Your opportunity 

To develop and lead a new model of care within the Connected Community Pathways (CCP) project nurse led multidisciplinary team. The CCP team will aim to reduce avoidable Emergency Department presentations and potentially preventable hospitalisations through timely assessment and intervention with combined telehealth and face to face consultations in the patient/client’s usual residence/residential aged care facility (RACF). The CCP team will work collaboratively with Emergency Department Bowen Hospital, Queensland Ambulance Service (QAS), General Practitioners and other service providers of commonwealth funded services within the Bowen community.

This project will focus on residents, patients and clients within the Bowen community having access to timely clinical assessment and implementation of or modifying of treatment plans by the Nurse Practitioner through telehealth or face to face consultation in the patient/client’s usual residence or residential facility. The Nurse Practitioner will be supported by a Clinical Nurse Consultant and will provide care, where practical, in collaboration with the patient/clients usual General Practitioner/ Medical Officer and in accordance with the patient/clients advanced care planning directives. 

The CCP project team will work with the Bowen Hospital discharge team to facilitate RACF transfers and admissions, discharge planning for clients of home care services and provide a review service of discharged clients of commonwealth funded services in their home reducing failed discharges and hospital readmission. 

Autonomy 

The employee is a registered nurse who is endorsed to practice as a Nurse Practitioner by the Nursing and Midwifery Board of Australia NMBA and who: 

1. has clear authority for advanced scope of practice in an extended nursing role with autonomous decision-making.
2. works autonomously and collaboratively with the multi-disciplinary team.
3. exercises professional and clinical expertise in collaboration nursing and midwifery and multi-disciplinary stakeholders.
4. advanced level decision making.
5. partner with other health professionals to operationalise clinical and corporate governance requirements aligned with the defined scope of practice.

Your role

Generic responsibilities

• Fulfil the responsibilities of this role in accordance with Schedule 2 of the Nurses and Midwives (Queensland Health) Award State 2015; and Generic Level Statements and Domains of Practice for Nurse Grade 7; and the Queensland Public Service and the MHHS Values as outlined above and http://www.mackay.health.qld.gov.au/about-us/living-our-values/.
• Understand your broad responsibility for safety and quality in healthcare, actively participate in continuous quality and safety improvement activities within the workplace and notify a relevant clinical or non-clinical responsible officer when concerns exist about workplace or patient safety.
• The provision of a Healthy and Safe environment within MHHS is everyone’s responsibility.
• Carry out work in accordance with prescribed practices and procedures and in a manner that will not create health and safety hazards for yourself or others in the workplace. Understand your accountability to uphold the principles and practices of the Health Service’s Health and Safety Management System in accordance with legislation and industry standards. For supervisors, actively promote good health and safety practices to staff of your work area. 
• Employees who are appointed to the MHHS are accountable for information security, management and appropriate use, in accordance with legislation, standards, policies and procedures.

Role-specific responsibilities

• Project manage the initial phase of new service role out, develop policy, procedures, and referral processes to support delivery of the service.
• Establish networks and partnerships with all relevant stakeholders.
• Deliver high quality rapid response, clinical assessment, and initiate/modify treatment plans within aligned Residential Aged Care Facilities and Home Care services in collaboration with, where practical, the patients/clients General Practitioner/Medical Officer.
• Facilitate multidisciplinary team meetings, including with patient/client family members, to support ongoing collaborative patient centred care as per the patient/client’s health goals and care wishes.
• Deliver high quality communication with service providers, residents, and key stakeholders in patient/client’s care provision.
• As a nurse leader, autonomously manage the CCP team to deliver key project deliverables including regular reporting of project implementation and outcomes.
• Ability to provide clinical management and leadership through role modelling, mentoring and leading positive change; contribute to educational programs to enhance healthcare to the target population and lead coordination and flow for the patient centred care journey.

To learn more, please see the role description document.

Applications must be submitted online via the Smartjobs website – www.smartjobs.qld.gov.au