Important Job Application Information
Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/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 Workforce Services 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
Workforce Services
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 IDENTIFICATION
Job Title
Charge Nurse/Team Leader
Band 6
Neonatal Intensive Care Unit
KSF tracking code SCO6 TN13
Department(s)/Location
2.
JOB PURPOSE
In collaboration with the Senior Nurse Neonatal Services, Clinical Nurse Specialists, Case
Manger and multidisciplinary team, the post holder will have responsibility for assessment of
care needs and the development of programmes of care, and/or the implementation and
evaluation of these programmes ensuring the delivery of high quality care to neonates and
their families and mothers in transitional care The charge nurse will contribute to clinical
practice development and continuing professional development of the nursing team.
Deputising in the absence of the Senior Nurse Neonatal Services or Clinical Nurse Specialists
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3.
ORGANISATIONAL POSITION
Senior Nurse Neonatal Services
Senior Charge Nurse/Clinical Nurse Specialist/Case Manager
Charge Nurse/Midwife Team Leader (post holder)
Staff Nurse/Midwife
Newly Registered Staff Nurse/Rotational Midwife
Nursing Assistant
4.
SCOPE AND RANGE
To provide a high quality, safe and supportive environment in order to care for babies
and their families in the neonatal unit and meet identified needs
Environment of Care
The neonatal intensive care unit provides a regional neonatal service for babies and their
families from throughout Tayside. The neonatal intensive care unit has 21 cots (4 intensive
care, 3 high dependency, 10 special care and 4 transitional care), and 4 transitional care
maternal beds. A neonatal case manager provides primary care liaison and community nursing
support. Neonatal Transport services for the North of Scotland are provided jointly with
Aberdeen.
Supervisory Responsibility
Band 6 Charge Nurse/Midwives will take charge of the neonatal unit on a frequent basis,
prioritising and allocating workload, supervising and supporting staff (5-8per shift). They will
jointly lead one of six teams and have responsibility for development/appraisal for three staff
members. Band 6 Nurses/Midwives will provide support and guidance to junior medical staff
Budgetary Responsibilities
The post holder has responsibility for ensuring effective use of human resources, supplies and
equipment
5.
MAIN DUTIES/RESPONSIBILITIES
 Care Delivery
1. Responsible for the supervision and assessment of care needs and the development,
implementation and evaluation of programmes of care for babies and their families
requiring all levels of neonatal care to ensure delivery of a high standard of care under the
direction of neonatal clinical guidelines
2.
Provide care to very sick, unstable babies in the Neonatal Unit or during retrieval and
transport episodes utilising complex life support therapies
3.
Participate voluntarily in neonatal transport on call rota
4.
Participate in planned and emergency resuscitation of the newborn in labour suite
5.
Maintain and build on effective communication with parents/carers, relatives and other
members of the multidisciplinary team to ensure that appropriate information is shared
and the needs of babies and their families are met.
6.
Support the multidisciplinary team to involve parents/carers and relatives in planning and
delivery of individualised care
7.
Responsible for maintaining patient records within the agreed standards to ensure the care
management plan is communicated to parents/carers and the healthcare team. Ensure the
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standards of record keeping are maintained by the team
8.
Maintain and build good relationships and a positive approach to families/carers and
relatives, refer them if necessary to the Senior Nurse Neonatal Services or senior medical
staff for any complaints, suggestions or questions they may have on their baby’s
condition
9.
Comply with and promote policies relating to Child Protection
10. Postholders with a qualification in midwifery who have submitted their Intention to
Practice to the NMC will carry out postnatal examinations and provide maternity care in
the transitional care area. Charge Nurses who have no qualification in midwifery or a
lapsed qualification will provide support and advice on referral pathways to midwives
caring for mothers in transitional care
11. Initiate, provide and support others to care for the terminally ill or dying baby and their
family and undertake last offices
 Management/Leadership
12. Take charge of the clinical area on a frequent basis, co-ordinating, organising and
prioritising workload to ensure that the interests of babies and their families are met
13. Demonstrates the ability to effectively use physical, human and financial resources,
promoting awareness amongst staff of the cost implications of their actions
14. Provides appropriate support to nursing/midwifery and junior medical staff, acting as a
role model and a source of advice to facilitate the delivery of safe and effective care
15. Undertake appraisal of junior staff
16. Identifies opportunities and contributes to processes influencing change to enhance
practice
17. In conjunction with the Senior Nurse Neonatal Services, Clinical Nurse Specialists and
Case Manager, develop and maintain a nursing/midwifery team that will meet the needs
of the service
18. Assist in maintaining and promoting own and others health, safety and security and work
within NHS Tayside policies and procedures to ensure maintenance of safe working
practices
19. Recognise and report incidents using IR1 forms/IT system
20. Identify the need for and contact appropriately skilled staff members to cover shifts using
bank staff, rearranged shifts as required to cover sickness or excess activity
21. Order medicines to ensure/maintain adequate stock levels
 Education/Continuing Professional Development
22. Participate in personal/career development plan to maintain and develop attitudes, skills
and knowledge, facilitating personal and professional growth in order to maximise
contribution to service delivery
23. Attend mandatory updates and maintain attendance record as dictated by service
requirements (breast feeding, neonatal and adult CPR, fire safety etc.)
24. Foster an environment of enquiry, education and support that is responsive to the service,
clinical developments and needs.
25. In partnership with the clinical nurse specialists, design, facilitate and actively participate
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in teaching programmes for junior nursing and medical colleagues and learners using
mentorship and preceptorship, induction and orientation, appraisal and clinical
supervision.
26. Implement parent education and health promotion programmes to enable parents/carers
and families to become self caring in preparation for discharge and future development
 Quality/Research & Development
27. Encourage awareness of best practice and participate in research programmes,
recognising the need for and promoting evidence based practice
28. Lead practice development initiatives through participation in clinical working groups
29. In collaboration with the multidisciplinary team participate in the audit of standards of
care
30. Complete workload monitoring activity sheets
31. Work within an ethical and legal framework utilising defined policies, procedures,
standards and protocols of the department, organisation and the NHS Tayside to promote
safe and effective care and report quality issues to senior nursing staff
32. Actively participate in Clinical Governance, clinical effectiveness and risk management,
be proactive in implementing organisational agendas and strategies
33. Respond to formal and informal complaints raised by parents and staff
6.
COMMUNICATION AND RELATIONSHIPS
Communicates continuously with nursing staff and others in the multidisciplinary team about
all activities necessary to provide and maintain a safe functioning environment ensuring
effective, quality care.
Establish and maintain relationships based on mutual respect, communicating on a regular
basis with the parents/carers, other relatives, the multidisciplinary team and external
agencies involved in the provision of care utilising telephone, verbal and written
communications
7.
KNOWLEDGE,TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

RGN, RM or RSCN

Recognised post registration qualification in neonatal care

A minimum of 2 years experience in neonatal intensive care (qualified in speciality)

Evidence of ongoing professional development or degree

Ability to work using own initiative as part of a multiprofessional team

Leadership training or commitment to undertake
ESSENTIAL ADDITIONAL INFORMATION
8.
SYSTEMS AND EQUIPMENT
The Band 6 Charge Nurse/Midwives is expected to have knowledge and skills necessary to
use all equipment required for the care of all babies in the Neonatal Unit. They will be
expected to educate and supervise others to gain competence
Medical Devices
Ventilators
CPAP drivers
Infusion devices
Neonatal Transport System (for mobile ICU)
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Blood glucose analyser
Cardio-respiratory and oxygen saturation monitors
Invasive blood pressure monitors
Non-invasive blood pressure monitors
Incubators/heated mattress/Kanmed bed
Phototherapy (biliblankets and overhead systems)
Transcutaneous monitors
Information Technology
Clinicom
Protos
Fountain
Accessing electronic guidelines/protocols
Duty rota
IR1 forms/AIM system
Moving and Handling
Incubators
Transport system
Baby scales
Supporting breast feeding (awkward positioning)
Near Patient Testing
BP monitoring (invasive & non-invasive)
True blood glucose estimation
Capillary blood sampling
Arterial line sampling
Specimen collection (nasopharyngeal, swabs, endotracheal)
Urinalysis
Treatments
Different invasive ventilation modalities CMV, Trigger, HFVO, Nitric Oxide & management
of ventilated neonates
Nasal cannuale and headbox oxygen administration
Phototherapy
Central lines
Chest drain management
Total parentral nutrition/Intravenous fluids
Blood product transfusion
Nasogastric tube insertion/tube feeding
9.
PHYSICAL DEMANDS OF THE JOB
Physical Skills:
 Handling, manoeuvring and positioning intensive care neonates with complex equipment
and management needs
 Administer intravenous injections and prescribed solutions via syringe pumps and infusion
devices
 Co-ordinating multiple infusions
 Capillary sampling from very preterm infants
Physical Demands:
 Moving incubators and monitoring devices
 Assisting with breast feeding
 Stand/walk for the majority of shift
Mental Demands:
 Concentration required to organise and co-ordinate neonatal work environment and activity,
prioritising workload and demands in a dynamic environment
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 Concentration required when managing care needs of sick, unstable infants. Monitoring for
changes in condition and implementing appropriate action
 Concentration required when checking documents/patient notes and undertaking frequent
observation of babies
 Concentration required when undertaking complex drug dosage calculations whilst subject
to frequent interruptions
 Concentration required when admitting/transferring/discharging babies and mothers using
computer database
Emotional Demands:
 Communicating with distressed/anxious/worried parents/carers and other relatives
 Caring for and supporting others to care for dying babies and their families
 Caring for babies who are very sick and unstable, or who have a poor prognosis
 Caring for babies with neonatal abstinence syndrome (drug withdrawal) and their
parents/carers who may display challenging behaviour
 Supporting parents who may be emotionally fragile
Working Conditions:
 Exposure to body fluids, urine, faeces, gastric secretions and expressed breast milk
frequently during each shift
 Occasional exposure to verbal aggression
 X-ray exposure
 Environmental noise
 Hot environment
10.
DECISIONS AND JUDGEMENTS
The Charge Nurse/Midwife will be responsible to the Senior Nurse Neonatal Services, Senior
Charge Nurse, Clinical Nurse Specialist and Case Manager for clinical guidance and
professional management, work review and formal appraisal of performance
The Charge Nurse/Midwife will be responsible for co-ordinating the clinical environment on a
day-to-day basis. They will be responsible to the Senior Nurse Neonatal Services, Senior
Charge Nurse, Clinical Nurse Specialist and Case Manager to undertake duties as assigned to
contribute to the smooth running of the service
The Charge Nurse/Midwife will be responsible for supporting the nursing/midwifery team to
assess, monitor, evaluate and interpret patients’ condition
Deputise for the Senior Nurse Neonatal Services, Senior Charge Nurse, Clinical Nurse
Specialist and Case Manager for decisions relating to management of physical, human and
financial resources
11.
MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Effective management and prioritisation of competing demands within an unpredictable
environment
Caring for critically ill, unstable and terminally ill neonates and their families
Fulfilling the role of shift leader, acting as a resource of expert advice, providing leadership
and motivating the team to provide high standards of nursing/midwifery care
Balancing the demands of all stakeholders to provide and effective, safe and efficient service
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
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CRITERIA
EXPERIENCE:
QUALIFICATIONS:
(Training; Research;
Publications)
KNOWLEDGE &
SKILLS:
ESSENTIAL
Extensive experience in a
neonatal intensive care unit as a
qualified in speciality staff nurse


RGN, RM or RSCN
Recognised post registration
qualification in neonatal care
 Educated to Degree level OR
Evidence of ongoing
professional development
 Child protection training
 Breast feeding training
 NLS
Developed neonatal clinical
nursing skills as outlined in job
description.
Able to make clinical assessments
and plan and evaluate care plans
for the neonatal population
Able to exercise judgement in the
clinical management of sick
neonates
Ability to lead a team
Ability to teach and assess
learners
Able to work effectively within a
pressured environment
Able to use own initiative
Demonstrate possession of decision
making and problem solving skills
Ability to recognise and analyse complex
situations and problems & take
appropriate actions
Recognises limitations to scope of
clinical practice
Able to instruct, direct and support others
PERSONAL QUALITIES:
DESIRABLE
Able to work as part of the multi
disciplinary team.
Willing to take responsibility for own
practice and guidance of inexperienced
nursing staff. Adaptable and flexible in
approach to own work practice.
Enthusiastic. Self-motivated. Ability to
empathise and reassure. Diplomacy.
Tact.
Awareness of the differing cultures and
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LEO or other leadership
training
Cleanliness Champion
Ability to undertake staff
appraisals and develop
development plans
Experience of basic human
resource management
procedures
Ability to facilitate change
Able to apply findings from
research or audit to clinical
practice
individual needs of children and families.
OTHER:
(eg travel across Tayside)
Able to undertake flexible working
hours. Day/ Night Rotation
OHSAS. References and CRB
check satisfactory to the Trust
General Conditions of Service
POST REF NO:
D/AC/67/13
JOB TITLE/GRADE:
CHARGE NURSE BAND 6
LOCATION:
NEONATAL UNIT, NINEWELLS HOSPITAL,
DUNDEE
Conditions of Service
Remuneration
Hours of Duty
Superannuation
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 £25783 to £34530
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 37.5 hours per week. 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:
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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
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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/you should have current and continuing professional
registration with NMC and hold the appropriate
qualification(s).
Smoking Policy
Applications
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 9SY
By closing date of Tuesday 22nd October 2013
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