Position description

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Organisational Vision:

South Canterbury District Health Board (SCDHB) is committed “to enhance the health and independence of the people of South Canterbury”

Organisational Values: I CARE

  • Integrity

  • Collaboration

  • Accountability

  • Respect

  • Excellence

Position Clinical Nurse Specialist – Palliative Care

Department Primary Health Partnership and Allied Health Services

Reports to Manager, Health of Older Persons and Long Term Conditions

Hours 56 hours per fortnight (0.7FTE)



  • Registered with the Nursing Council of New Zealand

  • Hold a current Nursing Council of New Zealand Practising Certificate

  • Hold a current NZ driver license

  • Hold or be working towards a Post Graduate Diploma that includes papers in, advanced health assessment, palliative care and applied pharmacology (or equivalent papers)

  • Recognition as an Expert RN on the PDRP

  • Validated Clinical expertise and leadership in the specialty area of palliative care

  • Demonstrated ability to function as an autonomous practitioner able to work under own professional clinical judgement as a member of the palliative care team

  • Proven expert holistic clinical assessment skills

  • Demonstrated clinical teaching skills

  • Proven ability to support clinical staff at all levels of practice

  • Acknowledged nursing leadership skills.

  • Demonstrated ability to contribute to the professional development of nursing throughout the organisation

  • Demonstrated ability to develop appropriate nursing standards and quality initiatives

  • Proven excellent communication and interpersonal skills, including problem solving, conflict resolution and negotiation with a range of people from diverse backgrounds

  • Ability to perform effectively under pressure and prioritise workload accordingly

  • Computer literate in Microsoft office applications

  • Knowledge of the relevant legislation and standards which govern nursing and health care practice in New Zealand


Professional Responsibility

You will:

  • Maintain advanced clinical, cultural and professional standards and competencies

  • ensure compliance with New Zealand statutory laws

  • comply with organisation wide and service specific rules, codes of conduct, policies, protocols and procedures

Understand and apply the following legislation:

  • Privacy Act

  • Health and Disability Commissioners Act

  • Health & Safety in Employment Act

  • Health Practitioners Competency Assurance Act

  • MoH Regulations

Understand and apply the:

  • Treaty of Waitangi Principles

  • Values of SCDHB

  • SCDHB Disciplinary Policy and Code of Behaviour

    • Performance Review supports work always occurring within scope of practice

Expert Clinical Care

Providing a focus on provision of safe, effective and appropriate care delivery, using knowledge and skills gained from professional education and practical experience.

Tasks (how it is achieved)

  • Responsible for providing specialist care coordination and case management of complex cases utilizing an holistic approach and advocating for the patient their family/whanau across settings e.g. own home, hospital, hospice, aged residential care

  • Provides clinical leadership, support and development to other staff providing direct care delivery.

  • Role models excellence in clinical practice, case management processes and maintenance of the therapeutic environment.

  • Liaises to ensure coordination of bereavement care

  • Accountable for researching, evaluating, developing and implementing standards of nursing practice in the clinical area, developing evidence based practice.

  • Coordinates the development, implementation and evaluation of palliative care clinical protocols and guidelines

  • Provides specialist palliative care advice and expertise to support other health professionals in the management of palliative care patients.

  • Promote and motivate patient autonomy; assist patients to make informed choices regarding their care and ongoing treatment

  • Works collaboratively with the team to provide expert resource to patient, families/whanau and other health professionals in planning and evaluating care.

  • Develops, researches, evaluates and implements best practice standards for palliative care practice.

How it will be measured (KPI):

Evaluation will include:

    • Consumer satisfaction

    • Evidence of working directly with patients and Health Professional as a clinical expert

    • Evidence of assessment, planning, implementation and evaluation of case management and coordination of complex cases

Interpersonal Relationships

Assists with building the capacity and capability of clinical staff to meet the patient/consumer/tangata whaiora needs within the clinical area.

Maintains functional relationships with community stakeholders e.g. Cancer Society

  • Fosters collaboration and communication with nurses in other specialties and the broader multi-disciplinary team to develop, implement and evaluate services and health outcomes

  • Act as a role model and develop clinical practice through effective role modeling, teaching and teamwork.

  • Works collaboratively as a member of the palliative care team

  • Foster and participate in peer review and reflective practice processes.

  • Contributes to individuals learning and professional development plans, in line with Nursing Council requirements and SCDHB professional requirements.

  • Collaborates with palliative care team members to facilitate the development, implementation and evaluation of education, utilizing evidence based care, nursing standards of practice and protocols

  • Information sharing/communication.

Evaluation will include:

    • Feedback and participation in staff performance reviews, including objectives and development plans.

    • Evidence of participation, attendance and implementation of project outcomes being achieved as set.

Inter-professional Health Care and Quality Improvement

Coordinates quality systems relating to clinical practice.

  • Identifies opportunities and efficiency gains that will enhance the clinical provision of the service.

  • Fostering quality and safe practice in line with risk management policies.

  • Maintaining and promoting quality and safe practice in line with risk management policies.

  • Leads quality processes including assessing trends in palliative care outcomes, auditing and developing appropriate responses.

  • Ensures compliance with SCDHB Health and Safety requirements, and encouraging proactive hazard identification, reporting and management.

  • Complies with legislative requirements and SCDHB policy and procedures

  • Participates in clinical audit

Evaluation will include;

    • Evidence of standards and processes consistent with best practice.

    • Evidence of involvement in quality and risk management activities

Role Specification

The Palliative Care Clinical Nurse Specialist will demonstrate:

  • Current knowledge of the pathophysiology of symptoms and evidence based practice treatments for the management of complex palliative care cases

  • Advanced assessment skills: physical (te taha tinea), spiritual (te taha wairua), emotional (te taha hinengaro) and social (te taha whanau)

  • Provide clinical leadership and process support through advanced communication skills with other healthcare teams in the management of complex palliative care cases

  • Provide clinical support through education and mentoring of non-specialist providers to support the delivery of best practice palliative care

  • Provide specialist clinical support to non-specialist palliative providers for the management of complex palliative cases

  • Triage and prioritise referrals

  • Assist in facilitating smooth referral, case management and discharge pathways for patients requiring specialist palliative services

  • Collaboration with the Specialist Palliative Care Team, Primary Care, District Nursing, Secondary Care, Hospice and Aged Residential Care

  • Collaboration with other specialist teams e.g. oncology

  • Participation and contribution to local, regional (South Island) and national networks to ensure development of best practice in palliative care

  • Expertise in data collection, clinical audit and research in palliative nursing

Employee: ___________________________ _____________ _____

Name & Designation Signature Date

SCDHB: __________________________ _____________ _____

Name & Designation Signature Date
Reviewed: 28-7-16 Designation of Reviewer: Manager Health of Older Persons, Long Term Conditions

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