Registered Nurse

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Job Overview

Are you interested in a 6 month secondment or fixed term position to build on your wound care experience?

Would you like a role working shifts Monday to Friday 8am to 7pm?

We are looking to recruit a part time Registered Nurse to join our dynamic team on Gate 24 - Plastic Surgery Dressings Clinic and Outpatients, part of the largest Division at North Bristol Trust.

The department is a small team of experienced nurses who work alongside Health Care assistants and Assistant Practitioners as well as a wider multi-disciplinary team. The department not only runs Outpatient clinics for the Plastic Surgery team but also daily nurse-led dressings clinics to support the timely discharge and ongoing wound management of post op patients from the Plastic surgery ward, 33a.

• You will gain experience of working in a fast-paced Outpatient Department.
• You will be supported by the wider Nursing team to provide an excellent nurse led dressing clinic service for NBT Plastic Surgery patients, seeing an extensive range of simple and more complex wounds, using a variety of dressings.
• You will work with the wider team to jointly manage change to provide an excellent Outpatient service and patient experience.

You will be closely working with the Plastic Surgeons, Nurse Specialists, Clinical Psychology, Physiotherapists (Trauma, Hand and Sarcoma), Burns team, Plastics Trauma, Gate 33a (Plastics and Burns), and Dermatology to provide high quality care for patients.

Main duties of the job

• Working within a small team in an Outpatients setting
• Running Plastic Surgery Outpatient Clinic with Doctors, Nurses and AHP's
• Running Nurse-Led dressings clinics and working autonomously to see, treat and discharge patients, some with complex wounds.
• Co-ordinating the department when required.
• Continuously problem solving to ensure safe and high quality patient care.
  
  

Working for our organisation

Bristol is consistently voted the best place to live in the UK, with vibrant local music, arts and gastronomic scenes, a wide range of modern and state of the art shopping, recreation and leisure facilities, a wealth of great local family days out, fantastic transport links for local, national and internal holidays, and a rich history. If you prefer country, village or smaller town living, NBT is also easily commutable from a range of attractive locations in North Somerset, South Gloucestershire and South Wales (e.g Portishead, Chepstow, Clevedon, Nailsea, Frome and Thornbury)

Detailed Job Description And Main Responsibilities

The post holder will take personal responsibility and accountability for ensuring that Trust and local policies and procedures are known and followed and will ensure duties are carried out in accordance with the advisory guidelines and practice set out in the NMC code of Professional conduct.

The post holder will be responsible for assessment, planning, provision, maintenance and evaluation of patient care.

The post holder will work within and lead a clinical care team.

The post holder will autonomously undertake nurse-led clinics (detailed in appendix 1) and assist with various other clinics.

The post holder will be designated on a regular basis to take charge of the department in the absence of the Supervisory Sister or Sister after two years in post and on an occasional basis within the first two years in post.

The post holder will take responsibility for the supervision and guidance of other staff including health care assistants and students on a daily basis.

The post holder will actively contribute to the provision of a good learning environment by taking on the role of mentor/assessor for learners eg. Student nurses and support worker roles.

Knowledge, Training, Experience And Skills Required

Registered nurse with current NMC registration to practice.

• Evidence of continued professional development ie: a professional revalidation portfolio and participation in appraisal and development review.
• To have achieved a recognised teaching & assessing qualification, or to be willing to work towards
• Completion of training for additional clinical skills required in the department ie: complex wound dressings/Vacuum Assisted Closure/cannulation & venepuncture
• Green card training for the use of pumps or machinery relevant to the department.
• Evidence of attendance and current/valid mandatory training appropriate to the role.
• Competence in the use of computers and electronic communication systems or expectation to develop existing skills further as the needs of the service dictate.
• Sound knowledge of health promotion issues to ensure junior staff, patients and carers are provided with education, support and advice as required.
• Evidence of experience and knowledge of the importance of resource management including protocols for staff utilisation, equipment and products for clinical care.
  
  

Evidence of an ability to critically appraise and utilise research to maintain and improve patient care.

Main Duties & Responsibilities Of The Post

Organise and participate in the delivery of high standards of evidence based nursing care.

• Take regular responsibility to carry out required planned, direct patient care to a high standard without direct supervision in accordance with established nursing procedures and policies.
• To report to the appropriate members of the multidisciplinary team any significant changes in a patient’s condition or situation or clinic outcome.
• Responsible for taking charge of the department on a regular basis in the absence of the person who has continuing responsibility.
• Take personal responsibility for the delivery of care of patients in the department or designated clinic.
• To contribute towards health promotion for all patients by providing education, support and advice, as necessary Ensure referral to appropriate professionals or agencies as required.
• Ensure the safe ordering, administration and custody of patients’ medication according to Trust policies and procedures.
• In the absence of senior staff be responsible for delegation and supervision of appropriate work to other qualified staff, health care assistants and students
• Where relevant to be responsible for co-ordinating outpatient discharge planning in partnership with the multidisciplinary team eg. Tissue Viability referrals/Community Nurse team/Hospital at Home .

Registered nurse in charge to enable skill mix to be maintained.

Working Conditions / Effort

Nursing staff may be required to work in any location owned, managed or attributed to the Trust sites depending on the demands of the service.

• Workloads may be unpredictable on a day-to-day basis and variations in activity should be expected
• Staff are required to walk or stand for the majority of the shift time.
• Occasional weekend and evening working may be expected as part of the role.
• Manual handling of loads and patients using the appropriate aids and assessments will be required in the department.
• Pushing commodes, trolleys, beds and other furniture according to manual handling policies may be required in the department.
• Contact with blood and bodily fluids on all shifts.
• The staff nurse may be expected to deal with distressed, violent or aggressive (verbally or physically) patients and relatives on occasion.
• The requirement to take responsibility for nursing acutely ill and vulnerable patients at times.
• Due to the nature of the workload staff will be required to concentrate at a high level often during the shift in relation to carrying out instructions/documentation/communication. This will involve the use of computer screens for periods of time.

The staff nurse will be required to be responsible for multiple tasks, delegation, other staff/carers and patients simultaneously frequently throughout a shift.

Staff maybe required to act quickly and immediately in the event of emergencies or other unexpected events within the ward area.

Improving The Patient Experience Through Your Work

Patients are the most important people in the health service and are at the centre of what we do. Patients and carers are the ‘experts’ in how they feel and what it is like to live with or care for someone with a particular illness or condition. The patients’ experience of our services should guide the way we deliver services and influence how we engage with patients every day in our work.

All staff should communicate effectively in their day-to-day practice with patients and should support and enable patients/carers to make choices, changes and influence the way their treatment or care is provided. All staff, managers and Board members should work to promote effective patient, carer and public involvement in all elements of their work

Appendix 1

List of Specific Clinical Competencies (Nursing)

After a period of training and supervision you will be expected to:

• To be able to manage the department and coordinate the clinics including dealing with staff issues, complaints and compliments, risk assessments, answering queries and delegating appropriately.

To assist with procedures such as seroma drainage or biopsies.

To carry out Nurse led Dressing Clinic autonomously.

Assist practitioners with Biopsy clinics.

To carry out complex wound dressings.

To carry out Vacuum assisted closure dressing changes

To support the management team in implementing any departmental changes.

Prepare and support patients prior to, during and following healthcare procedures such as biopsies.

Undertake Point of Care testing

Green card training to carry out observations and department specific equipment.

Obtain, test and record specimens eg; venepuncture/biopsy samples.

Chaperone patients in accordance with policy.

Confident to work independently and as part of the team.

Prepare clinical area prior to, during and following a clinical session.

Person specification

Education/Training/Qualifications

Essential criteria

• Registered Nurse with Current NMC registration
• Teaching and assessing qualification or willingness to undertake
  
  

Desirable criteria

• Evidence of post grad study in a surgical speciality
  
  

Work Experience

Essential criteria

• Expectation to undertake training for extended roles required by the ward / department. i.e., Cannulation, venepuncture, ECGs, complex wound dressings, Vacuum Assisted Closure .
• Currently working in a hospital setting, as a Qualified Nurse or a Qualifying Student
  
  

Desirable criteria

• Experience working in Plastic Surgery
• Experience working in an outpatients setting
  
  

Knowledge/Skills/Abilities

Essential criteria

• Advanced communication skills, verbal & written, to include report writing and record keeping.
• Excellent interpersonal skills with patients and the multidisciplinary team.
• Ability to undertake shift work
• Ability to work as part of a team
• Basic computer / IT skills and expectation to develop these in line with the needs of the service i.e. EDMS, Careflow, Email use.
• Ability to organise own workload
• Time management/Basic Problem solving skills
  
  

Desirable criteria

• Sound knowledge of trust policy including manual handling, health and safety and infection control.
  
  

personal qualities and special circumstances

Essential criteria

• Able to work within a diverse community of patients and healthcare professionals
  
  

If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful.

Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance.

If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel 0117 414 1151.

North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.

The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.

At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.

Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.