Job summary
An exciting opportunity has arisen for nurses who are looking for career development opportunities to join Nell Gwynne ward at Chelsea and Westminster Hospital as a Band 6 Junior Sister/Charge Nurse.Nell Gwynne is a 24 bedded Stroke and Neuro ward caring for patients with complex needs. The post holder will need to be motivated in supporting and developing the junior team on a shift to shift basis as well as supporting the Ward Manager to ensure patient safety and maintain standard in the ward. They must be a positive confident role model, undertaking hands on clinical work as well as supervising and monitoring practice. They must possess a natural desire to drive improvement initiatives, be dedicated and flexible to cover the needs of the service.
Main duties of the job
o Maintaining high standards of patients' care throughout their journey.o To acquire basic and advanced nursing skills for acute medical services.o To liaise closely with members of the multidisciplinary team to ensure the safety and wellbeing of patients seen in the unit.o To reduce length of stay through implementation of enhanced recovery programmes and effective discharge planning for each patient on arrival to the wardo To mentor and assess student nurses and new staff under the probation programme.o To coordinate and facilitate the effective running of the unit at all times and be able to deputise in the absence of the Ward Manager.o Ensure all activity is recorded on the electronic patient tracking in a timely manner.o Ensure referrals to Specialist nurses are completed in a timely manner and any issues are reported to the Matron EIC.
About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.We're one of the safest and best performing Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection..Our facilities are some of the best in the country. We have been investing around £10 million a year in our estate. We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job description
Job responsibilities
- Clinical
- Lead on assessing planning and implementing high quality care, and evaluating care options for patients in the clinical area, in line with the Trust values and objectives
- Lead on complex clinical care for stroke, neuro, tracheostomy and general medicine patients
- Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy
- Promote and maintain a safe therapeutic environment for stroke, neuro and general medicine patients, their families and staff members according to national and local Infection Control guidelines, Health & Safety legislation and Trust policies and objectives
- Coordinate patient repatriation and transfers from other hospitals and wards, promoting timely and safe processes for them
- Ensure that stroke patient flow and the management of beds is effective and safe
- Ensure the delivery of high quality end of life care in line with national pathways and Gold Standard Framework.
- Provide sound evidence based clinical advice as required to staff and patients
- Maintain a good understanding and implementation of clinical escalation procedures as required
- Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values
- Ensure that the team promotes and adheres to the Trust safeguarding polices
- Undertake effective multi professional work with colleagues to deliver care
- Coordinate and manage nurse led clinics where appropriate
- Monitor quality of standards of care, in line with CQC requirements and Trust and Divisional objectives
- Deliver and supervise a high quality patient experience
- Work with the ward manager to collect and disseminate data on quality indicators etc, in line with national and Trust objectives
- Maintain a safe working environment, including ensuring equipment is safe, and used in line with Trust policy and values
- Promote and maintain patient safety at all times, including proactively implementing falls and pressure ulcer prevention
- Lead role in the detection, management and prevention of safeguarding issues
- Have an awareness of current professional and clinical developments within their area of practice and promote these to others
- Leadership and management:
- Manage the day to day staffing arrangements and rotas, to ensure safe staffing levels and practice
- Be in charge of all patients on a regular basis
- Ensure staff members adhere to Trust protocols of care, e.g. Infection Control
- Take continuing responsibility for the Unit/ Department in absence of the ward manager
- Lead and manage own clinical team within general clinical areas and of the total team in the absence of the ward manager in line with Trust values
- Develop and maintain effective communication and working relationships with other professional groups and staff generally within the Division and the Trust
- Contribute to the effective management of the area by ensuring correct levels of staff are in place to deliver safe care
- Assist with the planning of off duty and rotas
- Assist in the delivery of induction and orientation of new staff
- Act as a role model, ensuring staff members are working in compliance with Trust guidelines and PROUD values
- Supervise the work of qualified and unqualified staff members and learners under the direction of the ward manager
- Provide clinical support and guidance to staff members
- Act as a resource for clinical knowledge to staff members
- Initiate action on complaints & incident management and responses, and assist in their investigation and resolution
- Participate in recruitment and selection
- Develop effective selection and interviewing skills
- Undertake appraisals and professional development reviews of staff members following training
- Lead team meetings as required
- Lead on specific projects, as indicated and agreed by ward manager
- Have a working knowledge of budget arrangements for the unit, focussing on cost effectiveness and quality
- To ensure maximum use of resources, close control of consumables and top up items, chasing the orders and liaising with Procurement department appropriately
- Understand and manage local change with team members, including the embedding of new projects.
- Education and research Participate in the education of all learners within their area Actively support and assist in preceptorship and in pre-registration student support, supervision and guidance including mentorship where appropriate Identify and respond to learning needs for area Develop and deliver or organise local training sessions, mindful of the Trust values Facilitate others in the development of informal teaching skills Participate in the annual training needs analysis for their area Participate in any local or related research projects, clinical trials etc Apply and encourage others to utilise evidence based practice and relevant research findings in practice Identify areas of nursing / midwifery research within their area that will be of benefit, and encourage and educate other staff to recognise the importance of research Participate in clinical supervision / acting as supervisorProfessional development Maintain professional registration Ensure mandatory training and a satisfactory appraisal is in date Undertake a professional development plan and demonstrate achievement of objectives Ensure adherence to Trust policy and guidelines at all times Role model Trust values at all timesCommunication Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
Job description
Job responsibilities
- Clinical
- Lead on assessing planning and implementing high quality care, and evaluating care options for patients in the clinical area, in line with the Trust values and objectives
- Lead on complex clinical care for stroke, neuro, tracheostomy and general medicine patients
- Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy
- Promote and maintain a safe therapeutic environment for stroke, neuro and general medicine patients, their families and staff members according to national and local Infection Control guidelines, Health & Safety legislation and Trust policies and objectives
- Coordinate patient repatriation and transfers from other hospitals and wards, promoting timely and safe processes for them
- Ensure that stroke patient flow and the management of beds is effective and safe
- Ensure the delivery of high quality end of life care in line with national pathways and Gold Standard Framework.
- Provide sound evidence based clinical advice as required to staff and patients
- Maintain a good understanding and implementation of clinical escalation procedures as required
- Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values
- Ensure that the team promotes and adheres to the Trust safeguarding polices
- Undertake effective multi professional work with colleagues to deliver care
- Coordinate and manage nurse led clinics where appropriate
- Monitor quality of standards of care, in line with CQC requirements and Trust and Divisional objectives
- Deliver and supervise a high quality patient experience
- Work with the ward manager to collect and disseminate data on quality indicators etc, in line with national and Trust objectives
- Maintain a safe working environment, including ensuring equipment is safe, and used in line with Trust policy and values
- Promote and maintain patient safety at all times, including proactively implementing falls and pressure ulcer prevention
- Lead role in the detection, management and prevention of safeguarding issues
- Have an awareness of current professional and clinical developments within their area of practice and promote these to others
- Leadership and management:
- Manage the day to day staffing arrangements and rotas, to ensure safe staffing levels and practice
- Be in charge of all patients on a regular basis
- Ensure staff members adhere to Trust protocols of care, e.g. Infection Control
- Take continuing responsibility for the Unit/ Department in absence of the ward manager
- Lead and manage own clinical team within general clinical areas and of the total team in the absence of the ward manager in line with Trust values
- Develop and maintain effective communication and working relationships with other professional groups and staff generally within the Division and the Trust
- Contribute to the effective management of the area by ensuring correct levels of staff are in place to deliver safe care
- Assist with the planning of off duty and rotas
- Assist in the delivery of induction and orientation of new staff
- Act as a role model, ensuring staff members are working in compliance with Trust guidelines and PROUD values
- Supervise the work of qualified and unqualified staff members and learners under the direction of the ward manager
- Provide clinical support and guidance to staff members
- Act as a resource for clinical knowledge to staff members
- Initiate action on complaints & incident management and responses, and assist in their investigation and resolution
- Participate in recruitment and selection
- Develop effective selection and interviewing skills
- Undertake appraisals and professional development reviews of staff members following training
- Lead team meetings as required
- Lead on specific projects, as indicated and agreed by ward manager
- Have a working knowledge of budget arrangements for the unit, focussing on cost effectiveness and quality
- To ensure maximum use of resources, close control of consumables and top up items, chasing the orders and liaising with Procurement department appropriately
- Understand and manage local change with team members, including the embedding of new projects.
- Education and research Participate in the education of all learners within their area Actively support and assist in preceptorship and in pre-registration student support, supervision and guidance including mentorship where appropriate Identify and respond to learning needs for area Develop and deliver or organise local training sessions, mindful of the Trust values Facilitate others in the development of informal teaching skills Participate in the annual training needs analysis for their area Participate in any local or related research projects, clinical trials etc Apply and encourage others to utilise evidence based practice and relevant research findings in practice Identify areas of nursing / midwifery research within their area that will be of benefit, and encourage and educate other staff to recognise the importance of research Participate in clinical supervision / acting as supervisorProfessional development Maintain professional registration Ensure mandatory training and a satisfactory appraisal is in date Undertake a professional development plan and demonstrate achievement of objectives Ensure adherence to Trust policy and guidelines at all times Role model Trust values at all timesCommunication Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
Person Specification
Education and Qualification
Essential
- oNMC Registered Nurse (adult)
- oPost registration teaching/mentorship qualification
- oA degree in nursing or equivalent
- oEvidence of recent professional development (within the last 12 months)
Desirable
- oILS
- oStroke course
- End of Life Care / Palliative Care course
Experience
Essential
- oA minimum of 18 months band 5 experience working on a stroke ward
- oMinimal 6 months experience as a shift leader band 5 or above
- oMulti-disciplinary Team working
- oPeople management experience
- oExperience in caring for patients requiring Intermittent Pneumatic Compression
- oExperience caring for patients who are end of life
- oExperience managing medical emergencies
- oExperience in complex discharge plan
Desirable
- oPrevious experience in clinical audits
- oPrevious experience for tracheostomy patients
Skills and knowledge
Essential
- oProven knowledge of safety issues through clinical governance and risk management
- oBasic IT and computer & presentation skills
- oDemonstrates evidence of developing innovative practice and of being proactive in managing change
- oDemonstrates an understanding of the NMC Code of Professional Conduct.
- oHave the skills and knowledge to manage an emergency situation
- o Have a good knowledge and experience in tracheostomy care
Desirable
- o Knowledge of Budgeting and Finance
- o Knowledge of how different lobes of the brain are affected by stroke and how this affects the patients recovery
Personal Qualities
Essential
- oAble to work clinically and undertake a full range of duties with regards to patient care
- oExcellent verbal and written communication skills
- oTo be flexible to work long days and nights
- o Effective interpersonal skills
- o Ability to work independently and part of a team
- o Have the ability to prioritise workload
- o Ability to function as a senior member of a team and make decisions
- o Good organisational skills
- o To be able to complete full manual handling duties
Person Specification
Education and Qualification
Essential
- oNMC Registered Nurse (adult)
- oPost registration teaching/mentorship qualification
- oA degree in nursing or equivalent
- oEvidence of recent professional development (within the last 12 months)
Desirable
- oILS
- oStroke course
- End of Life Care / Palliative Care course
Experience
Essential
- oA minimum of 18 months band 5 experience working on a stroke ward
- oMinimal 6 months experience as a shift leader band 5 or above
- oMulti-disciplinary Team working
- oPeople management experience
- oExperience in caring for patients requiring Intermittent Pneumatic Compression
- oExperience caring for patients who are end of life
- oExperience managing medical emergencies
- oExperience in complex discharge plan
Desirable
- oPrevious experience in clinical audits
- oPrevious experience for tracheostomy patients
Skills and knowledge
Essential
- oProven knowledge of safety issues through clinical governance and risk management
- oBasic IT and computer & presentation skills
- oDemonstrates evidence of developing innovative practice and of being proactive in managing change
- oDemonstrates an understanding of the NMC Code of Professional Conduct.
- oHave the skills and knowledge to manage an emergency situation
- o Have a good knowledge and experience in tracheostomy care
Desirable
- o Knowledge of Budgeting and Finance
- o Knowledge of how different lobes of the brain are affected by stroke and how this affects the patients recovery
Personal Qualities
Essential
- oAble to work clinically and undertake a full range of duties with regards to patient care
- oExcellent verbal and written communication skills
- oTo be flexible to work long days and nights
- o Effective interpersonal skills
- o Ability to work independently and part of a team
- o Have the ability to prioritise workload
- o Ability to function as a senior member of a team and make decisions
- o Good organisational skills
- o To be able to complete full manual handling duties
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).