INFORMATION FOR CANDIDATES POST OF: BASE: REF NO: Renal Practice Educator University Hospital Crosshouse N/917/12 Thank you for applying for the above post with NHS Ayrshire & Arran. This information sheet summarises the terms and conditions related to the post. A job description and person specification for the post are attached. This post is Permanent. The salary for the post is based on the Band 7 salary scale which is currently £30,460 to £40,157 per annum (pro rata for part time posts) The hours for the post are 37.5 per week, Mon – Fri, however some flexibility is required. DISCLOSURE SCOTLAND PROTECTION OF VULNERABLE GROUPS (PVG) SCHEME The following provides information relevant to the post you have applied for and requires your attention and completion. PVG MEMBERSHIP The post you have applied for is considered to be in the category of “Regulated Work” as defined by the above scheme and successful candidate(s) will be required to be a member of the scheme prior to commencing employment. Membership currently costs £59.00. The cost of membership, if you are successful in your application, will be paid by NHS Ayrshire and Arran. EXISTING PVG MEMBER Applicants who are already a PVG member will require to confirm their membership and the regulated workforce this covers, eg, Adults, Children or both. Prior to employment, NHS Ayrshire and Arran will determine whether the current level of membership is appropriate for the post offered. If further membership to cover another regulated workforce is required, the conditions of membership as stated above will be applied. If however the level of current membership is appropriate, NHS Ayrshire and Arran will seek a Scheme Record Update (SRU) and will both pay and incur the costs associated with obtaining the update. Further information on the scheme can be found on the Disclosure Scotland website at www.disclosurescotland.co.uk PVG SCHEME MEMBERSHIP MANDATE (Please complete Sections 1+2 and return with your application) Section 1. Personal details (* circle as applicable) Name ____________________________ Post Reference Number: Post Applied for: ___________________ ___________ Are you currently a member of the PVG Scheme *YES/NO If YES, please provide Membership Number _________________ Date of Membership _______________ Date of last Scheme Record Update (if applicable) Member of which Regulated Workforce: *Adult __________________________ *Children *Both Section 2. Declaration I understand if my application for this position is successful, I will require to become a member of the scheme covering the appropriate regulated workforce. Signed: Name: ______________________________ ______________________________ Section 3 - For office use only Full membership required Yes/No Update only: Yes/No SPN: Date: _______________________ Post Ref no: _________________ Regulated workforce: Adult / Children / Both _____________________________ GENERAL CONDITIONS: Conditions of Service - The conditions of service are those laid down and amended from time to time by the appropriate negotiating bodies e.g. NHS Staff Council/NHS Pay Negotiating Council. Annual Leave – The leave year runs from 1 April to 31 March. Annual leave entitlement for full time staff on appointment is 202.5 hours (27 days), with 217.5 hours (29 days) upon completion of 5 years NHS service and 247.50 hours (33 days) after 10 years NHS service. Entitlements for part time will be pro rata. Public Holidays – Public holiday entitlement for full time staff is 60 hours based on the 8 designated Public Holidays per annum, and on a 5 day week working 7.5 hours per day. The 60 hours entitlement is due to all whole time staff irrespective of work pattern. For part time staff, this will be applied on a pro rata basis and also allocated in hours. KSF - The NHS Knowledge and Skills Framework is essentially a development tool but will also contribute to decisions about pay progression. It will promote equality for and diversity of all staff, having the same opportunities for learning, development and review. It will promote effectiveness at work – with managers and staff being clear about what is required within a post. It will support effective learning and development of individuals – with all members of staff being supported to learn throughout their careers. Superannuation - Employees are automatically opted into the NHS (Scotland) Superannuation Scheme. Contributions are at the rate of 6.5%. Employees may opt out by completing Form SB34. Disabled Applicants - A disability or health problem does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Ayrshire & Arran has been approved, by the Employment Services Department, as an Equal Opportunities employer with a positive policy towards employment of disabled people. NHS Ayrshire & Arran guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form we ask for relevant information with regards to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. Asylum and Immigration Act 1996 and 2004 (Section 8) - The Asylum and Immigration Act 1996 and 2004 requires employment checks to ensure that all employees are legally employed in the United Kingdom. Candidates will be asked to provide relevant original documents prior to an offer of employment being made. Any offer of employment will only be made when the organisation is satisfied that the candidate is the rightful holder of the documents and is legally eligible for employment within the United Kingdom. Medical Examination - Any offer of employment is conditional upon a satisfactory medical report from our Occupational Health Services. You may be offered employment conditional on confirmation that you are medically fit for employment. A commencement date for employment will only be agreed following this confirmation. Policy Relating to Staff with Bloodborne Virus Infection - Candidates for posts which involve exposure prone procedures will not be allowed to commence employment until they have been assessed as fit to perform EPPs by Occupational Health. The preemployment screening must be completed prior to any job offer being made. Where a candidate is not able to perform EPPs, Occupational Health will notify the appropriate manager that the candidate is ‘fit with restrictions’ and is unable to perform EPPs. The health status of the individual will not normally be notified to management. Where the restrictions recommended by Occupational Health are unable to be accommodated due to the clinical duties of any of the posts within the staff groups specified in the policy, an offer of employment to the post will not be made. Candidates who are not offered employment due to being deemed unfit to undertake EPPs as an essential requirement for a post, may be offered the opportunity to apply for another advertised vacant post and be considered with other applicants. The preemployment screening for EPP posts above do not apply to staff undertaking non-EPP posts who could have direct contact with blood, bloodstained body fluids or patients’ tissue in the course of their work activities. These staff will be offered and strongly advised to be immunised against Hepatitis B in line with the Immunisation Policy including recall for boosters and further antibody checks. References - Two satisfactory written references must be obtained prior to any offer of employment being made. These should include current and previous employers as requested in the job application form. This is in line with the Recruitment and Selection Policy. YOUR APPLICATION: Applications - Please note that we no longer acknowledge receipt of applications therefore, unless you are shortlisted to attend for interview, you will not receive any further communication. Informal Enquiries - Informal enquiries are welcomed by Fiona McDonald, Charge Nurse who can be contacted on ext 27492. Closing Date - Your completed application form should be submitted by 14 March 2013 to the address below or can be e-mailed to Allyson.Connor@aaaht.scot.nhs.uk Department of O&HR Development 63A Lister Street Crosshouse Site KILMARNOCK Ayrshire KA2 0BE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Practice and Education Facilitator for Renal Services Responsible to (insert job title): Clinical Nurse Manager Department(s): Ward / Dept Renal Unit Directorate: Integrated Care and Emergency Services Operating Division: NHS AYRSHIRE & ARRAN Job Reference: N/917/12 No of Job Holders: 1 Last Update (insert date): 18th August 2006 2. JOB PURPOSE As a highly skilled renal nurse, the post holder will be responsible for advising, teaching and demonstrating best practice on all aspects of care delivery in the renal patient. To provide support for learners in the education and development process in a manner that is consistent with legislation, policies and procedures. The post holder will have a key role within the renal team and will work closely with Charge Nurses to improve the knowledge, skills and competence of nursing staff within the Directorate. To work collaboratively and cooperatively with clinical colleagues to help explore and implement new developments within the renal services. To explore and develop new roles and new ways of working to improve the efficiency and effectiveness of care provision for renal patients thereby developing the workforce competencies. The post holder will have a positive influence on staff recruitment and retention through the development and introduction of robust education, training programmes, effective staff support and supervision. The post holder will evaluate the education programmes and adapt to suit the changing needs of the renal service. The post holder will contribute to the improvement of patient care through the development of standards, guidelines and patient group directives. He/she will coordinate in benchmarking, audit, and research. The post holder will ensure that any research undertaken within the department positively impacts on the well being of the patients. 3. DIMENSIONS The post holder will work autonomously within the Renal Directorate but in collaboration with medical and nursing staff. The Renal Directorate cares for renal patients across Ayrshire and Arran with a population of 377,000. The post holder will work with nursing staff in the 12 bedded acute renal in-patient ward, Renal Dialysis Unit, pre dialysis and the out-patient Peritoneal Dialysis Service. There will be approximately 60 wte nursing staff that the post holder will be required to work with. The post holder will liaise and work collaboratively with 4 Renal Consultants, G Grade Charge Nurses, Renal Dietician and a Renal Pharmacist. 4. ORGANISATIONAL POSITION Clinical Nurse Manager (Medicine) (Renal) Practice & Education Facilitator Renal Charge Nurses Renal nursing Staff Post holder reports managerially to Clinical Nurse Manager as do Renal Charge Nurses. Post holder has professional link to Charge Nurses. 5. ROLE OF DEPARTMENT There are currently over 300 people with a renal condition being cared for in Ayrshire and Arran. The Renal Directorate’s responsibilities are: To provide a specialist nursing service to patients admitted to hospital with a wide range of renal conditions. To provide a specialist nursing service to patients attending the renal ward, haemodialysis dialysis unit, peritoneal dialysis unit and outpatient clinics. To ensure ongoing assessment of patients and early detection of complications, both physical and psychological. To provide specialist education for all staff involved in the care of patients with renal disease. 6. KEY RESULT AREAS Clinical To monitor and improve the standard of care for renal patients through clinical supervision / teaching / practice audit. To assist staff with personal development. To assist staff in service developments To explore / pilot the use of technicians in supporting nurses in renal dialysis. To develop grade and service specific competency frameworks for all nursing staff and support staff. Maintain up to date skills and knowledge by working within the clinical environment regularly. Management To set realistic personal objectives via PDP process To link with Charge Nurse re staff development needs and jointly agree educational components of PDPs To act as change agent utilising the principles of evidence based practice To implement change through effective dissemination of information and via policy and guideline development To explore workforce issues in renal services recruitment / retention / new roles To lead projects, communicating with relevant stakeholders Actively promote the workplace as a learning environment encouraging everyone to learn from each other and external good practice Education To develop and provide an education and training programme for staff. To initiate clinical/group supervision sessions for nursing staff. To demonstrate practical application as well as theoretical knowledge. To provide education induction programme for staff new to the renal service. To educate junior and senior staff in higher level decision making skills – arrange / facilitate tutorials / teaching sessions To organise and co-ordinate in house renal training programme. To initiate and co-ordinate a training programme for renal care technicians – evaluating effectiveness through competency frameworks and audit. To organise department / ward based training as appropriate involving RNs To ensure that staff in general ward areas are involved in appropriate teaching sessions as renal patients are nursed out with RDU / ward. To enable / encourage / empower staff to enhance clinical skills. To present / facilitate presentation to Scottish Renal Association 6 monthly. To link with Divisional Training Co-ordinator, clinical colleagues and external agencies to provide training locally. Contribute to the improvement of patient care through the development of standards and participation in benchmarking, audit and research To assist staff in conducting literature review – implementation of evidence based practice. To chair Renal Practice Development forum ensuring staff involvement through effective consultation with Charge Nurses. To encourage staff participation in agreed audit programme relevant for renal services in liaison with Clinical Effectiveness department. Professional To act as specialist resource for renal nurses To establish and maintain contact with professional bodies at local, national and international level. To act in an advisory role with Charge Nurse colleagues and senior management relating to strategic development of renal services and personnel. 7a. EQUIPMENT AND MACHINERY The postholder is expected to have a comprehensive knowledge of all the equipment used in the renal unit, renal ward and peritoneal dialysis departments. Homechoice APD machines Ultra S Gambro dialysis machine 5008 Fresenius dialysis machine Prisma machine Volumetric pump, hoist etc. Criticare machine 7b. SYSTEMS Maintenance of paper / electronic based staff record systems Completion of own time sheets. Ordering of supplies for the department using a paper and electronic based system. Any other systems relevant to renal specialty. 8. ASSIGNMENT AND REVIEW OF WORK Workload is self generated. Workload is generated by service developments, advances in practice and research. Workload is generated by the recruitment and retention process of nursing staff working within the renal service. Workload is generated by identification of development issues within the PDP process. The post holder will be expected to work on their own initiative and in collaboration with key stakeholders and service providers both internally and externally. The post holder will be line managed by the Clinical Nurse Manager for medicine and will have objectives set annually and a personal development plan in line with NHS Ayrshire & Arran’s model of Performance Appraisal and Objective setting. 9. DECISIONS AND JUDGEMENTS The post holder has autonomy, independence and continuing responsibility regarding the organisation and responsive provision of education of the nursing staff working within the renal service. Assessment of individual staff complex educational needs Autonomy to proactively use independent clinical judgement to anticipate, problems or needs and actively resolve them without being asked, drawing on expert knowledge and experience. Alert managers to resource issues which affect learning, development and performance. 10. MOST CHALLENGING / DIFFICULT PARTS OF THE JOB To facilitate various educational opportunities within a service which is expanding rapidly. To provide education and teaching to a wide range of individuals with differing levels of understanding in order to promote a high standard of care for patients. To explore and develop the use of new roles and new ways of working, overcoming potential barriers to change. To continue to develop self in order to remain a credible resource within the Directorate. 11. COMMUNICATIONS AND RELATIONSHIPS The post holder will be required to communicate with staff, patients, service providers and internal and external customers at all levels to ensure patient’s needs are met, and to develop services and high quality care. It is essential that the post holder has highly developed communication skills and the ability to influence key stakeholders. Provide highly specialist knowledge to clinical colleagues, patients and carers/relatives developing education programmes to address their needs. Make recommendations regarding future education needs in response to changing renal practices. Good teaching and presentation skills will be required as the post-holder will be expected to disseminate knowledge gained from benchmarking, audit and research through presentation. The post holder will be expected to effectively communicate with: Renal Physicians Medical Staff Renal Pharmacist Renal Dietician Clinical Nurse Manager (medicine) Workforce Planning and performance manager College/University Staff Clinical colleagues from other renal services. 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB Physical The post holder will be involved in clinical, managerial and educational activity and may frequently be required to move between tasks at short notice to meet the needs of the service. There is a requirement for flexibility of working patterns and for the ability to deal with situations as they arise. Workload is unpredictable, with priorities changing. The post holder will be expected to produce reports, occasionally at short notice. Potential for working in unpleasant working conditions such as having contact with uncontained body fluids e.g. blood, urine, foul linen Potential for frequent exposure to hazards such as face to face verbal and physical aggression/ abuse. A portion of the job entails physical work and the post holder would require moving and handling skills, which should be updated annually or more frequently if required. The post holder will be required to work within confined spaces, and will be required to assist immobile patients. The post holder will be required to be able to initiate appropriate emergency care. A range of highly developed physical skills required with accuracy being essential. A range of physical effort is required both in the hospital setting and in the community including: kneeling, bending; sitting, walking frequent short and long distance driving, working at a computer, frequent lifting and handling of heavy goods Exposure to sharps Sit for long periods at a desk and on a computer Mental The post holder will be required to use own judgement whilst observing patients condition and should report any changes to the relevant disciplines At all times maintain safety of staff, patients and carers Retention and communication of knowledge and important information Emotional Effort/Skills There is a requirement to deal with distressed and anxious patients and carers in a professional and sensitive manner. There is a requirement to support staff and assist in the management of complex/contentious personnel issues There is a requirement to deal with complicated family dynamics and high levels of public expectations There is a requirement to on occasion work in hostile and emotive atmospheres, which may result in the need for sudden intense effort and concentration 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB RN currently registered with NMC Specialist 1st level Degree in Renal Nursing. Evidence of change management Research awareness Understanding of workforce planning issues Post grad certificate in education. NHS Ayrshire and Arran Person Specification Post Title Renal Practice Educator Post Reference Number: N/917/12 Selection Factors (Person Specification) QUALIFICATIONS & TRAINING EXPERIENCE KNOWLEDGE Criteria Essential Evidence of recent professional development. Ordinary degree or working towards it. Desirable Ordinary Degree Postgraduate certificate in teaching Essential Post registration experience within the renal specialty Awareness of the SVQ process Desirable Experience with teaching and practice development. Experience with formulating and implementing guidelines and policies Evidence of teaching within small and large groups, and in different environments. Experience with SVQ assessment process and/or have an AI certificate. Be able to demonstrate a depth of knowledge in all aspects of renal nursing. Essential Desirable COMPETENCIES & SKILLS PERSONAL CHARACTERISTICS AND OTHER Essential Be able to demonstrate evidence of facilitating changes in practice. Ability to demonstrate strategic planning of education programmes. Experience in making and delivering Power point presentations. Competent in all aspects of renal nursing including HDF and PD. Good computer skills. Desirable Competent in all aspects of renal nursing including, HDF, PD, TPE and care of the AKD patient. Essential Excellent communication, motivational, organisational and time management skills. Desirable Excellent communication, organisational and time management skills. Evidence of teambuilding skills.