JOB DESCRIPTION Paediatric Rapid Assessment Staff Nurse - Urgent Care Centre

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1 JOB DESCRIPTION Paediatric Rapid Assessment Staff Nurse - Urgent Care Centre

2 Job Title: Paediatric Rapid Assessment Staff Nurse Reports to: Location: Key Working Relationships: Lead Nurse (Clinically) Service Manager (operationally) Ealing Hospital Urgent Care Centre, Ealing Hospital Lead Nurse, Service Manager, Lead GP, Clinical Director, Shift lead, nursing and doctor teams Job Summary: The post holder will be responsible for supporting the multi-disciplinary team (MDT) in the delivery of the highest standard of urgent health care to the patients within the Urgent Care Centre. The post holder will have the ability to identify deteriorating patients of all ages from birth upwards. This primarily comprises of providing prompt assessment and on-going monitoring of higher acuity children that present to the UCC. Working in conjunction with the GPs, this consists of recording vital signs and commencing early treatment prescribed by the GPs. During quiet times, the post holder will support the UCC team in treating adult patients, within their scope of competence. Children remain the priority for the Paediatric Rapid Assessment Staff Nurse. The post holder will work as part of the UCC team, reporting to the Shift Lead on a day to day basis, strictly within the professional boundaries defined for the role. The post holder will be expected to be self-motivated and use their initiative when necessary. The post holder will be a key member of the MDT being responsible for the assessment, monitoring and supporting the transfer of patients under their care, working closely with the senior clinical teams, comprising of GP s and Emergency Nurse/Care Practitioners. The post holder will work flexibly, including a shift pattern that covers 7 days of the week, to meet the needs of the service. The post holder will contribute to meeting the identified Key Performance Indicators within the time frames identified. To ensure a high quality patient centred service.

3 Our Vision and Values: Greenbrook is passionate about providing high quality NHS care and putting patients first. To underpin this, we have established a set of Core Values: Patients First Quality Integrity Safe and Efficient Communicating and Listening Teamwork Our first priority is to our patients, providing them with excellent, safe and timely care We work hard to improve the quality of our services, learning from our successes and mistakes, and avoiding blame We are open, honest, empathetic and respectful, avoiding discrimination at all times We provide safe clinical care to every patient, in a timely fashion. We keep our administrative actions and processes simple We communicate clearly and listen well, whilst employing the highest standards of confidentiality We recognise the importance of good teamwork, within our own teams and across organisational boundaries Our training, policies, procedures and practices are all intended to support behaviours in line with our values we expect all staff to uphold these. Key Responsibilities: 1. Manage patients appropriately within specific clinical areas of the UCC such as the paediatric monitoring bay and consulting rooms 2. Full triage assessment of all patients identified by the streaming nurse at streaming, of patients placed under their care 3. Maintaining continued monitoring and assessment of patients under their care and escalating immediately any patient that has red flags 4. Delivering and/or administering individualised patient care and medical/ pharmaceutical treatments as instructed by GP s, non-medical prescribers such as analgesia, nebulisers, fluid challenges etc. 5. To have an understanding of the different pharmaceutical requirements of patients presenting with urgent /unexplained/traumatically acquired pain 6. Conveying information to clinicians as required 7. To continuously act as the patients advocate in the interest of their health and medical well-being

4 Clinical responsibilities 1. Supporting patient care and carrying out clinical procedures delegated by Senior Practitioners, within their own competency such as Carrying out basic observations as instructed for initial triage assessment and on-going monitoring Carrying out urinalysis, record results and report any abnormalities Dressings as instructed by Senior clinicians ECG s as requested Applying plaster of paris 2. To assist clinical staff as requested by them in the management of patient care 3. To administer medication under PSDs (Patient Specific Directions) as requested by medical and non-medical prescribers 4. Report any relevant information or changes in the patients condition promptly to the Shift Lead or GP 5. To perform duties in accordance with policies, procedures and standards 6. To liaise with and support all members of the MDT working in the department 7. To ensure clinical areas are clean and tidy at all times and comply with infection control guidelines and signing the cleaning logs as per local policy Service Delivery responsibilities: 1. Work within local and Greenbrook protocols, guidelines and policies 2. To work flexibly, including a shift pattern that covers 24 hours a day, 7 days a week, with the Service Manager and UCC Lead Nurse /GP in delivering and promoting the needs of the service 3. To support the gathering of patient feedback following local systems in place 4. To ensure that Service Manager, Lead Nurse / GP are kept informed on service issues and potential risks 5. To work with the Service Manager and UCC Lead Nurse /GP in delivering and promoting the needs of the service 6. To work with the UCC Lead Nurse /GP and Service Manager to meet the Clinical Governance needs of the UCC; including reporting and assisting with investigation of incidents and complaints where required 7. To provide clinical supervision/mentorship (where appropriately trained) to junior nurses/practitioners 8. To remain updated in the use all equipment used in the UCC and to report any technical problems or issues with that equipment 9. To participate in nurse / team meetings to discuss day to day operational issues 10. To collect data, and provide service information to the Service Manager as required

5 11. To support the Lead Nurse in maintaining the stock control and ordering systems to ensure stock is replenished as requested 12. Check oxygen and suction, ensuring there is a clean and bagged nebuliser available in each cubicle 13. To unpack deliveries of clinical consumables including stock rotation 14. To ensure clinical storeroom is tidy and stock placed in the appropriate areas 15. Chaperone duties in line with Greenbrook policy 16. To ensure drug/cold chain storage, monitoring and recording is carried out in line with Greenbrook/ local policy Personal & professional development 1. To maintain and work within the NMC Code of Professional standards of practice and behaviour for nurses and midwives at all times 2. To recognise and work within own competence 3. To keep abreast of developments in nursing practice and topical issues ensuring that skills are maintained and enhanced through continued professional development 4. Show self-motivation toward expanding practice and developing advanced skills and knowledge as required for the role 5. To be an effective role model and expert resource for nursing staff and other members of the MDT as appropriate 6. To maintain clinical excellence within the department in line with the role 7. To initiate and/ or participate in research if required Patient information and records: 1. To ensure that patient records and documentation are maintained in line with NMC standards, Greenbrook Healthcare policies and use of the electronic patient records system. This includes: Documenting full and accurate records of assessments, investigations, procedures, treatments and aftercare Encouraging colleagues to maintain good and complete records Working closely with the reception team and the administrator, ensuring all records pertinent to patients are scanned and filed as appropriate 2. Contributing to the Read-Coding of patient data Policies & Guidelines 1. Awareness of and compliance with all relevant company policies/guidelines, e.g. medicines management, confidentiality, data protection, health and safety, safeguarding 2. To participate and contribute to operational policy making, attending appropriate meetings and representing the UCC as required. 3. Ensure service development and delivery follows local and national guidelines, for example and where applicable Enhanced Service agreements and contract key performance indicators. 4. Ensure that the UCC complies with NHS / CCG / NHS England contractual obligations in relation to patient care.

6 Health & Safety To act responsibly in respect of own and colleagues health, safety, welfare and security, following safe work practices and complying with Health and Safety Policies. Equality and Diversity To support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of people s rights, and interpreting them in a way that is consistent with practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming, non-judgmental and respects the circumstances, feelings, priorities and rights of every individual. Communication To demonstrate politeness, courtesy, respect and sensitivity in dealing with patients/ clients, visitors/relatives and colleagues, maintaining good customer relations. To adapt communication skills to meet the needs of patients who may have barriers to understanding e.g. language To work cohesively with all members of the team in ensuring that the very best services to patients are provided at all times. Education and Training/Self-Development To identify own training and development needs and undertake appropriate training/ education as required To demonstrate skills and activities to others who are undertaking similar work To participate in an annual performance review process, including taking responsibility for maintaining a record of own personal and/or professional development To attend all statutory and mandatory training as and when required to do so General This job description is intended as a guide to the main elements of the role and should not be considered as a complete listing of all duties and tasks that may be undertaken. The post holder will be expected to undertake any other duties that may be requested by the line manager in order to facilitate the smooth running of the service.

7 Greenbrook Healthcare is constantly evolving and subject to change, therefore this job description is subject to review dependent on the needs of the service and the company. Any amendments will be discussed with the post-holder. The post is subject to the Terms and Conditions of Employment of Greenbrook Healthcare. SUPPLEMENTARY INFORMATION Health Clearance Health clearance is required for this appointment. Disclosure and Barring Service (DBS) Check A DBS check (previously Criminal Records Bureau check) will be required before appointment for all posts with access to children or vulnerable adults. Confidentiality Patients have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, staff and other healthcare workers. They may also have access to information relating to the company as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the service may only be divulged to authorised persons in accordance with the Data Protection Act, and policies and procedures relating to confidentiality and the protection of personal and sensitive data. The post holder must always keep all patient-related information confidential; this includes if the patient is deceased and if the post-holder is no longer employed by Greenbrook Healthcare. Data Quality/Security The post holder is responsible for ensuring that he/she maintains the integrity and quality of both computerised and manual data. Safeguarding Greenbrook Healthcare is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults, and expects all staff to undertake this commitment.

8 Clinical Governance / Raising Concerns Greenbrook Healthcare aims to provide the highest standards of care. To further this aim the post holder is expected to adhere to acceptable working practices as defined in policies and guidelines. The post holder has a personal responsibility to keep up to date and, if s/he encounters unacceptable practice, to raise this in a responsible and appropriate manner, if necessary through the whistleblowing procedure. Codes of conduct and professional standards All staff should adhere to any codes of conduct or professional standards set by the regulatory bodies with whom they are registered or by professional bodies of which they are a member. Uniform and Dress Code All nursing and Emergency Care Practitioners should adhere to infection control principles and must wear a uniform and identity badge when on duty. Smoking Smoking is not allowed on any part of Greenbrook Healthcare premises. Policies & Procedures The post holder is expected to comply with Greenbrook Healthcare s policies and procedures. Personal Property Greenbrook Healthcare is unable to accept responsibility for articles of personal property lost or damaged on its premises whether by burglary, fire, theft or otherwise and staff are advised to insure against all risks.

9 Criteria for Selection Education/ Person Specification Job Title: Rapid assessment Staff Nurse (Band 5) Ealing Urgent Care Centre Qualifications Experience and Knowledge Skills and Abilities Essential Requirements Desirable Requirements Assessment Method: e.g. A = App. form I = Interview T = Test First level Registered Nurse or Registered Children s Nurse (NMC) 998 or equivalent/mentorship course Minimum 12 months recent experience of working within a paediatric A&E department or paediatric ward Initial assessment of the emergency care patient and ability to identify their priority for clinical assessment Wound management skills Performing ECG s Applying plaster of paris Ability to support senior staff in meeting targets Ability to identify deteriorating patients Ability to carry out essential and appropriate nursing care and procedures Ability to work as a team member Ability to work effectively within a busy environment Good written and verbal communication skills Ability to learn new skills, including technology Ability to prioritise clinical work effectively Can show a non judgmental approach to patient care Degree in Nursing or related subject or working towards If not a registered Children s Nurse, experience of children s nursing Specialist Emergency Care course BLS, ILS or ALS Understanding of the Urgent/Emergency Care targets Experience of audit Experience of application of limb supports including bandages, slings etc

10 Ability to record and report back accurately and fully on patient assessment undertaken and risk identified Ability to support others in maintaining health, safety and security Ability to work within set timeframes working to priorities and deadlines Ability to monitor the quality of own work

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