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2B.HIERARCHICAL POSITION OF POSTDIVISION: NURSINGDeputy Nursing ManagerSUB-DIVISION: MEDICAL WARDS1 Assistant Manager (Area)SECTION: FEMALE WARD1 Operational Manager Nursing (General Unit)8 Professional Nurse Grade 1/2/3 (General Nursing)2 Staff Nurse Grade 1/28 Nursing Assistant Grade 1/2C.SECTION: MALE WARD1 Operational Manager (General Unit)8 Professional Nurse Grade 1/2/3 (General Nursing)2 Staff Nurse Grade 1/28 Nursing Assistant Grade 1/2JOB PURPOSE (Linked to Strategic Plan)To provide holistic nursing care to patients in a cost effective, efficient and equitable manner.D.MAIN OBJECTIVES (Key Performance Areas (KPA's))MAIN OBJECTIVES%Provide direction and supervision for the implementation of the nursing plan (clinicalpractice/quality patient care): 1. Implement a comprehensive nursing care plan/program for the promotion of health, self-care,treatment and rehabilitation of patients.Administer treatment plan of common or minor primary health conditions presented at primarycare facilities in accordance with prescribed norms and standards, guidelines and treatconditions of patients as prescribed.Screen health problems and diseases in accordance with prescribed norms and standards.Maintain a therapeutic relationship and environment in which health care can be providedoptimally and safely.Report and communicate on the continuity of care to the caregivers and members of the healthteam.Create and maintain a complete and accurate nursing record for individual health care users.Audit clinical records by analyzing data.Participate in health promotion and illness prevention initiatives and contribute to theirevaluation.Demonstrate and understand traditional healing practices within the health care user’s belief.40%

3MAIN OBJECTIVES%Implement standards, practices, criteria and indicators for quality nursing (quality of practice): 2. Maintain a plan to improve the quality of nursing and health care.Implement quality improvement plan.Participate in the auditing of quality of nursing and health care.Assist in the development of nursing and improvement of standards of care through research.Create an environment and learning opportunities that foster professional growth andimprovement in nursing and health care.Actively engage in the education and training of students in the health care system.Perform or carry out interventions ranging from personal care with active involvement ofpatients and other members of the team.Develop and document interventions and progress of patients to facilitate continuity of care.Participate in the formulation and review of nursing interventions through comprehensive andon-going assessment.Identify health indicators and risk factors and conduct client satisfaction surveys25%Practice nursing and health care in accordance with the laws and regulations relevant to nursingand health care: 3. Maintain a professional and ethical practice as well as an enabling environment for ethicalpractice.Protect and advocate rights of patients regarding health care.Implement patient care standards, policies and procedures.Compliance and adherence to the relevant acts/prescripts applicable within the nursingenvironment.Contribute to the education and professional development of students.Apply the principles of nursing care in service rendering, for the maintenance of professionalexcellence.Implement nursing care management activities according to the Standards of Practice and Scopeof Practice and act upon breaching of laws relating to nursing practice and professional code ofconduct and practice standards.Implement quality improvement plan, the Nursing Act and Regulations, the Code of Ethics andProfessional Practice of the South African Nursing Council.Implement procedures that maintain effective infection control and occupational and safetymeasures in accordance with Occupational Health & Safety legislation.15%Maintain a constructive working relationship with nursing and other stakeholders: 4. Collaborate with members of the health and social care teams and assist in decision-makingpertaining to health care delivery.Communicate with the multi-disciplinary health teams, organizations and special interest groupswhen dealing with community health issues and needs.Disseminate information on epidemics, nutritional disease, maternal and infant morbidity andmortality and other common diseases.Participate in health promotion and illness prevention initiatives.Implement nursing interventions to achieve expected outcomes.10%

4MAIN OBJECTIVES%Utilize human, material and physical resources efficiently and effectively:Human 5.Contribute to the training and professional development of students and sub-ordinatesMaintain the duty roster, leave schedules and attendance registerMaintain accountability and responsibility for nursing care activities10%Material and Physical Resources A.Order stockReport maintenance of equipmentDIMENSIONS OF THE POSTEquipment Budget Tens of thousandsStores Budget Tens of thousandsF. lacedisciplineHUMAN RESOURCES DELEGATIONSAll other powers and duties delegated in terms of theacting curementdelegations:Approvalofexpenditure up toR . .percasePROCUREMENTDELEGATIONS

5G.PERFORMANCE STANDARDS & INDICATORS (Based on main objectives)MAIN OBJECTIVES (measurable outputs/end results)1.Provide direction and supervision for theimplementation of the nursing plan (clinicalpractice/quality patient care)INDICATORS (indicating how well standards wereachieved) 2.Implement standards, practices, criteria andindicators for quality nursing (quality of practice) 3.Practice nursing and health care in accordance withthe laws and regulations relevant to nursing andhealth care Nursing care plan/programPatient assessment reportsContinuity of care reportNorms and standards guidelines availableTreatment evaluation reportTreatment and prescription planHealth care information assessment reportAudited clinical recordsPatient care communication planNursing care planNursing data and information (health indicators)availableConfidential patient reportsNursing and health care improvement planNursing care audit reportHealth research reportStudent assessment programs and reportsContinuity of care planContinuity of care interventions and progressplan and reportContinuity of care assessment reportClient satisfaction surveyHealth indicators and risk factors reportHealth promotion programProfessional and ethical practice guidelinesPolicies and legislation availablePolicies, protocols and guidelines availablePatient Rights CharterPatient care standards, policies and proceduresavailableActs/prescripts compliance/ adherence reportStandards of Practice and Scope of PracticeavailableProfessional and nursing care guidelinesQuality nursing care principlesNursing care management planNursing intervention revised/reviewedNursing intervention assessment reportNursing care intervention measuresQuality assurance monitoring indicators andtoolsInfection control proceduresOccupational and safety measures

6MAIN OBJECTIVES (measurable outputs/end results)4.5.INDICATORS (indicating how well standards wereachieved)Maintain a constructive working relationship withnursing and other stakeholdersUtilize human, material and physical resourcesefficiently and effectively Attendance registerReports of meetingsCirculars and MinutesNursing professional guidelinesPeer review reportsHealth improvement planQuality assurance report Monthly allocation listsDuty schedules, attendance/time registersLeave schedulesPersonal Development PlanPerformance instruments and evaluation reportsInventory registersStock registerScheduled drug registerH. OUTPUT PROFILEKEY CUSTOMERSREQUIREMENTSOUTPUTSService delivery, advice, healtheducation, care and supportRecommendations, well informed patients,acceptable service, complaints and suggestionboxes and reports2. Nursing ManagerPatient care, support and generaladviceRecommendations, advice, information in theform of reports, letters, memos2. Deputy ManagerPatient care, support and generaladviceRecommendations, advice, information in theform of reports, letters, memos3. Assistant ManagerPatient care, support and generaladviceRecommendations, advice, information in theform of reports, letters, memos3. Operational ManagerPatient care, support and generaladviceRecommendations, advice, information in theform of reports, letters, memos4. Clinical Manager/Multidisciplinary teamNursing care support, servicedelivery improvementRecommendations, advice, information in theform of reports, letters, memos, assist in decisionmaking process5.ColleaguesNursing care, administrative advice, Recommendations, advice, information in thesupport, liaison, informationform of reports, letters, memos, assist in decisionsharingmaking process.6. NPO’s and other stakeholders(Traditional Healers Association, etc)Patient care support, liaison,networking1. Public (community, patients)Recommendations, advice, information in theform of reports, letters, assist in decision-makingprocess

7KEY CUSTOMERSREQUIREMENTSOUTPUTS7. South African Nursing CouncilGeneral support, networking,liaison, customer care andnegotiationsRecommendations, advice, information in theform of reports, letters, assist in decision-makingprocess8. Governance structures (ClinicBoard, etc)General support, improved servicedelivery, liaison, customer care andnegotiationsRecommendations, advice, information in theform of reports, letters, assist in decision-makingprocessI.COMPETENCY PROFILEKNOWLEDGEKnowledge of nursing careprocesses and procedures,nursing statutes, and otherrelevant legal frameworkssuch as:Nursing Act, Health Act,Occupational Health andSafety Act,Patient Rights Charter,Batho-pele principles,Public Service Regulations,Labour Relations Act,Disciplinary Code andProcedure,Grievance Procedure, etcJ.PERSONALSKILLSGood CommunicationskillsReport writing skillsFacilitation skillsCo-ordination skillsLiaison skillsNetworking skillsProblem solving skillsInformation ManagementKnowledge ManagementPlanning & OrganisingComputer mAccuracyFlexibilityInitiativeCooperationTeam playerSupportiveAssertiveEXPERIENTIAL COMPETENCYBasic R425 qualification i.e.diploma/degree in nursing or equivalentqualification that allows registration withthe South African Nursing Council as aProfessional NurseCurrent registration with the SouthAfrican Nursing Council (SANC) as aProfessional NurseWhere applicable completion ofcommunity serviceINDIVIDUAL/DEVELOPMENT PROGRAMME (PRIORITY)To be determined by individual jobholder (this should be linked to the performance management system).K.CAREER PATHINGPromotion to next higher grade1.Professional Nurse Grade 2 (General Nursing)2.Nature of work in next higher grade:As required in the higher grade

8L.AMENDMENTS TO THE JOB DESCRIPTIONThe Head of Department or his/her nominee reserves the right to make changes and alterations to this job description,as he/she deems reasonable in terms of changes in the job content in line with the strategic objectives of theDepartment, after due consideration with the postholder.M.PERFORMANCE INSTRUMENTSThe performance instrument of the postholder, should be read as an extension to the job description.N.JOB DESCRIPTION AGREEMENTWe, the undersigned, agree that the content of the completed job description provides an accurate outline andpicture of the job as expected from the incumbent in the job:Supervisor:Rank:Job nal comments/proposed time of revision of the job description, only if there are changes in the jobcontent.Date of revision:

ANNEXURE CJOB DESCRIPTIONNamePersal NumberA. JOB INFORMATION SUMMARYJob TitleOperational Manager Nursing (General Unit) Grade 1 & 2Occupational Specific DispensationProfessional NurseJob LevelPN-A5 and PN-A6Date1 July 2007LocationVarious InstitutionsComponentNursingPost report toAssistant Manager Nursing (Area)/Manager Nursing (Head of NursingServices)Job Classification Code

2B.HIERARCHICAL POSITION OF POSTDIVISION: NURSING1 Deputy Manager NursingCLINIC/HEALTH CENTER1 Assistant Manager Nursing (Area)/Assistant Manager Nursing (Head of Nursing Services)1 Operational Manager Nursing (General Unit) Grade 1/28 Professional Nurse Grade 1/2/3 (General Nursing)2 Staff Nurse Grade 1/28 Nursing Assistant Grade 1/2C.JOB PURPOSE (Linked to Strategic Plan)To ensure that a holistic nursing care service is delivered to patients in a cost effective, efficient and equitable mannerby the Unit. Ensure compliance to professional and ethical practice.D.MAIN OBJECTIVES (Key Performance Areas (KPA's))MAIN OBJECTIVES%Supervise and ensure the provision of an effective and efficient patient care through adequatenursing care: 1. Actively participate in the provision of nursing care to patients.Treat complex health conditions presented at health care facilities.Ensure the formulation of accurate nursing and health care diagnosis to clarify client’s needsincluding learning, information and counseling.Screen and diagnose complex ailments, health problems and diseases in accordance withprescribed norms and standards.Assist in the development of a plan for prescribing treatment of common or minor primaryhealth conditions in accordance with prescribed norms and standards.Audit records by analyzing data, identification of health indicators and risk factors as well asco-ordinate the conducting of client satisfaction survey.Supervise the collection and analysis of data through community assessment and involve clientsin assessing their health needs and provide advise during clinic visits.Collaborate with other members of the health care teams to identify actual and potential areasfor nursing and health research in order to improve or maintain quality care.Maintain the quality of nursing data and information and utilize it to advise, advance andevaluate the quality and cost-effectiveness of nursing care.20%

3MAIN OBJECTIVES%Coordinate and monitor the implementation of nursing care plan and evaluation thereof: 2. Create an enabling environment that is therapeutic and meets the clients’ need for privacy,confidentiality, well being and dignity.Perform interventions ranging from personal care with active involvement of patients and othermembers of the team.Communicate the need for continuity of care to patients and health care givers at the variouslevels of community care.Develop and document interventions and progress of patients to facilitate continuity of care.Formulate and revise nursing interventions through comprehensive and on-going assessment.Develop and review the nursing care plan and make necessary changes so as to facilitatecommunication with other health care team members for continuity of care.Supervise and evaluate the treatment of common and minor conditions.15%Provide relevant health information to health care users to assist in achieving optimal health careand rehabilitation of patients: 3. Take part in health promotion and illness prevention initiatives and assist in their evaluation.Empower individuals, groups and communities in adopting healthy lifestyles and self-care.Participate in health promotion and illness prevention initiatives.Conduct nursing staff meetings to disseminate information such as new developments onnursing, policies, circulars, etc.Apply the scientific process of nursing and principles to the nursing care of individuals, groupsand communities.Review the effectiveness of the application of a scientific approach to nursing principles forquality care.Communicate in a manner that facilitates empowerment of subordinates.Contribute to the education and professional development of students.Apply the principles of PHC in service rendering, for the maintenance of professionalexcellence.5%Maintain constructive working relationships with nursing and other stakeholders (i.e. interprofessional, inter-sectoral and multi-disciplinary teamwork): 4. Collaborate with members of the health and social care teams and participate in decisionmaking pertaining to health care delivery.Consult within the multi-disciplinary health teams, organizations and special interest groupswhen dealing with community health issues and needs.Disseminate information on epidemics, nutritional disease, maternal and infant morbidity andmortality and other common diseases.Participate in multi-disciplinary quality assurance task teams.Participate in peer review based on the agreed upon quality assurance monitoring indicators andtools.10%

4MAIN OBJECTIVES%Participate in the analysis, formulation and implementation of nursing guidelines, practices,standards and procedures: 5. Facilitate the setting, review and update of patient care standards, policies and procedures.Ensure the awareness, compliance and adherence to the relevant acts/prescripts applicablewithin the nursing environment.Advocate for the rights of patients/clients and improvement of health care.Develop and implement quality improvement plan.Identify and develop nursing interventions to achieve expected outcomes.Revise nursing interventions through comprehensive and ongoing assessment.Implement nursing care management activities according to the Standards of Practice and Scopeof Practice and act upon breaching of laws relating to nursing practice and professional code ofconduct and practice standards.Implement the Nursing Act and Regulations, Code of Ethics and Professional Practice of theSouth African Nursing Council.Implement procedures that maintain effective infection control and occupational and safetymeasures in accordance with Occupational Health & Safety Legislation.20%Manage and monitor proper utilization of human, financial and physical resources:Human 6.Analyze staffing needs and develop a plan to meet the needs.Allocate nursing personnel in different units and implement the PMDS.Explore opportunities for professional development and ensure training and dev

Apply the principles of nursing care in service rendering, for the maintenance of professional excellence. Implement nursing care management activities according to the Standards of Practice and Scope of Practice and act upon breaching of laws relating to nursing practice and professional code of conduct and practice standards.