Job summary Are you a Paediatric Nurse who is passionate about providing excellent care for children and young People? An exciting opportunity has arisen for a Band 6 Registered Children's Nurse to work within the children's hospital at home team and care for children and young people to enable early discharge from, and prevent admission to hospital. We are seeking an enthusiastic, motivated and innovative nurse to join our Paediatric Service to work as part of our specialist nursing team supporting the Children's Hospital At Home Team (CHAHT). This service supports the Paediatric service, including Paediatric Emergency Department (PED), Willow ward team and Paediatric Assessment Unit (PAU). This is a unique opportunity to be part of something exceptional in this patch of Kent, the Garden of England. You will involved in the continuation of the CHAHT based at DVH, facilitating early discharge of children and young people from PED, PAU and Willow and preventing admissions. You will be part of a team of Band 6 nurses working as part of the CHAHT and you will work closely with the Band 7 Team Leader. The CHAHT is a dynamic team incorporating specialist nurses working alongside children's and primary care teams, evolving and offering an excellent service for children and young people within the locality, forging strong links with community and tertiary services. Main duties of the job The successful candidate will work across Children's Services as part of the CHAHT team, providing clinical, specialist and holistic support and care to children and young people in their own home. We are looking for you to apply if you are a motivated clinical nurse, with knowledge and experience in children's nursing in an acute or primary care setting. You will have excellent interpersonal, IT and communication skills with the ability to organise, manage and plan your own workload effectively. You will be dedicated and passionate in your role working with children and young people whilst demonstrating excellent leadership and team working. You will be energetic and dedicated in working as an advocate in support of our children, young people and their families. The successful applicant will be expected to provide advice and support in relation to management of children and young people and will be expected to provide clinical advice and educational support to staff within the Trust. About us We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities. If you are considering applying for a role, please be aware that as an NHS Employee you may have contact with vulnerable service users. Due to the government regulations for mandatory vaccinations for COVID-19 for NHS employees, it has been necessary to take significant steps to protect the health and safety of our staff and our patients. In order to comply with our duty of care, we require all of our staff to be fully vaccinated against COVID-19. Your vaccination status will be a condition of your employment and evidence of vaccination will be obtained during the recruitment process, unless you are medically exempt. Your commitment will help us to put the safety and care of our patients first, as well as helping us to protect you and your colleagues. Date posted 10 January 2025 Pay scheme Agenda for change Band Band 6 Salary £39,205 to £47,084 a year incl HCAS per annum Contract Permanent Working pattern Full-time Reference number 252-6899685 Job locations Darent Valley Hospital Darenth Wood road Dartford DA2 8DA Job description Job responsibilities Specific Responsibilities1. Clinical1.1 To initiate appropriate work, accepting referrals and be able to work autonomously with the child and family in the community setting.1.2 To be based from and regularly attend and liaise with acute hospital colleagues to enable timely and safe discharge from hospital and appropriate follow-up in the community setting e.g. care of children with viral wheeze needing inhalers and observation at home, fluid challenges for children with diarrhoea and vomiting, children requiring intravenous antibiotics.1.3 Recognise and monitor acute exacerbations of illness and initiate appropriate interventions.1.4 To provide a holistic, autonomous and clinical nursing service as an expert practitioner using high levels of decision making and clinical judgement and evidence based practice.To carry out initial assessments/home visits and plan, implement and evaluate nursing care for all patients for whom he/she has continuing responsibility. Act in partnership with the child and family when assessing a childs needs and planning. To provide advice contributing to the well-being of the patient and participate in health promotion. (feeding advice, management of fever in child). To provide high quality nursing care to meetagreed pathway standards of care.1.5 To ensure medical needs and instructions are carried out in accordance with Nursing and Midwifery Council (NMC) guidelines and ensure accurate record keeping (PAS system used for client records). To create reports for specific formal meetings such as child protection case conferences. Ensure confidentiality of information is adhered to always.1.6 To liaise with, and receive referrals from other disciplines and make decisions regarding client treatments/outcomes without direct supervision.1.7 To carry out specialist procedures in the community settings e.g. administration of intravenous antibiotics, care of central venous access devices, insertion of peripheral cannula and phlebotomy.1.8 To use clinical judgement and expertise in assessing and implementing change during clinical visits e.g. assessment of respiratory condition and management of any changes.1.9 To use clinical knowledge and expertise in deciding appropriate administration of drugs, route to be administered and dose of the drug, within a set of defined parameters prescribed by medical colleagues e.g. inhalers.1.10 To use clinical knowledge.1.11 To teach, support and guide patients and those with parental responsibility.1.12 To be familiar with practices regarding the management of hazardous/ biological substances and follow local policies regarding their disposal.1.13 To undertake individual risk assessments to support children and families within their own homes.1.14 To be familiar with safe manual handling practices and implement within the practice setting when both working with clients and service equipment.1.15 To recognise and respond to safeguarding issues as they arise.2. Research2.1 Facilitate a high quality, cost effective service through undertaking research, surveys, audits in connection with own work.2.2 Utilise research findings to develop new ways of working and disseminate relevant information to staff.2.3 To assist the Clinical Lead and Team Leader with updating or writing new care plans, policies, guidelines and competencies.2.4 Set, monitor and review standards of care on a regular basis and initiate corrective action plans.3. Work force3.1 To manage client caseload and have the ability to work autonomously.3.2 Act as a professional role model and mentor at all times.4. Financial4.1 To demonstrate accountability in the use and management of all resources including financial.5. Partnerships, Communications and Relationships5.1 To participate in working parties in order to propose changes to policy, procedure and guidelines within child health.5.2 To liaise, make and receive referrals from other disciplines and make decisions regarding client treatments/outcomes.5.3 To attend Willow Childrens Inpatient Ward and PAU on a daily basis to ensure all appropriate referrals are made and to provide seamless care from hospital to the community setting. To be involved in the providing and receiving of delicate and sometimes complex information during these visits.5.4 Identify and intervene where circumstances contribute to an unsafe environment for patients and staff and bring to the attention of the Team Leader.5.5 To be responsible for the demonstrating of safe use of expensive and complex pieces of equipment. To be responsible for ensuring that medical supplies are ordered from an agreed list in order that the team remain within budget.5.6 There is a requirement for the post-holder to be flexible with their working hours and cover over weekdays, weekends and/or Public Holiday, to ensure a high quality continuous service between 0800-2200 seven days a week. Please see attached JD for full details Job description Job responsibilities Specific Responsibilities1. Clinical1.1 To initiate appropriate work, accepting referrals and be able to work autonomously with the child and family in the community setting.1.2 To be based from and regularly attend and liaise with acute hospital colleagues to enable timely and safe discharge from hospital and appropriate follow-up in the community setting e.g. care of children with viral wheeze needing inhalers and observation at home, fluid challenges for children with diarrhoea and vomiting, children requiring intravenous antibiotics.1.3 Recognise and monitor acute exacerbations of illness and initiate appropriate interventions.1.4 To provide a holistic, autonomous and clinical nursing service as an expert practitioner using high levels of decision making and clinical judgement and evidence based practice.To carry out initial assessments/home visits and plan, implement and evaluate nursing care for all patients for whom he/she has continuing responsibility. Act in partnership with the child and family when assessing a childs needs and planning. To provide advice contributing to the well-being of the patient and participate in health promotion. (feeding advice, management of fever in child). To provide high quality nursing care to meetagreed pathway standards of care.1.5 To ensure medical needs and instructions are carried out in accordance with Nursing and Midwifery Council (NMC) guidelines and ensure accurate record keeping (PAS system used for client records). To create reports for specific formal meetings such as child protection case conferences. Ensure confidentiality of information is adhered to always.1.6 To liaise with, and receive referrals from other disciplines and make decisions regarding client treatments/outcomes without direct supervision.1.7 To carry out specialist procedures in the community settings e.g. administration of intravenous antibiotics, care of central venous access devices, insertion of peripheral cannula and phlebotomy.1.8 To use clinical judgement and expertise in assessing and implementing change during clinical visits e.g. assessment of respiratory condition and management of any changes.1.9 To use clinical knowledge and expertise in deciding appropriate administration of drugs, route to be administered and dose of the drug, within a set of defined parameters prescribed by medical colleagues e.g. inhalers.1.10 To use clinical knowledge.1.11 To teach, support and guide patients and those with parental responsibility.1.12 To be familiar with practices regarding the management of hazardous/ biological substances and follow local policies regarding their disposal.1.13 To undertake individual risk assessments to support children and families within their own homes.1.14 To be familiar with safe manual handling practices and implement within the practice setting when both working with clients and service equipment.1.15 To recognise and respond to safeguarding issues as they arise.2. Research2.1 Facilitate a high quality, cost effective service through undertaking research, surveys, audits in connection with own work.2.2 Utilise research findings to develop new ways of working and disseminate relevant information to staff.2.3 To assist the Clinical Lead and Team Leader with updating or writing new care plans, policies, guidelines and competencies.2.4 Set, monitor and review standards of care on a regular basis and initiate corrective action plans.3. Work force3.1 To manage client caseload and have the ability to work autonomously.3.2 Act as a professional role model and mentor at all times.4. Financial4.1 To demonstrate accountability in the use and management of all resources including financial.5. Partnerships, Communications and Relationships5.1 To participate in working parties in order to propose changes to policy, procedure and guidelines within child health.5.2 To liaise, make and receive referrals from other disciplines and make decisions regarding client treatments/outcomes.5.3 To attend Willow Childrens Inpatient Ward and PAU on a daily basis to ensure all appropriate referrals are made and to provide seamless care from hospital to the community setting. To be involved in the providing and receiving of delicate and sometimes complex information during these visits.5.4 Identify and intervene where circumstances contribute to an unsafe environment for patients and staff and bring to the attention of the Team Leader.5.5 To be responsible for the demonstrating of safe use of expensive and complex pieces of equipment. To be responsible for ensuring that medical supplies are ordered from an agreed list in order that the team remain within budget.5.6 There is a requirement for the post-holder to be flexible with their working hours and cover over weekdays, weekends and/or Public Holiday, to ensure a high quality continuous service between 0800-2200 seven days a week. Please see attached JD for full details Person Specification Education and Training Essential oRN Child/RSCN - BSc oEvidence of Continuing Professional Development Desirable oAdvanced Nurse Practitioner oRespiratory qualification or experience oMentorship Course Knowledge and Skills Essential oAdministration of medications via IV, IM and SC routes oWell-developed IT skills, data collection and internet skills Desirable oUse of central lines oPhlebotomy oRespiratory assessment inc. chest auscultation oKnowledge of PAS and EPR systems Experience Essential oExtensive post registration experience of working autonomously gained through previous working with children and families in the community/ED environment. oBroad range of experience within the field of sick children's nursing oProven evidence of autonomous practice oKnowledge and experience handling complex relationships and interpersonal dynamics oDemonstrate a good knowledge of recent developments in paediatric care oGood understanding of Safeguarding issues and policy framework oPrevious experience of research/audit/benchmarking oAbility to assess and interpret highly complex events/conditions, with the ability to make judgements and recommendations regarding management of nursing care in the community oAble to use skills of history taking and physical assessment to direct patient care oDemonstrate appropriate knowledge underpinned by theory acquired by CPD oUp to date knowledge of current clinical and professional issues oAbility to use research and evidence based findings in practice oAble to use methodical and structured recording of client information, nursing actions and clinical observations oAbility to provide, receive and understand complex and sensitive information relating to safeguarding issues oAble to communicate sensitively and empathetically with children, young people and their families and carers. This requires a high level of interpersonal skills and empathy. oExcellent verbal and written communication and record keeping skills oGood hand-eye coordination. Manipulation and dexterity e.g. using port-a-cath needles and obtaining peripheral bloods oAbility to demonstrate use of initiative both interpersonally and clinically oKnowledge of national standards and policy that inform best practice and understanding and knowledge of local strategies and developments oKnowledge of clinical governance and how it is applied to clinical practice oCar driver with clean license and use of vehicle for business purposes. Desirable oExperience or participation in service development projects oPeripheral cannulation and venepuncture oExperience in Teaching Personal Attributes Essential oKnowledge of our Business oCommitted to improving services. oCommitted to hitting targets. oTreats other as would like to be treated. oCommitted to 6 C's. oGood Interpersonal Skills. oAble to work individually and as part of a team oFlexible approach to meeting service & client needs oTime management skills and ability to prioritise. Person Specification Education and Training Essential oRN Child/RSCN - BSc oEvidence of Continuing Professional Development Desirable oAdvanced Nurse Practitioner oRespiratory qualification or experience oMentorship Course Knowledge and Skills Essential oAdministration of medications via IV, IM and SC routes oWell-developed IT skills, data collection and internet skills Desirable oUse of central lines oPhlebotomy oRespiratory assessment inc. chest auscultation oKnowledge of PAS and EPR systems Experience Essential oExtensive post registration experience of working autonomously gained through previous working with children and families in the community/ED environment. oBroad range of experience within the field of sick children's nursing oProven evidence of autonomous practice oKnowledge and experience handling complex relationships and interpersonal dynamics oDemonstrate a good knowledge of recent developments in paediatric care oGood understanding of Safeguarding issues and policy framework oPrevious experience of research/audit/benchmarking oAbility to assess and interpret highly complex events/conditions, with the ability to make judgements and recommendations regarding management of nursing care in the community oAble to use skills of history taking and physical assessment to direct patient care oDemonstrate appropriate knowledge underpinned by theory acquired by CPD oUp to date knowledge of current clinical and professional issues oAbility to use research and evidence based findings in practice oAble to use methodical and structured recording of client information, nursing actions and clinical observations oAbility to provide, receive and understand complex and sensitive information relating to safeguarding issues oAble to communicate sensitively and empathetically with children, young people and their families and carers. This requires a high level of interpersonal skills and empathy. oExcellent verbal and written communication and record keeping skills oGood hand-eye coordination. Manipulation and dexterity e.g. using port-a-cath needles and obtaining peripheral bloods oAbility to demonstrate use of initiative both interpersonally and clinically oKnowledge of national standards and policy that inform best practice and understanding and knowledge of local strategies and developments oKnowledge of clinical governance and how it is applied to clinical practice oCar driver with clean license and use of vehicle for business purposes. Desirable oExperience or participation in service development projects oPeripheral cannulation and venepuncture oExperience in Teaching Personal Attributes Essential oKnowledge of our Business oCommitted to improving services. oCommitted to hitting targets. oTreats other as would like to be treated. oCommitted to 6 C's. oGood Interpersonal Skills. oAble to work individually and as part of a team oFlexible approach to meeting service & client needs oTime management skills and ability to prioritise. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Dartford and Gravesham NHS Trust Address Darent Valley Hospital Darenth Wood road Dartford DA2 8DA Employer's website https://www.dgt.nhs.uk/working-for-us (Opens in a new tab)