Important Job Application Information Thank you for your interest in NHS Tayside vacancies Please see below Job Description/Person Specification and General Conditions of Service Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage. Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service. All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources. ADDITIONAL INFORMATION:Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1 Job Title Health Care Assistant / Renal Care Assistant Department(s)/Location Critical Care Clinical Group/Renal Services/ Ward/Area:24 JOB IDENTIFICATION Number of Job Holders 2. JOB PURPOSE As part of a multidisciplinary team the post holder will carry out routine individual care duties for patients, clients, carers and relatives in support of and supervised by a registered nurse. Carry out assigned duties to maintain hygiene, order and safety within the environment specified in Section 4 below. 3 ORGANISATIONAL POSITION Director of Nursing & Patient Services Manager/Lead Nurse Senior Charge Nurse Charge Nurse Registered Nurse Health Care Assistant/Renal Care Assistant (This post) 4. SCOPE AND RANGE (please complete as appropriate for the specific area) To provide a high quality, safe and supportive environment in order to care for patients/clients, carers, relatives and staff within the Renal Service of the Critical Care Clinical Group to meet identified care needs. The Renal Service provides a regional service for patients and their families throughout Tayside and Northeast Fife. The post holder may be required to provide care in the following types of environment for acute and chronic patients: Renal Ward in-patient facility (ward 22) Haemodialysis Unit Ninewells Chronic Haemodialysis Facility at PRI Chronic Haemodialysis Facility at Arbroath Infirmary Peritoneal Dialysis Service Renal Replacement Therapies outwith Renal Service (Patient home, Hospices, Care Homes, Wards/Departments in NHS Tayside Hospitals) Nurse-Led Clinics/Services The postholder has responsibility for: Staff Management/Supervisory Responsibilities: Support registered nurses in the orientation of new staff to the area Support registered nurses in the delivery of patient/carer training and education Budgetary Responsibilities:Effective participation in dealing with supplies ordering, patients valuables and use of equipment 5. MAIN DUTIES/RESPONSIBILITIES Induction Standards & Code of Conduct Your performance must comply with the national “Mandatory Induction Standards for Healthcare Support Workers 2009” and with the Code of Conduct for Healthcare Support Workers. Care Delivery 1. Carry out assigned tasks in delivering and supporting patient care under the direction of a registered nurse to ensure delivery of a high quality of patient care 2. Co-operate with and maintain good relationships with other disciplines that are attending and treating clients to maximise care 3. Maintain good relationships and an empathic approach to patients/clients’/carers and relatives and refer them to a registered nurse for any questions they may have on the clients’ condition or for any suggestions or complaints that they wish to raise 4. Report observed changes in the clients’ physical/psychological needs and participate in maintaining accurate and up-to-date records to ensure effective communication 5. Encourage patients /client’s /public to adhere to Infection Control Policies 6. Participate in quality improvement initiatives within the clinical area e.g. trials of new equipment and supplies Health & Safety 7. Work within NHS Tayside policies and procedures to ensure maintenance of safe working practices for patients, colleagues and self Resource Utilisation 8. The Health Care Assistant/Renal Care Assistant will adhere to NHS Tayside procedures regarding the use of supplies and equipment in order to promote the effective and efficient use of resources 9. Maintain stock levels of supplies to support the smooth running of the area as required e.g. check agreed stock levels and seek authority to order as required. Education 10. Participate in personal and career development plan to maintain skills and develop personal growth in order to maximise contribution to service delivery 11. 6. Quality Acknowledge the diversity of individuals respecting their rights, privacy and confidentiality COMMUNICATIONS AND RELATIONSHIPS Communicates continuously re: routine daily activities, with a wide range of health and social care workers, patients and families utilising a wide range of media such as telephone, information technology, verbal and written communications overcoming barriers to communication e.g. clinical conditions, sensory impairment. Demonstrates sensitivity and empathy when communicating with people Establish and maintain relationships based on mutual respect communicating on a regular basis with the patient/relatives/multidisciplinary team and external agencies (where appropriate) involved in the provision of care. 7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB SVQII or recognized equivalent in healthcare (or willingness to work/working towards) or equivalent work experience working in a caring environment/role Ability to work with people and as part of a multidisciplinary team Effective written and verbal communication skills Ability to carry out assigned tasks effectively in a busy environment Demonstrate use of own initiative as agreed by registered nurse where appropriate. Completion of in-house orientation Programme - supernumerary status – 2 months 8. SYSTEMS AND EQUIPMENT [insert as appropriate to area] The nursing assistant will use, store and maintain the following types of equipment in line with local policies/procedures. Shared responsibility. Information Technology : Fax/E-mail/Internet/Intranet Incident reporting via adverse incident management system Local database systems Laboratory vacuum system Word processing Moving & Handling : Dialysis equipment and supplies Mechanical aids (e.g. hoists, ambulifts) Infusion stands General manual handling equipment e.g. slide aids Specialised Beds, Beds, trolleys Wheelchairs/ Walking aids Commodes Bedpans Bariatric equipment Pressure reliving equipment Fire evacuation equipment Near Patient Testing : Vital signs Blood clotting times Blood Glucose Monitoring Blood Pressure Recording( automated) Chemical reagents (urinalysis) Pulse Oximetry Medical Devices : (Stores and maintains) All types of renal replacement therapy machines and associated equipment Patient Controlled Analgesia Infusion Devices Scanning Equipment Electrocardiograph equipment / Cardiac Monitors Examination Equipment e.g. Auroscopes, opthalmoscopes etc. Surgical Instruments Control feeding pumps Suction equipment Treatments : (Stores, maintains and gathers equipment for registered nurse) All types of renal replacement therapy treatments Oxygen therapy Nebulisers Suctioning Enteral/Parenteral Nutrition pumps Basic life support and airway adjuncts Humidification RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment. 9.PHYSICAL DEMANDS OF THE JOB [insert as appropriate to area-) Please indicate level / frequency/ Weight / duration. Examples may include:Physical Skills : Several times per shift , long periods over 20mins, intense predictable Preparation, priming, connection and disconnection of all types of renal replacement therapy machines Minor fault finding and manipulation of equipment in response to alarm states of renal machines/central water plant (within and outwith renal service) ( Machines – frequent ) (Water plant – infrequent ) Removal of cannulation needles/venflons Vital signs Stoma care (occasional ) Cardio-Pulmonary Resuscitation ( occasional ) Attaching leads of monitoring equipment to patient (occasional ) Safely manoeuvre wheelchairs, trolleys, beds and other equipment Safely support patient mobility Preparation of patients for tests/procedures Collection of medical/nursing notes and Dialysis records Collection and preparation of specimens Assist with patient positioning Application of simple dressings ( repeated occurrence ) Removal of wound dressings ( repeated occurrence ) Provision of personal care to patients MRSA & MSSA screening on admission/discharge ( repeated occurrence ) Physical Demands : Several times per shift, long periods over 20mins repeated occurrence, intense predictable Movement of renal replacement equipment, dialysate/filtration fluids and supplies within and outwith renal services (up to 20kgs weight) Patient movement with and without use of mechanical aides, manoeuvre patients Push trolley’s, wheelchairs, beds, patient’s lockers, Stand/walking for the majority of shift. Daily and weekly general housekeeping for renal service Moving quickly from task to task in response to needs of patients and nursing team Mental Demands : Several times per shift, long periods over 20mins , intense, predictable Concentration when operating specialised renal equipment Can accurately recognise symptoms of fluid depletion in the patient who is undergoing renal replacement therapy and take appropriate action as directed by registered nurse Concentration required when undertaking personal care for patients Frequent interruptions:- telephone, colleagues, patients’ buzzers High volume throughput of patients Accurate record keeping of fluid charts, weight charts, food record charts, event diary and observation charts Concentration required when minor fault finding for Home dialysis patients via telephone. (occasional ) Concentration required when coping with unpredictable events: water plant failure – in frequent ) Emotional Demands : Several times per shift. Repeated occurrence , predictable, long periods over 20 minutes Communicating with distressed/anxious/worried patients/relatives. (variable ) Caring for the terminally ill/end of life care. ( variable ) Caring for patients following receipt of bad news. ( variable ) Dealing with patients with severely challenging behavior Dealing with people with sensory impairment Care of the patient after death ( occasional 1 / 2 weeks ) Managing aggressive patients(variable) Caring for patients with special needs e.g. learning disability ( variable ) Supporting patients awaiting diagnosis, recently diagnosed ( variable ) Caring for families/carers following sudden/unexpected death of patient. (occasional ) Caring for patients/families/carers faced with delays in commencing planned renal replacement therapy. Assisting with caring for acutely ill patients Assisting with caring for critically/acutely/chronically ill patients Working Conditions: Several times per shift, long periods over 20mins , repeated occurrence Exposure to body fluids, faeces, emptying bed pans/urinals, catheter bags Exposure to blood/dialysis effluent due to high volume sampling and treatments Exposure to verbal aggression (variable) Exposure to physically aggressive behaviour (occasional ) Shift patterns - day, night rotation, emergency on-call Cramped working conditions, large volumes of patients, portering chairs Exposure to portable X-rays/guided imagery/radiotherapy/cytotoxic agents ( occasional ) Changing environmental temperature ( seasonal change and heat generated by electrical equipment ) Exposure to and compliance with substances hazardous to health guidance 10. DECISIONS AND JUDGEMENTS 11. Assignment of work will be by the Registered Nurse/Team Leader Planning own order of assigned duties within service Acknowledging changes in patients conditions, work or care environment and reporting to the registered nurse or appropriate other healthcare individual Work review and formal appraisal of performance will be carried out by the designated registered nurse Under the overall supervision of the registered nurse demonstrate the ability to reprioritise unpredictable workload MOST CHALLENGING /DIFFICULT PARTS OF THE JOB Planning own order of assigned duties within service Recognising symptoms of fluid depletion in patients Managing competing demands on time Support patients to follow treatment plan Ensuring patient safety at all times 12. JOB DESCRIPTION AGREEMENT The job description will need to be signed off using the attached sheet by each postholder to whom the job description applies. Person Specification D/LR/171/13 POST REF NO: JOB TITLE/BAND: P/T Renal Care Assistants– Band 3 LOCATION: NHS Tayside – Ward 22 Ninewells, Ninewells Renal Dialysis Unit, PRI Dialysis Unit and Arbroath Infirmary Dialysis Unit HOURS: 22.5 hours & 30 hours per week CRITERIA ESSENTIAL Previous experience of working in a healthcare setting Good standard of basic education Must be prepared to undertake all mandatory training Must be prepared to undertake further training in patient care and dialysis therapies Healthcare qualification, e.g. SVG Levels, 2 or 3 or HNC in Social Care Understanding of job EXPERIENCE: QUALIFICATIONS: (Training; Research; Publications) KNOWLEDGE & SKILLS: Good verbal and written communication skills PERSONAL QUALITIES: Confidentiality Team worker Motivated Good interpersonal skills Demonstrate a caring and good listening ethos Flexible approach to the needs of the service Ability to travel for cross site working between Ninewells, PRI and Arbroath Infirmary OTHER: (eg travel across Tayside) DESIRABLE General Conditions of Service POST REF NO: D/LR/171/13 JOB TITLE/GRADE: RENAL CARE ASSISTANTS, BAND 3 (2 POSTS) LOCATION: RENAL SERVICES, NINEWELLS HOSPITAL Conditions of Service Remuneration Hours of Duty The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is £16,660 to £19,627 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer. The hours of the post are: Post 1: 22.5 hours per week permanent post Post 2: 30 hours per week (temporary for 6 months) to provide cover for a career break Superannuation Start and finish times will be determined by the needs of the service. Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances). The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses. Contribution rates with effect from 01.04.13 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,278 £15,279 to £21,175 £21,176 to £26,557 £26,558 to £48,982 £48,983 to £69,931 £69,932 to £110,273 £110,274 and over Annual Leave Contribution 5% 5.3% 6.8% 9.0% 11.3% 12.3% 13.3% Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay. On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year References Occupational Health Clearance Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 Disclosure Scotland Immigration, Asylum and Nationality Act 2006 Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year All offers of appointment are subject to receipt of two satisfactory references All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational Health and Safety Advisory Service (OHSAS). All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form. Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated. The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children. It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents. Professional Registration/New entrants to NHS Tayside will be required to achieve Induction Standards & Code the mandatory Induction Standards for Healthcare Support of Conduct Smoking Policy Applications Workers (HCSWs) in Scotland and comply with the Code of Conduct for HCSWs throughout your employment. Internal candidates will be required to comply with the Code of Conduct for HCSWs Smoking is prohibited within NHS premises and grounds. Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or to Human Resources Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9 By Closing date of : Wednesday 9th April 2014