Sister/ Charge Nurse inDewsbury inDewsbury PUBLISHED 26 DEC 2023

KEY DUTIES AND RESPONSIBILITIES

CLINICAL

• Manage the department environment, and be responsible for ensuring co-ordination and delivery of skilled, effective care and safe, timely discharge.
• Assess, prioritise, plan, implement and evaluate individualised patient care. Supervise others in the aforementioned functions.
• Ensure safe, timely discharge or transfer, of patient, to wards, other hospitals or care settings.
• Perform and ensure others perform patient observations such as blood pressure, pulse, respirations, oxygen saturations, early warning score, pain score, pressure score, peak expiratory flow, temperatures, and electrocardiographs.
• Provide follow up advice, treatment and care.
• Perform procedures such as wound closure (by suturing, tapes or medical glue), local anaesthetics, wound care, incision and drainage of small abscesses, nail removal, urinary catheterisations, trephine nails, venepuncture, and intra venous cannulation.
• Complete Investigations such as blood glucose measurement, ward test urine, blood gas analysis, pregnancy testing
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• Refer patients to other speciality doctors for an opinion or advice e.g. orthopaedic; surgical, mental health, plastics.
• Use current Emergency Department Patient Group Directions (Mid Yorkshire) to supply and administer medicines to patients without reference to a doctor.
• Recognise and advise on Child Protection issues and follow the Child Protection Policy, informing the appropriate professionals and parents/carers of concerns and procedure.
• Recognise and advise on Vulnerable Adult Abuse protection issues and follow the Kirklees Vulnerable Adult Protection Policy, informing the appropriate professionals and parents/carers of concerns and procedure as per Mid-Yorkshire Trust policy
• Nurse Leader/participant for the Major Trauma Team
• Initiate and participate in Advanced Life Support and cardiac arrest management.
• Maintain clear, accurate, legible and timely written documentation in patients notes providing a record of care delivered. Remind other members of the team to do likewise..
• Assess patients (triage) - requesting x-rays and supplying and administering analgesia, as needed, using Patient Group Directions. Refer, after nurse assessment, patients to other health care professionals such as mental health team, dental services, General Practitioners.
• Act on results of those x-rays and investigations requested by self.
• Administer intra venous, intra muscular, subcutaneous injections, and rectal and oral medication.
• Application of bandages casts and splints.
• Provide direct patient care. Attending to patients hygiene needs such as giving and removing bedpans and urinals. Washing incontinent, unclean and infested patients as required.
• Give direction, support and advice to junior staff
• Accept accountability and responsibility for own safe clinical practice. Comply with the NMC Code of Practice and subsequent published guidelines for practice.
• Act as the patients advocate when necessary.
• Attend the department and assume nurse leadership (in absence of Matron and Senior Sister) in the event of a major incident being declared
• Implement and maintain control of infection procedures, such as hand washing, and be attentive that others do so
• Move patients on trolleys to other area, such as x-ray; resuscitation room
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COMMUNICATION

• Maintain confidentiality of information regarding patients, families and friends at all times. Be attentive that others do so.
• Obtain effective communication with the patient; their family, friends and carers; the multi-professional team; other departments and hospitals; primary care teams. This will be verbal, written, electronic and telephone and for the purpose of explaining diagnosis, treatment and obtaining verbal, implied and written consent and follow up care to patients and family; to request investigations and consultations from other professionals; eliciting more information to contribute to the diagnosis and care; arranging follow up care; passing information. This will frequently be to patients who have complicated emotional, physical and psychological conditions e.g. deafness, dysphasia, learning difficulties and mental health illness and will require expert use of verbal and non-verbal communication.
• Communicate bad news, with explanations, such as death or severe injury/illness to relatives/carers. Provide support for parents, family and carers following sudden infant death or child death.
• Relative nurse providing support and information to friends and family in Resuscitation Room
• Recognise the needs of the patient family and friends and ensure they receive suitable support from the appropriate staff
• Liaise with Police and coroners officer following sudden deaths
• Express ideas simply, through oral or written presentations to staff and others.
• Inform patients and visitors, when their behaviour is threatening, violent or intimidating to other patients or staff that this is not acceptable, and ask them to stop. If they persist in the undesirable conduct ensure patient, visitor and staff safety by calling security and/or police by telephone or attack alarm.
• Organising and conducting meetings, which have a clear purpose and outcome such as around their special interest
• Use the information technology system to e.g. input data, request investigations and refer to other members of the hospital team. Code episode of patient care in the ED and therefore letter to GP

EDUCATIONAL

• Provide mentorship, teaching and assessment for pre and post registration student nurses completing documentation as required by universities.
• Maintain awareness of current developments in ED nursing and issues relating to the service and assist in their implementation.
• Supervise junior staff, student nurses and ancillary staff with their educational needs
• Assist with planning, delivering and participating in the departmental teaching programme
• Participate in the planning and delivery of ED induction programmes and in the
• orientation of staff new to the department.
• To maintain own knowledge base and practice advanced accident and emergency skills and supervise others in their delivery of these skills.
• To ensure own educational needs are met within NMC recommendations.
• Assist in maintaining a teaching resource area in the department to promote evidence-based practice
• Assist with the management and development of preceptors and mentor group to enhance practice within the department
• Encourage an environment, which facilitates appropriate education and training through the organisations individual appraisal system.
• Offer advice and guidance to doctors and multi-professional team when requested.

MANAGEMENT

• To maintain a safe environment for staff, patients and visitors within the ED
• Maintain safe custody and administration of medicines and controlled drugs according to statuary legislation, Mid Yorkshire NHS Trust and the NMC (2002) Standards for the Administration of Medicines
• Balance nursing staff resources to peaks and troughs of activity through a rota.
• Find cover for nursing shifts in the event of sickness or absence.
• Monitor and control the use of resources through effective systems of stock control. Ordering pharmacy and sterile supplies for the ED
• Raise the awareness of the team with regard to financial and budgetary issues.
• Recommend improvements in services, with supporting evidence, to Consultants, Matron and the ED Team. Consult with appropriate personnel in order to effect change
• Prioritise work and manage time effectively.
• Report and record all complaints, clinical incidents and untoward occurrences.
• Ensure that confidentiality and safe record keeping are undertaken in accordance with the Data Protection Act.
• To assist in leading the development of nursing practice within the ED
• Accept responsibility for maintaining equipment and stock levels, reporting any defects, hazards or shortfalls within the clinical area, ensuring that problems are followed up
• Lead, some, and participate in the development of guidelines, protocols, and pathways of care, using an evidence base where it is available
• Monitor and assist in managing sickness and absence
• Have an understanding of the disciplinary/grievance procedure and how and when it should be applied
• Participate in the recruitment, selection and retention of staff.
• Attend and contribute to staff meetings. Represent the ED and contribute to other meetings external or internal as requested.

LEADERSHIP

• To maintain respect, privacy and dignity for all patients regardless of race, colour, creed or social circumstances of reason for attendance
• Act as an effective role model and maintain professional standards when representing the department being courteous and helpful at all times
• To develop and maintain own area of expertise and role in the ED
• Offer time and space for the ED team to have appropriate defusing following distressing events such as death; aggression and violence.
• Support staff, through clinical supervision, to be accountable practitioners
• Contribute to the creation of a departmental culture, which recognises and works in partnership with patients and carers involving them in all decisions.
• Work in a collaborative, co-operative manner with other health care professionals and other relevant agencies
• Maximise the effectiveness of the team e.g. appropriate skill mix, duty rotas, training, and mentorship.
• Assist in the enabling and empowering of staff.
• Develop systems, which ensure continuity of care.
• To be accountable for own safe practice
• Ensure adequate and accurate patient documentation and records are maintained

Are you a positive motivated leader who wants to be part of our team where no day is the same?

Some very exciting opportunities have arisen for motivated excellent role models to work as part of the leadership teams in our fast paced dynamic Emergency Department at Dewsbury and District Hospital in busy, acute area seeing multiple patients of varying acuities.

Manage the department and co-ordinate the delivery of skilled, effective care and timely discharge.

Ensure the safety of patients, staff and visitors.

Deliver expert nursing care, leading the team by example.

Provide advice and supervision to junior staff.

Actively participate in the development of the Emergency Department service by using innovation and evidence-based practice.

Provide support to the Band 7 Sisters and assist with managing the teams.

We are looking for a knowledgeable highly skilled motivated individual's who works calm under pressure to lead the running of the Department on a shift basis

Ensuring high quality patient care is been provided within the department and support with flow through the department ensuring Emergency Department standards are maintained and targets met.

We are seeking enthusiastic, responsible, and professional individuals who would join a highly motivated, experienced and dynamic team. The successful candidate would be able to organise their work load, work well under pressure be flexible in their approach to changing needs and demands of the organisation, follow instructions under pressure and use their own initiative.

Applicants need to have experience in acute care ideally in the Emergency department. To manage flow through the department and manage the nursing teams be able to prioritise patient needs and care for acutely unwell patients.