Enrolled Nurse - Peter Mac @ Home

• Nurse Manager 
• PM@H Community Nurse
• Medical Staff
• Ambulatory Operations Director 
• Clerical Staff
• Academic Nursing Unit team 
• Peter Mac Nursing Staff

• Other Health Services 
• Health Care Providers 
• Professional Organisations, for example, Cancer Nurses Society of Australia 

• Current registration with NMBA with a minimum of 3 years’ experience 
• NMBA approved Diploma of Nursing 
• Demonstrated clinical knowledge and skills and proficiency working within an acute care setting
• Established communication and interpersonal skills
• Maintain immunisation in accordance with the Staff Immunisation Policy, including vaccination against COVID-19.
• Extended scope of practice with competence with cannulation and central venous access device management 
• Current and Valid driver’s license

• Previous experience in oncology
• Community (Hospital in the Home) nursing experience 

1. Management of Patient Care Continuum

1.1 Demonstrate clinical knowledge and practice in the care of patients with cancer, to deliver quality (safe) care to all patients 
1.2 Practice within scope under direct or indirect supervision of an RN Division 1  
1.3 Facilitate access (as required) to health care by  liaising with the supervising Peter Mac@ Home RN (unless emergency assistance required eg Code Blue)  
1.4 Deliver patient  centred care as prescribed and documented in nursing plan of care  
1.5 Monitor patient responses throughout each intervention, and escalating concerns  
1.6 Evaluate effectiveness of nursing  care given as per scope of practice 
1.7 Demonstrate professional accountability related to work practice 

• Demonstrates responsibility and accountability for nursing care under supervision of RN.
• Collaborates with the ANUM on the shift to ensure delegated responsibilities are commensurate with own scope of practice. 
• Adherence to scope of practice.
• Assessed as competent with relevant clinical skills required for the role Responds to patient health status cues in a timely fashion.
• Demonstrate commitment to quality patient care. 
• Provides quality, evidence-informed, patient-focused care under supervision of a Registered Nurse. 
• Assesses and identifies patients’ health problems and escalates to the ANUM in a timely manner. 
• Involves patients and/or family in the plan of care.  
• Implements and checks understanding of teaching plans developed for and with the patient/family. 

2. Communication and Documentation 

2.1 Work as a member of a multidisciplinary team and contribute to the effective implementation of patient care 
2.2 Participate in multidisciplinary clinical decision making 
2.3 Documentation to reflect legal and professional requirements, and continuity of care 

• Feedback from NUM and supervising ANUM indicates workload being managed effectively and efficiently  
• Clarifies orders for nursing care with the ANUM when unclear
• Develops and promotes positive professional working relationships with members of the multi-disciplinary team and community nursing partners
• Discuss/Handover care with ANUMs and RNs. 
• Documentation includes evidence of health assessment, an education/information plan and assessment of community resources as indicated.
• Recognizes and responds appropriately to communications of patients, carers, and team members. 
• Responds promptly to complaints or concerns.
• Escalates appropriately to ANUM/NUM

3. Patient, Family and Staff Education 

3.1 Ensure decisions are made with the client, based on the clients expressed needs. 
3.2 Ensure ongoing assessment of the information needs and requirements of patient and carers 
3.3 Develop plans for patient education relevant to existing health care needs 
3.4 Develop skills to assist client control of own outcomes is assisted by skilful advocacy, consultation, planned individualised care and protection of rights

• Education is individualised to meet patient needs.
• Collects data, reviews and documents the health and functional status of the person receiving care accurately and clearly.
• Patient Documentation demonstrates 
  - inclusive decision making with patient and family based on patients expressed needs 
  - Evidence of plan for patient education relevant to existing health care needs. 
  - evidence of ongoing assessment of the information needs and requirements of patient and carers 
• Appropriate referral to expert care as required e.g. SW/PT 
• Operates within a “patient centred care” framework
• Appropriate escalation to treating team and ANUM in charge 

4. Clinical Practice, Education and Research

 
4.1 Contribute to the development of professional nursing practice within Peter Mac, including the promotion of quality improvement, evidence based practice and research 
4.2 Demonstrate responsibility for own learning through attendance at conferences, short course programs and tertiary education 
4.3 Initiate strategies to promote the learning of colleagues and others 
4.4 Contribute to the development and review of unit based and nursing philosophies, policies, procedures and protocols 
4.5 Adhere to all Peter Mac policies, procedures and guidelines 
4.6 Recognise and respond to patient’s individual needs in a professional manner 
4.7 Demonstrate competency in performing technical skills relevant to level of expertise 

• Functions in accordance with the law, policies and procedures affecting EN practice
• Demonstrates commitment to lifelong learning with evidence of ongoing professional development and implementation in practice 
• Participates in quality improvement programs and accreditation standards activities 
• Evidence of collaborative practice with health care team 
• Evidence of understanding and practise within professional boundaries. 
• Maintain and develop clinical skills to ensure evidence based informed, clinical practice. 

• Utilises the EN standards for practice to assess own performance for improvement &/or changes in enrolled nursing practice initiatives  
• Contribute to the education of new Enrolled Nurses Participates in committees and working parties within and/or beyond the work unit.
• Assists in the coordination of delegated activities of other staff under the guidance and direction of the RN or ANUM/NUM