Registered Nurse

3 months ago

Auckland City, New Zealand Central Auckland Full time

**Auckland DHB **Intermediate Care Team** is looking for experienced Registered Nurses **Full time and part time opportunities on offer **

**Ko wai mātou | Our Organisation**

We are Te Whatu Ora, Te Toka Tumai, Auckland. We provide health and disability services to more than half a million people living in central Auckland, regional services for Northland and greater Auckland, and specialist national services for the whole of New Zealand. Our main sites are Auckland City Hospital, Greenlane Clinical Centre and Starship Children’s Hospital, located in central Auckland.

We are part of Te Whatu Ora - Health New Zealand, the overarching organisation for New Zealand’s national health service. Te Whatu Ora leads the day-to-day running of the health system, with functions delivered at local, district, regional and national levels.

We are committed to upholding Te Tiriti o Waitangi and providing culturally safe care. We value role modelling manaakitanga as demonstrated by Ngāti Whātua in the gifting of their whenua on which our hospitals stand. We aspire to having a workforce reflective of the communities we serve and achieving equitable outcomes for all.

**Te whiwhinga mahi | The Opportunity**

Do you have excellent clinical assessment skills, wish to expand your knowledge and be part of a passionate, high functioning nursing team within the community, where no two days are the same?

The Intermediate Care Team is part of the Community and Long-term Conditions Directorate and compromises of the Rapid Community Access Team (RCAT), an intensive, short term service that provides acute Nursing and Allied Health care for adult patients, the Interim Care Scheme (ICP) providing access to beds in Age Related Residential Care facilities (ARRC) to support patients who don’t need to be in hospital, but are not yet ready to be supported in their own home and Hospital in the Home (HiTH) that delivers hospital-level acute health services in the patient’s own home, which increases hospital inpatient capacity without requiring a new facility build or significant capital investment to refurbish existing facilities. The HiTH model supports whānau choice and timely hospital discharge. It delivers ‘Person and whānau-centred care which empowers everyone to manage their own health and wellbeing, giving people, their carer’s and whānau meaningful control’

HiTH is currently implementing additional patient pathways which include heart failure, COPD and cellulitis. The pathways will have narrowly defined eligibility criteria which will identify patients where their acute needs may be met at home by visiting physicians, nurses and other clinical staff.

The HiTH/RCAT and ICP provides a safe alternative option to hospital care and is underpinned by the core principles of:

- Te Tiriti o Waitangi obligations are met throughout all aspects of the HiTH model
- All solutions will proactively work to accelerate equitable outcomes
- Active partnerships with Māori with oversight and shared decision making so that Māori knowledge informs and drives the work
- Regional collaboration and alignment of key clinical pathways providing the ability to flex within the region to support capacity and demand management
- Patient care is holistic and tailored to individual need
- Care is closer to home and supports people in the community with acute needs to prevent further deterioration in their condition.
- Broad definition of home - where people reside (Aged Residential Care (ARC), Retirement Village, own residence)
- Acute demand management support
- Support better integration of community care models
- Working within a multidisciplinary team of health professionals and have the privilege of working with patients within their own environment.
- Nursing and Allied health input that supports the transition from hospital to home
- Use of rehabilitation skills to maintain functioning during a period of care.

As with any ward, we have a Charge Nurse Manager, Monday-Friday, and a Clinical Charge Nurse Monday-Sunday. After hours, we have a Senior Nurse present for escalation and the staff has access to the on-call Adult Medicine SMO.

**If this sounds like an opportunity you would like to explore, then we would love to hear from you**

This role is a real opportunity to be a part of an exciting growth area in the Community & Long Term Conditions directorate. Experience across both hospital and a community setting is desirable.

**Nga Pūkenga Motuhake | Important Skills**
- Experience across both hospital and a community setting is desirable.
- The service is 7 days a week, and our hours of operation are: 0730-2200. There are two shifts, 0730-1600 and 1330-2200.
- The role is community-based so you would need a full driver’s license and be comfortable in completing home visiting.

Please click here to view the position description.

**He aha ngā painga o tēnei mahi mōu | Why you will enjoy working here**

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