Home' Community Care Review : CCR May-Jun 2015 Contents GENERAL MANAGER
• Fantastic opportunity to impact the aged care industry
• Australia wide and UK focus
• Northern Sydney Location
Health Television Network (HTN) provides customised education - based
programs. HTN is the research, development and production Hub of quality
programs for the Aged Care Channel (ACC) who distribute product to clients.
A new role has been created. As part of the senior management team you
will work with the CEO of ACC, ACC executive team and the HTN Board. You
will be the link to clients and ensure programs being produced are client-
centred, high quality and customised. Your territory will cover Australia and
the UK with the mandate to grow the business, promoting quality innovation
of product and content, client satisfaction and team cohesion. You are an
experienced business developer, have excellent knowledge of the aged care
sector and passion to make a difference in the sector.
CHIEF EXECUTIVE OFFICER
• Significant and reputable local community employer
• Key leadership role, reporting to a Board
• Idyllic seaside location -- mid NSW North Coast
Woolgoolga is located approximately 20 mins drive north of Coffs Harbour.
Enjoying a very good reputation WRV has nearly 100% occupancy and
waiting lists. WRV owns and runs a 64 bed residential aged care facility
providing permanent and respite care and 30 independent living units -
some with ocean views or seaside vistas.
An exciting opportunity exists for a senior aged care executive (ideally a
Registered Nurse) to effectively lead WRV as Chief Executive Officer.
For a confidential discussion about either of these roles please
call (02) 8084 2681 or 0414 412 418 and ask for Peta-Jane (PJ).
Alternatively email firstname.lastname@example.org
All enquiries and applications are confidential.
Appointment will be conditional upon a satisfactory Federal Criminal Records check.
02 8084 2681
that jurisdiction, whether that be a licensing or registration board, or
similar. A negative ministerial report may lead to investigation and
monitoring for compliance of the provider by the regulator.
OTHER HEALTH PRACTITIONERS
Importantly, registered health practitioners such as medical
practitioners, registered and enrolled nurses, psychologists and
physiotherapists also have a corresponding obligation to make a
mandatory notification if they believe another registered health
practitioner has engaged in notifiable conduct.
For example, a person in
charge of a community aged
care service who is also an RN
is subject to the mandatory
notification requirements of the
national law. Failing to notify may
in itself constitute unsatisfactory
professional conduct by that
registered health practitioner. The
obligation to report "as soon as
practicable" imposes a different and
arguably higher standard than that which is imposed on employers.
Any individual, including an employer or other registered health
practitioner, can make a complaint about a registered health
practitioner under the national law if there are concerns about
their professional conduct but the concerns do not meet the higher
threshold of notifiable conduct.
With the exception of Queensland, all mandatory notifications
are to be made to AHPRA. Complaints are usually made to the state
or territory council for the profession. In NSW complaints can also
be made to the Health Care Complaints Commission (HCCC).
In Queensland, since 1 July 2014 all mandatory notifications
are to be made to the Queensland Health Ombudsman who may
take immediate action to prevent a practitioner from continuing to
practise. In addition to publishing the names of practitioners whose
registration has been suspended or cancelled, or unregistered
health practitioners who have received a prohibition order, the
Health Ombudsman must also publish findings of any inquiries or
investigative reports it undertakes into systemic healthcare issues.
Mandatory notifications in other states and territories will be
referred by AHPRA to the relevant national registration board for
further investigation, although in NSW notifications are referred by
AHPRA to the HCCC.
BROADER IMPLICATIONS: COMMUNITY CARE
Mandatory notification is a system of last resort -- applicable, and
necessary, when there has been a failure in expected standards of
professional conduct. However, employers and health professionals
should have systems and policies that seek to ensure the safety of
care recipients at all stages of care delivery, starting at the point of
recruitment with rigorous background checks.
In community care services, scrutiny of care delivery is more
difficult and care is often delivered by a range of personnel, not all
of whom are registered health practitioners. Many staff do not work
under direct supervision at all times. An important component of
the professional conduct of RNs is the delegation and supervision of
clinical care tasks undertaken by enrolled nurses and care services
personnel. The professional responsibility for the clinical care that is
provided lies ultimately with the RN.
For RNs working in community care settings who may not be on site
at the time that services are delivered, it is acknowledged that this can
sometimes be a challenging task. It is therefore important and expected
under the National Competency Standards for Registered Nurses that
RNs are actively involved in determining policies and procedures for
care services and managing the appropriate delegation of tasks. RNs
should be communicating with their employers where they identify
areas of risk. This is important not only for the safety of care recipients,
managing the risks and reputation of the provider and its staff, but also
for safeguarding their own professional practice. The guidelines provide
that an RN:
• recognises the differences in accountability and responsibility
between registered nurses, enrolled
nurses and unlicensed care workers:
• understands requirements of
statutory and professionally
• understands requirements for
delegation and supervision of
• raises concerns about
inappropriate delegation with
the relevant organisational or
The importance of the RN role in this respect in the safe delivery
of community aged care services cannot be understated. Providers
must also be cognisant of the risks and take care to ensure that their
policies and practices at all levels support the safety of their staff and
clients and also the professional reputations of their registered staff. n
Angela Wood is a partner with Maddocks. She has specialist
expertise in aged care, disability and community services.
In community care services,
scrutiny of care delivery is more
difficult and care is often delivered
by a range of personnel, not
all of whom are registered
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