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 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 General Conditions 05.08 NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION KSF Tracking Code – SCO6 – TN8 2. Job Title Registered Nurse Band 5 Department(s)/Location Neonatal Intensive Care Unit Number of Job Holders 8.5WTE JOB PURPOSE As part of a 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 3. ORGANISATIONAL POSITION Senior Nurse Neonatal Services SCN/Clinical Nurse Specialist/Case Manager Charge Nurse/Team Leader Staff Nurse trained in speciality/Midwife Registered Nurse (post holder) 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. Band 5 staff nurses will work predominately in the high dependency/special care environment, developing towards working in a supervised/learning capacity in the intensive care environment. Supervisory Responsibility Band 5 nurses will supervise delegated tasks to non-registered nursing staff and students. They will be required to support orientation of new and rotational staff, acting as a resource to facilitate their learning and integration to the department. Budgetary Responsibilities The post holder has no direct budgetary management responsibilities. However they are required to be aware of the need to work within budgets and their responsibility to assist in effective use of resources. General Conditions 05.08 5. MAIN DUTIES/RESPONSIBILITIES Care Delivery 1. Responsible for the assessment of care needs and the development, implementation and evaluation of programmes of care for high dependency/special care babies and their families whose needs are relatively consistent and stable to ensure delivery of a high standard of care under the direction of neonatal clinical guidelines 2. Work in partnership with parents/carers to plan and deliver care 3. Maintain effective communication with parents/carers, relatives and other members of the multidisciplinary team on routine daily activities to ensure that appropriate information is shared and the needs of babies and their families are met. 4. Recognise changes in the condition of babies and respond appropriately 5. Support and involve parents/carers and relatives in planning and delivery of individualised care 6. Responsible for maintaining patient records within the agreed standards to ensure the care management plan is communicated to parents/carers and the healthcare team 7. Maintain good relationships and a positive approach to families/carers and relatives, refer them as necessary to a Senior Neonatal Nurse for any questions they may have on their baby’s condition or any suggestions or complaints that they wish to raise 8. Comply with policies relating to Child Protection 9. Management/Leadership Co-ordinate and prioritise own workload working as part of a team to ensure that the interests of babies and their families are met 10. Contributes to the effective use of physical, human and financial resources 11. Provides appropriate support to new junior and rotational staff/learners and health care assistants who are providing care to babies and their families, act as a source of advice to facilitate the delivery of safe and effective care 12. Contributes to processes influencing change in practice 13. Contribute to effective teamwork and healthy working relationships 14. Assist in maintaining own and others health, safety and security and work within NHS Tayside policies and procedures to ensure maintenance of safe working practices 15. Acknowledge any limitations in competence and seek advice and support Education/Continuing Professional Development 16. 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 17. Provide mentorship and act as a role model for learners to optimise the learning experience 18. Undertake parent education and health promotion activity to enable parents/carers and families to become self caring in preparation for discharge and future development 19. In a learning capacity, with support and supervision undertake assessment of care needs and the development, implementation and evaluation of programmes of care for intensive care/unstable babies and their families to ensure delivery of a high standard of care. General Conditions 05.08 Quality/Research & Development 20. Demonstrates research awareness and knowledge of evidence underpinning practice 21. 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 6. 22. Develop and maintain knowledge of clinical governance, shared governance, clinical effectivness and risk management COMMUNICATION AND RELATIONSHIPS Communicates continuously about routine daily activities, with a wide range of health and social care workers, parents and families. Utilise a wide range of media such as telephone, verbal and written communications and overcomes any difficulties in communication with people such as language barriers, clinical conditions (stroke, deafness) 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 7. KNOWLEDGE,TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB First level Registered Nurse (Child Branch) First level Registered Nurse (Adult Branch) with knowledge/experience of paediatric or high dependency nursing Commitment to undertake speciality specific qualification to achieve core neonatal nursing competencies Evidence of ongoing professional development Ability to work using own initiative as part of a multiprofessional team ESSENTIAL ADDITIONAL INFORMATION 8. SYSTEMS AND EQUIPMENT The Registered Nurse is expected to have knowledge and skills necessary to use all equipment required for the care of special and high dependency babies. Under supervision they will be expected to develop knowledge and skills related to equipment required for intensive care neonatal nursing Medical Devices Infusion devices Blood glucose analyser Cardio-respiratory and oxygen saturation monitors Non-invasive blood pressure monitors Incubators Phototherapy Information Technology Clinicom Protos Accessing electronic guidelines/protocols Moving and Handling Incubators Baby scales Supporting breast feeding (awkward positioning) General Conditions 05.08 Near Patient Testing BP monitoring True blood glucose estimation Capillary blood sampling Treatments Nasal cannuale and headbox oxygen administration Phototherapy Total parentral nutrition 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 Physical Skills: Administer intravenous injections and prescribed solutions via syringe pumps and infusion devices Capillary sampling from very preterm infants Handling, manoeuvring and positioning low birthweight neonates Insertion of nasogastric tubes Physical Demands: Moving incubators and monitoring devices Assisting with breast feeding Stand/walk for the majority of shift Mental Demands: 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 to prioritise workload and demands in a dynamic environment Emotional Demands: Communicating with distressed/anxious/worried parents/carers and other relatives Caring for babies with neonatal abstinence syndrome 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 mild frequently during each shift Occasional exposure to verbal aggression X-ray exposure Environmental noise Hot environment 10. DECISIONS AND JUDGEMENTS The Registered Nurse will be responsible to the Charge Nurse for clinical guidance and professional management, work review and formal General Conditions 05.08 appraisal of performance The Charge Nurse will assign workload, however the Registered Nurse will have responsibility for managing a defined workload within professional guidelines Assessment of patient condition to establish any change Analysis of patient condition and subsequent planning of care 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Attaining and maintaining up to fate clinical skills and knowledge in a dynamic speciality area Achieving a balance between the demands of direct patient care within existing resources and unpredictability of the environment Ensuring patient and environment safety at all times General Conditions 05.08 POST REF NO: D/LB/170/14 JOB TITLE/BAND: P/T Registered Nurse Band 5 LOCATION: NICU HOURS: 31.875 per week CRITERIA ESSENTIAL Post registration experience in a Neonatal Intensive Care setting EXPERIENCE: QUALIFICATIONS: (Training; Research; Publications) DESIRABLE RSCN or RGN Degree level or Evidence of ongoing professional development Ability to meet the highly complex needs of the sick ventilated infant requiring full nursing support Recognised post registration qualification in neonatal care Child protection training Breast feeding training KNOWLEDGE & SKILLS: Ability to concentrate intensely in order to maintain a high degree of precision in a dynamic setting Able to work effectively within a pressured environment Able to use own initiative Ability to prioritise workload Ability to teach and assess junior staff and students Recognises limitations to scope of clinical practice NLS Developed neonatal clinical nursing skills as outlined in job description. Able to assess, plan and evaluate care plans for the neonatal population Evidence of management ability and leadership skills Ability to work using own initiative as part of a multiprofessional team PERSONAL QUALITIES: General Conditions 05.08 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 individual needs of children and families. OTHER: (eg travel across Tayside) General Conditions 05.08 Able to undertake flexible working hours. Day night rotation. Shift work OHSAS and enhanced Disclosure check satisfactory to the Trust. General Conditions of Service POST REF NO: D/LB/170/14 JOB TITLE/GRADE: P/T Registered Nurse, Band 5 LOCATION: Neonatal Unit, Ninewells Hospital 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 £21,602 to £28,180 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 31,875 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 01.04.14 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,431 £15,432 to £21,387 £21,388 to £26,823 £26,824 to £49,472 £49,473 to £70,630 £70,631 to £111,376 £111,377 and over Annual Leave Contribution 5% 5.6% 7.1% 9.3% 12.5% 13.5% 14.5% 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 parttime staff) or 6.6 weeks per year General Conditions 05.08 References 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. Occupational Health Clearance 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). Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 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. Disclosure Scotland Immigration, Asylum and Nationality Act 2006 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 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/ you should have current and continuing professional registration Induction Standards & with NMC and hold the appropriate qualification(s). Code of Conduct Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds. Applications 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 2 February 2015 General Conditions 05.08