Job summary
Are you a registered nurse looking for a new challenge and interested in taking your career in a new and specialised direction?
If so, a fantastic opportunity has arisen to join the Portsmouth Enablement Centre (PEC), located at St. Marys, as a Prosthetics Clinical Nurse Specialist.
Portsmouth Enablement Centre provides a regional prosthetic service to people living in Portsmouth, Southampton and wider Hampshire, as well as some areas of West Sussex.
It is one of over 40 such centres across the UK, including one of nine enhanced veterans care centres which provide specialist prosthetic and rehabilitation services for veterans whose amputation is attributed to their military service.
This role is a twelve month fixed term contract.
Main duties of the job
- The assessment, management and ongoing evaluation of patients following limb loss. This includes supporting patients along the entire age group from pre-natal support, children and adults.
- Ongoing assessment of patient's wounds post operatively, prior to and during prosthetic rehabilitation and ongoing once patients have then been issued with a prosthesis, as required.
- Acting as an expert resource in wound care to ensure patients can continue with rehabilitation.
- Working autonomously for two days per week as well as working alongside the clinical nurse specialist lead supporting the team with assessment of patients post trans-tibial amputation.
- Working alongside the consultant and multidisciplinary team to support patients following upper limb and trans-femoral amputation.
About us
Here at Portsmouth Hospitals University NHS Trust (PHUT), we are proud to provide expert, compassionate care for our local population. We are ranked as the third in the country for research, embedding education and training across the organisation.
Our main hub is the Queen Alexandra Hospital, which is one of the largest hospitals on the south coast employing over 8,700 staff.
St Mary's Community Health Campus is a community site, that offers a range of PHUT non-acute and outpatient services. These include Amulree, Dermatology, Portsmouth Enablement Centre, Pain Clinic and Portsmouth Maternity Centre
Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds because it makes our hospital stronger. If you share our values and our enthusiasm for getting it right for patients, colleagues, and our community, you will find a home at Portsmouth Hospitals University NHS Trust
Job description
Job responsibilities
Clinical/Professional
- Promote and set high standards of professional
nursing care and maintain the delivery of quality care within the trust
policies, protocols and guidelines.
Implement the trust values and beliefs ensuring they are embedded into
everyday practice and evaluate their impact on the patients experience.
-
Provide professional nursing expertise to MDT
within sphere of clinical responsibility.
This includes working alongside the clinical nurse specialist to run nurse-led
Primary Amputee clinics and working alongside the Consultants to support them
to run consultant led primary amputee clinics, including supporting patients
prior to their amputation.
-
Continuing responsibility for the assessment of
patients following their rehabilitation journey and ongoing yearly
reassessments.
-
Provide advice, support and education to
patients utilising appropriate resources based on the needs of the patient and
their family.
-
Take an active role in the MDT triage process of
all new patient referrals to ensure the 18 week target is met.
-
Carry out vascular assessments of patients,
using a hand held doppler, gain consent for and triage onward referral, as
appropriate.
-
Provide advice and support to patients in line
with management of the Diabetic foot, gain consent for and triage onward
referral, as appropriate.
-
Assess patients quality of life by use of
outcome measures, ensuring that these are consistently recorded prior to and
post rehabilitation and to be able to ascertain where further support from the
MDT may be required.
-
Signpost patients to other health care
professionals within the MDT, based on their needs ie Consultant,
Physiotherapist, Occupational Therapist, Counsellor, Prosthetist.
-
Refer patients to members of the wider team, ie
Vascular Team, General Practitioners, Practice and Community nurses, Podiatry.
-
Ensure that any patient quality and safety
issues are addressed in a timely manner.
-
Ensure correct handling, storage and disposal of
sharps
-
Communicating, influencing and working with the
multidisciplinary team in different ways to improve quality of care, and
informed clinical decisions. Promote
innovation and participate in quality audits to measure effectiveness of
current practices.
-
In collaboration with the Clinical nurse
specialist and members of the multidisciplinary team, ensure that the users of
the service and their families have a positive experience and using feedback
evaluate patient processes and ensure pathways of care are redesigned as
required.
-
Ensure concerns raised by patients and their
families are dealt with in an open, honest and transparent way, quickly and
effectively, in line with trust policies, procedures and duty of candour
legislation.
-
Ensure the MDT are competent in the use of any
medical devices/equipment (ie glucometer, sphygmomanometer, pulse oximeter,
thermometer)
-
Order PPE, dressings and clinical supplies and
support other members of the MDT to ensure that correct infection control
guidelines are adhered to.
-
Undertake hand washing and cleaning audits once
a month.
-
Develop and maintain strong, collaborative links
with the Vascular team, community teams, primary care trusts.
-
Take an active role in chairing of Governance
Meetings and participate in team meetings
-
Contribute to the safeguarding of children
through acting on any child protection suspicions or concerns and escalating as
appropriate in line with the PHUTs Safeguarding Vulnerable Adults, Children
and Young people; Practice Guidance/Operational Policy and was not brought
policy
Research and Education
-
Support a research culture within the MDT team
to identify current knowledge and deliver evidence-based care.
-
Organise bespoke training for other allied
health professionals within the MDT
-
Liaise with Clinical nurse specialist/matron
regarding development opportunities
Communication and Working Relations
-
Communicate highly sensitive and complex
information with empathy, ensuring that information is understood.
-
Provide patients and their families with
information about the amputee rehabilitation process and the open wound
pathway, as required.
Working Conditions
-
Working within an environment that requires
rapid response to unpredictable events.
Job description
Job responsibilities
Clinical/Professional
- Promote and set high standards of professional
nursing care and maintain the delivery of quality care within the trust
policies, protocols and guidelines.
Implement the trust values and beliefs ensuring they are embedded into
everyday practice and evaluate their impact on the patients experience.
-
Provide professional nursing expertise to MDT
within sphere of clinical responsibility.
This includes working alongside the clinical nurse specialist to run nurse-led
Primary Amputee clinics and working alongside the Consultants to support them
to run consultant led primary amputee clinics, including supporting patients
prior to their amputation.
-
Continuing responsibility for the assessment of
patients following their rehabilitation journey and ongoing yearly
reassessments.
-
Provide advice, support and education to
patients utilising appropriate resources based on the needs of the patient and
their family.
-
Take an active role in the MDT triage process of
all new patient referrals to ensure the 18 week target is met.
-
Carry out vascular assessments of patients,
using a hand held doppler, gain consent for and triage onward referral, as
appropriate.
-
Provide advice and support to patients in line
with management of the Diabetic foot, gain consent for and triage onward
referral, as appropriate.
-
Assess patients quality of life by use of
outcome measures, ensuring that these are consistently recorded prior to and
post rehabilitation and to be able to ascertain where further support from the
MDT may be required.
-
Signpost patients to other health care
professionals within the MDT, based on their needs ie Consultant,
Physiotherapist, Occupational Therapist, Counsellor, Prosthetist.
-
Refer patients to members of the wider team, ie
Vascular Team, General Practitioners, Practice and Community nurses, Podiatry.
-
Ensure that any patient quality and safety
issues are addressed in a timely manner.
-
Ensure correct handling, storage and disposal of
sharps
-
Communicating, influencing and working with the
multidisciplinary team in different ways to improve quality of care, and
informed clinical decisions. Promote
innovation and participate in quality audits to measure effectiveness of
current practices.
-
In collaboration with the Clinical nurse
specialist and members of the multidisciplinary team, ensure that the users of
the service and their families have a positive experience and using feedback
evaluate patient processes and ensure pathways of care are redesigned as
required.
-
Ensure concerns raised by patients and their
families are dealt with in an open, honest and transparent way, quickly and
effectively, in line with trust policies, procedures and duty of candour
legislation.
-
Ensure the MDT are competent in the use of any
medical devices/equipment (ie glucometer, sphygmomanometer, pulse oximeter,
thermometer)
-
Order PPE, dressings and clinical supplies and
support other members of the MDT to ensure that correct infection control
guidelines are adhered to.
-
Undertake hand washing and cleaning audits once
a month.
-
Develop and maintain strong, collaborative links
with the Vascular team, community teams, primary care trusts.
-
Take an active role in chairing of Governance
Meetings and participate in team meetings
-
Contribute to the safeguarding of children
through acting on any child protection suspicions or concerns and escalating as
appropriate in line with the PHUTs Safeguarding Vulnerable Adults, Children
and Young people; Practice Guidance/Operational Policy and was not brought
policy
Research and Education
-
Support a research culture within the MDT team
to identify current knowledge and deliver evidence-based care.
-
Organise bespoke training for other allied
health professionals within the MDT
-
Liaise with Clinical nurse specialist/matron
regarding development opportunities
Communication and Working Relations
-
Communicate highly sensitive and complex
information with empathy, ensuring that information is understood.
-
Provide patients and their families with
information about the amputee rehabilitation process and the open wound
pathway, as required.
Working Conditions
-
Working within an environment that requires
rapid response to unpredictable events.
Person Specification
Qualifications
Essential
- Registered General Nurse (RGN), current active registration with NMC
- Willingness to undertake and attend relevant training, workshops are required
- Safeguarding Children Level 3 training
Desirable
Experience
Essential
- Significant demonstrable experience within wound care and Diabetes care
- Minimum 3 years post registration experience including at least 2 years working in a role/area where wound care knowledge and knowledge of Diabetes has been obtained
Desirable
- Experience of working collaboratively with a range of other services within primary, secondary and social care
Additional criteria
Essential
- Wound care knowledge
- Ability to make autonomous clinical decisions and judgements
- Good communication skills
- Evidence of continuous professional development
- Clinical decision making skills
- Experience in clinical audit
- Medicines management
- Organisational skills and forward planning
- Flexibility
- Able to support development of others
- Coaching and mentoring skills
- IT literate
- Ability to gather data, compile information and write reports
- Knowledge and understanding of limb loss
- Ability to deal with highly emotional and distressing situations/circumstances
- Ambition to develop within specialism and willingness to undertake further training/development
Desirable
- Advanced communication skills training
- Understanding of health policy and the national and local nursing agenda
Person Specification
Qualifications
Essential
- Registered General Nurse (RGN), current active registration with NMC
- Willingness to undertake and attend relevant training, workshops are required
- Safeguarding Children Level 3 training
Desirable
Experience
Essential
- Significant demonstrable experience within wound care and Diabetes care
- Minimum 3 years post registration experience including at least 2 years working in a role/area where wound care knowledge and knowledge of Diabetes has been obtained
Desirable
- Experience of working collaboratively with a range of other services within primary, secondary and social care
Additional criteria
Essential
- Wound care knowledge
- Ability to make autonomous clinical decisions and judgements
- Good communication skills
- Evidence of continuous professional development
- Clinical decision making skills
- Experience in clinical audit
- Medicines management
- Organisational skills and forward planning
- Flexibility
- Able to support development of others
- Coaching and mentoring skills
- IT literate
- Ability to gather data, compile information and write reports
- Knowledge and understanding of limb loss
- Ability to deal with highly emotional and distressing situations/circumstances
- Ambition to develop within specialism and willingness to undertake further training/development
Desirable
- Advanced communication skills training
- Understanding of health policy and the national and local nursing agenda
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
