Registered Nurse Associate

Job responsibilities

Broadmoor Hospital is one of only three high secure hospitals in England and our work is internationally recognised as being at the forefront of forensic mental health care. We have moved into a new state-of-the-art £250m hospital campus.

A full Job Description is attached to this advert for the role of Registered Nurse Associate

Qualifications

Essential

• Registered Nursing Associate on the NMC Register

Experience

Essential

• The Nursing Associate will have experience of working in a mental health setting at Band 3 or equivalent.

Desirable

• Previous experience at acting Band 4 or equivalent
• Experience of forensic mental health nursing

Knowledge

Essential

• Able to demonstrate knowledge and skills appropriate to the role of the Nursing Associate within mental health services
• Awareness of contemporary evidenced based practice in mental health
• Act in such a manner as outlined in the Code of Professional Conduct and which meets the requirements of the Mental Health Act
• Maintain & Demonstrate awareness of professional and organisational developments

Desirable

• routine ECG recording

Skills

Essential

• Procedures to enable effective monitoring of a person's condition
• Accurately measure weight and height, calculate body mass index and recognise healthy ranges and clinically significant low/high readings
• Use manual techniques and devices to take, record and interpret vital signs including temperature, pulse, respiration (TPR), blood pressure (BP) and pulse oximetry in order to identify signs of improvement, deterioration
• Undertake venepuncture measure and interpret blood glucose levels
• Collect and observe sputum, urine, stool and vomit specimens, interpreting findings and reporting as appropriate
• Recognise and escalate signs of all forms of abuse
• At the earliest opportunity escalate to the MDT & Management team signs of self-harm and/or suicidal ideation
• Undertake and interpret neurological observations
• Recognise signs of mental and emotional distress including agitation, or vulnerability
• Recognise emergency situations and administer basic physical first aid, including basic life support.
• Provide support in meeting the needs of people in relation to rest, sleep, comfort and the maintenance of dignity:
• Observe and monitor comfort and pain levels and rest and sleep patterns
• Use appropriate bed-making techniques, including those required for people who are unconscious or who have limited mobility
• Use appropriate positioning and pressure
• Take appropriate action to ensure privacy and dignity at all times
• Appropriate action to reduce or minimise pain or discomfort
• Support people to reduce fatigue, minimise insomnia and take appropriate rest.
• Observe and reassess skin and hygiene status using contemporary approaches to determine the need for support and ongoing intervention.
• Identify the need for and provide appropriate assistance with washing, bathing, shaving and dressing
• Identify the need for and provide appropriate oral, dental, eye and nail care and suggest to others when an onward referral is required
• Prevent and manage skin breakdown by applying the current best practice relating to wound care.
• Identify and manage skin irritations and rashes in consultation with the MDT
• Monitor wounds and undertake wound care using appropriate evidence-based techniques
• Use contemporary nutritional assessment tools
• Assist with feeding and drinking and use appropriate feeding and drinking aids
• Record fluid intake and output to identify signs of dehydration or fluid retention and escalate as necessary
• Support the delivery of artificial nutrition and hydration using oral and enteral routes.
• Observe and monitor the level of urinary and bowel continence to determine the need for ongoing support and intervention, the level of independence and self-management of care that an individual can manage
• Assist with toileting, maintaining dignity and privacy and use appropriate continence products
• Care for and manage catheters for all genders
• Recognise bladder and bowel patterns to identify and respond to incontinence, constipation, diarrhoea and urinary and faecal retention.
• Use appropriate risk assessment tools to determine the ongoing need for support and intervention, the level of independence and self-care that an individual can manage
• Use appropriate assessment tools to determine, manage and escalate the ongoing risk of falls
• Use a range of contemporary moving and handling techniques and mobility aids
• Use appropriate moving and handling equipment to support people with impaired mobility.
• Manage the administration of oxygen using a range of routes and approaches
• Take and be able to identify normal peak flow and oximetry measurements
• Use appropriate nasal and oral suctioning techniques
• Manage inhalation, humidifier and nebuliser devices.
• Observe and respond rapidly to potential infection risks using best practice guidelines
• Use standard precautions protocols
• Use aseptic, non-touch techniques
• Use appropriate personal protection equipment
• Implement isolation procedures
• Use hand hygiene techniques
• Safely decontaminate equipment and environment
• Safely handle waste, laundry and sharps.
• Recognise and take immediate steps to respond appropriately to uncontrolled symptoms and signs of distress including pain, nausea, thirst, constipation,
• Review preferences and care priorities of the dying person and their family and carers, and ensure changes are communicated as appropriate
• Provide care for the deceased person and the bereaved respecting cultural requirements and protocols.

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).