Duty Nurse Manager, Nursing Resources

1. PURPOSE OF POSITION
The Duty Nurse Manager is responsible for the day to day operational leadership and clinical guidance to the
hospital services. This includes the overview of clinical safety, matching resource allocation to the patient
demand and ensuring safe patient flows. The role works collaboratively with the MDT and is key to supporting
safe and effective patient care by ensuring the identification of clinical and environmental risk, taking
reasonable actions to mitigate the risk, and escalates to appropriate key lead.

The Duty Nurse Manager works closely with both the Patient at Risk ( PAR) nurse and the Variance Response
Nurse (VRN) as a team to provide clinical support to the hospital in response to the clinical and service
demands.

The Duty Manager is a resource for clinical and professional advice and supports the staff with clinical
reasoning and professional judgment in practice.

The role incorporates a wide range of responsibilities including:

• Central coordination of Base and Hawera Hospitals
• Monitoring of hospital capacity and constraints, and development of strategies to manage the
hospital/s in line with policy.
• Clinical leadership, particularly out of hours
• Effective management of professional issues to ensure the safety of patients
• Effective management of a safe hospital environment
• Management of hospital occupancy, clinical placement of patients, and the admission and transfer of
patients
• Coordination of resources
• Co ordination of emergency response management
• Co ordination of hospital services with the emphasis on safe patient care, service delivery and risk
management

2. ORGANISATIONAL VALUES
The Taranaki District Health Board’s (DHB) our mission (Te Kaupapa) is improving, promoting,
protecting and caring for the health and well-being of the people of Taranaki. Taranaki DHB’s values
define who we are as an organisation, the way we work with each other, our patients, whanau and
external partners. Our Te Ahu Taranaki DHB values are:

Partnerships WHANAUNGATANGA We work together to achieve our goals

Courage MANAWANUI We have the courage to do what is right

Empowerment MANA MOTUHAKE We support each other to make the best decisions

People Matter MAHAKITANGA We value each other, our patients and whanau
We provide excellent care in a safe and trusted
Safety MANAAKITANGA
environment

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Last updated: February 2020
Duty Nurse Manager, Nursing Resources
3. DIMENSIONS
Reports to:
Number of people reporting to you
Financial limits authority
Operating Budget
4. WORKING RELATIONSHIPS
External
Community Agencies
Police and Emergency Services
Public and Patients
Last updated: February 2020
Nurse Manager – Nursing Directorate
-
-
-
Internal
Nurse Manager Nursing Resource
Director of Nursing
Associate Directors of Nursing/Midwifery
Service Managers
Duty Nurse Managers
Workforce Co-ordinator ( Nursing
Resource)
Patient at Risk Nurse
Variance Response Nurse
Nursing Resource Administrator
All Unit/Department Managers
All Ward/Unit staff
Nurse Educators
Patient Acuity Data Co-ordinator
Safe Staffing Programme Manager
Maori Health Directorate
Allocations Staff
Clinicians
Clinical Nurse Managers
Duty Nurse Manager, Nursing Resources
5. ACCOUNTABILITIES
Key area of responsibility
1. Clinical Leadership
To provide strong leadership
ensuring that the safety of the
patient is central to any
decisions that are made.
2. Resource Management
Accountable for the co-
ordination and/or
redeployment of resources to
ensure patient care needs are
Last updated: February 2020
Expected outcomes
• Provide support, advice and direction to staff as
necessary to maintain safe patient care, effective
service delivery, accessing expert assistance where and
when necessary.
• Clinical support and advice is provided to Taranaki Base
Hospital staff as required.
• Provide support, advice and direction to Hawera
Hospital Shift Coordinators as necessary to maintain
effective service delivery at Hawera Hospital.
• Function competently when providing clinical support
in a broad range of areas.
• Co-ordinate/assist with covering meal breaks for
specials as necessary across the ASB
• Ensure meal breaks for DNM, PAR nurses &VRN are
allocated at commencement of each shift
• Co-ordinate care with other health personnel to ensure
quality service and effective teamwork
• Work collaboratively with VRN & PAR nurses in
response to acuity and clinical demands respectively
• Communicate effectively with patients, relatives and
staff in an open, friendly, clear and helpful manner.
• Demonstrate cultural sensitivity.
• Maintain patient confidentiality and protect their right
to privacy.
• Assist the Nursing Resource Workforce Co-ordinator
with the recruitment and development of pool and
casual nursing staff.
• Out of hours provide the overall supervision and
professional support to nursing staff and HCAs across
Taranaki Base and Hawera Hospital
• Primary contact for community agencies (eg. police,
media, and funeral directors) to ensure a high standard
of public relations is maintained.
• To assist with the resolution of patient management or
service issues arising within the hospital services
directorate (includes community services such as
district nursing).
• First-line facility management.
• Demonstrate a working knowledge of current legislative
requirements eg – privacy, Health and safety, Mental
Health.
• During working hour’s resource management decisions
are made in consultation with the Clinical Nurse
Managers.
• Out of hours the responsibility and accountability for
resource management decisions sits with the duty
nurse manager.
Duty Nurse Manager, Nursing Resources
met across Taranaki Base
Hospital. Responsible for
maintaining an excellent
customer focus in all working
relationships.
3. Organisational
Responsibilities
Responsibility to maintain an
accurate picture of capacity
and operational
management and
involvement in continuous
quality improvement
practices.
Last updated: February 2020
• Escalate resource or serious issues to the on call H&SS
Management as appropriate
• Accountable for the flexible utilisation of rostered staff
and appropriate deployment of casual staff to meet
hospital needs.
• Bed management in accordance with agreed processes
including the judicious clinical placement of patients.
• Access support services necessary to maintain delivery
of patient care.
• Continuously monitor and evaluate changes in patient
acuity, unit workload and staffing requirements across
the hospital including Trend Care and to manage these
demands in a way which meets the needs of our
patients while minimising disruption to efficient patient
flow.
• Escalates CAAG screen variance as per procedure
• Accountable for the management of CAAG variance
response
• Leads daily operational meeting and ensures
professional reporting that details accurate hospital
information.
• Attend 0830 senior management meeting ( Monday-
Friday) to provide DNM 24 hrs report
• Allocate staff or redeploy to areas of need to best
match resource to variations in workload and maximise
cost effectiveness.
• Review any ‘specials’ to ensure correct assessment
process has been completed
• Maintain environment and facilities to ensure effective,
quality service provision.
• Report equipment malfunction and facilities issues
requiring attention to the appropriate authority and
with appropriate urgency including calling in
engineering department staff for urgent repairs.
• Critical incidents and emergency responses are dealt
with appropriately and senior management are advised
as necessary.
• Serious Health and Safety incidents and accidents are
reported to senior management.
• Provides leadership with regard to security problems
ensuring they are dealt with appropriately in a timely
manner.
• Proactive and responsible in respect to general health
and safety issues.
• Liaise with senior management regarding any major
impediments to service delivery or issues that may have
significant impact on the organisation including any
major Health and Safety incidents or accidents.
• Respond to emergency response calls and activate
Taranaki Base Hospital Emergency Plan when
Duty Nurse Manager, Nursing Resources
4. Professional Responsibility
To ensure that nursing staff
practice in a safe manner
5. Staff Development
Last updated: February 2020
appropriate.
• Acts as Incident Controller in the initial phase of
Emergency response activation (out of hours).
• Respond to all security incidents and maintain an
overview of security within the organisation.
• Facilitate coordination of inter-hospital patient
transfers in liaison with ward, ambulance control, flight
nurses and other DHBs in a cost effective manner.
• Has a broad understanding of organisational targets (eg
6 hour target, appropriate patient placement) and
actively promotes activity to achieve these.
• Prompt response and action to SPOCK emails
• Out of hours, management support and advice is
provided to Taranaki Base Hospital as required.
• Actively participates in ongoing team development
sessions. Promote the fostering of a team environment
which enhances partnership and co-operation and
aligns with TDHB organizational values.
• Assist in the development of new policies and
procedures within the Company where appropriate.
• Attend /team staff meetings when possible
• Demonstrate a commitment to continual improvement
activities and undertake such where appropriate.
• Develop and encourage customer focus.
• Facilitate the appropriate exchange of patient
information between the multidisciplinary team and
other departments/services within the organisation.
• Identifies and communicates to appropriate Clinical Nurse
Manager where any nursing fitness to practice, conduct or
competence issues has been identified
• Assists with performance management and performance
appraisal.
• Participate in in-service education and encourage
others to do so.
• Participate in the ongoing training of staff in the advent
of equipment or protocol changes as appropriate.
• Share knowledge and skills with others, as required.
•
• Maintain CPR, IV additives, and Pain Register
certification plus additional components as directed.
• Act as assessors for other staff seeking certification in
IV adds, venepuncture, IV insertion, CVP lines.
• Maintains current ACLS certification
• Maintains Current CIMS training
• Attends De escalation training
• Undertakes Leadership and management training
• Undertakes two weeks clinical practice annually.
Duty Nurse Manager, Nursing Resources

Organisational Accountabilities Expected Outcome for all employees

Health Equity The TDHB strives to eliminate health inequalities and achieve
health equity for the Taranaki population. In practical terms
this means all staff are required to implement relevant health
equity policies, procedures, approaches and guidelines issued
from time to time including:
• the Pae Ora Framework which requires:
o Demonstrating the principles of Partnership,
Participation and Protection under the Treaty of
Waitangi;
o improving understanding of the determinants of ethnic
inequalities in health, in particular the “Drivers of
ethnic inequalities in health” and the “Pathways to
Inequalities” both of which are referenced in the TDHB
Pae Ora Framework, Appendix 1;
o Ensuring Health Equity assessment is embedded into
your practise where services, policies or programmes
are expected to improve outcomes for Māori;
o Effectively implementing health equity approaches
outlined for Health Professionals in “Equity of Health
Care for Maori: A Framework” published by the
Ministry of Health to support He Korowai Oranga
Refresh 2014, national Maori Health Strategy;
o Ensuring appropriate health literacy responses are used
for effective engagement with Māori;
• You must ensure accurate ethnicity data is collected or held
for patients and clients you interact with by following the
TDHB Ethnicity Data Collection Policy and procedures;
• You must attend the Cultural Competency training provided
by and for staff of the TDHB including Treaty of Waitangi
workshop, General/Clinical Refreshers, Engaging Effectively
with Maori and any other training identified as essential for
staff.

Health and Safety • Maintains a safe and healthy environment

• Complies with health & safety policies and procedures
• Carries out work in a way that does not adversely affect
their health and safety or that of other workers
• Complies with procedures and correctly use personal
protective equipment and safety devices provided
• Contributes to hazard identification and management
process
• Reports accurately near misses/incidents/accidents in a
timely manner
• Participates in health and safety matters

Personal Development • Fully contributes to the individual’s team performance and

is committed to identify and pursue opportunities for
developing new knowledge and skills.

Last updated: February 2020

Duty Nurse Manager, Nursing Resources

Organisational Accountabilities Expected Outcome for all employees

• Participates in the performance appraisal process where
personal performance and development is reviewed.
• Willing to accept new responsibilities, acquire and
demonstrate relevant new knowledge.
• An up to date nursing portfolio at senior or expert level is
maintained with evidence to meet NCNZ competency
standards, professional development and clinical practice
hours.

6. VARIATION TO DUTIES
Duties and responsibilities described above should not be construed as a complete and exhaustive
list as it is not the intention to limit in any way the scope or functions of the position. Duties and
responsibilities can be amended from time to time either by additional, deletion or straight
amendment to meet any changing conditions, however this will only be done in consultation with the
employee.

7. CAPABILITY REQUIREMENTS
Capabilities are the behaviours demonstrated by a person performing the job. Capabilities identify
what makes a person most effective in a role. Those listed below are expected for the Nursing
Resources team roles in the organisation. The required capabilities can change as the organisation
develops and the roles change.

Capability

Effective Communication
Shares well thought out, concise and timely information with others using appropriate mediums.
Ensures information gets to the appropriate people within the organisation to facilitate effective
decision making

Decision Making/Problem Solving

Demonstrates effective and timely decision making/problem solving techniques. Aware of the
impact of decisions on key stakeholders and consults as appropriate utilizing available resources. Is
proactive and effective when problem solving is required.

Innovation/Initiative
Continually strives for new and improved work processes that will result in greater effectiveness
and efficiencies. Questions traditional ways of doing things when choosing a course of action or
finds new combinations of old elements to form an innovatve solution.

Resilience/Flexibility
Articulates differing perspectives on a problem and will see the merit of alternative points of view.
Will change or modify own opinons and will switch to other strategies when necessary. Adjusts
behaviour to the demands of the work environment in order to remain productive through periods
of transition, ambiguity, uncertainty and stress.

Last updated: February 2020

Duty Nurse Manager, Nursing Resources

Capability

Cultural Safety
Demonstrates a commitment to cultural safety by meeting and exceeding the cultural needs of
clients/customers/colleagues. Manages cultural ambiguity and conflicting priorities well.
Understands concepts of whanaungatanga and manaakitanga and Maori cultural orientation to
whanau, hapu and iwi.

Teamwork
Works to build team spirit, facilitates resolution of conflict within the team, promotes/protects
team reputation, shows commitment to contributing to the teams success

8. EDUCATION

Registered Nurse with the Nursing Council of New Zealand, holding a current annual practising
certificate with no restrictions which would affect the abitly to perform the role.
Post Graduate qualification or working towards

9. SKILLS
Knowledge and understanding of the relevant legislative requirements and TDHB policies.
Knowledge and understanding of TDHB visions goals and objectives.
Leadership expertise
Excellent interpersonal skills with a demonstrated ability to deal with conflict, listening and valuing the
views of others.
Ability to cope in crisis situations both clinical and non-clinical.
Knowledge and understanding of the relevant legislative requirements and TDHB policies.
Excellent prioritising skills.
Able to cope with a high and varied work load.
Have a commitment to quality and accuracy and keen to learn and develop new skills.
Demonstrated ability to work as an effective member of the multidisciplinary team.
Flexible and adaptable, able to move from department to department and work within own skill levels
to provide clinical support.
Computer literate.
Knowledge of Tikanga Maori.

10. EXPERIENCE

Significant (more than 5 years) experience with extensive broad based clinical experience in acute
medical and surgical nursing.
Previous experience In a senior nursing role

Last updated: February 2020