THE WHITTINGTON HOSPITAL NHS TRUST WOMEN’S AND CHILDREN’S SERVICES PAEDIATRIC DEPARTMENT JOB TITLE: (PACU) Senior Sister Paediatric Ambulatory Care Unit GRADE: G ANNUAL LEAVE: 27 days per annum plus 8 Bank Holiday (less than 5 years) 29 days per annum plus 8 Bank Holidays (more than 5 but less than 10 years NHS Service) 33 days per annum plus 8 Bank Holidays (more than 10 years NHS Service) HOURS: 37.5 SUPERANNUATION: 6 % of salary (optional) RESPONSIBLE TO: Service Manager - Paediatrics RESPONSIBLE FOR: All Nursing staff qualified and HCA. Play Specialist Team. _______________________________________________________________________ JOB SUMMARY The post holder has overall responsibility for the management of the paediatric ambulatory care unit. This consists of an eight bay day assessment unit and the paediatric out patient clinic. The post holder will have direct line management responsibility for the nursing team & play specialist staff. The post holder will liaise closely with medical staff, the multi professional team and nursing colleagues to provide a holistic service responsive to the needs of children and their families. KEY WORKING RELATIONSHIPS: All members of the paediatric nursing and medical teams, the wider multiprofessional team, including social workers, child protection advisor, Liaison HV, Allied Health Professionals, play specialists and teachers and the women’s health team. Main out patient department, and emergency department. Nursing and medical and management colleagues within the Whittington Trust, Human Resources department, IM&T, facilities, Middlesex University and Audit and Development department. 1 PROFESSIONAL RESPONSIBILITY 1.1 To work according to the NMC Code of Professional Conduct and to carry continuing responsibility for: - The assessment of care and health education needs for children and their families. - The implementation and evaluation of nursing care for children within PACU 1.2 To present and act at all times in a professional manner, and ensure that all staff working within the Directorate do likewise. 1.3 To maintain clinical competencies, to keep abreast of current trends and to take responsibility for own professional development. 1.4 To ensure and facilitate effective communication, within the Paediatric Directorate. 1.5 To supervise clinical practice, in conjunction with the Lecturer Practitioner to identify development needs of staff and to participate in continuous inservice training for all grades of staff. 1.6 To work in conjunction with other lead nurses, lecturer practitioner and the Service Manager to develop and implement nursing practices, promoting research and evidence based practice. 2. MANAGERIAL RESPONSIBILITIES 2.1 To ensure the service reflects the philosophy of paediatric ambulatory care for children and their families, with consideration of local and national recommendations/individual/ethnic/cultural/social and religious needs. 2.2 To ensure robust standards and frameworks are in place, in line with current recommendations, to ensure children receive high quality family centred care at all times. 2.3 To provide clinical leadership for paediatric nursing staff 2.3 Have direct line management responsibility for staff and services within the designated area, ensuring that professional standards/safe levels of care are maintained and to deploy staff as appropriate. To develop, promote and facilitate the implementation of the Whittington Hospital NHS Trust Nursing and Midwifery strategy. 2.4 2.5 To initiate, develop and implement plans/strategies for improvement of paediatric services in conjunction with the multi-disciplinary teams. 2.6 To promote close collaboration and cohesive working relationships within the paediatric team, through effective communication channels and a harmonious working environment. 2.7 To advice the Service Manager and Service Director on the appropriate level of skill mix and resources required for the designated areas. 2.8 To take delegated responsibility for the budget, ensuring effective utilisation of resources. 2.9 To participate in the recruitment, selection and induction process for staff. 2.10 To monitor staff performance, implementing corrective action when required. Undertake appraisal for staff within area of responsibility; agree staff and service objectives and development plans. 2.11 To keep accurate records of staff attendance and monitor, taking supportive action where necessary using Bradford Scores. 2.12 To identify and implement necessary changes to meet the needs of children and their families and the service. 2.13 To develop nurse led services and enhance the role of the paediatric nurse in PACU. 2.14 Participate in and initiate audit, quality initiatives and projects as required to develop the overall children’s service. 2.15 Ensure risk management strategies are implemented within area of responsibility and that staff understand and enact the incident reporting procedures. 2.16 Be proactive in implementing action/learning plans to reduce potential risks or recurrence of adverse incidents. 2.17 Be proactive in minimising complaints within the department seeking to provide local resolution wherever possible. Undertake investigations for formal complaints and prepare response for Service Manager or Service Director. Provide feedback to staff on complaints and develop strategies to prevent recurrence. 2.18 Ensure staff are familiar with national, professional and local quality issues relevant to the delivery of services. 3 CLINICAL RESPONSIBILITIES 3.1 Maintain professional accountability at all times, including the planning, delivery and evaluation of care. 3.2 To be a clinical role model in the field of Ambulatory Paediatrics ensuring the delivery of high quality standards of patient care. 3.3 Participate in the care of children whilst maintaining own skills. 3.4 To develop and implement nursing/ multi-professional evidence based/best practice guidelines and policies, for children attending the PACU. 3.5 To be competent in administering simple chemotherapy for shared care oncology children (or willing to undertake appropriate training). 3.6 To initiate treatment where appropriate in accordance with the agreed clinical guidelines and protocols. To administer medication within Patient Group Directives. 3.7 To order and interpret agreed diagnostic tests according to departmental protocols and within structured guidelines of the Unit e.g. blood, urine, stools & skin prick testing. 3.8 Co ordinate the smooth day-to-day running of the Unit. 3.9 Explore and investigate new initiatives for the improvement of service delivery. 3.10 To establish a partnership approach to involve parents and families as much possible in the planning and delivery of care, including health education programmes. 3.11 To work in close collaboration with the Consultant Paediatricians and their teams, and the wider multi-professional team to provide high quality care for children and support for families at all times. 3.12 To act as a resource to paediatric/non paediatric nurses working in other Departments. 3.13 Maintain nursing records in accordance to NMC guidelines. 3.14 Knowledge of computerised systems used in the hospital e.g. PAS, EDIS & RICHES. 3.15 In dept knowledge and understanding of Child Protection guidelines Nationally and locally. Acting as a resource to other members of the team where appropriate. 4. EDUCATIONAL RESPONSIBILITIES 4.1 To support the paediatric lecturer practitioner in providing an effective learning environment and staff development for students and trained staff. 4.2 To ensure an effective learning environment for staff, learners and parents acting as facilitator in the supervision and teaching of staff. 4.3 Ensure that staff are educated in new skills and procedures. Appropriately developed in line with the NMC to meet service needs. 4.4 To fulfil the role of preceptor and mentor to learners and junior staff. 4.5 To ensure that all new staff receive an orientation programme, in accordance with the Trust’s policy. 4.6 To support the lecturer practitioner in working in partnership with local higher education institutions to establish and develop relevant education programmes for pre/post registration students. 4.7 To promote health and well-being to children and their families within the PACU setting, and utilise opportunities for health education and promotion. 5. QUALITY AND AUDIT RESPONSIBILITIES 5.1 To contribute to audit, research and development programmes within the Directorate in order to promote good practice. 5.2 Set and monitor measurable standards of care and be accountable for maintaining standards. 5.3 Develop the audit process for monitoring and reviewing the quality of nursing services provided. 5.4 Implement changes to the service in order to improve quality of care. ADDITIONAL INFORMATION 6 Health & Safety Policy Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act 1974, to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees and visitors. 7 Security It is the responsibility of all employees to work within the security policies and procedures of the Whittington Hospital NHS Trust to protect the patients, staff and visitors and the property of the Trust. This duty applies to the specific work area of the individual and the Hospital in general. All staff are required to wear official identification badges. 8 Data Protection This post has a confidential aspect. If you are required to obtain, process and /or use information held on a computer or word processor you should do it ‘in a fair and lawful way’. You should hold data only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose and ought to disclose data only to authorised persons or organisations as instructed. Breaches of confidence in relation to data will result in disciplinary action which may involve dismissal. 9 No Smoking The Hospital has promoted a No Smoking Policy as part of it’s responsibility for the provision of health. You will be required to work within the framework of this policy. Smoking is not permitted in offices. 10 Equal Opportunities It is the aim of the Trust to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, colour, nationality or ethnic origins, or is placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end the Trust has an Equal Opportunities Policy and it is for each employee to contribute to its success. The hospital has a Race Equality Scheme which underpins its duty to promote race equality. You can request a copy of the scheme from the Human Resources Department. 11 Confidentiality You are required to maintain confidentiality of any information concerning patients which you have access to or may be given in the course of your work, in accordance with current policy on confidentiality in the Whittington Hospital NHS Trust. 12 Method of Payment Payment of salary is made into bank account/building society account by direct bank system. Details of a bank account or building society account will be required on the first day at work. There is no facility for any form of payment. 13 Customer Awareness The Whittington Hospital expects it’s employees to communicate with colleagues, patients and visitors in a polite and courteous manner at all times. 14 Professional Meet the requirements of the NMC’s Code of Practice and maintain live registration. The maintenance of registration with the NMC is a requirement of this post. Post-holders are expected to comply with the NMC Code of Professional Conduct and other guidelines issued by the Council governing professional practice. This job description is intended as a general guide and is not exhaustive. It may be reviewed in consultation with the post holder depending on future requirements and service needs. February 05