Overview of the Post This is an opportunity to work in The Childrens Continuing Care Service within Oxleas CYP Specialist Directorate. To provide direct clinical care to named individual babies, children and young people aged 0-19 years with complex health needs including severe learning disabilities and life limiting, life threatening conditions in their home and in various community settings. This service is provided by the childrens community nursing team. To deliver 24 hours holistic care on a rota basis using individualised single care plans that have been written by the Lead Continuing Care nurse for a named child. Work will be supervised by an Assistant Practitioner and competency-based training will be provided by the Clinical Skills Nurse. Nursing duties will be delegated to them by the Assistant practitioner and by the nurses within the Team. To report any changes in the childs condition as stated in the care plan to the lead Continuing Care Nurse or a nurse in the Team. Key Task and Responsibilities To work as a member of the childrens community nursing team providing packages of care for named individual children with complex health care needs in their home. To ensure that children receive the planned play and stimulation related to their emotional developmental needs in the home and community setting. To encourage and maintain high standards of personal care, including hygiene for all babies, children, and young people. To carry out duties, within good practice guidelines, involving the Assistant Practitioner and Lead Continuing Care nurse when required. To work as part of a team offering support and advice to families within own scope of practice. To be competent in working with equipment in the home. For example, feeding pumps, administration of emergency medication and use of hoists. The role consists of substantial moving and handling, staff will need to be fit and physically able to perform these tasks. Management responsibilities To maintain clear, professional boundaries with children and their family when working in a home setting To discuss sensitive health issues with children and their family members, using negotiation and reassurance skills where required. To report the outcomes of these discussions to the Assistant Practitioner. To work with other health care professionals and staff in community services to deliver a high standard of care. To identify and report any changes in the childs health and wellbeing to the family and Assistant Practitioner. To maintain confidentiality in relation to children and their families at all times. To consider the childs needs as paramount and to adhere to all safeguarding procedures. To prioritise work and ensure effective time keeping. Leadership To maintain clear, professional boundaries with children and their family when working in a home setting To discuss sensitive health issues with children and their family members, using negotiation and reassurance skills where required. To report the outcomes of these discussions to the Assistant Practitioner. To work with other health care professionals and staff in community services to deliver a high standard of care. To identify and report any changes in the childs health and wellbeing to the family and Assistant Practitioner. To maintain confidentiality in relation to children and their families at all times. To consider the childs needs as paramount and to adhere to all safeguarding procedures. To prioritise work and ensure effective time keeping. Clinical To carry out care plans developed by the Lead Continuing Care nurse and supervised by the Assistant Practitioner. To undertake skilled clinic tasks following competency-based training for named children for whom they provide care; for example, tracheostomy care, enteral feeding (naso-gastric/Gastrostomy/jejunostomy), suctioning, changing oxygen probes and basic life support. To be familiar with all equipment required to support the child and to report any deficiency immediately. To carry out and record defined safety checks of technical equipment during each shift reporting any issues to the family and Assistant Practitioner. To identify concerns and report to the continuing care nurse. To implement agreed individual programmes of care and act as key worker if required. Communication To communicate effectively with colleagues and other members of the team and identify and report concerns to senior staff. To communicate effectively with families, carers and other members of the multi disciplinary team. To make verbal and written reports as required, ensuring these are kept up-to-date. To keep accurate and clear records. To maintain timely and up to date reports on RIO system according to Trust policy and in the family held record. To be suited to this role, you will be a kind and caring person who is keen to work with the mvulnerable children and young people, and their families. You will take measures to ensure communication is adapted to meet the needs of those who are non-verbal, and you will interpret their basic wants and needs. You will be patient and take time to get to know each child/young person as an individual, and work to build rapport with them.