Overview
You will be part of an innovative recruitment group on an 18‑month Newly Qualified Nurse (NQN) rotational programme supported by JUCD and the University of Derby. You will be expected to remain on the programme for the 18 months, after which you will be offered a Band 5 position within JUCD from one of the supporting organisations (DCHS, UHDB, CRH or DHCFT). It is expected that you will participate in, evaluate and engage with research throughout the programme. The rotational pathway will consist of three rotational workplaces for a maximum of 6 months each. You will be expected to attend leadership and development workshops over the 18 months in addition to completing the DCHS preceptorship programme. You will assess, plan, implement and evaluate individualised patient care, utilising your professional judgement at all times, ensuring care is delivered efficiently and safely while maintaining patient safety, privacy and dignity. You will provide advice and support to junior staff and other members of the multi‑disciplinary team and actively support District Nurses, Community Nursing Sisters, integrated community teams, acute sector staff and GP teams in the management of the health care environment.
Responsibilities
* This is a rotational post; therefore environments will vary.
* Support the team leads in day‑to‑day operational management of the team and patient caseload, ensuring appropriate delegation of care and workload to achieve high‑quality outcomes. This includes day‑to‑day coordination of the other nursing team members, linking for specific key developments and utilising the caseload management toolkit, System One, IT systems and other associated processes.
* Be responsible for the assessment and implementation of treatment and develop programmes of care for designated patients across the rotational area, providing feedback and escalation to meet patient needs through supervision and monitoring processes.
* Work in close liaison with the rotational team leads to take responsibility as a named nurse for patients on the caseload.
* In the absence of the team lead, take delegated responsibility for caseload management to ensure continuity of care in accordance with the care programme, seeking support from other specialist practitioners and operational managers as required.
* Work as part of an integrated team within your rotation, supporting other health professionals to provide a seamless and consistent nursing service to patients.
* Identify patient need, order appropriate equipment in a timely manner, and provide advice, support and demonstration to patient/carer on equipment use, ensuring a personal duty of care and compliance with health and safety policies. Monitor and report to the rotational lead the effectiveness of equipment and aids to maximise resource utilisation.
* Maintain contemporaneous accurate health records on SystmOne and other IT systems in line with Caldicott and Trust policies. Update additional systems such as EMIS or Inform when in use, and communicate verbal information to relevant multi‑agency and multi‑disciplinary team members.
* Assist the role of a clinical champion in an area of interest (e.g., Safe Care Champion, Pressure Ulcer Champion) and ensure subsequent dissemination of information learnt.
* Support the placement of pre‑registration nurse students, trainee nursing associates and Return to Practice students, contributing to the learning environment.
* Be involved in the education and training of junior staff and other staff employed within the care settings within your area of expertise and competence.
* Participate in an active evaluation process.
* Participate in clinical audits both nationally and locally, and be part of an active and evaluative research process.
* Contribute to public health, health promotion and self‑care initiatives under the direction of the rotational lead and provide information to support well‑being and independence for patients, relatives and carers.
* Participate in routine screening for chronic disease management and record results for monitoring purposes, ensuring compliance with National Service Frameworks.
* Maintain up‑to‑date competence in line with the agreed competency framework for this role.
* Participate in clinical supervision and reflective practice as outlined in Trust policies and procedures, and by the NMC.
* Continue learning to maintain and improve knowledge and skills, sharing good practice with colleagues including NICE guidance.
* Play an active role in the Trust staff wellbeing agenda as a registered health professional, for example by undertaking staff flu immunisation sessions.
* Attend all required operational meetings including team meetings. If unable to attend, ensure updates are received and actioned.
* Maintain confidentiality at all times.
* Work within the lone‑working policy.
* When working within the community, adapt the daily work plan to reflect the agile nature of the work, minimising travel and maximising patient‑facing clinical time.
* Provide nursing care to individuals, using current evidence to inform delivery and promote the development of clinically effective and personalised care.
* Coordinate the assessment, planning, implementation and evaluation of care programmes that reflect the individual needs of patients and carers, meeting best practice using advocated tools and systems.
* Take an active interest in local and national developments in the rotational area and share learning with the multidisciplinary team to promote continuous development.
* Be responsible for ordering appropriate patient equipment in a timely manner and ensure personal duty of care in relation to resources spent.
Physical Demands
* Frequent requirement to kneel, bend, stoop and lift limbs to undertake nursing duties.
* Occasional requirement to move patients with equipment.
* Regular dexterity and accuracy required for IV injections, syringe pumps, infusions, catheters, removal of sutures and clips.
* Regular driving to visit patients in home or health care settings.
* Occasional need to walk through difficult terrain to access house‑bound patients.
* Infrequent driving or walking in adverse conditions in home care settings.
* Frequent carrying of equipment to patients.
Emotional Demands
* Frequent care of the terminally ill, chronically sick or disabled patients.
* Occasional abusive situations.
* Occasional need to counsel patients, relatives and carers.
* Regular contact with patients and families in distressing circumstances.
Mental Demands
* Regular driving to patients in homes and health care settings.
* Regular concentration when carrying out nursing procedures.
* Regular concentration to undertake injection procedures.
* Occasional concentration for complex care packages.
* Occasional response to unpredictable working patterns and interruptions.
* Regular concentration to record and check information.
* Regular calculations of drug dosages for infusions and injections.
Working Environment
* Postholder will work in various settings including acute settings, ward environments, patient homes and sometimes in a clinic setting.
* Regular contact with bodily fluids.
* Occasional unpleasant conditions.
* Regular car driving.
* Occasional aggressive behaviour of patients, clients, relatives and carers.
* Regular work in isolation and isolated environments.
* Occasional exposure to smoking environments.
Qualifications and Training
* Registered Nurse (Adult) – Essential.
* Leg ulcer management – Desirable.
* Continence care – Desirable.
* Palliative and end‑of‑life care – Desirable.
* Diabetes – Desirable.
* Infection control – Desirable.
* Tissue viability management (including non‑healing wounds and leg ulcers) – Desirable.
* Medication administration – Desirable.
* Student supervisor – Desirable.
Skills and Competencies
* Ability to triage patients, assess need and develop care plans – Essential.
* Excellent communication and interpersonal skills – Essential.
* Written and recording skills – Essential.
* Ability to assess, plan and implement care – Essential.
* Ability to supervise junior nursing staff – Essential.
* Ability to drive in Derbyshire County, visiting patients' homes and accessing meetings and training – Essential.
* Ability to work across a 7‑day period, including weekends and bank holidays – Essential.
* Ability to work autonomously – Essential.
* Capacity to use own initiative and adapt to changing situations – Essential.
Working Pattern and Hours
Minimum of 30 hours per week; the pattern will vary between rotations. Work may include 24‑hour days over seven days a week. Joined Up Care Derbyshire (JUCD) employs the job type as advertised, working over 24‑hour days across seven days a week, with a flexible schedule over each rotation.
Key Working Relationships
* Internal: General Manager, Integrated Community Manager, Integrated Community Team Leader, District Nurse/Community Nursing Sister, Community Nursing Team, Primary Care, Intermediate Care Service, Therapy Services, Community Access Points, People Services Team, Care coordinators, Community support team, Programme Team, JUCD, University of Derby.
* External: Shared Business Services, Medequip and Continence Service, Social Care, Residential and Nursing Homes, Voluntary Sector, Patients and Families, Acute Hospitals, Mental Health Services, GP and Surgery Staff, Adult Social Care.
Compensation and Benefits
Salary in line with the Agenda for Change pay scale. Main location: As advertised across South/North Derbyshire. Reports to: Local rotational line manager; accountable to the Programme Team Lead.
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