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SMO Anaesthetist Position Description

Waitemata District Health Board -JOB DESCRIPTION - SMO Anaesthesiology Page 1

Date : June 2019

Job Title : Senior Medical Officer – Anaesthetist

Department : Department of Anaesthesiology and Peri-Operative Medicine

Location : Waitemata District Health Board

Reporting To : Clinical Director – Anaesthesia

Direct Reports : Supervision of junior medical staff

Functional Relationships with : Internal Medical Staff Management Staff Nursing Staff Technical Staff Support Services

External Patients and their families Medial Council General Practitioners Other Secondary and Tertiary Service Units Health and Disability Commission

Purpose : Provide a high standard of clinical practice in the management

and delivery of anaesthesiology care for the people of the Waitemata District Health Board (WDHB) region. Assist with the continual development of secondary anaesthesiology services for WDHB which is recognised nationally and internationally as a centre of excellence

KEY TASKS

EXPECTED OUTCOMES

Delivery of clinical care to patients requiring Anaesthesiology services

Takes professional care of and undertakes delegated clinical responsibilities for patients under his/her care

Conducts theatre, clinics and ward rounds, and other duties, using the allocated time efficiently and effectively as per agreed contract

Oversees Registrar’s activity to ensure patient care is delivered in accordance with standards and policy

Manages workload to ensure clinical time is reallocated where cancellations of one aspect of clinical care occur, e.g. theatre cancellations

Sees and advises promptly on patients referred for a specialist opinion

Is responsible for acute theatre sessions as



KEY TASKS

EXPECTED OUTCOMES

per the after hours agreed requirements

Proposed Clinical Schedule

Elective sessions at North Shore, Waitakere and ESC

Acute sessions are North Shore and Waitakere

Obstetric sessions at North Shore and Waitakere

Pre-operative assessment of patients Pain Rounds

Clinical and non-Clinical administration See detailed work plan

Theatre and clinics organised to ensure optimal productivity and utilisation of resources.

Provision of acute specialist care for Anaesthesiology

Participates in the provision of after hours on call and acute services as per the Anaesthesiology Agreement

When “on call” is available to respond within 5 minutes to requests for telephone advice, and to attend to patients requiring care within 15- 20 minutes

Leave arrangements are requested with a minimum of six weeks notice and approved by the Clinical Director and Leave Manager

Takes professional care of, and assumes clinical responsibility for, patients admitted or transferred under his/her care

Patient information and informed consent Gives patients and their families a full explanation of all procedures and treatments

Obtains informed consent for all patients in accordance with the organisation’s policy for undertaking any operation or test of procedure

Staff and patient relations Acts in a manner consistent with a senior member of staff

Maintains effective interpersonal relationships with multidisciplinary staff, patients and relatives/whanau

Handles problems and complaints sensitively

Education and Teaching of Junior medical staff and other professional groups

Provides clinical supervision and teaching for House Officers and Registrars

Ensures the orientation, guidance, performance management and objective setting process and feedback to junior surgical staff is consistent with good employer relations and Council standards

Is available to junior medical staff for advice, supervision of procedures and urgent acute problems when on call and during normal business hours as appropriate

Provides teaching or educational presentations for nurses, resource nurse and other health professionals or groups with a general anaesthesiology interest as



KEY TASKS

EXPECTED OUTCOMES

appropriate

Maintenance of adequate record and reports to referring doctors

Comprehensive, accurate and up-to-date medical records are maintained for all patients under the Senior Medical Office care

Medical records and discharge letters on inpatients as well as outpatient letters on patients seen by the Senior Medical Officer are completed and dispatched within organisational timeframes

Professional Development Knowledge and practice updated and maintained

Demonstrates evidence of continuing self- education through, for example, attendance at relevant courses/seminars/conferences; reading relevant literature

Utilises appropriately annual entitlement of Continuing Medical Education Leave

Attends and actively participates in local postgraduate medical education activities

Participates in service credentialing and recommendations

Participates in quality assurance programmes Attends and participates in regular departmental audit/peer review activities, including morbidity/mortality reports

Attends and participates in Quality Assurance activities

Quality of written records meets specified standards

Patient satisfaction is positive

Peer review is favourable

Meets with colleagues to discuss and record performance issues and professional/personal development, at least annually

Actively contribute to Continuous Quality Improvement activities within the service

Identifies improvement opportunities and notifies the Clinical Director of these

Participates in the service’s quality and risk improvement and minimisation activities

Provides good patient/client service and is responsive to patient/client requests or complaints

Complies with standards and works to improve patient/ client satisfaction. Identifies risks and notifies the Clinical Director of these

Complies with WDHB Reportable Events policy and other policies and procedures

Participates in audits

Management and Administration of the Anaesthesiology and Peri- Opeartive service

Attends the business meeting unless on planned and approved leave

Attends regular meetings of the Service to collaborate with his/her colleagues and, as requested, with the Clinical Director,

Utilises staff, technological, pharmaceutical and other publicly funded resources prudently and efficiently for cost effective patient care



KEY TASKS

EXPECTED OUTCOMES

Participates in monitoring resource allocation and decision making within the service

Provides reports and information as required by the Clinical Director on behalf of the General Manager Surgical & Ambulatory Services

Participates in the development and updating of clinical management guidelines, including integrated clinical pathway

Clinical Leadership Responsibilities Teach postgraduate students as required

Supervise/teach junior medical and nursing staff

Treaty of Waitangi Demonstrates an understanding of the Principles of Te Tiriti o Waitangi and how these relate to the development and application of service specific initiatives for Maori

Understands the holistic approach to Maori health

Develops and plans strategies that are responsive to the health needs of Maori

Recognises and seeks counsel on the cultural requirements when dealing with Maori

To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992

Company health and safety policies are read

and understood and relevant procedures applied to their own work activities

Workplace hazards are identified and reported, including self-management of hazards where appropriate

Can identify health and safety representative for area



Competencies

Vision and Strategic Capability Able to articulate the aspiration for the direction of the future of WDHB

Understands trends in health, relevant policy and operational areas and the external environment

Able to think strategically and convert strategy to actions

Has courage and is willing to challenge the status quo

Understands the role of information management in decision making and forecasting

Patient Care and Clinical Practice Able to deliver contemporary anaesthesiology practice to a high standard and in accordance with agreed anaesthesiology principles

Demonstrates competence in all aspects of care and service delivery

Access to care for patients is maximised through the maintenance of productivity and efficient and effective Services

Leadership Role models and communicates WDHB vision and values

Inspires and motivates others to commit to and work towards goals

Shows respect for people, focuses on employee involvement and allows others to take ownership

Builds confidence and resilience in the team

Holds staff accountable for the delivery of outcomes and acts promptly to rectify performance issues

Leads the team within theatre to ensure delays are eliminated, turnaround times are minimised and maximum use is made of the session time allocated

Makes timely decisions

Can chair a meeting and is skilled at leading discussions and providing clear direction, ensuring meetings are run in a positive and cooperative manner with respect for all members of the multidisciplinary team

Management Organises tasks to make best use of time and resources and focuses attention on key objectives and priorities

Makes sound decisions based on robust analysis and evidence

Delegates activities and projects to others and positively influences their progress towards successful results

Takes ownership of the need to be financially astute and optimises the use of resources by continually reviewing the effectiveness of current resource utilisation, minimising waste and always ensuring the decisions made are both clinically and fiscally appropriate

Flexibility Willing to consider alternative viewpoints and new ideas

Develops new and/or more effective work processes and systems through lateral thinking and creativity in work and process design

Teamwork Assists colleagues and shares relevant information

Manages the internal negotiation process regarding the allocation of resources

Create a productive team environment by setting clear



goals, implementing sound work processes and giving

and receiving constructive feedback

Communication Is confident and appropriate assertive in dealing with others

Perseveres with a task, and displays the required energy to achieve the objectives despite obstacles

Deals effectively with conflict

Is articulate and able to influence and persuade

Expresses ideas spontaneously, logically and convincingly in simple, clear language

Listens with a preparedness to understand

Facilitates groups to a shared or an agreed way

Behavioural Competencies

Adheres to Waitemata District Health Boards 4 Organisational Values of:

Every single person matters, whether a patient / client, family member or a staff member

We see our work in health as a vocation and more than a job, We are aware of the suffering of these entrusted to our care. We are driven by a desire to relieve that suffering. This philosophy drives our caring approach and means we will strive to do everything we can to relieve suffering and promote wellness. We need to be connected with our community. We need to be connected within our organisation – across disciplines and teams. This is to ensure care is seamless and integrated to achieve the best possible health outcomes for our patients/clients and their families.

We seek continuous improvement in everything we do. We will become the national leader in health care delivery.


Behaviour Demonstrated

Communicates and Works Co-operatively

Actively looks for ways to collaborate with and assist others to improve the experience of the healthcare workforce, patients & their families and the community & Iwi.

Is Committed to Learning Proactively follows up development needs and learning opportunities for oneself and direct reports.

Is Transparent Communicates openly and engages widely across the organisation.

Enacts agreed decisions with integrity.

Is Customer Focused Responds to people’s needs appropriately and with effective results

Identifies opportunities for innovation and improvement

Works in Partnership to Reduce Inequality in Outcomes

Works in a way that:

Demonstrates awareness of partnership obligations under the Treaty of Waitangi.

Shows sensitivity to cultural complexity in the workforce and




Behaviour Demonstrated

patient population.

Ensures service provision that does not vary because of peoples’ personal characteristics.

Improves health Work practices show a concern for the promotion of health and well-being for self and others.

Prevents Harm Follows policies and guidelines designed to prevent harm.

Acts to ensure the safety of themselves and others.

VERIFICATION:

Employee:

Manager:

Date:

Review Date:

Note: This job description forms part of an individual’s contract of employment with WDHB and must be attached to that contract.



PERSON SPECIFICATION

POSITION TITLE: SMO Anaesthetist

Minimum Preferred

Qualification

Medical Qualification

Post Graduate qualification in Anaesthesiology

FANZCA or equivalent

Experience

Broad understanding of the New Zealand health sector reform and purchasing structure.

Recognises the critical and key success factors in working in health

Skills/Knowledge/Behaviour

Builds relationships and engenders trust. Strong Networker. Change Orientated Ability to influence and inspire others. Empathetic Excellent written and verbal communication Open honest communicator

Strategist Commercial awareness



DETAILED WORK PLAN

1. ROUTINE DAYTIME ACTIVITIES

Daytime routine services include the following:

1.0 Provision of anaesthesia,

in accordance with the schedule of routine planned sessions (inclusive of planned acute session), within

North Shore Hospital operating theatre suite

Waitakere day stay theatre suite

Waitakere obstetric theatre

Elective Surgical Center operating theatre suite

Other sites as may from time to time be agreed to by the Department

for the following services:

General Surgery

Orthopaedic Surgery

Obstetric Anaesthesia and Analgesia

Urology

Gynaecology

ENT

Paediatric Surgery

Psychiatry

Cardiology

Intensive Care

Radiology

1.1 The Anaesthetist will have a schedule that is agreed with the Clinical Director. The Anaesthetist will have assigned responsibility for a session and is required to attend as detailed in the department roster. Changes to the anaesthetist’s current days of the week worked (and type of work during those days) will be made in agreement with the Clinical Director and Anaesthetist.

1.2 Each morning and afternoon session is deemed to average five hours inclusive of all associated activities (as listed below), when averaged over a roster cycle.

For anaesthesia, this includes:

pre-operative assessment and pre medication of patients.

administration of anaesthesia for elective lists which (on average) will take between 3.5 and 4 hours.

supervision of patients in the recovery room and participation in their postoperative management (in consultation with other health professionals as required)

postoperative review of patients in the ward where appropriate.

any associated written work



1.3 All day elective anaesthetic lists at North Shore and Elective Surgical Centre. These lists equate to two sessions and include the associated activities detailed in 1.2.

1.3.1 Waitakere obstetric day.

This includes:

anaesthesia for elective and acute caesarean sections.

pre anaesthetic assessment

epidural analgesia

assessment and management of unwell women (in consultation with other health professionals as required)

The total duration is 0700 – 1900

1.4 Rostered daytime acute services (0730 – 1730)

Acute anaesthetic work services include the following:

general surgical acutes at North Shore Hospital operating suite

gynaecological acutes at North Shore Hospital operating suite

Orthopaedic acutes at North Shore operating suite

supervision of anaesthetic related problems in post operative patients

assistance in daily pain round

obstetrics analgesia and anaesthetic services

co-ordination and assistance of anaesthetic services in the operating suite

assistance with transporting critically ill North Shore Hospital ICU patients e.g. to DCCM

The anaesthetist allocated to a morning (0730 – 1230) and /or afternoon (1230 – 1730) session, is responsible for prioritising the acute work load, and at his/her discretion, may call a second anaesthetist if required.

2. CANCELLATION OF ROUTINE ACTIVITIES

In the event of a scheduled session being cancelled, the anaesthetist will discuss with the Coordinator and Clinical Director

3. ALLOCATION OF ROUTINE WORK

Six weeks application for all leave in writing to allow appropriate allocation of scheduled work. The application form will be given to the Leave Officer, who will check with the roster writer that the leave can be covered.

Any substitutions for routine work will require the agreement of the Chairman of Department. The substitution must be arranged by the person rostered for that session and must be undertaken by another employed specialist.



4. SHORT NOTICE LEAVE (For Example, illness or bereavement)

A specialist can at short notice advice that they will not be available for a scheduled session.

Short notice leave needs to be notified by contacting the coordinator on 09 486 8920 extension 43540 and the roster clerk.

The Clinical Director will be notified and the no show will not be counted towards the session total and will need to be made up at some other time except for those related to illness or bereavement.

5. PAIN SERVICE

Provision of acute pain service, consultation, assessment, management (including pain rounds), education of perioperative pain.

6. PREOPERATIVE ASSESSMENT CLINICS

Triage assessment and management of patients presenting for surgery.

7. CONTINUING MEDICAL EDUCATION

Anaesthetists are required to regularly participate in the following activities:

attendance at the department business meeting

departmental weekly meetings (morbidity mortality reviews, journal reviews, literature reviews)

city-wide clinical meetings (morbidity/mortality, peer review and clinical audit programs (MOPS via ANZCA)

personal literature review

attendance of workshops and simulator sessions where appropriate

attendance at NZ/Australian CME meeting at least once every two years

attendance at regional/world meetings at least once every five years

Waitemata Health courses BLS, ACLS, computer courses

North Shore Hospital Grand rounds

8. EDUCATIONAL ROLE

Participate in professional education activity for registrars, technicians and others

supervision of trainees

college assessment activities

9. ADMINISTRATIVE TASKS REQUIRED WITHIN THE ANASESTHETIC DEPARTMENT AS ASSIGNED BY THE CLINICAL DIRECTOR OF THE DEPARTMENT:

refer to the department document in relation to these activities.



10. IN-HOSPITAL SERVICES PROVIDED OTHER THAN ANAESTHESIA IN OPERATING SUITES

Provision of analgesia expertise outside of the operating room.

In hospital emergencies: - Cardiac arrests - Emergency Department assistance - Central Line Insertion - Inter-hospital transfer

11. ROSTERED AFTER HOURS DUTIES

all are expected to participate in acute service rosters.

refer to the department document in relation to these activities.

While on call the anaesthetist is required to be immediately available and to

return to the hospital as soon as possible after being called (except when delayed by exceptional circumstances beyond their control).

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SMO Anaesthetist - Auckland Health Jobs · pli ed to th ir own work act v es Workplace hazards are identified and reported, including self-management of ... Vision and Strateg ic