May 18, 2017
JOB PURPOSE The purpose of this role is to provide leadership, direction and operational management to the clinical and support staff in the development and delivery of services in the OPDs and the Emergency Department. This post supports the corporate accountabilities of the Chief Executive Officer and Chief Nursing Officer by ensuring that there are clear and effective structures and processes designed for coordinated decisions that achieve the Board’s strategy for safe, effective, person centred care and business development and delivery. The post holder is responsible for promoting the nursing outpatient units assigned to them, both internally and externally, as areas where patients and relatives will receive the highest standard of clinical care taking into account national standards and statutory requirements and the professional accountability of staff. SCOPE AND RANGE The post holder has 24hour responsibility for their designated areas. In addition to this the post holder will contribute to a senior nursing rota which provides a designated nurse leader on site in office hours and total hospital management out of office hours Functions managed by the post holder: Outpatient Areas: Between 60 – 70 outpatient clinics per week covering a variety of medical and surgical specialties. This number will continue to grow Dialysis Unit Possibly up to 10 sessions per week. Emergency Department 11 Emergency Rooms including Resuscitation Room Staff – c. 100 – 120 The post holder will work closely with the management team and marketing to review current and projected bed availability/ theatre space in line with hospital targets set in the Strategic Plan for the further development of AZHD Outpatient and Dialysis Services, taking into account population diversity and health needs. The post holder will then recruit staff based on developing manpower planning models taking account of skill mix, acuity, patient flow and expanding service projections. Statistical records will be kept to demonstrate staffing levels in relation to patient volumes and diversity, patient dependency/ average nursing hours per day and staff efficiency. The post holder will develop and justify the operating and capital budget requirements for the areas of responsibility and for the commissioning of new services. S/he will involve and liaise with all necessary personnel within the multi-disciplinary teams MAIN DUTIES/RESPONSIBILITIES As part of the Senior Nursing Team, the post holder will provide professional leadership and management for the Department of Nursing so that all appropriate professional standards are met, and ensure that the Department of Nursing is effectively developed, organised and integrated with other professional and support departments to achieve the strategic aims and values of Al Zahra Hospital Dubai (AZHD). The post holder will provide professional expertise in their specialist area and promote high levels of competence in this area through developing policies, setting standards and educating, training and motivating staff to adhere to these. They will also use the expertise of others where they do not have that experience. Development/Education Through the hospital appraisal and competency system, the post holder will work with individuals to maximise their potential through objective setting, in order that their personal and professional objectives reflect the overall objectives of their Units. S/he will ensure that all staff have yearly appraisals and will identify developmental needs of staff and build required finances into the budget plan where appropriate. The post holder will develop and co-ordinate a recruitment strategy for their area of responsibility which supports the overall nursing recruitment programme. Develop, and manage staff within the areas managed by the post holder and create an open, supportive and positive culture to maximise their potential, ensure efficiency and effectiveness in achieving all aspects within the Strategy for Nursing, and ensure that customer care is developed which responds to the needs of patients and their families. Collaborate with medical, nursing, customer care and business colleagues to increase activity within the services in a safe and sustainable way. The post holder will actively participate in/promote educational activities across the organisation, most particularly in the areas of nursing and customer care. The post holder will have a Personal Work Plan and identify training needs as required to the Chief Nursing Officer Quality Standards In collaboration with the Chief Nursing Officer, Quality Manager and other Hospital Managers, the Board’s Quality Strategy and Joint Commission International (JCI) Standards will be interpreted and implemented through a variety of clinical, professional and operational initiatives. The post holder will work with colleagues and staff within their designated department to implement appropriate Quality and Risk Management standards so that the organisation may be assured that the security and quality of clinical services delivered conform with standards developed by Joint Commission International Accreditation standards and the Dubai Health Authority (DHA) The post holder will work with colleagues and staff within his/her designated department to implement and monitor appropriate Clinical Effectiveness, Patient Safety Standards and Infection Prevention and Control standards and in partnership with all appropriate (clinical, non-clinical and) managerial interests, ensure that effective clinical and non-clinical risk management processes are developed and implemented, within his/her designated areas, to eliminate or reduce potential hazards and safeguard the security of clinical services. The post holder is key to the formulation and implementation of clinical, nursing and administration policies and procedures relating to the Department of Nursing. Risk & Safety The post holder is responsible for the interpretation and execution AZHD’s Risk and Safety policies within the nursing areas, and as a member of senior staff, report any concerns to the Risk & Safety Officer, Chief Operating Officer or Chief Nursing Officer Strategic Role The post holder participates in the Department of Nursing ‘Strategy for Nursing’ by being an active participant in ongoing projects and initiatives. S/he will be responsible for including and encouraging all nursing staff in activities related to the profession, through personal work plans. The post holder will work with the Chief Nursing Officer to demonstrate and exemplify positive behaviours and attitudes and establish effective working relationships with interdependent functions services and other agencies, which will support co-operative and partnership working. The post holder complies with the requirements of the registration and advisory bodies within nursing and of the wider hospital arena i.e. DHA Research The post holder will support and may participate in clinical and nursing research. S/he will encourage utilisation of research findings to improve patient care within the parameters of the unit budget. S/he has responsibility for ensuring that current practice within the nursing department in his/her remit is evidence based Practice The post holder ensures the delivery of patient care based on standards of care agreed throughout the organisation and in line with national/international standards. S/he will work with the multidisciplinary team to achieve a high standard of patient care. This role may occasionally require a clinical remit and the post holder will require to maintain skills in looking after all aspects of dependent patients within the area for which s/he is recruited. Time Allocation It is likely that ninety per cent of the job function will be spent on the managerial aspects of the role as outlined above, with the remainder of time providing a supportive clinical and educational role. However the demands of the service can be unpredictable and this percentage of time allocation will change from time to time. SYSTEMS AND EQUIPMENT The post holder will be required to use the Microsoft Office Package in the completion of statistics, including information required for workforce planning and salary payments/timesheets. In addition the post holder will use Office Systems in the production of reports and presentations. S/he will be responsible for creating databases and spreadsheets that demonstrate nursing efficiency In performing and monitoring clinical care, competence is required in using the Hospital Systems available and relevant components of the Patient Administration System. The post holder will also be confident in all aspects of caring for patients that require the use of monitoring equipment and other complex equipment used in the provision of clinical treatment. This includes the reporting of faulty equipment. Patient and staff records will be managed in accordance with hospital policy. DECISIONS AND JUDGEMENTS Security Overall responsibility for the security of the department, includes security of keys Budgetary Accountability The post holder must keep within the limits set for the cost centre budgets, allowances will be made for variances in the patient flow and recruitment challenges. S/he will be involved in the setting of their unit budgets on an annual basis with the Chief Nursing Officer Purchasing Gives advice on the professional nursing aspects of Capital Expenditure New Builds and Upgrades To advise on nursing aspects for new builds and upgrades to facilities and service provision. Policy generation and review The post holder will be responsible for the generation and review of all department policies within their allocated areas and in addition the post holder will be expected to help in the development of policies that have wider hospital influence. Clinical Care The post holder will be confident patient assessment is an important aspect of the role. The post holder will be a nursing professional with demonstrated knowledge and skills in their area of expertise. S/he will also be able to assess suitability of professional staff assigned to the delivery of patient care. In hours/ Out of office hours Hospital Management The post holder will contribute to the senior nursing rota that provides an on-site ‘duty management’ responsibility for the hospital. Immediate decisions may require to be made in relation to clinical and non-clinical departments not normally within the remit of the post holder. S/he will be responsible for communicating actions to the relevant department managers/senior management team as soon as is necessary. This role includes the delegated authority from the CMO/CFO/CNO for approval of admission where insurance is pending or to discount charges as described in an addendum to this Job Description. Responsibility for the security of pharmaceuticals, includes security of keys and use of alarm systems Emergency Calls The post holder has a duty to respond to the emergency codes as part of his/her duty manager/ senior nurse responsibilities. In so doing s/he is required to keep up to date with current resuscitation practice. The post holder reports directly to the Chief Nursing Officer and is expected to fulfil this role autonomously within the parameters of established local and national priorities, general policies and procedures set in conjunction with the Chief Nursing Officer and/or Senior Management Team. S/he uses his/her own initiative to make decisions independently and takes minimal guidance from the Chief Nursing Officer in relation to clinically specific decisions and day to day management of his/her department(s) The post holder will be required to ‘act up’ to cover leave and also represent the Chief Nursing Officer at internal and external meetings from time to time. Shift patterns may change according to the demands of the role e.g. where specific clinical skills are required and unfilled, the post holder may occasionally require to work within the current nursing shift patterns to fulfil that gap within his/her department. COMMUNICATIONS AND RELATIONSHIPS The post holder is expected to communicate with all levels of clinical and non-clinical staff within AZHD and with clinical colleagues in external organisations. Excellent communication skills are required. Membership of internal and external groups/committees The post holder will work with the Chief Nursing Officer, other managers and clinical staff within the hospital in the planning, delivery, evaluation and development of nursing services managed by the post holder. The post holder is expected to have strong presentation skills and to be able to express a view convincingly and coherently, verbally and in writing. They will have the ability to deliver formal presentations to large groups of people. S/he will discuss issues of common concern, share good practice, contribute to the development of common nursing strategies in conjunction with nursing and medical colleagues at senior level both internally and externally. The post holder will build and maintain effective communication between all members of the multidisciplinary team; cross clinical and interdepartmental boundaries with confidence and sensitivity in pursuit of establishing trust and respect throughout the team The post holder will be required to deal with complex or stressful situations – negotiating with patients, staff and relatives. S/he will be required to provide advice, information and guidance and should be equipped to council patients staff and relatives where this is necessary. S/he will be required to deal with bereaved relatives The post holder will demonstrate a balanced, equitable approach to managing difficult situations for patients, staff and visitors. The post holder will be accountable for managing change within the departments for which s/he is responsible as the organisation develops. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB To be sufficiently influential on the behaviour of others over whom the post holder has responsibility and for those for whom the post holder has no formal authority to achieve and embed the highest possible standards of risk assessment, management processes and day to day working practices relating to the safe and effective delivery of clinical care. Ensuring and facilitating delivery on these agendas through adaptation and revision of the action plans in light of new information, direction developments and /or deadlines Retention and recruitment of staff in a changing environment Managing the available resources (time and people) to provide safe and effective patient care while demonstrating/documenting implementation of all quality standards. Dealing with disciplinary or grievance matters Dealing with patient/carer complaints Dealing with interruptions in meeting deadlines and moving from one task to another e.g. responding to unpredictable work situations or producing urgent reports or information. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB The post requires an individual who demonstrates competencies in the critical leadership behaviours identified as crucial to achieving success within AZHD • Excellent customer care skills • Working in partnership • Communicating effectively • Learning and development • Caring for staff, caring for patients • Improving performance through team-working • Improving quality • Achieving results The post requires high levels of specialist knowledge and skills combined with excellent interpersonal skills to engage others and influence their practice and behaviour. Proven leadership skills and experience are essential. The post holder must be a registered nurse, educated to at least degree level, preferably with a post basic qualification in area of specialism. Must have a minimum of seven years of progressively responsible nursing management experience, the majority of which should have been acquired in the acute hospital environment. The post requires a high level of professional knowledge and skills combined with well-developed interpersonal and operational management skills and a supportive, visible leadership style. The post holder should be willing to function at strategic level in collaboration with the Senior Management Team. The post holder must have the stature to earn the confidence and respect necessary to effectively deliver the agenda of major change and will therefore be able to demonstrate previous successful management experience.
Zahra Hospital Dubai Dubai - United Arab Emirates