Registered Nurse

Job Description

We are currently looking for a Registered Nurse to work across the North West.

MAIN PURPOSE OF THE JOB

They act as a Clinical Nurse Lead within a multi-disciplinary team, developing collaborative, needs based care plans, through assessment, planning, implementation, and evaluation.

They act as an identified deputy in the absence of the Ward Manager.

They facilitate and coordinate clinical practice, ensuring high standards of evidence-based care and treatment.

They are visible and accessible to patients, families and carers working together to ensure efficient, effective, and caring services.

They lead on the implementation of all performance indicators, essential standards, and quality outcomes.

They develop and where appropriate deliver training packages to enhance the knowledge and skills of the workforce and students.

They facilitate staff appraisals and Clinical Supervision and support personal development plans

They provide compassionate care that is based on empathy, kindness, respect and dignity

COMMUNICATION & RELATIONSHIPS

Provide and receive complex and sensitive and difficult information, which may be in a challenging and emotive atmosphere.

Communicate and collaborate with ward manager peers, medical staff, patients, families and carers, general public, external agencies, voluntary agencies, GP’s, other regional NHS Trusts

Listen to services users and carers to promote and practice shared decision making

Collaborate with service user/carer groups and representatives to promote service improvement and development

Organise, facilitate and chair daily reviews, handovers, multi-disciplinary reviews and ward meetings; ensuring robust information pathways.

Prepare and present accurate reports both verbal and written.

Adopt and oversee accurate, robust and high standard of record keeping

Communicate with service users and carers in order to positively develop therapeutic relationships

Promote and practice a culture of compassion where relationships are based on empathy, kindness, respect and dignity

Demonstrate excellent interpersonal skills in managing conflict and resolution

Adopt a common sense approach to confidentiality

Contribute to the management of complaints and serious incidents investigations

Attend meetings in the absence of the ward manager

Represent the team at operational, and clinical forums as delegated by the ward manager to ensure effective two-way communication.

KNOWLEDGE, SKILLS, TRAINING AND EXPERIENCE

Be registered with RMN/RNMH/RNLD qualification

Hold ENB 998 or P126/127 or equivalent qualification

Demonstrate post registration experience

Have previously functioned in in-patient areas

Understand and implement mental health legislation

Demonstrate continued professional development

PLANNING AND ORGANISATIONAL SKILLS

Prioritise work, oversee and coordinate clinical resources on a daily basis to meet service user needs.

Contribute to the planning of the future delivery of inpatient services

Be accountable for staff rotas, ensuring adequate provision of staff across shifts and taking appropriate action when staff numbers are below acceptable levels.

RESPONSIBILITIES FOR PATIENT/CLIENT CARE

Deliver and maintain high standards of clinical care and contribute to achieving the Care Quality Commission Essential Standards. They will identify and act on any circumstances or practices which may compromise standards, quality of care and/or patient safety and report to the ward manager.

Advocate and maintain a philosophy of care which is person/carer centred, maintaining dignity and independence and consistently right for that person at that time.

Lead collaboratively with the ward manager in the implementation of care delivery systems, ensuring contemporary clinical practice is outcome focussed and of the highest professional standard.

Devise, implement and evaluate individual plans of care based on a person centred assessment.

Develop and deliver therapeutic clinical based interventions which meet the complex needs of service users.

Ensure that robust risk management systems are implemented and functioning.

Assist in establishing systems to promote regular family/carer contact support to encourage collaborative decision making

Assist, support and debrief service users and carers following critical incidents and difficult situations

Assist in establishing systems to promote regular family/carer contact support to encourage collaborative decision making

Challenge practice high may be out-dated or no longer appropriate by developing effective change management strategies to continuously improve practice and service provision.

Have courage to speak out, challenge and act when things feel wrong.

Promote and practise a culture of compassion where relationships are based on empathy, kindness, respect and dignity

Co-ordinate and implement the Care Programme Approach within the Multidisciplinary Team to ensure effective and appropriate teamwork

Demonstrate and promote safe practice in medication management, including storage, administration and stock control.

Implement local Safeguarding procedures and other statutory requirements.

POLICY AND SERVICE DEVELOPMENT

Implements Trust policies

Contribute to achieving all required Trust Quality & Performance objectives

Maintain Health and Safety Standards using existing mechanisms e.g. Clinical Risk Assessment, Environmental Risk Assessment, Moving and Handling, COSHH

Contribute to developing, delivering and maintaining the Ward Operational Policy.

Support any review of service provision

Contribute to the development of Trust wide policies and procedures.

Describe the current national and local priorities which have an influence on service provision.

WORKING CONDITIONS

Regular exposure to body fluids

Verbal aggression from service users can occur most days, several times per shift, depending on service user group

Physical aggression from service users is a potential hazard because of unpredictable nature of service user group.

The post holder may be required to work within different areas across the Trust.

Exposure to constant and excessive noise.

SAFEGUARDING

Every employee has a responsibility for safeguarding and protecting adults and children from abuse, regardless of the setting in which the care takes place. It is every employee’s responsibility to be aware of relevant Trust

Policies. All employees should take part in training in order to maintain their skills. Front line practitioners should access regular supervision and support in line with local procedures.

HEALTH AND SAFETY

Contribute to maintaining a safe environment of care through effective risk

management. Identify risks and develop appropriate strategies to manage the

risks including responding appropriately to untoward/emergency situations.

TRUST CLINICAL GOVERNANCE STRATEGY

It is the responsibility of all health care professionals to play an active role in delivering the clinical governance agenda. There is a specific responsibility for individual health care professionals to be involved in auditing their own and their team’s clinical performance, and to engage in activities, which continuously improve, the quality of services they provide.

Information of a Confidential Nature or Access to Confidential Information

“To be aware of the nature of information dealt within the NHS and to work in a manner which ensures confidentiality and security of this information”

INFECTION CONTROL

All Trust staff (clinical and non-clinical, including locum and agency staff employed by external contractors) have a personal responsibility to ensure the risk of infection to themselves, service users and visitors is minimised by ensuring that they (1) are familiar and adhere to, current Trust policy and guidance on infection prevention and control, (2) participate in the Trusts induction programme and statutory/required training in infection prevention and control and (3) consider infection prevention and control as part of their appraisal and/or personal development plans’.

CALDICOTT RESPONSIBILITIES:

  1. Justify the purpose (s) of every proposed use or transfer – every proposed

use or transfer of patient-identifiable information within an organisation should

be clearly defined and scrutinised, with continuing uses regularly reviewed by

an appropriate guardian.

  1. Don’t use it unless it is absolutely necessary – Patient-identifiable information

should not be used unless there is no alternative, where this is the case permission should be obtained.

  1. Use the minimum necessary – Where use of patient-identifiable information is considered to be essential, each individual item of information should be justified with the aim of reducing identification.
  2. Access should be on a strict need-to-know basis – Only those individuals who need access to patient-identifiable information should have access to it, and they should only have access to the information items that they need to see.
  3. Everyone with access to it should be aware of their responsibilities – Action should be taken to ensure that those handling patient-identifiable information are aware of their responsibilities and obligations to respect patient confidentiality.
  4. Understand and comply with the law – Every use of patient-identifiable information must be lawful. Each department must have someone responsible for ensuring that the organisation complies with legal requirements.

ACCESS TO CONFIDENTIAL INFORMATION:

To be aware of the nature of information dealt with within the NHS, and to work in a manner which ensures confidentiality and security of this information.

This job description is not intended to be an exhaustive list of the duties and responsibilities of the post and the post holder may be requested to carry out any other duties appropriate to the grade or post.

The post may change over time to meet organisational requirements and the job description may be changed after consultation with the post holder at any time.

Salary – £31,365 – £37,890

Job Category: Nurse
Job Location: Cumbria
Salary: £31365 £37890

Apply for this position

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Personal Care

Please call for costs
Certificate not issued
Depending on experience
Mandatory training to work in care

1 day course covering:

An introduction to working in Care

Codes of Practice, Dignity and Respect, The Holistic Approach.

  • Personal Hygiene
  • Washing and Dressing
  • CVA patients
  • Patients in Pain
  • Contracted Patients
  • Catheter Care and Potential Complications
  • Continence
  • Foot Care
  • Denture Care and Oral Hygiene
  • Fluid Balance
  • Positional Changes
  • Pressure Damage
  • Pressure Damage Prevention
  • Documentation
  • Ethical and Legal Responsibilities
  • Behaviour
  • Confidentiality
  • Uniform

Mandatory

Please call for costs
Certificates not issued

1 day course covering:

  • Food Hygiene
  • Safeguarding Adults and Children including abuse awareness
  • Infection Control
  • First Aid and CPR
  • Information Governance (Caldicott Standards and Data Protection)
  • Lone Worker
  • Complaints Handling

Mandatory

Please call for costs
Certificates not issued

1 day course covering:

  • Moving and Handling Theory and Practical
  • Introduction to Administration of Medication
  • Health and Safety - Control of Substances Hazardous to Health (CoSHH)
  • Reporting of Injuries
  • Diseases and Dangerous Occurences Regulations (Riddor)
  • Fire Safety
  • Accident and Risk Incident Reporting
  • Culture and Diversity
  • Confidentiality

Violence and Aggression & PMVA

Please call for costs
Certificates not issued
Mandatory training to work in General hospitals

Half day course covering:

  • Violence and Aggression
  • Conflict Resolution
  • Mental Health Workshop
  • Mental Health Act
  • Eyesight Observation
  • Arms Length Observation
  • Intermittent Observation
  • General Observations
  • General Risk Assessment
  • Incident Reporting
  • Use of Alarms
  • Warning signs that may escalate in to Violent Situations
  • An Overview of Trust Policies and Procedures.

Essence of Care

1 day course covering:

Modules

  • General Social Care Council - Codes of Practice
  • Dignity & Respect
  • The Holistic Approach
  • Personal Hygiene
  • Washing & Dressing
  • CVA patients
  • Patients in Pain
  • Contracted Patients
  • Catheter Care & Potential Complications
  • Continence
  • Denture Care & Oral
  • Fluid Balance
  • Positional Changes
  • Pressure Damage
  • Pressure Damage Prevention
  • Behaviour / Professionalism
  • Routine & Structure
  • Documentation
  • Ethical & Legal Responsibilities
  • Confidentiality
  • Foot Care
  • Dysphagia
  • Uniform Care

Mandatory

1 day course covering

Modules

  • Food Hygiene
  • Nutrition & Safety
  • Dementia Care
  • Safe Guarding Adults And Children (Level 1&2)
  • Information Governance (Caldicott And Data Protection)
  • Lone Working
  • Complaints Handling
  • Conflict Resolution
  • Epilepsy Awareness
  • Infection Prevention & Control (Clostridium, Difficile, MRSA, ESBL, Pseudomonas)
  • Basic First Aid
  • Moving And Handling Of People & Inanimate Objects (Theory & Practical)
  • Basic Administration Of Medication
  • Health And Safety
  • Counter Fraud
  • RIDDOR
  • Control Of Substances Hazardous To Health (COSHH)
  • Fire Safety
  • Accident And Risk Incident Reporting
  • Equality And Diversity & Prevention Of Radicalisation
  • Confidentiality
  • Violence And Aggression
  • Dysphagia

Prevention Management of Violence & Aggression (PMVA) GSA Approved

5 day course covering:

Modules

  • Positive Behaviour Support (PBS)
  • Assault Cycle
  • Ligatures
  • Professionalism
  • Wrist Grabs
  • Clothing Grabs
  • Communication & Correct Vocabulary
  • De-Escalation (Verbal & Non Verbal)
  • Types of Aggression
  • Hair Pulls
  • Strangles
  • Ground Assaults & Rape Scenarios
  • Key Grabs
  • Bear Hugs
  • Bites
  • Punches & Kicks (Duck & Cover)
  • Friendly Come Along's
  • Figure of Four
  • Forearm Hold
  • Fist Hold
  • Thumb in Palm
  • Finger & Thumb
  • 2 Patients Fighting
  • Entanglement
  • Documentation Competency
  • Wraps & Approaches
  • Seated Restrains & De-Escalation
  • Seclusion Exits
  • Supine Restraint (Upper Lower & Beanbag)
  • Prone Restraint (Upper & Lower)
  • Role of the Head Person (Supine & Prone)
  • Risks to Restraint
  • Sections of the Mental Health Act
  • Use of Force & The Law
  • NICE Guidelines
  • De-Breifing & Closing the Loop
  • Sections of the Mental Health Act
  • Observations

Immediate Life Support (ILS)

1 day course covering:

Modules

  • Airway Management & Ventilation
  • ALS Algorithm
  • Causes & Prevention of Cardiac Arrest
  • Choking (Adult & Paediatric)
  • Initial Resuscitation (CPR) and Defibrillation
  • NEWS Scoring
  • Observations
  • Recognition of the Deteriorating Patient
  • SBAR
  • The ABCDE Approach
  • The Chain of Survival
  • Post Resuscitation Care