“Mehemea ka moemoeā ahau Ko au anake Mehemea ka moemoeā e tātou, Ka taea e tātou”

Waikato District Health Board Position Description Job Title: Reports to: Professional links to: Delegation Health leadership Responsible for: (Total number of staff) Budget: Job Purpose:

Direct Reports: Date and version:

“If I am to dream I dream alone If we all dream together Then we will achieve.” Te Puea Herangi

Registered Nurse Charge Nurse Manager Nursing and Midwifery Directorate Nil Staff, no delegation Nil Nil Responsible and accountable for the assessment, planning, delivery and evaluation of safe and appropriate patient/ client centred nursing care. Contributes to teaching / education, support, service delivery and the provision of services. Nil 05-12-16 v 2

Vision (Te Matakite) Healthy People. Excellent care. Mission (Te Whakatakanga) Enable us all to manage our health and wellbeing. Provide excellent care through smarter, innovative delivery Values Theme “People at Heart” – Te iwi Ngakaunui Give and earn respect - Whakamana Listen to me; talk to me – Whakarongo Fair play – Mauri Pai Growing the good – Whakapakari Stronger together – Kotahitanga

Code of Conduct The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and conduct and sets expectations relating to behaviour in the workplace.

INDIVIDUAL ACCOUNTABILITIES Authorised to deliver the accountabilities required of the Registered Nurse including meeting objectives established annually with the line manager. Professional practice/ framework for practice accountability  Providing patient/client centred/partnership care. Uses the principles of the Treaty of Waitangi, and processes that support the provision of culturally responsive and appropriate care and support.  Integrating nursing knowledge/ theory into practice. Management of nursing care accountability. Accountable for nursing practice involving communication and collaboration with the client and other health professionals, a problem solving approach, including but not limited to the following specific areas  Medication management  Client education  Safe and effective transfer or discharge of patients occurs  Workload resource management and prioritisation. Has inputs as appropriate with management and delegation, and co-ordination of work, the shift and the service area.  Multidisciplinary teamwork and clinical leadership results in safe and best outcomes for the patient/ client. Professional practice, development and performance accountability  Assuming responsibility for personal and professional work education and development  Clarifying the scope of practice of other staff groups, and assumes responsibilities with delegation and supervision  Participating in education, the training of student nurses, and the development of the Registered Nurse-Graduate, Enrolled Nurses, and the care and support workforce.  Participates, as agreed with the Charge Nurse Manager, in groups and teams, and with the development of educational resources.

TEAM RESPONSIBILITIES . Quality and Patient Safety collective responsibilities  Be responsible for treating patients / service users with respect, dignity and compassion  Be responsible to the line manager for the provision of quality services; quality improvement is part of this and a fundamental duty of all staff, whatever their grade, role, service or base  Comply with DHB policies and procedures to ensure delivery of good quality care reporting risks to quality and safety to their line manager  Identify areas for improvement in their day to day work and to act upon these when appropriate and/or bring these to the attention of their line manager, in order that appropriate action may be taken.  Participate in on-going quality improvement activities throughout the year within their team, service, site or department.  Raise concerns with their line manager, if there are quality or patient / service safety issues in their area



Contribution aligns with the Waikato DHB strategy.

Being accountable for own work and provide a high quality service, and contributes to quality improvement and risk minimisation activities.

Read and understand the organisations policies and procedures that have an impact on the role and maintaining understanding is based on the most current version. This includes but is not limited to Corporate Records Management policy, privacy, and information security policies.

Follows established Health and Safety and other policies and procedures to ensure the safety of oneself and others

Work in partnership with Māori patients and whānau to provide culturally responsive and appropriate care and support to improve health experience, outcomes and reduce health inequities.

Knows department emergency response plan and participates in response as applicable to the role.

Professional accountabilities Domains determined by the Nursing Council of New Zealand Domain One: Professional responsibility. This domain contains competencies that relate to professional, legal and ethical responsibilities and cultural safety. These include being able to demonstrate knowledge and judgement, and being accountable for own actions and decisions, while promoting an environment that maximises client safety, independence, quality of life and health. Domain two: Management of nursing care. This domain contains competencies related to client assessment and managing client care, which is responsive to the client/ clients’’ needs, and which is supported by nursing knowledge and evidence based research. Domain three: Interpersonal relationships. This domain contains competencies related to interpersonal and therapeutic communication with clients, other nursing staff and interprofessional communication and documentation. Domain four: Interprofessional health care and quality improvement. This domain contains competencies to demonstrate that, as a member of the health care team, the nurse evaluates the effectiveness of care and promotes a nursing perspective within interprofessonal activities of the team.


Registration with Nursing Council of New Zealand; inclusive of scope of practice. A current practising certificate with the Nursing Council of New Zealand. Minimum of 12 months post registration experience Expected to meet competent level of practice on the Professional Development and Recognition Programme, but may achieve a higher level of practice.

DESIRABLE  May be desirable to be undertaking, or have completed, post graduate studies.


SKILLS Scope of practice Nursing Council of New Zealand Registered Nurses utilise nursing knowledge and complex nursing judgement to assess health needs and provide care, and to advise and support people to manage their health. They practise independently and in collaboration with other health professionals, perform general nursing functions and delegate to and direct enrolled nurses, health care assistants, and others. They provide comprehensive assessments to develop, implement, and evaluate an integrated plan of health care, and provide interventions that require substantial scientific and professional knowledge, skills and clinical decision making. This occurs in a range of settings in partnership with individuals, families, whanau and communities. Registered nurses may practise in a variety of clinical contexts depending on their educational preparation and practice experience. Registered nurses may also use this expertise to manage, teach, evaluate and research nursing practice. Registered nurses are accountable for ensuring all health services they provide are consistent with their education and assessed competence, meet legislative requirements, and are supported by appropriate standards. There will be conditions placed in the scope of practice of some registered nurses according to their qualifications or experience limiting them to a specific area of practice. Health leadership capabilities and competencies. Contribution (national leadership framework be a values leader)   

Models and adheres to the DHBs values, vision, and code of conduct (22) DHB Values Provides safe and quality service delivery for patients/ clients/ customers (15) Completes work within required timeframes (62)

Self and others (national leadership framework engage others). 

Seeks opportunities to continuously improve, and works to learn and grow (54)

Relationships (national leadership framework develop coalitions) 

Maintains effective relationships patients/ clients/ consumers/customers, and with peers and the employer, and encourages collaboration and effective group interactions (42)

Getting results (national leadership framework leading care)  

Is open to learning new things and picks up technical skills in a reasonable timeframe (61) Is action oriented and undertakes duties with professionalism and enthusiasm (1)

Leading change (national leadership framework mobilise system improvements) 

Looks for opportunities to improve processes and uses logic and analysis to review information in order to make sound decisions (14)

The numbers in brackets are only applicable to current staff who have a career and development plan.


SCOPE OF POSITION Relationships Internal  Clients, family, whānau, caregivers  Nursing staff  Multidisciplinary team  Director of Nursing and Midwifery  Clinical/ Midwifery Clinical Directors  Departments and services External  General Practitioners 

Community agencies

Other health providers

Tertiary education providers


Works indoors within hospital wards, departments, health clinics, community settings and their offices.

Employees work in adequately lit, heated, ventilated and clean, well maintained and hygienic workspaces.

Work function/activity: 

Medium to heavy physical demand.

Sits rarely. Stands and walks frequently to monitor and examine patients gather and use equipment and administer medications.

Lifting within light to heavy demand may be required when lifting or moving patients.

Occasional bending, squatting, crouching, stretching, twisting and reaching may be required when carrying out nursing procedures.

There is frequent contact with body fluid and materials which will require the use of protective clothing and gloves to be used and safety procedures adhered to.

Occasional repetitive hand and finger movements will be required when using a computer and writing. There is frequent use of surgical and medical equipment and materials including medicines, medical instruments, blood pressure and temperature taking equipment, medical dressings and sterilising equipment.

Mental skills necessary include a high level of cognitive functioning with nursing, observation, evaluation and assessment of baby and maternal health, communication, interpersonal, organisational, problem solving and decision-making capabilities. . Source: www.acc.co.nz

Other requirements  New Zealand full driver’s license may be required for some positions.  Shift work.


DECLARATION I certify that I have read this position description and reasonably believe that I understand the requirements of the position. I understand that: a)

this position description may be amended by the employer following reasonable notice to me


I may be asked to perform other duties as reasonably required by the employer in accordance with the conditions of the position.

Position holder’s name:


Position holder’s signature:


Manager’s name:


Manager’s signature:


Date of signing:


Code of Conduct The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and conduct and sets expectations relating to behaviour in the workplace.


Registered Nurse - Generic - 2016.pdf

Knows department emergency response plan and participates in response as applicable to the. role. Page 3 of 6. Registered Nurse - Generic - 2016.pdf.

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