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Employment
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Clinical Services Lead (RAN)
Posted: 29 Jan 2024
Location: Tjuntjuntjara, Spinifex Lands WA
The SHS Clinical Services Lead will work within a strategic plan approved by the PTAC Board, with delegated authority to carry out the work of the SHS under the direction of the Health Service Manager and Medical Director, ensuring the effective provision of culturally safe, evidence-based comprehensive primary health care services in the community by the clinical team.
- Nurses Award 2020 (Cth) Level 4 and generous isolation allowance up to $180K depending on qualifications and experience
- 2 weeks isolation leave every 8 weeks working. Annual leave extra.
- Job sharing arrangements welcome
The Organisation – Spinifex Health Service
Paupiyala Tjarutja Aboriginal Corporation (PTAC) is the community controlled organisation responsible for the day-to-day operation of community services in Tjuntjuntjara. The health service is a business unit of PTAC and trades as Spinifex Health Service (SHS).
SHS is responsible for the delivery of comprehensive primary health care services incorporating clinic services aimed at acute care, prevention and early intervention as well as health promotion and broader public health response activities. Key program areas include child and maternal health, chronic disease, sexual and reproductive health, aged care and disability, alcohol, tobacco and other drugs and mental health/social and emotional well-being. The organisation endorses the use of the Remote Primary Health Care Manuals suite (CARPA) and a number of local protocols for the provision of nurse-led, collaborative care.
Taking a holistic view of health, the SHS recognises the importance of the upstream social, cultural and environmental determinants of health and undertakes an advocacy role to address these. The organisation also recognises the importance of sustainable staffing models that promote the establishment of long-term therapeutic relationships and a deeper understanding of community, benefitting both staff and community. Similarly, the safety of staff is a priority and staff are supported to ensure that no call-outs are attended alone.
The Role
This position involves program management, team leadership and clinical care delivery, including participation in the on-call, after-hours roster. Using and promoting evidence-based, culturally safe and trauma informed approaches to the provision of care, the Clinical Services Manager is responsible for co-ordinating, leading and supervising the clinical team and day-to-day operations of the clinic. A key responsibility of the position is to address clinical governance needs at an operational level and maintain a program of continuous quality improvement in the workplace.
Key Responsibilities
- Cultural Safety
- Engage with individuals in a culturally safe and respectful manner, fostering open and honest professional relationships through both-ways approaches to learning
- Provide holistic care that free of bias, racism, and challenges assumptions, ensuring cultural safety and respectful for Aboriginal and Torres Strait Islander peoples.
- Advocate for and actively work to facilitate equitable access to quality and culturally safe health services for Aboriginal and Torres Strait Islander peoples.
- Recognise and respect the importance of family, community, partnership and collaboration in healthcare decision-making for Aboriginal and Torres Strait Islander peoples.
- Develop a critical consciousness of your own social location and power, understanding how this may impact professional relationships.
- Support and assist others in raising awareness and developing culturally safe and respectful ways of working within the healthcare setting.
- Clinical Care
- Manage and promote the development of a best-practice comprehensive Primary Health Care (PHC) service.
- Provide clinical supervision and leadership to Remote Area Nurses (RANs) & Aboriginal Health Practitioners (AHPs)/Aboriginal Health Workers (AHWs) to promote evidence-based nurse-led primary health care, acute and emergency care.
- Demonstrate and promote the use of the RAN Model of Consultation.
- Lead and co-ordinate the provision of complex, care co-ordination.
- Direct and support the SHS Clinical Team to in ensure effective management of patient travel and logistics related to external appointments.
- Co-ordinate visiting medical specialist and allied health team visits.
- Co-ordinate and delegate the provision of Immunisation services, ensuring adherence to the WA Immunisation Schedule and COVID-19 Immunisation recommendations are followed, where possible.
- Ensure the cold chain process is rigorously adhered to, and report any breaches in a timely manner.
- Act as the clients’ advocate and protect the rights of individuals, including open discussions as part of the Australian Open Disclosure Framework.
- Maintain oversight of ordering and stock management processes, ensuring the health centre and pharmacy are adequately and appropriately stocked with medicines, medical and non-medical supplies, and immunisations
- Ensure confidentiality is maintained in accordance with the Privacy Act 1998 (Cth).
Continuous Quality Improvement & Quality Assurance
- Establish a team approach to continuous quality improvement (CQI).
- In collaboration with the Clinical Governance Committee participate in the review and implementation of organisational clinical policies ensuring compliance with evidence-based guidelines and relevant national standards.
Health Information Management
- Utilise the SHS Clinical Information System (Communicare) for the recording of all client health information, including recalls, referrals and communication.
- With support of the Clinical Governance Committee, maintain oversight of all current Communicare user delegations and permissions.
- Conduct regular Communicare user audits in collaboration with the Health Service Manager and Medical Director to ensure compliance with relevant standards and guidelines.
- Co-ordinate and/or provide regular Communicare upskilling/training for staff.
- Regularly review service delivery data to ensure compliance with program key performance indicators.
- Assist the SHS Health Service Manager with the collection and analysis of program related performance, outputs and outcomes for the purposes of program monitoring, reporting and evaluation.
- Ensure that all Health Information is managed in accordance with relevant legislation, practice standards and organisational policies and procedures.
Program Delivery
- Manage the clinic staff roster and after hours roster to ensure adequate and equitable staffing as per program requirements.
- Co-ordinate the orientation and induction of all new clinical team members, including training in the use of Communicare.
- Maintain oversight of Medicare Benefit Scheme (MBS), PIP, WIP claiming processes and promote increased understanding and use of MBS items by clinic staff.
- Assist PTAC and SHS Management and clinical teams in planning and delivering special programs on the Spinifex Lands (i.e. Women’s health camps, on-country parenting support programs, health promotion activities etc.).
- Establish and lead regular clinic team meetings.
- Co-ordinate the allocation of key health program activities to direct reports based on service delivery requirements, staff skills and knowledge.
Education
- Enhance the knowledge and skills of RANs and AHP/AHWs in the provision of comprehensive primary health care.
- Provide high quality, evidence-based health education to individuals and groups.
- Collaborate with SHS staff to source and/or develop appropriate, culturally safe and innovative health education/promotion resources to improve health literacy.
- Establish a regular staff in-service training program utilising individual expertise and leveraging the knowledge of others, including the Medical Director, KWHA Visiting health team, and online education sessions provided by Rural Health West, WAPHA, and WACHS)Communication
Communication
- Communicate effectively and courteously with consumers, staff and internal / external stakeholders.
- Communicate relevant information to SHS management and the SHS clinical team regarding clinical and organisational issues.
- Develop and maintain connections with other agencies to contribute to improved service delivery and outcomes in remote primary health care.
- Attend relevant internal and external stakeholder meetings (in person or via teleconferencing) and provide input whenever possible
Professional Development
- Demonstrate an ongoing commitment to professional development.
- Attendance at training sessions offered by SHS, PTAC and Pila Nguru.
- Annually, reflectively map own practice against the National Framework for Rural and Remote Generalist Nursing domains and capability practice levels.
- Initiate own performance appraisal and set objectives in liaison with the SHS Health Service Manager and Medical Director.
- Achieve annual mandatory competencies and CPD requirements, assuming responsibility for record maintenance.
- Plan and conduct professional development reviews with direct reports, with support from HR and the Health Service Manager.
- Assist RANs in understanding the National Framework for Rural and Remote Generalist Nursing Domains and capability practice levels to identify priorities for professional learning and support
Occupational Safety and health
- Promote a safe working environment and culture in accordance with legislative requirements.
- Adheres to Work, Health and Safety legislation and guidelines and ensure colleagues do the same.
- Recognise hazards in the working environment and take appropriate action.
- Report all incidents as per organisational incident reporting procedures and complete all documentation.
Other Duties
- Represent SHS in all matters in a professional, ethical and client focused manner.
- Perform other duties relevant to the position as directed by the SHS General Manager or Medical Director.
SELECTION CRITERIA
Essential
- Current AHPRA registration and annual practicing certificate as a Registered Nurse.
- At least two year’s experience in the management and/or co-ordination of clinical services or programs.
- Significant, recent experience in the provision of complex chronic care co-ordination.
- Recent experience and capability in the provision of acute and emergency care.
- Self-mapped National Rural and Remote Nursing Generalist Framework Domains of Practice at Intermediate or Proficient level for majority of capabilities.
- Recent and proven significant experience in working in remote Aboriginal communities or similar cross-cultural settings.
- Demonstrated experience in the provision of education and training and the ability to transfer knowledge and skills to colleagues in the multi-disciplinary health team, health care consumers and community members.
- Demonstrated understanding of primary health care, public health and community development principles.
- An understanding of trauma-informed approaches to care.
- Proven ability to be self-directed, self-motivated as well as effectively leading a team.
- High level of interpersonal, written and oral communication skills.
- Demonstrated understanding of Medicare Benefits Schedule as it applies to primary health care.
- Current Advanced Life Support (ALS1) certificate (or ability to obtain before employment commences).
- Completion of WA approved Immunisation provider training (SA Health Understanding Vaccines and the National Immunisation Program) within previous 2 years or willingness to obtain before commencement of role.
- Ability to travel to remote locations on the Spinifex Lands by 4WD when required.
- Knowledge and commitment to evidence-based practice and quality improvement.
- Demonstrated commitment to professional self-care.
- Ability to work outside normal working hours when required.
- Computer and electronic health information system literacy.
- A current Western Australian Working with Children Check.
- A National Police Clearance (not more than 2 years old).
- Australian citizenship, permanent residence status or appropriate work visa.
- A current manual driver’s licence.
Highly Desirable
- Experience as Communicare Systems Administrator.
- Post-graduate qualifications in Remote Health Practice, Health Management/Leadership, Public Health, Primary Health Care or related field.
- Some language skills in Pitjantjatjara or willingness to learn the language.
- Past participation or experience in health service accreditation processes.
Additional Information
The People – Spinifex People
For more than 600 generations and over 20,000 years the Great Victoria Desert, straddling the WA/SA border, has been occupied by Southern Pitjantjatjara people, known contemporarily as the Spinifex People. Knowledge of country and culture is alive and well among Spinifex People and has supported a connection to country that remained largely unbroken through the contact era of the 1950s to 1970s – barring a 25-year absence (or so it was thought) resulting from the Maralinga Atomic Tests of the 1950s that caused a movement and relocation of people to missions in WA and SA – to this day. Even during that 25-year period, a Spinifex family remained on Country living a nomadic, traditional existence until they were met by Elders moving back to Spinifex Country in 1986. This family of 7 truly are the last of the nomads. Now based in the remote community of Tjuntjuntjara, the Spinifex People maintain incredibly strong connections to country and culture.
The community — Tjuntjuntjara
Tjuntjuntjara is a small, very remote (MMM7) Aboriginal community located on the Spinifex Lands in the Western Desert region of Western Australia, its remoteness is one of its strengths. The community has a constant population of around 200 people. The community is serviced by dirt and 4wd drive tracks to Kalgoorlie (at the southwest), Ceduna (at the southeast) and the Anne Beadell highway to the north. There are twice weekly light aircraft flights into the community operated by ChartAir. Community infrastructure includes the Spinifex Health Service Clinic, a Home and community care centre, a Women’s and Family centre, an art centre, a small store, operated by Outback Stores, a Community Resource Centre, the Paupiyala Tjarutja Aboriginal Corporation offices, a workshop, a Ranger station and a remote community school. Liquor restrictions apply in the community. Tjuntjuntjara is a community with a strong cultural base and good development prospects.
For further details please contact: Chris Wilson, manager, 0466 832 185, manager@spinifexhealth.org.au