Clinical Services Lead (RAN)

Nursing

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