“Mehemea ka moemoeā ahau

Ko au anake
Mehemea ka moemoeā e tātou, Ka taea e tātou”

“If I am to dream
I dream alone
Waikato District Health Board If we all dream together
Then we will achieve.”
Position Description Te Puea Herangi

Job Title: Enrolled Nurse

Reports to:
Professional links to:
Delegation
Health leadership
Responsible for:
(Total number of staff)
Budget:
Job Purpose:
Direct Reports:
Date and version:
Charge Nurse Manager
Nursing and Midwifery Directorate
Nil
Staff, no delegation
Nil
Nil
Assist with the assessment, planning, delivery and evaluation of
nursing care to achieve the best outcomes for patients
Work as a member of the multi -disciplinary team under the direction
and delegation of a registered nurse or midwife, as required by
legislation.
Nil
January 2021

Vision (Te Matakite)

Healthy People. Excellent care.

Mission (Te Whakatakanga)

Enable us all to manage our health and wellbeing.
Provide excellent care through smarter, innovative delivery

Values
Theme “People at Heart” – Te iwi Ngakaunui

Give and earn respect - Whakamana

Listen to me; talk to me – Whakarongo

Fair play – Mauri Pai

Growing the good – Whakapakari

Stronger together – Kotahitanga

Code of Conduct
The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and
conduct and sets expectations relating to behaviour in the workplace.
 INDIVIDUAL ACCOUNTABILITIES

Authorised to deliver the accountabilities required of the Enrolled Nurse including meeting objectives
established annually with the line manager.

Professional practice/ framework for practice accountability

 Providing patient/client centred/partnership care. Uses the principles of the Treaty of Waitangi,
and processes that support the provision of culturally responsive and appropriate care and
support.
 Integrating nursing knowledge/ theory into practice.
 Complying with legislation, policies, pathways, procedures and standards.

Provision of nursing care accountability.

Accountable for providing effective, efficient, safe care to patients/ clients under the direction and
delegation of a registered nurse, nurse practitioner or midwife, including but not limited to the
following specific areas
 Communicating effectively with patient/ family/ whānau, colleagues and others
 Medication responsibilities in accordance with policy
 Supporting patient/ family/ whānau education
 Managing workload and prioritising as necessary
 Collaborating with the multidisciplinary team and clinical leadership results in safe and best
outcomes for the patient/ client.
 In acute settings, must work in a team with a registered nurse who is responsible for directing
and delegating nursing interventions

Professional practice, development and performance accountability

 Assuming responsibility for personal and professional work education and development
 Maintaining knowledge and skill required for effective performance.
 Participating with teaching and learning within the service environment including student
Enrolled Nurses.
 Identifying learning needs and participating in own annual performance review.

TEAM RESPONSIBILITIES

Quality and Patient Safety collective responsibilities

 Be responsible for treating patients / service users with respect, dignity and compassion
 Be responsible to the line manager for the provision of quality services; quality improvement is
part of this and a fundamental duty of all staff, whatever their grade, role, service or base
 Comply with DHB policies and procedures to ensure delivery of good quality care reporting risks
to quality and safety to their line manager
 Identify areas for improvement in their day to day work and to act upon these when appropriate
and/or bring these to the attention of their line manager, in order that appropriate action may be
taken.
 Participate in on-going quality improvement activities throughout the year within their team,
service, site or department.
 Raise concerns with their line manager, if there are quality or patient / service safety issues in
their area

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 ORGANISATIONAL RESPONSIBILITIES

 Contribution aligns with the Waikato DHB strategy.

 Being accountable for own work and provide a high quality service, and contributes to quality
improvement and risk minimisation activities.
 Read and understand the organisations policies and procedures that have an impact on the
role and maintaining understanding is based on the most current version. This includes but is
not limited to Corporate Records Management policy, privacy, and information security policies.
 Follows established Health and Safety and other policies and procedures to ensure the safety
of oneself and others
 Work in partnership with Māori patients and whānau to provide culturally responsive and
appropriate care and support to improve health experience, outcomes and reduce health
inequities.
 Knows department emergency response plan and participates in response as applicable to the
role.

Professional accountabilities

Domains determined by the Nursing Council of New Zealand

Domain One: Professional responsibility.
Accepts responsibility for ensuring that his/ her nursing practise and conduct meet the
standards of the professional, ethical and relevant legislated requirements
Demonstrates the ability to apply the principles of the Treaty of Waitangi/ Te Tiriti o Waitangi to
nursing practice
Demonstrates understanding of the enrolled nurse scope of practice and the registered nurse
responsibility and accountability for direction and delegation of nursing care
Promotes an environment that enables health consumer safety, independence, quality of life,
and health
Participates in ongoing professional and educational development
Practises nursing in a manner that the health consumer determines as being culturally safe.
Domain two: Provision of nursing care
Provides planned nursing care to achieve identified outcomes
Contributes to nursing assessments by collecting and reporting information to the registered
nurse
Recognises and reports changes in health and functional status to the registered nurse or
directing health professional
Contributes to the evaluation of health consumer care
Ensures documentation is accurate and maintains confidentiality of information
Contributes to the health education of health consumers to maintain and promote health.
Domain three: Interpersonal relationships.
Establishes, maintains and concludes therapeutic interpersonal relationships
Communicates effectively as part of the health care team
Uses a partnership approach to enhance health outcomes for health consumers.
Domain four: Interprofessional health care and quality improvement.
Establishes, maintains and concludes therapeutic interpersonal relationships
Communicates effectively as part of the health care team
Uses a partnership approach to enhance health outcomes for health consumers.

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 QUALIFICATIONS, TRAINING, EXPERIENCE AND SKILLS

QUALIFICATIONS

 Registration with Nursing Council of New Zealand; inclusive of scope of practice.

 A current practising certificate with the Nursing Council of New Zealand.
 Expected to meet competent level of practice on the Professional Development and
Recognition Programme, but may achieve a higher level of practice.
 Experience in settings relevant for the position.

TRAINING

 Expected to undertake SPEC (Safe Practice Effective Communication) training and achieve full
competency; regular refresher courses are also required in order to maintain full competency.

SKILLS

Scope of practice Nursing Council of New Zealand

Enrolled Nurses practise under the direction and delegation of a registered nurse or nurse practitioner
to deliver nursing care and health education across the life span to health consumers in community,
residential or hospital settings. Enrolled nurses contribute to nursing assessments, care planning,
implementation and evaluation of care for health consumers and or families/ whanau. The registered
nurse maintains overall responsibility for the plan of care. Enrolled nurses assist health consumers
with the activities of daily living, observe changes in health consumer’s conditions and report these to
the registered nurse, administer medicines and undertake other nursing care responsibilities
appropriate to their assessed competence.

In acute settings, enrolled nurses must work in a team with a registered nurse who is responsible for
directing and delegating nursing interventions. In some teams enrolled nurses may co-ordinate a
team of health care assistants under the direction and delegation of a registered nurse. In some
settings enrolled nurses may work under the direction and delegation of a registered health
practitioner*. In these situations the enrolled nurse must have registered nurse supervision and must
not assume overall responsibility for nursing assessment or care planning. Enrolled nurses are
accountable for their nursing actions and practise competently in accordance with legislation, to their
level of knowledge and experience. They work in partnership with health consumers, families/ whanau
and multidisciplinary teams.
*A person who is registered under the Act e.g. Midwife, medical practitioner, occupational therapist.

Health leadership capabilities and competencies.

Contribution (national leadership framework be a values leader)

 Models and adheres to the DHBs values, vision, and code of conduct (22) DHB Values
 Provides safe and quality service delivery for patients/ clients/ customers (15)
 Completes work within required timeframes (62)

Self and others (national leadership framework engage others).

 Seeks opportunities to continuously improve, and works to learn and grow (54)

Relationships (national leadership framework develop coalitions)

 Maintains effective relationships patients/ clients/ consumers/customers, and with peers and
the employer, and encourages collaboration and effective group interactions (42)

Getting results (national leadership framework leading care)

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 Health leadership capabilities and competencies.
 Is open to learning new things and picks up technical skills in a reasonable timeframe (61)
 Is action oriented and undertakes duties with professionalism and enthusiasm (1)

Leading change (national leadership framework mobilise system improvements)

 Looks for opportunities to improve processes and uses logic and analysis to review
information in order to make sound decisions (14)

The numbers in brackets are only applicable to current staff who have a career and development plan.

SCOPE OF POSITION

Relationships
Internal
 Clients, family, whānau, caregivers
 Nursing staff
 Student nurses
 Multidisciplinary team
 Chief Nursing and Midwifery Officer
 Associate Directors Nursing and Midwifery
 Nursing and Midwifery professional Development Unit
 Departments and services
External
 Support groups and liason staff
 Other health providers

WORK ENVIRONMENT AND WORK FUNCTION / ACTIVITY

Work environment
 Works indoors within hospital wards, departments, health clinics, community settings and their
offices.
 Employees work in adequately lit, heated, ventilated and clean, well maintained and hygienic
workspaces.

Work function/activity
 Medium to heavy physical demand.
 Sits occasionally. Stands and walks frequently to monitor and examine patients, gather and use
equipment.
 Lifting within light to heavy demand may be required when lifting or moving patients.
 Occasional bending, squatting, crouching, stretching, twisting and reaching may be required when
carrying out nursing procedures.
 There is frequent contact with body fluid and materials which will require the use of protective
clothing and gloves to be used and safety procedures adhered to.
 Occasional repetitive hand and finger movements will be required when using a computer and
writing. There is frequent use of surgical and medical equipment and materials including medicines,
medical instruments, blood pressure and temperature taking equipment, medical dressings and
sterilising equipment.
 Mental skills necessary include a high level of cognitive functioning with nursing, observation,
evaluation and assessment of baby and maternal health, communication, interpersonal,
organisational, problem solving and decision-making capabilities. Source: www.acc.co.nz

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 Those working in acute inpatient services work with clients who present as unwell, and who can be,
at times, violent and aggressive. Training in Safe Practice Effective Communication (SPEC) is
provided and staff working in areas requiring SPEC are expected to obtain and maintain full
competency.

Other requirements
 Shift work.
 New Zealand full driver’s license (essential for some Enrolled Nurse positions)

DECLARATION

I certify that I have read this position description and reasonably believe that I understand the
requirements of the position. I understand that:

a) this position description may be amended by the employer following reasonable notice to
me

b) I may be asked to perform other duties as reasonably required by the employer in

accordance with the conditions of the position.

Position holder’s name: ……………………………………………………………..

Position holder’s signature: ……………………………………………………………..

Manager’s name: ……………………………………………………………..

Manager’s signature: ……………………………………………………………..

Date of signing: ……………………………………………………………..

Code of Conduct
The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and
conduct and sets expectations relating to behaviour in the workplace.

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