Job summary We are pleased to be able to offer an exciting and challenging opportunity to become part of our compassionate, dedicated and patient centred team. We are looking to appoint a Home Dialysis Team Lead in Renal department based at Ysbyty Gwynedd to oversee the management of the home dialysis service and an enthusiastic team of 7 staff. We are very proud to be an award winning team always breaking down barriers in ensuring the very best care is achieved in home dialysis care. The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply. Main duties of the job We are looking for an exceptional individual who is passionate about leading the team to deliver safe, effective clinical care to patients thus making a positive difference to the patient's experience. As Home Team Lead you will ensure that all services are delivered in line with agreed performance, financial and government objectives whilst ensuring the home dialysis services are professionally led and managed in order to develop a highly motivated and empowered team. The Home Team Lead will work alongside the renal MDT to ensure our services are safe, timely, clinically effective, and person centred so patients, service users and families have a good experience of care. The Home Team Lead through clinical leadership, will embed renal clinical governance processes and systems to support assurance that the teams provide consistently achieve high care standards. About us If you relish a challenge, have a passion to help others or simply fancy a fresh start, then Betsi Cadwaladr University Health Board (BCUHB) North Wales, has all the right ingredients. The largest health organisation in Wales, providing a full range of primary, community, mental health, acute and elective hospital services for a population of around 700,000, across North Wales. Join our team and get the support you need, in line with our Organisational Values and 'Proud to Lead' competence framework. Enjoy being part of working with engaged leadership at all levels, and be assured we are committed to promoting equality and diversity, and are proud to welcome applicants under the "Disability Confident Employer" scheme. Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form. Applications may be submitted in Welsh. Applications submitted in Welsh will not be treated less favourably than an application submitted in English. Job description Job responsibilities 1 Clinical Practice In consultation with the Renal Matron and Consultant Nephrologists, set the standards of care to be achieved within his/her area of control. Ensure that agreed standards are met, identify when they are not and identify factors influencing the non-achievement of standards. Passing this information to the Multi-disciplinary Team for discussion, and work with them to rectify the problem. Assesses, plans implements and evaluates health related and nursing needs of patients and their families making autonomous decisions in relation to patient care. Changes in all patients condition/behaviour are brought to the attention of the medical staff or other disciplines when appropriate. Formulate treatment plans and dialysis prescriptions in consultation with nursing team, medical staff and through the use of computer programs specifically designed to optimise patient prescription. Identify situations where patients may require prompt medical treatment and to act promptly within agreed unit protocol. Treatment may involve the administration of prescribed drugs, orally, intravenously and intraperitoneally. Depending on the severity of condition, organisation of hospital admission may be necessary. The Senior Nurse can facilitate this process by co-ordinating with the Medical Team, Bed Manager and Nursing Staff. He/she will offer support and advice about peritoneal dialysis to Ward Staff and Medical Team during this period of hospitalisation. When requested by the Medical Team, responsible for demonstrating dialysis options available within the Home Therapies Department to pre-dialysis patients to allow them to make an informed choice of future therapy. Check patients blood results on a regular basis identify abnormalities and bring to the attention of the Medical Staff for alteration of drug therapy, dialysis prescription. Provide on Call advice over the phone outside normal working hours on a rotational basis for patients. This involves trouble shooting problems with the dialysis machines during the patients overnight treatment, and/or offering advice and support in times of illness e.g. if a patient should suspect infection outside normal working hours. Have an in-depth knowledge of the use of equipment used for dialysis therapies and ensure competence of junior staff in conjunction with the Practice Development Team in the use of equipment. Refer patients to members of the Multi-disciplinary Team, Dietitian, Social Worker/Counsellor; Medical Team should problems specific to their discipline become apparent within discussions with the patient. Offer advice and psychosocial support to enable patients and their families to influence and participate in decisions concerning their care. Oversee advice and support extended to patients and relatives by the Nursing Team. Develop long term involved relationship with patients and carers due to nature of chronic illness. Provide continuing support to adapt psychosocially to their illness and through transition to other dialysis modalities, transplantation or death. Identify potential risks within the unit, within the patients home and to take the necessary steps to rectify the problem. The role can involve frequent exposure to bodily fluids, therefore, you must ensure risks are assessed and Health and Safety requirements are met within the unit. 2 Clinical Governance Work towards latest guideline publication Renal Association Standards, Department of Health and other Government based guidelines. Assist the Matron and Practice Development Team in the development of Departmental policies and procedures. Work to ensure the welfare and safety of staff and patients are safeguarded, by ensuring a safe working environment, and create an environment conductive to aid recovery. Collect, collate, evaluate and report information, maintaining accurate patient records as required. Act on concerns reported by staff members and or service users. Take a proactive role in the management of risk i.e. risk assessments, and significant event management. Ensure that all reasonable precautions for a safe and secure environment for self and others in accordance with Health & Safety legislation are in place, reporting any areas of concern to line manager. 3 Management and Leadership Responsible for advanced planning of care, and for advanced rostering. Re-rosters staff short term in times of sickness to ensure service is adequately covered. When responsible for deploying and supervising staff, ensure that the competence of the individual Nurse is appropriate to the care required by the patients. Ensure the care given is achieved in the most effective and efficient manner commensurate with sensitivity to patients needs. Where acceptable standards of care cannot be achieved or maintained because of shortage of time, equipment or manpower, report deficiency to lead nurse To act up in the absence of the matron when requested, carry the bleep and assume managerial day to day responsibilities for the unit. Identify and devise agreed policies, procedures and guidelines for the Home Therapy Department. Work within agreed policies, procedures and guidelines, demonstrating a good role model to other members of the team. Organise and chair regular meetings for discussions with his/her team members about the planning and delivery of care for their caseload of patients. Provide support and advice for staff on call as and when needed on a 7-day a week basis. Responsible for the day-to-day management of the department and organisation of the workload in conjunction with the matron. Encourage an open attitude in working relationships and adopt a team approach to care. Demonstrates effective leadership skills within the team, developing trust and minimising interpersonal conflict. Participates and leads in regular Department/Team meetings/Multi-disciplinary meetings at the discretion of the Matron. Assist the matron in monitoring team sickness and offer support and counselling as required within Health Board policies and procedures. Be available to address any issues departmentally and multi-task as and when needed in the absence of the matron. To be actively involved with the matron in the recruitment and selection of staff. Provide clinical supervision to members of the team. Provide information and advice to support staff to assist decision making. 4 Teaching and Education Undertake teaching, education and continued Professional Development and to foster an environment in which teaching, learning and research are encouraged and practiced, and ensure resources are available to meet these needs if necessary. In consultation with the matron, Practice Development Team, and other members of the team, establish appropriate learning programmes for Nurses involved in the care of patients receiving Home Dialysis Therapy both within the department and on associated wards. Actively participate in the teaching of these Nurses. In conjunction with the Matron and Practice Development Team Leader, take responsibility for the professional development and well-being of all Nursing Staff. Ensure that all new members of staff are adequately introduced to their duties and responsibilities. Co-ordinate mentorship of new staff/students in conjunction with the Education Team. In conjunction with the matron, be involved in the Individual Performance Review of all staff in his/her charge on a regular basis, to identify their developmental needs and assist them in achieving these by taking the appropriate action. Ensure negotiated development time of staff is utilised effectively if staffing levels permit in conjunction with the matron and Practice Development Team Leader. See JD for further information Job description Job responsibilities 1 Clinical Practice In consultation with the Renal Matron and Consultant Nephrologists, set the standards of care to be achieved within his/her area of control. Ensure that agreed standards are met, identify when they are not and identify factors influencing the non-achievement of standards. Passing this information to the Multi-disciplinary Team for discussion, and work with them to rectify the problem. Assesses, plans implements and evaluates health related and nursing needs of patients and their families making autonomous decisions in relation to patient care. Changes in all patients condition/behaviour are brought to the attention of the medical staff or other disciplines when appropriate. Formulate treatment plans and dialysis prescriptions in consultation with nursing team, medical staff and through the use of computer programs specifically designed to optimise patient prescription. Identify situations where patients may require prompt medical treatment and to act promptly within agreed unit protocol. Treatment may involve the administration of prescribed drugs, orally, intravenously and intraperitoneally. Depending on the severity of condition, organisation of hospital admission may be necessary. The Senior Nurse can facilitate this process by co-ordinating with the Medical Team, Bed Manager and Nursing Staff. He/she will offer support and advice about peritoneal dialysis to Ward Staff and Medical Team during this period of hospitalisation. When requested by the Medical Team, responsible for demonstrating dialysis options available within the Home Therapies Department to pre-dialysis patients to allow them to make an informed choice of future therapy. Check patients blood results on a regular basis identify abnormalities and bring to the attention of the Medical Staff for alteration of drug therapy, dialysis prescription. Provide on Call advice over the phone outside normal working hours on a rotational basis for patients. This involves trouble shooting problems with the dialysis machines during the patients overnight treatment, and/or offering advice and support in times of illness e.g. if a patient should suspect infection outside normal working hours. Have an in-depth knowledge of the use of equipment used for dialysis therapies and ensure competence of junior staff in conjunction with the Practice Development Team in the use of equipment. Refer patients to members of the Multi-disciplinary Team, Dietitian, Social Worker/Counsellor; Medical Team should problems specific to their discipline become apparent within discussions with the patient. Offer advice and psychosocial support to enable patients and their families to influence and participate in decisions concerning their care. Oversee advice and support extended to patients and relatives by the Nursing Team. Develop long term involved relationship with patients and carers due to nature of chronic illness. Provide continuing support to adapt psychosocially to their illness and through transition to other dialysis modalities, transplantation or death. Identify potential risks within the unit, within the patients home and to take the necessary steps to rectify the problem. The role can involve frequent exposure to bodily fluids, therefore, you must ensure risks are assessed and Health and Safety requirements are met within the unit. 2 Clinical Governance Work towards latest guideline publication Renal Association Standards, Department of Health and other Government based guidelines. Assist the Matron and Practice Development Team in the development of Departmental policies and procedures. Work to ensure the welfare and safety of staff and patients are safeguarded, by ensuring a safe working environment, and create an environment conductive to aid recovery. Collect, collate, evaluate and report information, maintaining accurate patient records as required. Act on concerns reported by staff members and or service users. Take a proactive role in the management of risk i.e. risk assessments, and significant event management. Ensure that all reasonable precautions for a safe and secure environment for self and others in accordance with Health & Safety legislation are in place, reporting any areas of concern to line manager. 3 Management and Leadership Responsible for advanced planning of care, and for advanced rostering. Re-rosters staff short term in times of sickness to ensure service is adequately covered. When responsible for deploying and supervising staff, ensure that the competence of the individual Nurse is appropriate to the care required by the patients. Ensure the care given is achieved in the most effective and efficient manner commensurate with sensitivity to patients needs. Where acceptable standards of care cannot be achieved or maintained because of shortage of time, equipment or manpower, report deficiency to lead nurse To act up in the absence of the matron when requested, carry the bleep and assume managerial day to day responsibilities for the unit. Identify and devise agreed policies, procedures and guidelines for the Home Therapy Department. Work within agreed policies, procedures and guidelines, demonstrating a good role model to other members of the team. Organise and chair regular meetings for discussions with his/her team members about the planning and delivery of care for their caseload of patients. Provide support and advice for staff on call as and when needed on a 7-day a week basis. Responsible for the day-to-day management of the department and organisation of the workload in conjunction with the matron. Encourage an open attitude in working relationships and adopt a team approach to care. Demonstrates effective leadership skills within the team, developing trust and minimising interpersonal conflict. Participates and leads in regular Department/Team meetings/Multi-disciplinary meetings at the discretion of the Matron. Assist the matron in monitoring team sickness and offer support and counselling as required within Health Board policies and procedures. Be available to address any issues departmentally and multi-task as and when needed in the absence of the matron. To be actively involved with the matron in the recruitment and selection of staff. Provide clinical supervision to members of the team. Provide information and advice to support staff to assist decision making. 4 Teaching and Education Undertake teaching, education and continued Professional Development and to foster an environment in which teaching, learning and research are encouraged and practiced, and ensure resources are available to meet these needs if necessary. In consultation with the matron, Practice Development Team, and other members of the team, establish appropriate learning programmes for Nurses involved in the care of patients receiving Home Dialysis Therapy both within the department and on associated wards. Actively participate in the teaching of these Nurses. In conjunction with the Matron and Practice Development Team Leader, take responsibility for the professional development and well-being of all Nursing Staff. Ensure that all new members of staff are adequately introduced to their duties and responsibilities. Co-ordinate mentorship of new staff/students in conjunction with the Education Team. In conjunction with the matron, be involved in the Individual Performance Review of all staff in his/her charge on a regular basis, to identify their developmental needs and assist them in achieving these by taking the appropriate action. Ensure negotiated development time of staff is utilised effectively if staffing levels permit in conjunction with the matron and Practice Development Team Leader. See JD for further information Person Specification Degree in Nursing or significant / substantial renal nursing experience Essential Demonstrates in-depth knowledge dialysis Desirable Home dialysis experiance Home dialysis experiance Essential Worked within a home dialysis team Desirable Management experience of running a team ENB 136 or Renal Diploma Essential Evidence of working towards qualification or willing to undertake the course/Relevant experience Desirable Willing towards working towards qualification Proven understanding of clinical governance and risk management Essential demonstrated the ability to risk assess care Desirable Shows an understanding of clinical governance Person Specification Degree in Nursing or significant / substantial renal nursing experience Essential Demonstrates in-depth knowledge dialysis Desirable Home dialysis experiance Home dialysis experiance Essential Worked within a home dialysis team Desirable Management experience of running a team ENB 136 or Renal Diploma Essential Evidence of working towards qualification or willing to undertake the course/Relevant experience Desirable Willing towards working towards qualification Proven understanding of clinical governance and risk management Essential demonstrated the ability to risk assess care Desirable Shows an understanding of clinical governance 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement.. UK Registration Applicants must have current UK professional registration. For further information please see 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement.. UK Registration Applicants must have current UK professional registration. For further information please see Employer details Employer name Betsi Cadwaladr University Health Board Address Ysbyty Gwynedd Penrhosgarnedd Bangor LL57 2PW Employer's website