Golden Jubilee National Hospital s3

AGENDA FOR CHANGE NHS JOB EVALUATION SCHEME

JOB DESCRIPTION

1. JOB IDENTIFICATION

Job Title: Staff Nurse

Reports to: Senior Charge Nurse

Ward: 4A

Directorate: Surgical & Anaesthetic Directorate

Job Reference: SSSARAIGSURU03

No of Job Holders:

Last Update:

2. JOB PURPOSE As part of the multidisciplinary team the post holder is responsible for the assessment of care needs and the development of programmes of care, and the implementation and evaluation of these programmes ensuring the delivery of high standards of care to patients and their families.

In the absence of the Charge Nurse or Senior Staff Nurse takes charge of the Ward regularly ensuring safe, effective running of the Ward.

3. DIMENSIONS Nursing care of 34 beds caring for – Emergency admissions Elective admissions for Pre and Post operative care and other treatment/procedures Elective admissions for investigations which require inpatient stay Patients transferred from other hospitals / wards / SHDU / ITU Terminal care for patients Staff management/Supervisory responsibilities of approx 4 RN’s and 2 Nursing Auxiliaries on a shift-by- shift basis.

Budgetary Responsibility Aware of how to roster staff to make best use of resources. Within the requirements of the Ward orders supplies to appropriate agreed levels. Following Financial Instructions is responsible for the safe keeping of patients valuables. 4. ORGANISATIONAL POSITION

General Surgery & Urology General Manager / Clinical Director

Associate Director of Nursing Nurse Manager

Ward SHDU Ward Ward 4A 4C 5C Ward Ward Receptionist Ward Ward Manager / Manager / Receptionist Manager / Receptionist Manager / Receptionist Charge Charge Domestic Charge Charge Nurse Nurse Assistants Domestic Nurse Domestic Nurse Domestic Assistants Assistants Assistants Senior Senior Senior Senior Senior Nurse Staff Staff Staff Staff Highland Nurse Nurse Nurse Nurse Breast Centre Staff Staff Staff Staff Nurses Nurses Nurses Nurses (E) (E) (E) (E) Staff Staff Staff Nurse Staff Nurses Nurses Staff Nurses (D) (D) Nurses (D) (D) Newly Newly Newly Qualified Qualified Qualified Staff Nurse Staff Nurse Staff Nurse (D) (D) (D)

Nursing Nursing Nursing Nursing Nursing Assistant Assistants Assistants Assistants Assistants 5. ROLE OF DEPARTMENT

Ward 4A has 34 beds of which 5 are triage. Sub specialities are Colorectal and Breast.

Ward 4C has 28 beds. Sub specialities are Gastro Intestinal and Endocrine.

Ward 5C has 34 beds. Sub Specialities are Vascular and Urology.

Surgical High Dependency Unit has 6 beds.

All wards receive emergency admissions, investigations, Pre and Post operative, major and minor with high to low dependency patients.

There are 3 Urology Consultants and 6 General Surgery Consultants each with a sub speciality.

6. KEY RESULT AREAS 1. Works as a practitioner within the Statutes & Guidelines laid down by the Nursing & Midwifery Council.

2. In the absence of the Charge Nurse/Senior Staff Nurse takes charge of the Ward/Dept for the management of the daily responsibilities, including work allocation, deployment and supervision of staff, to ensure safe and effective running of the Ward/Dept.

3. Is involved in setting and maintaining standards of care within the agreed guidelines of NHS Highland policies and procedures to ensure adherence to, and delivery of, a high quality service.

4. Is responsible for the assessment of care needs and the development, implementation and evaluation of programmes of care for patients, involving families/carers, ensures that appropriate documentation is correctly maintained.

5. Provides support and advice to patients and their families/carers giving the knowledge required to help them understand and cope with their condition.

6. With sound clinical nursing knowledge, demonstrates skills such as venepuncture, cannulation, ECG recording, catheterisation etc.

7. Participates in the Discharge Planning process to ensure the smooth transition of the patient from hospital to community.

8. Maintains effective communications with patients families/carers and other members of the multidisciplinary team to ensure that appropriate information is shared and patient needs are met.

9. Leads and supervises junior staff/students who are providing care to patients and act as a source of advice to ensure their educational needs are met. 10. Undertakes teaching of nursing colleagues and other members of the multidisciplinary team and participates in the implementation of staff Personal Development Plans to facilitate ongoing development.

11. Has the ability to organise own workload, prioritising and adjusting priority in the face of changing demands to ensure all needs are met.

12. Is responsible for maintaining patient records within agreed standards.

13. Maintains Ward stock levels, through ordering of stores, ensuring the economic use of all resources.

14. Plays an active role in the continuing development of the Ward undertaking various aspects of clinical audit as designated by Charge Nurse.

15. Attends and participates in meetings, promoting and maintaining good relationships within the Ward and with staff of all disciplines throughout NHS Highland.

7a. EQUIPMENT AND MACHINERY The Staff Nurse is expected to have a knowledge of all equipment used in the Ward. Ensures faulty equipment is sent for repair / maintenance timeously. Equipment Use Various Intravenous Pumps } Syringe Drivers } To deliver prescribed fluids and/or drugs safely Intravenous lines, venflons } Butterfly devices, syringes, needles. }

P.C.A Pumps

Monitoring equipment for – To measure and observe patients condition and act Blood Pressure, temperature, pulse, cardiac output, appropriately on changes in condition. glucose, Central venous pressure

Oxygen equipment – Flowmeters, masks, To give correct prescribed Oxygen concentration Humidifiers, Pulse Oximeters

Nasogastric, Nasojujenal tubes. To drain gastric, small bowel contents. Also used to feed.

PEG Feeding To feed direct to stomach. (Percutaneous Endoscopic Gastrostomy).

Nasogastric fine bore tubes Nutrition via CVP line Total parental nutrition

Drains – To drain fluid/air from various parts of body. Chest, Various Suction Devices. Latex Drains Urinary Catheters – Suprapubic, urethral. To drain urine.

Bladder Scanner – flow machine Assess urine volumes in bladder, assess urine flow / stream

Nebulisers. To give respiratory therapy.

Resuscitation equipment including Defibrillator. To resuscitate and administer shock following cardiac arrest.

Huggie blanket and fluid warmer To administer warm fluids to hypothermic patients

Ophthalmoscope Examination of eyes.

Sigmoidoscopes For internal examination. Proctoscopes

Doppler Machine Check blood flow in limbs.

V.A.C Therapy Complicated wound dressings

Electric Beds Safe movement of patients.

Various hoists / Slide sheets To move patients safely

Various Pressure Relieving Mattresses.

Computers (Internet, Intranet & Word, Budgetscan) Printers Fax Machine.

Chute System Transportation of items.

7b. SYSTEMS 1. Maintains patients records in accordance with Nursing & Midwifery Council Guidelines and NHS Highland standards.

2. Ensures correct use of computerised systems i.e. Patient Administration System, Immediate Discharge Letter.

3. Budgetscan/Duty Rota Recording – inputting data. Reorganises rotas for sudden cover requirements, sickness/absence, change in workload, training etc

4. Stock and pharmacy ordering

5. Complaints procedure. 6. Patient Administration System – Recording discharges, deaths, transfers.

7. Personal Development Plans.

8. Ward Communication Systems.

8. ASSIGNMENT AND REVIEW OF WORK The Staff Nurse will be responsible to Charge Nurse/Ward Manager for clinical guidance and professional management, work review and formal appraisal of performance.

Works within statutes and guidelines of the Nursing & Midwifery Council, National, Highland and local agreed policies, protocols and procedures.

Workload will be assigned by the Charge Nurse/Ward Manager or Senior Staff Nurse however the Staff Nurse will have responsibility for managing a defined workload within professional guidelines.

9. DECISIONS AND JUDGEMENTS In the absence of Charge Nurse/Senior Staff Nurse allocates work and deploys staff within agreed resources to ensure needs are met.

Assesses patients condition to establish any change involving other members of the multidisciplinary team as required.

Continuously assesses patient condition and plans, implements and evaluates programmes of care.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB In the absence of Charge Nurse/Senior Staff Nurse organises cover to ensure safe effective operation of Ward.

The ability to give good direct patient care to all patients prioritising and re-prioritising in the face of competing demands.

Maintaining up to date clinical skills and knowledge while working in a busy clinical environment.

11. COMMUNICATIONS AND RELATIONSHIPS Communicates and listens to the patient, family/carers.

Establishes and maintains professional relationships with nursing colleagues, medical colleagues, health care professionals, voluntary services to provide a planned, co-ordinated seamless service for patients. Communicates with support departments e.g. Estates, Supplies, Human Resources, Health & Safety.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB Physical Skills Such as: - Administer injections, syringe pumps, various infusions. Insertion of urinary catheters – male and female. Reinsertion of suprapubic catheters. Removal of sutures, drains. Insertion of venflons, venepuncture. Complicated wound dressings.

Physical Demands: Patient movement with use of mechanical aides, manoeuvre patients. Push trolleys, wheelchairs. Stand/walking/kneeling. Transferring patients / belongings to other areas.

Mental Demands: Concentration required when checking documents/patient notes and calculating drug dosages, whilst subject to frequent interruptions from patient/relatives/team members, answering telephones and buzzers. Concentration required when observing patient behaviours which may be unpredictable.

Anxiety of finding empty beds in absence of Bed Manager / Senior Staff.

Emotional Demands: Communicating with distressed/anxious/worried patients/relatives.

Caring for the terminally ill, last offices. Caring for patients following receipt of bad news. Responding timeously to all requests from the many medical staff.

Working Conditions: Exposure to body fluids, faeces, emptying bed pans/urinals, catheter bags. Frequent. Management and disposal of infectious body fluids. Exposure to verbal aggression. Fairly often. Exposure to physical aggression. At times.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB First Level Registered Nurse.

2 years post registration experience within relevant area.

Evidence of further education/CPD e.g. short courses.

Evidence of team working skills with ability to work using own initiative. Effective listening and interpersonal skills.

Time management skills.

14. JOB DESCRIPTION AGREEMENT I agree that the above Job Description is an accurate reflection of my duties and responsibilities at the date of signing.

Job Holder’s Signature: Date:

Manager’s Signature: Date: