▪ Knowledge of learning) • Be registered Tikanga Māori with proficiency/learning in Te Reo Māori and the Nursing Council of New Zealand as Māori world view – whakapapa, whānau, hapu, iwi. ▪ Experience within Māori Health and communities. Knowledge, Skills and Experience ▪ Strong links and experience within Māori communities. ▪ Demonstrates skills in supporting cultural competencies. ▪ A strong whānau centred focus. ▪ Works well within a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications team environment and able to xxxxxx good interpersonal relationships. ▪ Demonstrates ability to communicate effectively at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with all levels within the health care team as a professional resource in speciality/sector and key stakeholders. ▪ Mentors and influences the practice area • Networking effectively in area of specialty/ practiceothers, motivating individuals and managing cultural conflict. • Demonstrated ▪ Knowledge of the Health and Disability Sector standards. ▪ Good interpersonal skills, including ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, work effectively with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles people at all levels of the Treaty of Waitangi organisation. ▪ Excellent reading and biculturalismwriting skills and computer literacy. Personal Qualities A reasonable ▪ Is focused on providing exceptional levels of service to whānau Māori. ▪ Maintains an exceptionally high level of fitness is required confidentiality. ▪ Self-motivated, independent and able with a high level of initiative. ▪ Professional and demonstrates a high level of personal integrity. ▪ Ability to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, manage changing and ability unpredictable workloads ▪ Ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing be innovative and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported proactive in their work environment. ▪ Is dependable, honest and ethical; shows a good level of personal judgment. ▪ Acts with discretion and sensitivity at all times. ▪ Is adaptable and flexible – open to change (positive or negative). ▪ Is independent – able to prioritise work effectively, develops one’s own ways of doing things able to guide oneself with little or no supervision. The below performance standards are provided as it relates a guide only. The precise performance measures for this position will need further discussion between you and your manager as part of the performance development process. Accepts responsibility for ensuring that his/her care and conduct meet the standards of the professional, ethical and relevant legislated requirements. Has an understanding of the principles of the Te Tiriti o Waitangi and is respectful of patient/whānau personal beliefs, values and goals. Reads and adheres to the area of speciality practice. Xxxxxxx and participates in peer review processesSouthern DHB vision, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practicevalues, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope procedures while representing the organisation in a committed manner and projects a positive image of practiceSouthern DHB. Acts as a mentor, guides ▪ You maintain appropriate standards of professional conduct. ▪ You have an understanding and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services commitment to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent working with the principles of the Treaty of WaitangiTe Tiriti o Waitangi which translates into working effectively with patients and their whānau. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing ▪ Presents self in a negotiated partnership with the patient/consumer tidy and family/whanau where professional manner and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care teamadheres to policy – ID badge citing designation worn on person. Maintains privacy and confidentiality in accordance with HIP HDC Code, DHB policies and procedures etcprocedures. Communicates Demonstrates responsibility with clinical and non- clinical activities within the xxxx/unit environment with an understanding of the Code of Health and Disability Services Consumer Rights and HIP Code and HDC. Practices in a manner that promotes an appropriate environment that enables cultural competency/cultural safety, independence, quality of life and professional mannerhealth. Demonstrates accountability for directing, verbal monitoring and writtenevaluating cultural interventions that are provided. ▪ Attains and maintains area specific mandatory requirements and key accountabilities. ▪ Participants in regular team meetings engaging in discussion. ▪ Promotes health utilising teachable moments. ▪ Privacy Act, Informed Consent and Code of Consumer Rights adhered to. Abides by NCNZ Code Establishes and maintains relationships with Southern DHB secondary/tertiary services and primary care. Communicates effectively in an appropriate and professional manner with patients and family/whānau and members of Conduct the health care team that reflects the cultural needs of whānau. Behaves respectfully towards patients, colleagues and Professional Boundaries guidelines. Leads nursing members of the wider health care teams Recognises and interdisciplinary groups in designing values the roles and implementing innovative, cost effective patient care and evidence-based change Provides a primary point skills of contact within the speciality for patients/consumer and health professionals Initiates referrals to other all members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. • Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer team member and health professionalspromotes a collaborative environment. Collaborates • Demonstrates flexibility within a constantly changing environment. • Forms productive working relationships with Nurse Educators team members and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Hold a current Post Graduate Qualification relevant to the role • Working towards Post graduate qualifications at master’s degree with a minimum of a Diploma or/and a masters degree view to prescribing • Advanced learning and contemporary knowledge in area of specialist practice. • Prime Trained preferred or willing to undertake Prime Training • Current driver’s license with clean driving record. • Current professional; development portfolio or completion within 12 months. Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice • Would be beneficial to have Accident and Emergency experience. • ICU/CCU experience. • Experience in dealing with small rural communities. • Public Health experience. • Cannulation, suturing experience. • Paediatric experience. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope • Genuine interest and experience in working in an isolated community. • Drug and alcohol experience or have worked with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, same • Sound communication skills eg working with the patientPolice, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others ambulance and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedvolunteers.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters Masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Prime Trained preferred or willing to undertake Prime Training • Vaccinators Certificate. • Current driver’s license with clean driving record. • Current professional; development portfolio or completion within 12 months. Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence evidence-based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice • Would be beneficial to have Accident and Emergency experience. • ICU/CCU experience. • Experience in dealing with small rural communities. • Public Health experience. • Cannulation, suturing experience. • Paediatric experience. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence evidence-based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, for and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. • Genuine interest and experience in working in an isolated community. • Drug and alcohol experience or have worked with same • Sound communication skills e.g. working with Police, ambulance and volunteers. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence evidence-based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, into and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision decision-making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. care Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence evidence-based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, practice and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Vaccinators Certificate. • Current driver’s license with clean driving record. • Current professional; development portfolio or completion within 12 months. Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice • Would be beneficial to have Accident and Emergency experience. • Experience in dealing with small rural communities. • Public Health experience. • Paediatric experience. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope • Genuine interest and experience in working in an isolated community. • Drug and alcohol experience or have worked with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, same • Sound communication skills eg working with the patientPolice, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others ambulance and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedvolunteers.

Within Southern DHB External to Southern DHB. Nurse Manager All maternity service staff including midwives, nurses, allied health, medical and non-clinical support and operational staff • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Chief Nursing and Midwifery Staff Officer • Nursing CouncilExecutive Leadership Team • Senior Leadership Team/Midwifery council Directorate partners • Allied Health Staff Practice Development Units • Nurse Educators Quality Team • Medical Staff Other key clinical and support staff and services relevant to the role • Clinical Support Staff Women and their families/ whānau • Infection Prevention Lead Maternity Carers (LMCs) • All Primary Birthing Units and Control Maternal and Child Hubs • Occupational Health Maternity consumer organisations • Maternity, Quality & Safety Programme and Health Quality & Safety Commission (HQSC) New Zealand • New Zealand College of Midwives • Ministry of Health • Midwifery Council of New Zealand • School of Midwifery, Otago Polytechnic • XXXXX • NZNO • Professional colleagues in the wider health community • General Practitioners and PHOs • Associated Government and voluntary agencies • NGO groups related to maternity • Other individuals or groups relevant to the role The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered Registered Midwife with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising practicing certificate • Working towards Post Post-graduate qualifications at qualification or equivalent in a minimum of a Diploma orclinical area/and a masters subject relevant to the position • Relevant Masters’ degree • Advanced learning and contemporary knowledge or equivalent (completed or in area of specialist practiceprogress). • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 5 years practice within the defined scope of clinical specialityrecent experience since registration in relevant area. • Previous midwifery leadership experience • Participation in regional or national groups or initiatives such as through Midwifery Council, NZCOM, PMMRC, Midwifery Council, MMWG or NMMG • Experience working across all maternity settings e.g. primary, secondary/practice tertiary and rural Knowledge and Skills • Exercise independent nursing judgementAn exemplary understanding and commitment to the maternity system as a 'whole system' across all settings • Knowledge of the workings and responsibilities of the Midwifery Council, apply advanced assessment XXXXX and the NZCOM and legislative frameworks which affect the profession. • Knowledge of current issues facing the midwifery workforce • Knowledge and understanding of medico/legal and ethical responsibilities. • Dedication to achieving equity and cultural understanding and respect for Te Tiriti O Waitangi • High level of written and verbal communication including report writing • Knowledge and experience of performance management • Priority setting/time management • Problem solving/planning • Media Skills training or experience in speaking to media enquiries • Conflict management skills • Ability to work independently and be a team member • Excellent computer skills Personal Qualities • Widely respected and experienced midwife • Excellent interpersonal skills, initiate appropriate clinical interventionsincluding ability to work effectively with people at all levels of the organisation • Exemplary leadership • Extensive experience in working collectively with key stakeholders to manage positive change • Visible, evaluate outcomesapproachable and accountable • Models strong positive personal values of integrity, advise others honesty, ethics and provide sound rationale for actions in area behaviours • Builds and maintains relationships and networks of speciality/practicetrust • Facilitation and mediation skills • Cultivates and fosters effective relationships • Lateral thinker with initiative • Strong stakeholder engagement • Empathetic and respectful • Optimistic, realistic and pragmatic • Discrete, fair and collaborative • Resilient and personal wellbeing commitment • Commitment to the role, profession and personal accountability • Acts with discretion, sensitivity and integrity at all times • Is adaptable and flexible – open to change (positive or negative). • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable Maintains an exceptionally high level of fitness is required to cope with the demanding physical requirements confidentiality • A proven track record of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.getting things done

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges Executive Director of nursing and midwifery • All Nursing and Midwifery • Patients and whanau • Nursing/Midwifery Staff • Visitors • Operations Team • Maternity access agreement holders • Clinical Directors • Other maternity providers • Director of Nursing Council• Support Agencies • Divisional Director • Well Child Health Care Providers • Practice Development Midwife/Midwifery council Educators • Allied Health Staff National Breastfeeding organisations • Clinical Nurse Educators Specialists • Medical Staff • Non Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety Southern DHB Clinical Services The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered Registered with the Nursing Council midwifery or nursing council of New Zealand as and hold a registered Nurse current practicing certificate. • Be a current International Board Certified Lactation Consultant or be committed to obtaining this certification within an agreed timeframe upon appointment • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in any other certificates appropriate to the area of specialist practiceemployment. • Required to hold: o Cardiopulmonary Resuscitation (CPR) certification. o Neonatal Resuscitation. Experience • Experience Demonstrate commitment and credibility with the health care team as a professional resource skill in speciality/clinical breastfeeding practice and have at least one year full-time experience in this area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgementShow potential in leadership, apply advanced assessment teaching ability and have good interpersonal and organisational skills. • Knowledge of maternity care delivery systems and supporting service specifications. • An ability to work from both an autonomous and team perspective • A commitment to the delivery of quality health services • Problem solving and conflict management skills • Organisational ability • Application of quality improvement programmes in clinical practice environments • Adult teaching/preceptorship experience • Knowledge of the BFHI Personal Qualities • Commitment and personal accountability. • Excellent interpersonal skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area including ability to work effectively with people at all levels of speciality/practicethe organisation. • Work independently Acts with discretion, sensitivity and in the interdisciplinary team, using evidence based evidence and international best practice, in area of specialityintegrity at all times. • Initiate health promotion activities Is adaptable and flexible – open to encourage productive health behaviours change (positive or negative). • Maintains an exceptionally high level of confidentiality. • To facilitate the ongoing development of breastfeeding policy and best practice guidelines. To co- ordinate the consultation process required for BFHI accreditation. • To facilitate an environment fostering breastfeeding promotion, protection and support for all women in QMMC. • To assist the breastfeeding mother and her support person(s) by providing skilled guidance and resources for the successful establishment and maintenance of breastfeeding. • To guide, support and xxxxxx the strengths development of staff in their clinical practice. To facilitate and potential provide access to resource material. To assist staff in the effective implementation of patients/consumer and staffbreastfeeding care. • Be a professional leader Breastfeeding policy and role model, standards are developed and reviewed every 2 years in consultation with proven ability all interested parties. Audits of policy effectiveness is undertaken prior to inspire, motivate and develop others, in area of specialitythe policy review. • Be champions forThe facility will feel welcoming, comfortable, clean and promote the profession supportive of nursingbreastfeeding. • Current issues for nursing The breastfeeding woman will be enabled to make informed decisions. She will be provided with the information, guidance, practical help and health resources required to enable her success and independence with breastfeeding. This care will be holistic • Staff will be guided, supported and assisted in NZ their clinical decision making and international contextthe development and implementation of care plans with the breastfeeding mother. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles The care of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with women will be undertaken within the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles framework of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: Diverse cultural practices will be respected. • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standardsTo co-ordinate the cleaning, policies, procedures maintenance and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input intoprovision of, and helps interpret requirements effective use of new legislation /guidelinesbreastfeeding related equipment. Supports clinicians • The LC will work with the Tangata Whenua appointed representative to review and develop breastfeeding services for Maori women and their whanau and assist in identifying ethical dilemmas working through a decision making frameworkimplementation of the Tikaka Best Practice. Attends • All staff will have awareness of cultural safety issues and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical settingrespect of these. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains • Staff and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating mothers have access to the speciality a variety of clean, safe, effective equipment to support they require. Shares specialist knowledge successful breastfeeding and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates familiar with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where its appropriate and authoriseduse.

Within Southern DHB External to Southern DHB.  Nurse Manager •  Relevant associated groups, local and regional •  Service Manager •  Healthcare providers •  Unit team managers •  Healthcare patients/consumer •  Clinical Charge Nurse •  National Speciality groups •  Clinical Leaders •  NZNO, PSA and other relevant professional colleges of nursing and midwifery •  All Nursing and Midwifery Staff •  Nursing Council/Midwifery council •  Allied Health Staff •  Nurse Educators •  Medical Staff •  Clinical Support Staff •  Infection Prevention and Control •  Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) •  Be registered with the Nursing Council of New Zealand as a registered Nurse •  Hold a current Nursing Council of New Zealand annual practising certificate •  Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree •  Advanced learning and contemporary knowledge in area of specialist practice. •  Experience •  Experience and credibility with the health care team as a professional resource in speciality/practice area •  Networking effectively in area of specialty/ practice. •  Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. •  Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills •  Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. •  Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. •  Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. •  Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. •  Be champions for, and promote the profession of nursing. •  Current issues for nursing and health in NZ and international context. •  Current government policies, codes, guidelines, and legislation impacting on area of speciality. •  Current nursing professional standards and codes. •  Southern DHB current vision, goals and objectives. •  Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: •  quality improvement activity reports •  patient/consumer feedback •  contractual/ legislative changes •  treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB.  Nurse Manager •  Relevant associated groups, local and regional •  Service Manager •  Healthcare providers •  Unit team managers •  Healthcare patients/consumer •  Clinical Charge Nurse •  National Speciality groups •  Clinical Leaders •  NZNO, PSA and other relevant professional colleges of nursing and midwifery •  All Nursing and Midwifery Staff •  Nursing Council/Midwifery council •  Allied Health Staff •  Nurse Educators •  Medical Staff •  Clinical Support Staff •  Infection Prevention and Control •  Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) •  Be registered with the Nursing Council of New Zealand as a registered Nurse •  Hold a current Nursing Council of New Zealand annual practising certificate •  Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree •  Advanced learning and contemporary knowledge in area of specialist practice. •  Prime Trained preferred or willing to undertake Prime Training  Vaccinators Certificate.  Current driver’s license with clean driving record.  Current professional; development portfolio or completion within 12 months. Experience •  Experience and credibility with the health care team as a professional resource in speciality/practice area •  Networking effectively in area of specialty/ practice. •  Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. •  Minimum of 3 years practice within the defined scope of clinical speciality/practice  Would be beneficial to have Accident and Emergency experience.  ICU/CCU experience.  Experience in dealing with small rural communities.  Public Health experience.  Cannulation, suturing experience.  Paediatric experience. Knowledge and Skills •  Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. •  Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. •  Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. •  Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. •  Be champions for, and promote the profession of nursing. •  Current issues for nursing and health in NZ and international context. •  Current government policies, codes, guidelines, and legislation impacting on area of speciality. •  Current nursing professional standards and codes. •  Southern DHB current vision, goals and objectives. •  Principles of the Treaty of Waitangi and biculturalism.  Genuine interest and experience in working in an isolated community.  Drug and alcohol experience or have worked with same  Sound communication skills e.g. working with Police, ambulance and volunteers. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: •  quality improvement activity reports •  patient/consumer feedback •  contractual/ legislative changes •  treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing care perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Leads system change to improve health outcomes through evidence based practice. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practiceEstablished relationship with the Xxxxx Centre. CAPA process established in Child and Youth teams. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer consumer, Family feedback • contractual/ legislative changes • treatment Treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas dilemmas, complex case reviews working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] in child and youth speciality services- You will have: proven ability to lead and will be an expert at developing and extending nursing practice and providing overall clinical expertise and mentor ship within the team to enable them to deliver a high standard of care Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumerconsumer and Family. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. To participate in inter-professional health care in child and youth specialty services- you will be: A role model engaging with nurses and members of the multi-disciplinary team to ensure effective relationships are developed and maintained. Showing clinical credibility in this field Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change with a child and youth focussed research base Provides a primary point of contact within the speciality for patients/consumer consumer, Family and health professionals Initiates referrals to other members of the health care team in a timely manner. manner Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services and supports triage in a timely line with CAPA and thorough mannerKPI, CSF initiatives. Engages in team and MDT meetings as appropriatesappropriate across rural and local teams. Initiate Initiates appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer and Family needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing auditsaudits and Child and Youth KPIs and CSF. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer consumer, family research which challenges practice at local and national forumsforums from a child and youth perspective. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer consumer, Family and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB.  Nurse Manager •  Relevant associated groups, local and regional •  Service Manager •  Healthcare providers •  Unit team managers •  Healthcare patients/consumer •  Clinical Charge Nurse •  National Speciality groups •  Clinical Leaders •  NZNO, PSA and other relevant professional colleges of nursing and midwifery •  All Nursing and Midwifery Staff •  Nursing Council/Council / Midwifery council •  Allied Health Staff •  Nurse Educators •  Medical Staff •  Clinical Support Staff •  Infection Prevention and Control •  Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) •  Be registered with the Nursing Council of New Zealand as a registered Nurse •  Hold a current Nursing Council of New Zealand annual practising certificate •  Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters Masters degree •  Advanced learning and contemporary knowledge in area of specialist practice. •  Prime Trained preferred or willing to undertake Prime Training  Vaccinators Certificate.  Current driver’s license with clean driving record.  Current professional; development portfolio or completion within 12 months. Experience •  Experience and credibility with the health care team as a professional resource in speciality/speciality / practice area •  Networking effectively in area of specialty/ specialty / practice. •  Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. •  Minimum of 3 years practice within the defined scope of clinical speciality/speciality / practice  Would be beneficial to have Accident and Emergency experience.  ICU / CCU experience.  Experience in dealing with communities.  Public Health experience.  Cannulation, suturing experience.  Paediatric experience. Knowledge and Skills •  Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. •  Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. •  Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. •  Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. •  Be champions for, and promote the profession of nursing. •  Current issues for nursing and health in NZ and international context. •  Current government policies, codes, guidelines, and legislation impacting on area of speciality. •  Current nursing professional standards and codes. •  Southern DHB current vision, goals and objectives. •  Principles of the Treaty of Waitangi and biculturalism.  Genuine interest and experience in working in an isolated community.  Drug and alcohol experience or have worked with same  Sound communication skills e.g. working with Police, ambulance and volunteers. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/patients / consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits / needs and introduces quality measures. Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/family / whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/patients / consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: •  quality improvement activity reports • patient/ patient / consumer feedback • contractual/  contractual / legislative changes •  treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/patient / consumer. Practices nursing in a negotiated partnership with the patient/consumer patient /consumer and family/whanau family /whanau where and when possible. Communicates effectively with patients/patients / consumer and family/family / whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/patients / consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/referral / care with relevant services/agencies Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates / leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient / consumer needs, and enacting outcomes appropriately. Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/patient / consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. care Leads in activities which monitor/monitor / audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/patients / consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas nurses etc., as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/patients / consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/Patients / consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager Executive Leadership Team (ELT) • Ministry of Health • Specialist Services/Strategy, Primary & Community Leadership teams • Patients, families and whānau • Medical Directors, Directors of Nursing, Directors of Allied Health, Scientific and Technical • Dunedin School of Medicine, University of Otago and other tertiary and educational providers • Other senior leadership teams • Relevant associated groupsSouth Island Alliances, local Networks and regional Forums • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Senior Clinical Leaders • NZNONew Zealand Medical Council • Directorate Clinician Management partnerships • Professional Colleges • Finance, PSA Procurement and Facilities Directorate • Rural Health Trusts • Māori Health Directorate • Unions • Managers • PHO • Admin staff • Representative Colleges • Other District Heath Boards • Other related agencies, including ACC, NHB, HWNZ • HDC and other relevant professional colleges of nursing bodies • Community members • External contract and midwifery service providers • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety GPs The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered Current registration with the Nursing Council of New Zealand as a registered Nurse Medical Council. • Hold a current Nursing Council of New Zealand annual Current practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practicecertificate. • Experience • Experience At least 10 years recent experience in relevant area. • Extensive experience in and credibility with knowledge of the health care sector. • Previous medical leadership experience. • Operational management experience. • Knowledge and Skills • Extensive experience in and knowledge of clinical quality and best practice and their application to the health sector. • Proven ability to provide professional advice to team as a professional resource members in speciality/practice area • Networking effectively in area of specialty/ relation to clinical and operational skills and practice. • Demonstrated ability to articulate evidence based nursing overview the practice of team members to ensure the needs of both patients and the organisation are appropriately addressed. • Personal Qualities • Commitment and personal accountability. • Excellent interpersonal skills, including ability to work effectively with people at all levels of the organisation. • Acts with discretion, sensitivity and integrity at all times. • Is adaptable and flexible – open to change (positive or negative). • Maintains an exceptionally high level of confidentiality. Strategic and Operational Planning To provide strategic and operational leadership in planning within the multidisciplinary context for the provision of district wide patient focused services. • Xxxxxx an environment which puts the patient first and recognises the health continuum across community and hospital services. • Contribute to the development of long range regional and district operational and business plans. • Communicate the Southern DHB vision and objectives to all groups. • Partner with the General Manager to lead the development of services covered within the assigned service. • Support achievement of agreed performance expectations for the relevant services. • Ensure the optimal development of the organisation’s medical leadership and managerial capability, and skills in line with strategic requirements, and ensuring development aligns with the organisation’s strategic goals. • Champion the Southern DHB’s operational clinical direction alongside the General Manager and in partnership with Directors of Nursing, Midwifery and Allied Health. • Lead and assist focus groups that advance issues and strategies of organisational priority. • Facilitate survey visits by Colleges and visits by other accreditation bodies. • Successful development and implementation of strategic and operational plans and objectives that meet the needs of the Southern District Community. • Organisational ‘buy-in’ to financial constraints and financial limits within the Annual Plan. • Evidence of appropriate clinical involvement in the planning and management of clinical services. • Medical leadership and management capability is developed. • Senior Medical Officers engaged in organisational imperatives. • Good links with primary sector interface. Clinical Advice and Resource Management Provide Southern DHB clinical advice and management of clinical resources and provide operationally effective and efficient line management to the medical services and multi-disciplinary teams. • Ensure that safe patient care is maintained at all times. • Provide medical leadership both strategic and operational from a district wide perspective as well as providing advice to a Multidisciplinary Teamthe service and other clinicians in the clinician management partnership. • Minimum Work closely with the senior management team to ensure quality clinical systems and processes to support the DHB’s clinical activities. • Support the service to comprehensively manage within allocated resources of 3 years time, people and money, • Patient safety and quality metrics are monitored and mitigation strategies put in place as required for variances. • Quality service delivery maintained. • Continued development and improvement of clinical standards that involve or impact on hospital and community care. • Clear and relevant standards and policies affecting clinical practice within hospital and community care. • Provision of useful and timely clinical advice to the defined scope clinician management partnership. by promoting efficiency, productivity and patient safety. • Ensure efficient and effective medical service delivery with productivity managed within available resources. • Take a proactive and integral part in the identification, development and implementation of clinical speciality/practice Knowledge services across the district. • Take a proactive and Skills integral part in assisting the community and hospital sectors to become better integrated and coordinated, including identifying gaps within clinical strategy and recommending appropriate action. • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate Work with other members of the senior management team in all matters relating to standards and policies affecting clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently Support monitoring and analysis of service quality. • Provide oversight for management of public comment on medical matters and the medical aspects of complaints. • Support and give oversight to the improvement of evidenced based clinical standards. • Ensure liaison with external professional bodies including educational institutions, Colleges and the Ministry of Health on clinical matters and related areas (e.g. clinical training and workforce planning). • Provide line management to Senior Medical Officers. • Ensure clear expectations/boundaries for all leadership roles in Clinical Services are developed, understood and maintained. • Ensure legislative compliance. • Actively manage directorate budget and revenue with directorate leadership team. • Keep expenditure within prescribed boundaries, exceptions/variances in budget are investigated and managed. • Capex justified and prioritised. • Active participation in financial systems and decision making. • Active involvement in capital expenditure requests. Senior Leadership/Management Contribution Contribute to the overall planning, coordination and control of DHB affairs by service as a member of the senior leadership team and through provision of guidance and advice to the Specialist Services/Strategy, Primary & Community leadership team as appropriate. • Provide advice to the Specialist Services/Strategy, Primary & Community leadership team on the implications of plans, discussion documents and policies of the DHB. • Provide medical leadership both strategic and operational from a district wide perspective as well as providing advice to the service and other clinicians in the interdisciplinary team, using evidence based evidence and international best practice, in area of specialityclinician management partnership. • Initiate health promotion activities Support the Specialist Services/Strategy, Primary & Community leadership team in championing the development of clinical services across the district, ensuring consistent messages and increased cooperation across teams and services in the Southern DHB region and greater South Island region. • Evidence of effective strategies and methods to encourage productive health behaviours engage key members in decision making. • Active participation in and contribution to senior leadership forums and processes. • Actively participate in meetings, projects and committees as required. • Participate in and maintain the culture of consensus decision making within the senior leadership team. • Advise on the allocation of resources and examine and report on specified major projects. Clinical Leadership Provide clinical leadership to the medical staff of the DHB, whilst encouraging a broader focus of community and hospital services. In particular xxxxxx the strengths and potential of patients/consumer and staffclinician management partnership model. • Be Ensure the development and implementation of a professional leader framework which allows medical staff to: o Ensure effective two-way communication within and role modelbetween clinical services; o Encourage cross-functional integration, support and coordination, especially with proven ability regard to inspire, motivate organisation-wide and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives; and o Develop and implement clinical policies and standards in a cohesive manner. • Principles Xxxxxx excellence in quality medical standards, practice, professional conduct, and develop the senior medical leadership teams • Ensure accountability and delivery of safe resource allocation and decision making during budget setting and day to day resource management. • Ensure appropriate organisational representation and participation at appropriate forums. • Work with senior medical staff within the service to maintain a medical care delivery model that reflects contemporary practice. • Provide expert clinical advice for senior medical staff service management coordinating complex and difficult situations. • Facilitate medical input to major organisational projects. • Forums established whereby medical leaders actively input into decision making. • Clear understanding of and engagement with the strategic direction for hospital and community care by doctors. • Implementation of procedures for handling major professional issues. • Positive clinician management partnerships are established. Clinical Practice Ensure the development and achievement of evidenced based standards of clinical practice to ensure patient safety and quality requirements are optimal. Ensure compliance with the implementation of policies in the following areas: • The handling of critical incidents, complaints and the establishment of uniform standards of assessment and sound educational and correctional procedures for the handling of major professional issues. • The investigation of major clinical incidents, complaints and the undertaking of corrective action where necessary. • The use of bench marking and the development of best practice. • General oversight of the Treaty implementation of Waitangi professional assessment processes and biculturalismcorrective action. Personal Qualities A reasonable level of fitness is required • Develops and maintains key partnerships crucial to cope with the demanding physical requirements success of the jobrole. • The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain DHB complies with best practice clinical audits and review processes. • Prompt and appropriate resolution of issues relating to service provision in their specialty areathe hospital setting. Takes the leadership role through both direct • Establishes and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospitalmaintains effective local, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local regional and national levelnetworks. • Collaborates with other health professionals within their assigned service. Clinical Staff are encouraged Development, Review and supported in their work as it relates to Workforce Planning Review the area performance of speciality practice. Xxxxxxx medical teams and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce facilitate staff development and succession planning at all levels of practice. • Review annually professional performance of the medical teams in terms of their professional leadership responsibilities. • Provide support to xxxxxx the growth of the medical teams and ensure succession planning for these roles. • Provide a mentoring role to medical staff and ensuring appropriate career development through all levels of practice. • Negotiate with external training institutions on issues of training and development and maintaining a close relationship with the service from a nursing perspectiveappropriate external training institutions. Employs • Ensure adequate research and models transformational clinical teaching opportunities are available for staff to maintain their base and extended competencies and legislative compliance. • Critique research findings and using these as the basis for practice. • Encourage presenting papers at conferences and publishing articles in reputable journals. • Provide input into the Strategic Workforce planning processes ensuring that medical professional issues and impacts are considered. • Provide leadership style in the form of advice, coaching and coaches nurses support for senior medical staff to develop their workforce and to manage difficult staffing situations within their teams. • Development and performance reviews are completed annually for all senior medical staff. • Appropriate input into medical staff training and development. • Medical Council and HWNZ approved programs are credentialed and widely available to staff across the district. • Maintain own leadership skillsprofessional development. • The performance of Senior Medical staff is in line with expected clinical competency and behaviour is in line with the organisation’s values and behavioural competencies. Clinical Practice Promotes Reputation Enhancing the clinical reputation of the organisation by actively participating in appropriate forums. • Ensure appropriate organisational representation and role models expert nursing care either directly or indirectlyparticipation at appropriate forums. • Support ongoing teaching activity at both the undergraduate and postgraduate level by medical staff, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working collaboration with the patientteaching institutions, family/whanau or other health professionals to provide timely nursing care maintain the excellent reputation of the teaching hospitals. • Promote active collaboration with teaching institutions for purposes of joint benefit. • Initiate and approving key medical projects. • Evidence of effective strategies and methods to optimise engage key members in decision making. Managing Relationships Ensure that all relationships are managed in such a way as to promote the desired image and positively support the activities of Southern DHB to deliver optimum patient outcomes. Exercises independent nursing judgementIn collaboration with the GM, applies advanced assessment skillsAHD and the ND ensure the Clinician-Manager partnership model is implemented throughout the DHB structure. • Xxxxxx an environment where the people within our organisation work actively together to promote an optimum patient experience. • Xxxxxx active interchange between clinical groups and management. • Liaise with the community, initiates appropriate clinical interventionsagencies, evaluates outcomesservice groups, advises others organisations and provides sound rationale for actions individuals who have associations with the DHB to keep up to date with trends and identify new service and activity opportunities. • Positively represent the Southern DHB, fostering its interests by participating in area discussions with individuals, sector forums, community groups and business organisations on relevant matters. • Ensure the Southern DHB views are sought and heard clearly in relation to health management matters, particularly as they relate to the financial management, procurement activities and building & property assets of speciality Prescribes advanced evidenced based nursing therapeuticsthe organisations. • Constructive and effective relationships established with Governance, pharmacological/ non- pharmacological interventionsFunder, diagnostic measuresMāori and Community within the DHB. • Effective networks established. • Effective representation of the interests of the DHB. • Recognised as an effective contributor to South Island Alliance initiatives. Team Performance and Development In collaboration with the GM, equipment, proceduresXXX and the ND champion the Clinician-Manager partnership model to develop and maintain a team environment in which the Southern DHB performance is optimised. • Promote the philosophy of the Southern DHB vision and values among all employees by ensuring that the patient is at the forefront of everything we do. • Organise functional teams to ensure the completion of all organisational and directorate goals, and treatments to meet the needs of patients/consumer, families ensure effective team management and groups, communications are developed and maintained. • Ensure team members are managed in accordance with professional preparation, institutional good employer practices and current staffing policies and scope agreements. • Xxxxxx and support commitment to achieving the highest level of practicehealth and safety. Acts as • Effective leadership and management of functional areas. • Development and performance reviews completed annually for all direct reports. • Active professional development programme for staff in place. • Evidence of a mentor, guides team-based approach within the functional groups for who line accountability is held. • Evidence of effective strategies and supports others methods to engage key members in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the • Personal development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements plans documented for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorisedreports.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The Home Team will offer a 7 day a week service from 8 am to 8 pm. The focus of the service is hospital avoidance and supported discharge working across a range of settings including the community, Emergency Department, Internal Medicine Assessment Unit and the in-patient wards. The Home Team are a comprehensive integrated service that is responsive to patient and service needs, focused on delivering one car up the driveway, one assessment and one plan of care. This position involves working with a range of age groups with a variety of conditions, including outpatients, inpatients and community locations. The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered with the Nursing Council of New Zealand as a registered Nurse Nurse. • Hold a current Nursing Council of New Zealand annual practising certificate certificate. • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree master’s degree. • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with the health care team as a professional resource in speciality/practice area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice practice. Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. • Takes the leadership role through both direct and indirect patients/consumer care delivery. • Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. • Staff are encouraged and supported in their work as it relates to the area of speciality practice. • Xxxxxxx and participates in peer review processes, case review and reflective practice. • Team members are motivated and stimulated. • Evaluates current practice, identifies deficits/needs and introduces quality measures. • Supports a culture of evaluation and the ongoing quality improvement of nursing practice. • Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. • Leads system change to improve health outcomes through evidence based practice. • Participates in clinical governance activities • Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. • Represents the specialty nursing perspective. • Involvement with workforce development and succession planning for the service from a nursing perspective. • Employs and models transformational leadership style and coaches nurses to develop own leadership skills. • Participates actively in team meetings. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. • Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. • Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality speciality. • Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- non-pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. • Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. • Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. • Undertakes extended interventions as authorised by NCNZ • Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. • Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. • Facilitates / initiates inter-service collaboration to improve patient care care. • Provides input into the development of care co-co- ordination initiatives Professional portfolio maintained PDRP at level 4. • Meets Nursing Council NZ requirements for APC APC. Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. • Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. • Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. • Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. • Provides input into, and helps interpret requirements of new legislation /guidelines. • Supports clinicians in identifying ethical dilemmas working through a decision making framework. • Attends and provides input into and feedback from relevant committees. • Nursing specialty submissions are made in the development of relevant organisational and national policies. • Actively manages risk. • Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] • Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. • Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. • Communicates effectively with patients/consumer and family/whanau and members of the health care team. • Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. • Communicates in an appropriate and professional manner, verbal and written. • Privacy Act, Informed Consent and Code of Rights adhered to. • Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. • Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change change. • Provides a primary point of contact within the speciality for patients/consumer and health professionals professionals. • Initiates referrals to other members of the health care team in a timely manner. • Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies agencies. • Is a competent consultant for interdisciplinary client base base. • Initiates timely referrals to other services in a timely and thorough manner. • Engages in team and MDT meetings as appropriates. • Initiate appropriate audit processes. • Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. • Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. • Engages in submission processes. • Contributes to research and the dissemination of findings where possible possible. • Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. • Collaborates in the development of education programmes related to the area of speciality knowledge and skill. • Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. • Participates in collaborative educational networks to meet professional and service needs. • Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. • Participates in the educational plan for the speciality. • Participates in nursing forums where relevant to area of practice. • Colleagues are informed of relevant nursing professional trends and issues. • Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. • Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. • Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. • Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. • Acts as a resource person for patients/consumer and health professionals. • Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. • Assists in the orientation and preceptor ship of new nurses and student nurses. • Provides clinical guidance and mentoring to nursing and allied health colleagues. • Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. • Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. • Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice • Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. • Participates in conferences relevant to area of speciality, as agreed line manager. • Patients/consumer research which challenges practice at local and national forums. • Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups▪ Southern Māori Health Directorate ▪ Tangata Whaiora (patient) and whānau ▪ Southern DHB Kaumātua ▪ Local Rūnaka ▪ Southern DHB secondary/tertiary services ▪ Kaupapa Māori Health Providers ▪ Southern DHB Home Team ▪ General Practice ▪ Managers at all levels of the organisation ▪ WellSouth Primary Health Network ▪ All Southern DHB staff ▪ Community Pharmacies ▪ SDHB Contracted provider services ▪ University of Otago ▪ Otago Polytechnic Education, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges of nursing and midwifery • All Nursing and Midwifery Staff • Nursing Council/Midwifery council • Allied Health Staff • Nurse Educators • Medical Staff • Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education Experience and Qualifications (▪ Tertiary qualification in Māori studies or equivalent level experience with Kaupapa Māori Systems. ▪ Knowledge of learning) • Be registered Tikanga Māori with proficiency/learning in Te Reo Māori and the Nursing Council of New Zealand as Māori world view – whakapapa, whānau, hapu, iwi. ▪ Experience within Māori Health and communities. Knowledge, Skills and Experience ▪ Strong links and experience within Māori communities. ▪ Demonstrates skills in supporting cultural competencies. ▪ Works well within a registered Nurse • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications team environment and able to xxxxxx good interpersonal relationships. ▪ Demonstrates ability to communicate effectively at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in area of specialist practice. • Experience • Experience and credibility with all levels within the health care team as a professional resource in speciality/sector and key stakeholders. ▪ Mentors and influences the practice area • Networking effectively in area of specialty/ practiceothers, motivating individuals and managing cultural conflict. • Demonstrated ▪ A strong whānau centred focus. ▪ Good interpersonal skills, including ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. • Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. • Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. • Be a professional leader and role model, work effectively with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles people at all levels of the Treaty organisation. ▪ Excellent reading and writing skills and computer literacy. ▪ Knowledge of Waitangi the Health and biculturalismDisability Sector standards. Personal Qualities A reasonable ▪ Is focused on providing exceptional levels of service to whānau Māori. ▪ Maintains an exceptionally high level of fitness is required confidentiality. ▪ Self-motivated, independent and able with a high level of initiative. ▪ Professional and demonstrates a high level of personal integrity. ▪ Ability to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, manage changing and ability unpredictable workloads ▪ Ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing be innovative and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported proactive in their work environment. ▪ Is dependable, honest and ethical; shows a good level of personal judgment. ▪ Acts with discretion and sensitivity at all times. ▪ Is adaptable and flexible – open to change (positive or negative). ▪ Is independent – able to prioritise work effectively, develops one’s own ways of doing things and able to guide oneself with little or no supervision. The below performance standards are provided as it relates a guide only. The precise performance measures for this position will need further discussion between you and your manager as part of the performance development process. Accepts responsibility for ensuring that his/her care and conduct meet the standards of the professional, ethical and relevant legislated requirements. Has an understanding of the principles of the Te Tiriti o Waitangi and is respectful of patient/whānau personal beliefs, values and goals. Reads and adheres to the area of speciality practice. Xxxxxxx and participates in peer review processesSouthern DHB vision, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practicevalues, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope procedures while representing the organisation in a committed manner and projects a positive image of practiceSouthern DHB. Acts as a mentor, guides ▪ You maintain appropriate standards of professional conduct. ▪ You have an understanding and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services commitment to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent working with the principles of the Treaty of WaitangiTe Tiriti o Waitangi which translates into working effectively with patients and their whānau. Gains support for changes to nursing practice that are based on: • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input into, and helps interpret requirements of new legislation /guidelines. Supports clinicians in identifying ethical dilemmas working through a decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development of relevant organisational and national policies. Actively manages risk. Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing ▪ Presents self in a negotiated partnership with the patient/consumer tidy and family/whanau where professional manner and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care teamadheres to policy – ID badge citing designation worn on person. Maintains privacy and confidentiality in accordance with HIP HDC Code, DHB policies and procedures etcprocedures. Communicates Demonstrates responsibility with clinical and non- clinical activities within the xxxx/unit environment with an understanding of the Code of Health and Disability Services Consumer Rights and HIP Code and HDC. ▪ Attains and maintains area specific mandatory requirements and key accountabilities. ▪ Participates in an appropriate regular team meetings engaging in discussion. ▪ Promotes health utilising teachable moments. Demonstrates accountability for directing, monitoring and professional manner, verbal and writtenevaluating cultural interventions that are provided. ▪ Privacy Act, Informed Consent and Code of Consumer Rights adhered to. Abides by NCNZ Code Establishes and maintains relationships with Southern DHB secondary/tertiary services and primary care. Communicates effectively in an appropriate and professional manner with patients and family/whānau and members of Conduct the health care team that reflects the cultural needs of whānau. Behaves respectfully towards patients, colleagues and Professional Boundaries guidelines. Leads nursing members of the wider health care teams Recognises and interdisciplinary groups in designing values the roles and implementing innovative, cost effective patient care and evidence-based change Provides a primary point skills of contact within the speciality for patients/consumer and health professionals Initiates referrals to other all members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. • Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer team member and health professionalspromotes a collaborative environment. Collaborates • Demonstrates flexibility within a constantly changing environment. • Forms productive working relationships with Nurse Educators team members and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where appropriate and authorised.

Within Southern DHB External to Southern DHB. Nurse Manager • Relevant associated groups, local and regional • Service Manager • Healthcare providers • Unit team managers • Healthcare patients/consumer • Clinical Charge Nurse • National Speciality groups • Clinical Leaders • NZNO, PSA and other relevant professional colleges Executive Director of nursing and midwifery • All Nursing and Midwifery • Patients and whanau • Nursing/Midwifery Staff • Visitors • Operations Team • Maternity access agreement holders • Clinical Directors • Other maternity providers • Director of Nursing Council• Support Agencies • Divisional Director • Well Child Health Care Providers • Practice Development Midwife/Midwifery council Educators • Allied Health Staff National Breastfeeding organisations • Clinical Nurse Educators Specialists • Medical Staff • Non Clinical Support Staff • Infection Prevention and Control • Occupational Health & Safety Southern DHB Clinical Services The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) • Be registered Registered with the Nursing Council midwifery or nursing council of New Zealand as and hold a registered Nurse current practicing certificate. • Be a current International Board Certified Lactation Consultant or be committed to obtaining this • Hold a current Nursing Council of New Zealand annual practising certificate • Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • Advanced learning and contemporary knowledge in any other certificates appropriate to the area of specialist practiceemployment. certification within an agreed timeframe upon appointment • Required to hold: o Cardiopulmonary Resuscitation (CPR) certification. o Neonatal Resuscitation. Experience • Experience Demonstrate commitment and credibility with the health care team as a professional resource skill in speciality/clinical breastfeeding practice and have at least one-year full-time experience in this area • Networking effectively in area of specialty/ practice. • Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. • Minimum of 3 years practice within the defined scope of clinical speciality/practice Knowledge and Skills • Exercise independent nursing judgementShow potential in leadership, apply advanced assessment teaching ability and have good interpersonal and organisational skills. • Knowledge of maternity care delivery systems and supporting service specifications. • An ability to work from both an autonomous and team perspective • A commitment to the delivery of quality health services • Problem solving and conflict management skills • Organisational ability • Application of quality improvement programmes in clinical practice environments • Adult teaching/preceptorship experience • Knowledge of the BFHI • Personal Qualities • Commitment and personal accountability. • Excellent interpersonal skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area including ability to work effectively with people at all levels of speciality/practicethe organisation. • Work independently Acts with discretion, sensitivity and in the interdisciplinary team, using evidence based evidence and international best practice, in area of specialityintegrity at all times. • Initiate health promotion activities Is adaptable and flexible – open to encourage productive health behaviours change (positive or negative). • Maintains an exceptionally high level of confidentiality. • To facilitate the ongoing development of breastfeeding policy and best practice guidelines. To co- ordinate the consultation process required for BFHI accreditation. • Breastfeeding policy and standards are developed and reviewed every 2 years in consultation with all interested parties. Audits of policy effectiveness is undertaken prior to the policy review. • To facilitate an environment fostering breastfeeding promotion, protection and support for all women in QMMC. • To assist the breastfeeding mother and her support person(s) by providing skilled guidance and resources for the successful establishment and maintenance of breastfeeding. • To guide, support and xxxxxx the strengths development of staff in their clinical practice. To facilitate and potential provide access to resource material. To assist staff in the effective implementation of patients/consumer and staffbreastfeeding care. • Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. • Be champions for, and promote the profession of nursing. • Current issues for nursing and health in NZ and international context. • Current government policies, codes, guidelines, and legislation impacting on area of speciality. • Current nursing professional standards and codes. • Southern DHB current vision, goals and objectives. • Principles The care of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with women will be undertaken within the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery. Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group. Supports a culture of evaluation and the ongoing quality improvement of nursing practice. Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings. Leads system change to improve health outcomes through evidence based practice. Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice. Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care. Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care. Undertakes extended interventions as authorised by NCNZ Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice. Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates inter-service collaboration to improve patient care Provides input into the development of care co-ordination initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes. Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable. Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles framework of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: Diverse cultural practices will be respected. • quality improvement activity reports • patient/consumer feedback • contractual/ legislative changes • treatment changes current evidence based best practice. Participates in auditing nursing quality standardsTo co-ordinate the cleaning, policies, procedures maintenance and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment. Provides input intoprovision of, and helps interpret requirements effective use of new legislation /guidelinesbreastfeeding related equipment. Supports clinicians • The facility will feel welcoming, comfortable, clean and supportive of breastfeeding. • The breastfeeding woman will be enabled to make informed decisions. She will be provided with the information, guidance, practical help and resources required to enable her success and independence with breastfeeding. This care will be holistic • Staff will be guided, supported and assisted in identifying ethical dilemmas working through a their clinical decision making framework. Attends and provides input into and feedback from relevant committees. Nursing specialty submissions are made in the development and implementation of relevant organisational care plans with the breastfeeding mother. • The LC will work with the Tangata Whenua appointed representative to review and national policiesdevelop breastfeeding services for Maori women and their whanau and assist in implementation of the Tikaka Best Practice. Actively manages risk. Assess the quality • All staff will have awareness of nursing cultural safety issues and practice in the clinical settingrespect of these. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable] Establishes, maintains • Staff and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care. Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues. Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating mothers have access to the speciality a variety of clean, safe, effective equipment to support they require. Shares specialist knowledge successful breastfeeding and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates familiar with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs. Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Participates in conferences relevant to area of speciality, as agreed line manager. Patients/consumer research which challenges practice at local and national forums. Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities. Demonstrates ability to interpret and implement research findings relevant to area of speciality practice. Provides research based clinical management options for complex clinical situations / issues. There is evidence of staff participation in research related activities where its appropriate and authoriseduse.

Within Southern DHB External to Southern DHB.  Nurse Manager •  Relevant associated groups, local and regional •  Service Manager •  Healthcare providers •  Unit team managers •  Healthcare patients/consumer •  Clinical Charge Nurse •  National Speciality groups •  Clinical Leaders •  NZNO, PSA and other relevant professional colleges of nursing and midwifery •  All Nursing and Midwifery Staff •  Nursing Council/Midwifery council •  Allied Health Staff •  Nurse Educators •  Medical Staff •  Clinical Support Staff •  Infection Prevention and Control •  Occupational Health & Safety The expertise required for a person to be fully competent in the role. Position specific competencies: ESSENTIAL DESIRABLE Education and Qualifications (or equivalent level of learning) •  Be registered with the Nursing Council of New Zealand as a registered Nurse • Nurse.  Hold a current Nursing Council of New Zealand annual practising certificate • certificate.  Working towards Post graduate qualifications at a minimum of a Diploma or/and a masters degree • degree.  Advanced learning and contemporary knowledge in area of specialist practice. • Experience •  Experience and credibility with the health care team as a professional resource in speciality/practice area •  Networking effectively in area of specialty/ practice. •  Demonstrated ability to articulate evidence based nursing advice to a Multidisciplinary Team. •  Minimum of 3 years practice within the defined scope of clinical speciality/practice practice. Knowledge and Skills •  Exercise independent nursing judgement, apply advanced assessment skills, initiate appropriate clinical interventions, evaluate outcomes, advise others and provide sound rationale for actions in area of speciality/practice. •  Work independently and in the interdisciplinary team, using evidence based evidence and international best practice, in area of speciality. •  Initiate health promotion activities to encourage productive health behaviours and xxxxxx the strengths and potential of patients/consumer and staff. •  Be a professional leader and role model, with proven ability to inspire, motivate and develop others, in area of speciality. •  Be champions for, and promote the profession of nursing. •  Current issues for nursing and health in NZ and international context. •  Current government policies, codes, guidelines, and legislation impacting on area of speciality. •  Current nursing professional standards and codes. •  Southern DHB current vision, goals and objectives. •  Principles of the Treaty of Waitangi and biculturalism. Personal Qualities A reasonable level of fitness is required to cope with the demanding physical requirements of the job. The following denote the key physical requirements for the position: standing, walking, bending, sitting, stairs, simple grasping, fine manipulation, operating machinery / equipment, lifting, overhead reaching, carrying, pushing / pulling, twisting, climbing / balancing, crouching / squatting, manual handling of people, other reaching, and ability to participate in personal restraint if required. Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area.  Takes the leadership role through both direct and indirect patients/consumer care delivery.  Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group.  Supports a culture of evaluation and the ongoing quality improvement of nursing practice.  Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Xxxxxxx and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated. Evaluates current practice, identifies deficits/needs and introduces quality measures. Participates actively in team meetings.  Leads system change to improve health outcomes through evidence based practice.  Participates in clinical governance activities  Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care.  Represents the specialty nursing perspective.  Staff are encouraged and supported in their work as it relates to the area of speciality practice.  Fosters and participates in peer review processes, case review and reflective practice.  Team members are motivated and stimulated.  Evaluates current practice, identifies deficits/needs and introduces quality measures.  Participates actively in team meetings.  Involvement with workforce development and succession planning for the service from a nursing perspective.  Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs.  Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes.  Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality speciality.  Prescribes advanced evidenced based nursing therapeutics, pharmacological/ non- non-pharmacological interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in accordance with professional preparation, institutional policies and scope of practice.  Acts as a mentor, guides and supports others in the speciality in their assessment, clinical decision making, implementation, evaluation and documentation of care.  Facilitates/initiates inter service collaboration and promotes integrated care between secondary and primary services to improve patient care.  Undertakes extended interventions as authorised by NCNZ NCNZ.  Networks nationally and internationally to identify and implement nursing advances and changes in speciality practice.  Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate.  Facilitates / initiates inter-service collaboration to improve patient care care.  Provides input into the development of care co-co- ordination initiatives Professional portfolio maintained PDRP at level 4.  Meets Nursing Council NZ requirements for APC APC. Clinical Practice Works with nursing staff to continuously improve nursing practice and patient/consumer outcomes.  Role models expert evidenced based clinical practice, is seen as highly effective, progressive and knowledgeable.  Provides leadership, role models and guides others in nursing practice that is evidenced based and consistent with the principles of the Treaty of Waitangi. Gains support for changes to nursing practice that are based on: •  quality improvement activity reports • reports.  patient/consumer feedback • feedback.  contractual/ legislative changes • changes.  treatment changes current evidence based best practice.  Participates in auditing nursing quality standards, policies, procedures and guidelines and developing action plans relevant to speciality. Clinical Practice Articulates the ethical, cultural and statutory requirements of practice and initiates / responds to changes from the internal and external environment.  Provides input into, and helps interpret requirements of new legislation /guidelines.  Supports clinicians in identifying ethical dilemmas working through a decision making framework.  Attends and provides input into and feedback from relevant committees.  Nursing specialty submissions are made in the development of relevant organisational and national policies.  Actively manages risk.  Assess the quality of nursing practice in the clinical setting. Collaborates on any changes required. To demonstrate effective interpersonal relationship skills [Description where applicable]  Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer.  Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible.  Communicates effectively with patients/consumer and family/whanau and members of the health care team.  Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc.  Communicates in an appropriate and professional manner, verbal and written.  Privacy Act, Informed Consent and Code of Rights adhered to.  Abides by NCNZ Code of Conduct and Professional Boundaries guidelines.  Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change change.  Provides a primary point of contact within the speciality for patients/consumer and health professionals professionals.  Initiates referrals to other members of the health care team in a timely manner.  Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies agencies.  Is a competent consultant for interdisciplinary client base base.  Contributes to research and the dissemination of findings where possible possible.  Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care.  Initiates timely referrals to other services in a timely and thorough manner.  Engages in team and MDT meetings as appropriates.  Initiate appropriate audit processes.  Consistently participates/leads multi-disciplinary team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately.  Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits.  Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice.  Collaborates in the development of education programmes related to the area of speciality knowledge and skill.  Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing professional trends and issues.  Participates in collaborative educational networks to meet professional and service needs.  Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice.  Participates in the educational plan for the speciality.  Participates in nursing forums where relevant to area of practice.  Colleagues are informed of relevant nursing professional trends and issues.  Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking.  Nurses are kept informed of relevant evidence based practice and issues, including ethical issues. Education Provides educational support for healthcare providers and patients.  Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require.  Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice.  Acts as a resource person for patients/consumer and health professionals.  Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs.  Assists in the orientation and preceptor ship of new nurses and student nurses.  Provides clinical guidance and mentoring to nursing and allied health colleagues.  Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality.  Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities.  Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Research Promotes quality nursing care through research-based practice  Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice.  Participates in conferences relevant to area of speciality, as agreed line manager.  Patients/consumer research which challenges practice at local and national forums.  Information is communicated to staff within Southern DHB, to maximise the benefit for the patient/consumer and organisation. Research Role models the application of evidence based best practice principles in own practice, and assist others in research related activities.  Demonstrates ability to interpret and implement research findings relevant to area of speciality practice.  Provides research based clinical management options for complex clinical situations / issues.  There is evidence of staff participation in research related activities where appropriate and authorised.