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2 Contents Section Section 1: Section 2: Section 3: Section 4: Section 5: Section 6: Section 7: Section 8: Introduction to Appointment Person Specification Job Description NHS Lothian Values General Information for Candidates Working in Edinburgh and the Lothians Workplace Equality Monitoring Equal Opportunities Policy Statement

3 Section 1: Introduction to Appointment Reference Number: LOTH/GR/B5/RHSC/COM/18A Job Title: Community Staff Nurse Children Health Grade: 5 Location: Based Royal Hospital for Sick Children, Edinburgh Positions Available 37.5hrs Permanent & 22.5hrs 1 year fixed term Closing Date: Friday 19 th January 2018 Informal Contact: Christine Bruce, Team Manager WHY NHS LOTHIAN.pdf Apply on-line **Please note the address you provide on the application form will be used to communicate any further correspondence relating to this vacancy so please check your TRASH and SPAM folders** This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

4 Section 2: Person Specification Criteria Essential Desirable Personal Traits Qualifications & Training Level of education, professional qualifications, train and learning, programmes / courses Approachable Articulate Communicator Flexible / Adaptable Professional attitude to work Motivated to work within speciality RN (Child Health) / RSCN degree/diploma Evidence of CPD Committed to pursuing community education BSc Community Experience Experience and Knowledge Experience of nursing children with varied Type of experience, level at which experience gaine health care needs depth and extent of knowledge Understanding of relevant skills required for community practice Skills/Abilities Range and level of skills, i.e. communication (oral, written, presentation), planning/ organisation, numeracy, leadership Ability to work as part of a multi disciplinary and multi agency team Good verbal and written communication skills Excellent numeracy skills IT Skills Ability to assess, plan, implement and evaluate care. Cleanliness Champion Experience of working with children with complex and technology dependant healthcare needs Understanding of Scottish Government and NHS Lothian initiatives to provide care in the community (including the GIRFEC model) Ability to contribute to projects and group work Report writing Ability to manage and co-ordinate care for a defined group of patients Specific Job Requirements Environmental conditions, unsociable hours, car driver Excellent clinical judgement and decision making skills Car driver Ability to be a Lone Worker Ability to work across Lothian Ability to work a flexible shift pattern across 7 da dependent upon service demand If you do not meet the essential criteria as detailed above then please do not apply for this post as you will not be short-listed

5 Section 3: Job Description 1. JOB IDENTIFICATION Job Title: Community Staff Nurse Band 5 Responsible to: Community Children s Nurse Band 6/7 Department: Community Childrens nursing service Directorate: Women Children & Neurosciences Operating Division: Lothian University Hospitals Division Job Reference: U-WC-CHS-CCT-NUR3 No of Job Holders: 3.32 WTE Last Update: November JOB PURPOSE To contribute to the work of the Community Children s Nursing Service (CCN-S) within NHS Lothian in providing the highest standard of personalised nursing care to patients and their families in partnership with all members of the multi-disciplinary team. The post holder is responsible for the ongoing assessment of care needs and the development, implementation and evaluation of programmes of care under the supervision of senior staff nurse and the management direction of the Community Children s nurse. The post holder has responsibility and accountability for maintaining both clinical and staff governance. 3. DIMENSIONS The post holder implements care to patients with acute and chronic health care needs as directed by the Community Children s Nurse, across the NHS Lothian area. The post holder will not be directly responsible for any budgets but must be aware of the need to work within them. The Lothian University Hospitals Division (LUHD) delivers services within the environment of a University Teaching hospital setting.

6 4. ORGANISATIONAL POSITION Community Childrens Nurse Team Leader Community Childrens Nurse Band 6/Band 7 This Post Health Care Support worker 5. ROLE OF DEPARTMENT Community Children s Nursing Department provides a high quality, equitable service to children, young people and their families throughout the City of Edinburgh, East Lothian, Midlothian, West Lothian and where appropriate South East Scotland. Services provided are: Community Children s Nursing Service (CCN-S), Stoma Nurse Service, Urology Nurse service, Palliative Care Nurse Service, Discharge Planning Service, Outreach Service, Respite residential service, Complex needs schools and the Drop in centre at RHSC. The CCN service provides a high standard of specialised paediatric nursing care to children and young people with a broad spectrum of nursing needs. This service facilitates a safe and effective discharge from hospital to the community setting and empowers patients and their families to access health care services appropriately.

7 6. KEY RESULT AREAS Professional 1. Practice at all times within the Nursing and Midwifery Council Code of Professional Conduct. 2. Develop the role by using evidence-based practice and continuously improve own knowledge, following PREP guidelines. encompassing all aspects of Community Childrens nursing practice 3. Implement/conduct clinical evidence based practice in accordance with national SIGN guidelines and clinical standards. 4. Act as an exemplary professional role model for Community Children s nursing. Managerial 5. Support the Senior Staff Nurse and CCN Case Manager to ensure continuing high standards of care by prioritising delegated workload in response to the patient and their families needs. 6. Be aware of differing systems and resources within the geographical area of the NHS Lothian. 7. Recognise importance of resolving complaints timeously and effectively at local level and escalate as appropriate. 8. Participate in the formulation of team objectives relating to the specialist field of Community Children s Nursing in order to develop the service in response to the changing needs of the community. 9. Accept responsibility for active membership on councils, committees and work groups in order to facilitate evidence-based practice. 10. Maintain department stock levels, through ordering of stores, ensuring efficient and effective use of resources. Clinical 11. Assist the CCN Case Manager with the management of a caseload for a defined geographical area. 12. Act as the named nurse for allocated patients within the caseload by providing ongoing assessment, planning, implementation and evaluation of care in partnership with the patient, their family and both the multi-disciplinary and multi-agency professionals. 13. Work within, and monitor, standards of care within the defined policies, procedures, standards and protocols of the Department, Directorate, and Division to ensure adherence to, and delivery of, a high quality service. 14. Comply with the policies and procedures relating to Child Protection and Protecting Vulnerable Adults. 15. Maintain effective communications with patients, relatives, and members of the multi-disciplinary / multi-agency team to ensure that appropriate information is shared and patient needs are met. 16. Perform specialist technical nursing procedures ensuring a high standard of nursing care. 17. Adopt safe working practice in the community, identify risks and adhere to the Lone Working Policy. 18. Identify clinical risks for incident reporting ensuring care is taken to safeguard patients at all times. 19. Ensure current practice is evidence-based utilising standards of care, research and audit within the specialist field of Community Children s Nursing. 20. Understand and work within multi-agency objectives such as Integrated Children s Services and the Joint Future agenda (GIRFEC)

8 Educational 21. Demonstrate a commitment to personal continuing professional development, and actively participate in Performance Review / Appraisal to maintain own clinical competence. 22. Be receptive to service developments in clinical practice, and participate in education programmes including expansion of clinical skills, research and audit. 23. Participate in Health Promotion and Education activities within the specialist field of Community Children s Nursing. 24. Undertake teaching of patients, families, carers, support workers, registered and non-registered nursing staff including pre and post-registration students. 25. Support in the implementation of teaching guidelines, standards and packages of individualised care. 26. Supervise and assess learners, ensuring competencies are met whilst providing care to patients. 7a. EQUIPMENT AND MACHINERY The post holder is expected to have a working knowledge of and the ability to use all equipment used in the area however may not have daily clinical involvement. To ensure all equipment is stored safely and maintained to a high standard ready for use as required. E.g Office Equipment Telephone, Computers, Fax Machine etc Patient Equipment Specialised beds, hoists wheelchairs etc Patient Monitoring Equipment Saturation Monitor, BP Machine, Ventilation Systems etc Wound Management Products and Wound Care Procedures 7b. SYSTEMS The CCN-S provides monthly written statistics to enable efficient workforce planning and population of databases Maintains written patient records Inputs and retrieves information from patient information system and Special Needs System TRAK and Community TRAK Accesses internet and intranet for professional and clinical information Participate in departmental audits Accesses and utilises IT systems for Home Enteral Feeding Supply Delivery, Continence Supply delivery, Community Equipment Provision 8. ASSIGNMENT AND REVIEW OF WORK The post holder s work is generated from the services within the Division, Primary Care, Education, Social Work and voluntary agencies, and from legislation, and directives set by the Scottish Executive Health department. The desired outcome is to benefit the quality of service to the patient and their families. The CCN service operates an open referral system and receives referrals directly from: parents, hospital professionals, primary health care professionals, social work and education.

9 The post holder s caseload is delegated by the CCN in response to the patient, their family and professional needs and can be categorised as planned case management or crisis intervention. The post holder s daily workload is a combination of pre-planned patient contact organised by the post holder in relation to the caseload needs; and unplanned new referrals to the service to be arranged in response to the patient s needs. The Post Holder will have a Professional Personal Development Plan, which is reviewed annually by the delegated line manager. 9. DECISIONS AND JUDGEMENTS The post holder will work within their own clinical and professional limitations. The post holder is expected to make clinical and professional decisions and assess the current care needs of individual patients taking remedial action as required, daily. The post holder is expected to take remedial action and seek support in highly complex, rapidly changing and unfamiliar situations including child protection issues and crisis management. The post holder is expected to provide clinical and professional advice to the multi-disciplinary and multi-agency teams. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Lone working creates clinical isolation and risk to personal safety on a daily basis. Working in a diverse geographical area balancing the demands of individualised patient care and service requirements. This encompasses a variety of challenges: time management, risk assessment and driving Exposure to complex and challenging situations: visiting families in their home, cultural diversity, spiritual diversity, deprived and disadvantaged communities, child protection, violence and aggression. 11. COMMUNICATIONS AND RELATIONSHIPS The post holder will communicate efficiently and effectively with patients, their families, all health care professionals across acute and primary care, education, social work, voluntary agencies and professional groups, aiming to provide a high standard of patient care and a first class CCN service. Other relevant lines of communication will encompass the following internal and external groups to ensure the gathering and dissemination of information as appropriate:

10 Internal Communication Clinical Nurse Manager Chief Nurse Ward areas and Departments Infection Control Servicing departments Estates Anaesthetics Medical Physics Support Needs System Allied Health Professionals Procurement Support Services Human Resources Health and Safety Risk Management External Communication Hospitals and community departments outwith the Division Voluntary agencies Scottish ambulance Service Community Health Practitioners Social Work Educational Institutes and staff organisations Patients Carers General Public Continence Service Community Equipment Store Enteral Feed Companies Fire Service Oxygen Concentrator Service Provider

11 Chemist/ Pharmacy Product and Equipment Representatives/ Manufacturers Government Benefit Agencies 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB Physical Skills The post holder will have a high level of fine motor dexterity to carry out invasive technical skills frequently for long periods: Administer subcutaneous injections Insertion of urinary catheters Removal of sutures and clips Wound management Management of orthopaedic devices Placement of naso-gastric tubes Placement /measurement of gastrostomy devices Intubation of tracheostomy tubes Physical Effort Light physical effort frequently for long periods: Bending/kneeling and working at inappropriate heights to carry out procedures in the patients own home. Sitting or standing in a restricted position Computer work and telephone liaison. Moderate physical effort frequently for short periods: Lifting/pulling/pushing supplies and equipment. Intense physical effort occasionally for short periods: Unavoidable moving/handling of young children in the home environment. Mental Effort There is a frequent requirement for concentration where the work pattern is predictable and there is an occasional requirement for concentration where the work pattern is unpredictable: The post holder has to respond to unpredictable work demands and interruptions The post holder has to be sensitive and empathetic to the unpredictable needs of patients, families and team members. Emotional Effort There is a frequent requirement for exposure to distressing and emotional circumstances: Communicating with distressed/anxious/worried/angry patients and their families

12 Communicating complex issues with the multi-disciplinary and multi-agency teams Caring for patients and their families following receipt of bad news Caring for the terminally ill patient and their family Caring for the diverse spiritual and cultural needs of patients and their families Working Conditions There is a frequent requirement to work within adverse environmental conditions and highly unpleasant working conditions: Unpredictable hazards associated with community working (e.g. weather, car pollution, visiting high risk or unsafe localities) Unpredictable hazards associated with ergonomics (e.g. working at floor level within the home, hand washing facilities, office facilities) Exposure to body fluids Exposure to verbal and physical aggression Exposure to general public and associated risks 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB A qualified children s nurse who is registered on the appropriate part of the register Demonstrate an awareness of the specialist area of Community Children s Nursing Demonstrates a high level of commitment to Continuing Professional Development Evidence of team working skills with ability to work using own initiative Effective listening and interpersonal skills Time management skills/ability to prioritise workload Information technology skills 14. JOB DESCRIPTION AGREEMENT A separate job description will need to be signed off by each jobholder to whom the job description applies. Job Holder s Signature: Date: Head of Department Signature: Date: Section 4: NHS Lothian Values into Action NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality

13 - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are: Quality Dignity and Respect Care and Compassion Openness, Honesty and Responsibility Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: Section 5: General Information for Candidates Data Protection Act 1998 Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with the Data Protection Act Information will be available to the recruiting manager and to the Human Resource staff. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job.

14 Disclosure Scotland Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available from the recruitment centre. Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: or visit our Careers website: Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for.

15 Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV s as a form of application. For general help and advice on how to complete an application form please visit our careers website: Section 6: Working in Edinburgh and the Lothians NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating Edinburgh please visit our careers website: /default.aspx

16 Section 7: Workplace Equality Monitoring NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally. Section 8: Equal Opportunities Policy Statement NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: px