Junior Sister/Charge Nurse Cath Lab, WRH

Worcestershire Acute Hospitals NHS Trust

This job is now closed

Job summary

An amazing opportunity has become available to join the Cardiac Catheter lab as part of a dynamic and friendly team at Worcester Royal Hospital.

We are a six bedded day case area with two Cardiac Catheter Labs providing both elective and emergency cardiac procedures for the people of Worcestershire.

We are seeking an enthusiastic and motivated nurse to join our team working Monday to Saturday on day shifts, with an on-call service overnight. We provide an emergency service for Primary PCI patients 24 hours a day, 7 days a week.

As a specialist center, we carry out a wide range of specialist cardiac interventions, for elective and in- patients; angiogram, angioplasty, complex device implants, Internal Cardiac Defibrillators, Permanent Pacemakers, Cardiac Resynchronization Therapy Defibrillators and electrophysiology and ablation.

Our team of nurses have a varied job plan; they can scrub and assist for all procedures, work as a circulating nurse, care for patients pre-peri and post procedure patients and deliver patient education.

This varied and diverse environment ensures no two days are the same. We work closely as part of a multidisciplinary team and cardiology department and are committed to providing high quality patient care and thus applicants need to be highly motivated and keen to expand their knowledge and become part of our team.

We offer a Cardiology Preceptorship as well as Trust Preceptorship and the opportunity to study towards Cardiac Care Pathway at BCU.

Main duties of the job

To be responsible, with the support of the manager, for the day to day, smooth running of the PPCI 24/7 within the Cardiac Catheter Suite.

This service will run on a shift rota basis, on-call 24/7.

To provide effective leadership and to act as a good role model, working with all members of the multi-disciplinary team and co-ordinate all aspects of care in the best interests of the patient and family.

To ensure the maintenance of a high quality patient focussed care at all times through the effective leadership, management of staff and resources.

This will include leading a team of nurses to deliver a high standard of care in the areas of pre assessment, pre peri and post procedure care and follow up of angiography, elective/primary/rescue angioplasty and pacemakers and cardioversion patients.

To act as team leader for clinical staff.

To be responsible for clinical and non-clinical management of a ward area in the absence of the Senior Sister / Charge Nurse.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

Best services for local people
Best experience of care and best outcomes for our patients
Best use of resources
Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Date posted

21 September 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9365-23-0921-2

Job locations

Worcestershire Royal Hospital

Charles Hastings Way

Worcester

WR5 1DD

Job description

Job responsibilities

Responsibilities for establishing and maintaining communication and relationship both internally and externally.

Establish and maintain effective communication and foster good working relationships with all multidisciplinary teams, both internal and external.

Provide and receive complex and / or sensitive information from patients and staff. For example, breaking bad news to patients, giving complex information about procedures and their outcomes, dealing with performance issues, holding staff meetings. Able to support and talk to distressed patients, visitors, and staff members.

Responsible for cascading information to ward staff and chairing staff meetings from which minutes are provided.

Make use of electronic internal / external mail and Internet systems as appropriate and necessary.

Deal effectively with comments, complaints, or incidents that affect staff and users of the ward in accordance with complaints, risk management, or human resources procedures.

Bring to the attention of the Senior Sister/Charge any factors which may adversely affect patient care or service provision.

Report all serious incidents to the appropriate Manager / Director within 24 hours; these include Never Events, serious falls, and grade 3 or 4 pressure ulcers.

To be responsible, with the support of the manager, for the day to day, smooth running of the PPCI 24/7 within the Cardiac Catheter Suite

Be knowledgeable about the specific care requirements of patients who may be admitted to the area.

Be knowledgeable about the risks of infection and take responsibility for minimising cross infection within the clinical environment, assist in giving information and placing patients appropriately.

Be knowledgeable about all aspects of pre assessment, pre peri and post procedure care and follow up of angiography, elective/primary/rescue angioplasty and pacemakers and cardioversion patients.

Ensure that patient care is evidence based and that the patients journey is streamlined. Develop and implement patient pathways as appropriate e.g. Enhanced Recovery after Surgery (ERAS), fractured neck of femur etc.

Identify, assess, and act accordingly at any point on the pathway including discharge when patients are no longer meeting the agreed appropriate and safe patient pathway.

Assess and act upon potential problems or issues to ensure a safe, effective environment for staff, patients, and visitors.

Identify, analyse, and act upon staff situations when there is conflict and / or deviation from Trust or local policies and procedures.

Identify, analyse, action and discuss with Senior Sister/ Charge Nurse as appropriate any change management issues that arise.

Assist in planning of duty rotas or alter planned rotas to ensure maximum service delivery, standards of patient care and human, and resource management. Use e-rostering as it becomes available.

Assist Senior Sister / Charge Nurse by utilising available resources to ensure safe and effective patient care e.g. periods of unplanned staff absence and / or equipment failure.

Be aware of Trust financial position and target objectives and ensure that ward area is as effective as possible in meeting these objectives.

Work with the multi-disciplinary team to streamline care and shorten patient length of stay.

Work with the multi-disciplinary team towards protocol led discharge for suitable patients.

Participate in Directorate / Departmental Sisters meetings.

Be involved in practice development and patient experience issues.

Oversee set patient care programmes in accordance with agreed policies, using expert nursing experience and skills.

Ensure that safe and effective nursing care is delivered, this to be in accordance with Trust policies and best practice guidelines, also Nursing & Midwifery Council (NMC) Codes of Practice and guidelines.

Act as a role model when carrying out and demonstrating nursing care and procedures.

Ensure all staff carry out all appropriate general risk assessments within 24 hours of admission document and plan care accordingly e.g. manual handling, pressure risks, slips trips and falls, nutrition.

Ensure clinical staff assess the conditions of patients within the clinical area, ensuring that signs and symptoms are acted upon accordingly and in a timely fashion.

Ensure clinical area staff effectively manage the admission, transfer, and discharge of patients while incorporating other relevant Trust policies, for example Patients Property.

Ensure clinical area staff carry out appropriate nutritional risk assessments and follow current policies as indicated e.g. red tray policy, protected mealtimes.

Ensure clinical area staff participate in delivery of meals to patients and take responsibility for monitoring and recording dietary and fluid intake for group of patients.

Undertake nurse led services which will include autonomous nurse led discharge within defined protocols where appropriate.

Supervision of, and participation in the discharge planning system and process and deal with speciality or complex plans of care by liaison with community nursing services and other agencies.

Work with patients, carers / relatives, nursing and other healthcare professionals in secondary care to promote timely discharge, through appropriate discharge planning.

Provide telephone advice to patients and / or their carers as appropriate.

Provide expert advice and support to colleagues in the care and management of patients within speciality.

Actively contribute to the health and wellbeing of patients by promoting health through a number of methods e.g. healthy eating, exercise and smoking cessation.

Ensure accurate, comprehensive contemporaneous and clear documentation of patients care.

Ensure that own and others written reports are in accordance with Trust policy and NMC guidelines

Be familiar with the policy for safe administration of prescribed therapies, including Medicines Management, Intravenous Therapy, Patient Group Directives, clinical guidelines for example Diabetes, Warfarin.

Demonstrate the ability to safely monitor and provide care for the patient once therapies have been administered.

At all times act in accordance with Trust policies, procedures and guidelines and NMC Codes of Practice standards and guidelines.

Be aware of and support policies and procedures existing and being introduced throughout the Trust

Assist Senior Sister / Charge Nurse by cascading information and new policies and guidelines to staff in the clinical area

Represent clinical area at forums and meetings as requested by Senior Sister / Charge Nurse.

Assist Senior Sister / Charge Nurse in staff appraisal and the progress of staff while completing goals and development plans.

Assist Senior Sister / Charge Nurse in the formulation of induction and training programmes and assist in the delivery of these to staff and learner nurses.

Undertake agreed mandatory training and to seek out opportunities to enhance knowledge, skills and develop practice.

Participate in the teaching and development of staff and ensure records kept of all training activities within the department. Ensure these records are sent to the Training department to maintain the ESR (electronic staff record).

Ensure risk assessment of working environment and conditions, equipment, chemicals and activities is routinely carried out within the department.

Assist Senior Sister / Charge Nurse by ensuring supplies are managed in accordance with budgetary limits and constraints, including regular stock reviews, to ensure best value from supplies and to set stock limits.

Assist Senior Sister / Charge Nurse in compiling duty rosters and ensuring allocation is organised appropriate to staff experience and skill mix to effectively manage workload and patient dependency.

Work with the team to ensure written patient information is current, evidence based and available for patients and their relatives.

Assist Senior Sister / Charge Nurse in ensuring internal staff records are updated on a regular basis e.g. staff absences.

Assist Senior Sister / Charge Nurse in entering all the required key performance indicators (KPI) (e.g. commode audits) onto the web based system on a regular basis.

Assist Senior Sister / Charge Nurse in ensuring reviewing incidents that occur within or relating to the ward and produce reports as required Disseminate the learning that arises from the reports and subsequent actions.

Assist Senior Sister / Charge Nurse in ensuring all staff have basic computer literacy and are able to access results, admit and discharge on PAS, enter data onto the electronic handover sheet.

Assist Senior Sister / Charge Nurse in ensuring all clinical area resources are up to date, organised and available for inspection during assessments and visits e.g. CQC,SHA, Commissioners etc.

Assist in implementation of e rostering and use of the new format to produce the monthly rota.

Provide specialist advice to nurses on the CCU and Cardiology Unit and to other external agencies

Use a wide range of knowledge in determining at the time of assessment or admission, the most appropriate and safe patient pathway.