We are looking for an enthusiastic Band 5 nurse to join our nurse-led unit at Wycombe Renal Unit (Wycombe Hospital). Our unit provides an Outpatient Service of haemodialysis, home dialysis, renal and transplant clinics for patients in High Wycombe and surrounding areas and is a satellite unit of the Oxford Kidney Unit.
Unit is closed Sundays, Christmas & New Years Day. The unit is open Monday to Saturday with no night shifts. Twilight shifts up to midnight Mondays, Wednesdays and Fridays.
Join our highly motivated team who is committed to a high quality of service. We highly support staffs educational and professional development.
If you are committed to delivering excellence in patient care, we would like to hear from you! Our unit encourages nurses who are interested in working in an area of excellent mix of technology, clinical expertise, building strong positive patient relationships and patient education. All applications from nurses who are keen to join this speciality will be welcome. Experience of renal nursing is helpful but not essential most importantly, you should have an interest in renal medicine, be a team player, keen to learn and be able to demonstrate a commitment to delivering high quality care.
Main duties of the job
* To provide and maintain a high standard of care based upon and reflecting the beliefs of nursing practice outlined in the unit philosophy for patients receiving renal replacement therapy and patients attending outpatient clinics or the unit for other treatments related to their renal failure.
* To be responsible for the assessment, planning, implementation and evaluation of nursing care for a named group of patients who are receiving maintenance haemodialysis.
* To act as co-ordinator of the clinical area on a daily basis, sometimes in the absence of a more senior member of staff on site.
* To supervise and teach new staff, renal course students, renal care assistants and pre-registration students and to assist in the development of junior staff.
About us
If you join us, you'll be working for a world renowned centre of clinical excellence and one of the largest NHS teaching trusts in the UK.
OUH is committed to ensuring that our staffs are proud to work at OUH and can give of their best and fulfil their potential.
Job description
Job responsibilities
DUTIES AND RESPONSIBILITIES
CLINICAL AREAS
* To provide care for patients receiving maintenance haemodialysis as out-patients.
* To maintain competence in:
o Operating the dialysis machines.
o Cannulation of fistulas and grafts.
o Care of central venous dialysis catheters.
o Operation of infusion devices.
* To accept responsibility and be accountable for the total patient care for a named group of haemodialysis patients, monitoring health status and blood results. To adjust prescribed care in conjunction with the team leader.
* To develop and maintain a high level of clinical knowledge in order to assess patients who become or present unwell, in the absence of medical cover on site. To be able, on occasions, to take appropriate action in referring patients when necessary to the GP, the Oxford Kidney Unit or Wycombe Hospital medical staff.
* To assist in the care of patients on Peritoneal Dialysis, (PD) in the unit and at home. To learn the basic PD procedures.
* To take all measures to ensure the safety of the patient, relatives and other staff members, reporting all accidents and incidents and completing the relevant documentation.
* To help and support patients who find it difficult to adhere to their treatment regime.
* To liaise with members of the multidisciplinary team, in the hospital and the community, on behalf of the patient. To negotiate responsibility for different aspects of the patients care in the absence of senior nursing staff.
* To ensure that agreed nursing policies are implemented.
* To communicate effectively with the patients and their relatives both face to face and by phone.
* To care for the needs of patients attending renal outpatient clinics, including venepuncture, dressings, drug administration and advice where indicated.
* To develop and maintain a high level of knowledge of infection control issues, practising within the policies and guidelines recommended by the Trust and Unit, thus ensuring the safety of patients and staff at all times.
PROFESSIONAL RESPONSIBILITIES
* To assist in maintaining and enhancing the safety of the Clinical area with particular emphasis on its environment, equipment and ward and unit practices, ensuring that all policies are adhered to.
* To practice research based nursing care, maintaining professional development by contributing to development programmes and by reading and discussing as appropriate nursing journals and research papers.
* To participate in a project or take on a link role within the clinical area to enhance the development of nursing practice.
* To maintain a professional attitude and observe the NMC Code of Conduct at all times.
MANAGERIAL / ORGANISATIONAL
* To regularly coordinate the clinical area on a day to day basis sometimes in the absence of a more senior nursing staff member on site. To organise ward activity and communications with the Oxford Kidney Unit, Wycombe Hospital and the community. To be able to make appropriate decisions regarding problems with patients or staff and know when to refer to senior management at Oxford.
* Assess, prioritise and allocate workload to maintain safety at all times.
* To maintain accurate records of care reflecting the process of the nursing care delivered, both on paper and electronically.
* To abide by the Data Protection Act at all times.
* To be responsible for the care, control and proper administration of drugs as required by the NMC and by the Oxford University Hospitals NHS Trust.
* To have a broad knowledge of all Trust policies and procedures with regard to Health and Safety including manual handling policies infection control fire incident reporting care of patients property resuscitation transport admission and discharge of patients security and complaints procedure.
* To participate in annual updates for resuscitation, fire, health and safety, manual handling and control of infection.
* To be aware of and monitor the safe and economic use of all supplies and equipment and to practise effective use of resources.
* To be willing to cover for sickness and holiday periods when needed, providing flexibility in the clinical environment. To organise cover for sick leave in the absence of senior staff as far as possible.
* Facilitate communication with community nurses, GPs and ward nurses in the host hospital.
* To be prepared to learn new skills and implement change.
EDUCATION AND TRAINING
* To assist in the education and development of staff in clinical skills, unit policies and management.
* To assist and teach patients and their families to learn the skills to become independent with renal failure at home.
* To develop and maintain IT skills in order to carry out patient care.
* To help provide a conducive learning environment by:
o Being involved in an active teaching programme.
o Use of planned teaching sessions.
o Use of teaching in the clinical areas.
o Being a mentor for more junior staff and students.
o Actively seeking further education by reading journals and attendance at study days.
Person Specification
Behaviours
* Able to demonstrate the ability to put patients at the heart of what you do and recognising different needs by encouraging a spirit of support, integrity, respect and teamwork.
* Shows pride in the quality of care they provide for patients and learning from successes and setbacks.
* Able to deliver a high standard of care for patients and always striving to improve on what you do through change and innovation.
Education
Essential
* Registered Nurse (Part 1. 8. 12 or 15 of the Nursing and Midwifery Council Register depending on area of practice) or National Certification in area of Practice.
* UK recognised Degree in Nursing relevant to post.
* Evidence of ongoing professional development through maintenance of an NMC revalidation or equivalent.
Desirable
* Post-graduate qualification related to an area of practice.
Clinical Practice
Essential
* Articulate and knowledgeable of skills needed to deliver a high standard of care in the area of practice.
* Able to work under own initiative within boundaries of role.
* Demonstrates awareness of importance of working as part of a team.
* Able to document observations, results, decisions and actions etc. effectively in patient's notes and communicate these effectively to appropriate members of the multi-disciplinary team.
* Able to communicate effectively with patients/relatives and carers and all members of the multi-disciplinary team.
* Able to proactively contribute to the education of learners and non-registered and less experienced staff.
* Demonstrates ability to manage, direct and evaluate the nursing care for a defined caseload of patients.
Desirable
* Competent to administer intravenous medicines.
* Competent in central venous access management.
Leadership and Management
Essential
* Excellent communication skills.
* Able to prioritise own workload and that of others as appropriate.
* Demonstrates ability to maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with their line manager.
* Acts as a role model and are able to lead by example to ensure the Trust's values and behaviours are reinforced throughout their area of practice.
* Able to supervise Foundation nurses, non-registered and less experienced staff to ensure effective care delivery.
* Able to effectively and appropriately escalate concerns to reduce risk and promote patient safety.
Desirable
* Previous experience in the relevant specialty.
* Previous management experience of specific clinical area.
* Previous experience of managing clinical incidents and complaints.
Developing Practice
Essential
* Understanding of professional and current issues related to area of practice.
* Demonstrates ability to keep up to date with professional issues that influence nursing practice relating to the area of clinical practice, management education and research.
* Able to identify own learning needs and ensure own professional development is maintained by keeping up to date with practice developments.
Desirable
* Able to contribute to the development, implementation, monitoring and evaluation of policies/protocols/guidelines relevant to area of practice.
* Demonstrates ability to question and challenge nursing practice in a constructive way so that standards of patient care are continually evaluated and improved.
Personal Qualities
Essential
* Motivated and able to articulate reasons for desire to work in the specific practice area.
* Being self-aware and able to accept constructive criticism.
* Positive enthusiastic character.
* Resilient under pressure.
* Smart professional appearance.
* Pleasant personality.
* Good self-presentation.
* Able to undertake specific procedures involving physical skills commensurate with practice area.
Employer details
Employer name
Oxford University Hospitals NHS Foundation Trust
Address
Wycombe Renal Unit, Wycombe Hospital
Queen Alexandra Road
High Wycombe
HP11 2TT
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