Lead Nurse home therapies

Job description

Job responsibilities

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

Leadership/Managerial

Continuing responsibility for the assessment of care needs and setting standards by:

Providing and delivering a high standard of specialist nursing care by initiating and co-coordinating the assessment, planning, and evaluating of individual patients needs based on evidence within home therapies areas, including Home Haemodialysis, Peritoneal Dialysis including dialysis access.

Commencement of haemodialysis, cannulation and termination of dialysis using highly complex specialist dialysis equipment to include problem solving skills

Care of the haemodialysis patient with Percutaneous Access to include problem solving skills

Interpret any machine alarms and take corrective action

Assist in the care of patients undergoing minor surgical interventions recognising problems and initiating action when required

Ensuring staff work within national and locally agreed policies and procedures.

Compiling, implementation and evaluation of philosophies of care, ensuring support for the patient and his/her family and all staff members.

Leading the implementation of policies such as Fundamentals of Care, as per Trust/National guidelines

Working closely with the multidisciplinary teams to provide safe and effective home therapies treatment

Manage all aspects of recruitment, planning off-duty rotas to make effective use of staff.

Retention of staff, including sickness and absence, appraisals and staff training in line with Trust policies.

Development of policies and planning of specialist/new services either as part of the multi-disciplinary clinical/management team, or where appropriate as individual lead.

Working closely with the care group management team within the area of responsibility to play an active role in service development and achievement of specialty-based targets.

Assist in maintaining and development of protocols and policies for specialist area of care.

Be a member of relevant professional association and attend regional/national meetings and conferences.

Participates in clinical research and audit and contributes to development of knowledge within field of expertise.

Supports and advises junior staff who wish to undertake audit and research.

Clinical

Delivery of high standards of clinical care, underpinned by sound evidence-based knowledge and Fundamentals of Care principles.

Delivery of Infection Control practice as defined by National recommendations and local policies. Teaching staff to understand their responsibilities e.g. environmental cleanliness, maintenance and use of all equipment within clinical setting

Ensuring staff understand and implement actions and responsibilities e.g. environmental cleanliness, maintenance and use of all equipment within clinical setting

With support from the Lead Nurse, lead the investigation and follow up of all clinical incidents and complaints ensuring that any corrective action is implemented.

Acts as a role model for excellence, maintaining own clinical competence and active NMC registration.

Providing Specialist Nursing advice to the multidisciplinary team.

Providing and delivering a high standard of specialist renal care by initiating and co-coordinating the assessment, planning, implementing and evaluation of patients treatment.

Providing continuity of care throughout the patient journey, liaising across the organisations.

Identifying and interpreting complex patient needs in relation to their disease and proposed treatment.

Reporting and documenting all relevant nursing/patient needs, communicating changes with other health care professionals in the multi-disciplinary team with ongoing responsibility for patient care, both verbally & in writing, as they occur.

Providing and delivering health information, education & promotion within the clinical area and advise patients, family, and others in a manner which maintains an individuals privacy & dignity.

Communicates highly sensitive and emotive information about patients conditions to patients and significant others.

Identifies, assesses and meets the educational and training needs of patients and carers.

Engage & interact with carers/family encouraging them to be actively involved in patients treatment, supporting patients choice and independence in relation to haemodialysis treatment.

COMMUNICATIONS & WORKING RELATIONSHIPS

Communication

Establish and maintain effective communication channels within and outside the department.

Leading the establishment of a teamwork philosophy, empowering others to take part in the decision-making process.

Actively involved in multidisciplinary meetings and participating in Directorate forums as required.

Playing an active role in the integration of Patient and Public Involvement.

Effecting change to meet changing patient requirements.

Maintain good relationships between all members of staff, thus developing professionalism through the team.

Ensure good communication both verbally and via formal documentation with all members of the nursing and multidisciplinary team.

Able to communicate effectively in demanding and challenging situations, e.g. end of life issues.

Accept responsibility; be aware and able to locate all policies relating to good working practice within the clinical area and able to adhere to both by self and colleagues, and to challenge staff about their location.

Ensure carers/family and visitors are aware of policies, standards/guidelines relevant to the patients care or clinical area.

Provide specialist knowledge to other areas, when assistance/advice is required.

Education

To be responsible for the continuing assessment of performance and the identification of development needs of team members

Ensuring that all new members of the team have a designated Mentor and participate in the induction and education of all new members of the team.

Assisting to lead programmes to support staff in meeting PREP requirements.

Assisting in the education of pre dialysis patients regarding home dialysis as the option to enable patients to continue with their daily work and activities

Actively participating in the educational programme of all staff, including students. Close liaison with the Practice Development Department, offering practical and clinical guidance and attending lectures and meetings as required.

Constantly updating one's own knowledge, recognising the importance of a critical approach to research and developments in nursing.

Work collaboratively within a multidisciplinary team and participate in the induction of locum staff to ward policies and routine

COMMUNICATIONS & WORKING RELATIONSHIPS

CKD CNS Team

Consultant Nephrologists

General surgeons

Haemodialysis Unit Nursing Teams

Lead Nurse Dialysis, CKD and AKI

Vascular Access Team

Matron - Renal

Strategic line manager for renal

Transplant CNS Team

Education Team for renal

Renal Multi-Professional Team

Person Specification

knowledge and experience

Essential

• oPrevious recent demonstrable experience in a leadership capacity. oRecent clinical skills & and proven knowledge in renal medicine. oNephrology/ Home therapies knowledge of home haemodialysis / peritoneal dialysis and the specific psychological as well as physical needs of patients. oProven knowledge and demonstrable experience of wider trust issues.

Desirable

• oCannulation & venepuncture oNon-medical prescriber or prepared to undertake qualification.

Qualifications

Essential

• oProven NMC Registered Nurse. oEducated to degree level or working towards oMentorship course. oComputer literate. oCompleted renal course or willing to undertake oDialysis Skills (recent) essential.

Desirable

• oSecond professional qualification relevant to the clinical area. oLeadership qualification oRecognised teaching qualification

aptituide & Abilities

Essential

• oGood organisational and communication skills, with ability to demonstrate fluency, clarity and effectiveness at all levels. oNumerate. oWorks well with in a busy environment. oExcellent teaching and mentoring skills. oAbility to prioritise workload, instruct and direct others, acting as a role model and leading by example. oAdvocacy skills. oCounselling skills oProven ability to manage conflict. oProven ability to analyse and evaluate information.

Desirable

• oAbility to facilitate change within the work area.

disposition and motivation

Essential

• oWillingness to undertake further training and development oAble to recognise the professional accountability and responsibility commensurate with the post oAbility to motivate and manage change oGood communication, influencing and negotiation skills.

Desirable

• oInterest/experience with the speciality.

other factors

Essential

• oWillingness to complete in house competencies in renal care. oDriving Licence oAble to travel to remote locations and satellite dialysis units. oAble to work flexible shifts.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

Plymouth Dialysis Unit

184 Plymbridge road, Estover,

Plymouth

PL6 7FL

Employer's website

https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)