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 duration of 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 an expectation that you will participate in, evaluate and engage with research throughout the 18 months. The rotational pathway will consist of three rotational workplaces for a duration of no longer than 6 months. You will be expected to attend leadership and development workshops over the 18 months in addition to completing the DCHS preceptorship programme. To assess, plan, implement and evaluate individualised patient care, utilising your professional judgement at all times. In doing so, ensure patient care is delivered in the most efficient and clinically effective way whilst maintaining the patient’s safety, privacy and dignity. Provide advice and support to junior staff and other members of the multi‑disciplinary team in the delivery of high‑quality care. To actively support the District Nurses/Community Nursing Sisters/integrated community teams/acute sector staff/GP teams in the management of the health care environment.
Responsibilities
* This is a rotational post, therefore environments will vary.
* To support the team leads in the day‑to‑day operational management of the team and patient caseload, ensuring appropriate delegation of care and workload, resulting in high quality outcomes for patients. For example, day to day co‑ordination of the other members of the nursing team, link for specific key developments, utilising the caseload management tool kit/System One/IT Systems and other associated processes.
* Be responsible for the assessment and implementation of treatment and to develop programmes of care for designated patients across the designated rotational area; providing feedback and escalation to meet patient need through supervision/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/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 our patients.
* Identify patient need, order appropriate equipment in a timely manner, and provide advice, support and demonstration to the patient/carer on the use of the equipment to ensure a personal duty of care and compliance with health and safety policies. To monitor and report to rotational lead the effectiveness of equipment and aids to maximise the use of resources to enable care packages to be delivered.
* Maintain and record contemporaneous accurate health records on SystmOne/IT systems in health care settings in line with Caldicott and Trust Policies and Procedures. SystmOne is DCHS’ main patient information system. Where other systems are in use (e.g. EMIS, Inform, etc), to also update these contemporaneously. To communicate verbal information to relevant multi‑agency/multi‑disciplinary team members.
* To assist the role of a clinical champion in an area of interest – e.g. Safe Care Champion, Pressure Ulcer Champion, etc – 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.
* To be involved in the education and training of junior staff and other staff employed within the care settings within area of expertise/competence.
* You will be part of an active evaluation process.
* Participation in clinical audits both national and local, as well as being part of an active and evaluative research process.
* Contribute to Public Health, Health Promotion and Self‑Care initiatives and 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 to ensure compliance with the National Service Frameworks.
* To maintain up to date competence in line with agreed competency framework for this role.
* To participate in clinical supervision/reflective practice as outlined in Trust Policies and Procedures, as well as by the NMC.
* Participate in continuous learning to maintain and improve knowledge and skills and to share good practice with colleagues, including NICE Guidance.
* Play an active role in the Trust Staff Wellbeing agenda in role as registered health professional; for example, undertaking staff flu immunisation sessions.
* Attend all required operational meetings including team meetings, and 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 daily work plan to reflect the agile nature of the work undertaken in the Community, i.e. minimise travel by working in a productive and lean manner which maximises patient‑facing clinical time.
* To provide nursing care to individuals making use of current evidence to inform the delivery and promote the development of clinically effective and personalised care.
* Co‑ordinate the assessment, planning, implementation and evaluation of care programmes which reflect the individual needs of patients and carers which meet best practice using advocated tools/systems as required.
Skills, Knowledge and Experience
* Evidence of research based/reflective Essential A / I practice
* Knowledge of local and national priorities Essential A / I
* Ability to triage patients, assess need and Desirable A / I care plan
* Excellent communication and interpersonal Essential I skills
* Written and recording skills Essential A / I
* Ability to assess, plan and implement care Essential A / I including caseload management
* Ability to supervise junior nursing staff Essential A / I
* IT skills Essential A / I
* Ability to drive as you will be expected to Essential A / I – travel across Derbyshire County visiting patient homes and across the county to access meetings and training
* Able to work across a 7‑day period Essential A / I – Able to work weekends and bank holidays Essential A / I
* Aptitude and Personal Qualities – Committed to working as part of a multi‑disciplinary team to provide high quality patient care. Innovative Flexible approach to working practice, to use own initiative, to work autonomously. Values, Drivers and Motivators.
Main Location and Compensation
As advertised across South/North.
Salary: In line with Agenda for Change pay scale.
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/Carers
* Acute Hospitals
* Mental Health Services
* GP and Surgery Staff
* Adult Social Care
Physical, Emotional and Mental Requirements
* Frequent requirement to kneel, bend, stoop and lift limbs to undertake nursing duties.
* Occasional requirement to move patient with equipment.
* Regular dexterity and accuracy required for IV injections, syringe pumps, infusions, catheters, removal of sutures and clips.
* Regular driving to visit patients (home/health care setting).
* Occasional need to walk through difficult terrain to access house‑bound patients (home care settings).
* Infrequent driving/walking in adverse conditions (home care settings).
* Frequent carrying of equipment to patient’s (home care setting).
* Frequent care of the terminally ill/chronically sick or disabled patients.
* Occasional abusive situations.
* Occasional need to counsel patients and relatives/carers.
* Regular contact with patients and families in distressing circumstances.
* Regular concentration when carrying out nursing procedures, injection procedures, and complex care packages.
* Occasionally responding to unpredictable working patterns and interruptions.
* Regular concentration recording and checking of information.
* Regular calculations of drug dosages for infusions and injections.
Working Environment
* The postholder will work both within various settings to include acute settings, ward environments, patient homes and sometimes in a clinic setting.
* Regular contact with body fluids.
* Occasional unpleasant conditions.
* Regular car driving.
* Occasional aggressive behaviour of patients, clients, relatives and carers.
* Regular working in isolation and isolated environments.
* Occasional exposure to smoking environment.
Criteria — Education, Qualifications and Training
* Registered Nurse (Adult) – Essential A / C.
* Clinical competence and confidence in the following areas:
o Leg Ulcer Management – Desirable A / I / C.
o Continence Care – A / IP.
o Palliative and EOL Care – A / ID.
o Diabetes – A / I.
o Infection Control – A / I.
o Tissue Viability Management including non‑healing wounds and leg ulcers – A / I.
o Medication Administration – A / I.
* Student Supervisor – Essential A/ I/ C.
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