Band 6 Children's Rapid Response Nurse

Birmingham Community Healthcare NHS Foundation Trust; Birmingham; On-site; GBP 32,000 - 48,000; Full time

Benefits offered by this job

NHS Pension Scheme

Career development opportunities

Job summary

Birmingham Community Healthcare NHS Foundation Trust is seeking an experienced Children’s Nurse to work in the community, providing safe, expert care to children and families in their homes. You will assess needs, plan care, and deliver treatment with multidisciplinary support, ensuring high standards of documentation and clinical governance.

The role requires leadership in the absence of a Team Leader, teaching skills for students and staff, and a commitment to ongoing professional development

Qualifications

• Demonstrates knowledge relating to child protection issues and procedures.
• Evidence of assessment skills and use of nursing process and nurse models.
• Knowledge of NMC Code of Conduct and scope of professional care.
• Knowledge of NHS and social care legislative changes affecting primary care.
• Knowledge and application of evidence-based practice in Children's Community Nursing.
• Ability to teach relatives, patients and staff in self-care and nursing practice.
• Excellent written documentation skills; concise and legible records.
• Awareness of diversity in family needs, culture and religion.
• Time and resource management in a busy community setting.
• Excellent communication skills with multidisciplinary teams.
• Family-centered care and meeting family expectations.
• Problem-solving with diverse information to implement actions.
• Ability to plan, prioritise and organise care efficiently.

Responsibilities

• Work in accordance with NMC Code and Scope of Professional Practice.
• Provide care in clients' homes as a lone practitioner with telephone support.
• Deliver calm, supportive communication for complex information.
• Communicate with multidisciplinary team to ensure best care for referred child.
• Carry out risk assessments prior to home visits to ensure staff safety.
• Collaborate with families to deliver personalised care respecting beliefs.
• Formulate management and treatment plans using clinical reasoning.
• Provide symptom management and monitor deterioration using available prescribing where allowed.
• Promote detailed care plans to prevent unnecessary admissions and reduce hospital stay.
• Ensure holistic care using an agreed nursing model and robust record keeping.
• Liaise with acute services, primary care and other agencies to facilitate early discharge.
• Advise leadership on concerns regarding patient care and partner services.
• Maintain accurate, contemporaneous records in RiO and paper systems.
• Offer flexible services to meet changing needs of children and families.

Skills

Child protection knowledge

Nursing assessment

NMC Code

NHS/primary care legislation

Evidence-based practice

Patient & family teaching

Documentation skills

Cultural competence

Time management

Communication

Family-centered care

Problem solving

Care planning

Education

RSCN/RN Child Branch

ENB 998 or equivalent

Community Children's Nursing qualification

Clinical assessment course

Independent supplementary prescriber

Tools

RiO

Job description

Detailed job description and main responsibilities

Professional

1. Work in accordance with NMC Code of Professional Practice and Scope of Professional Practice. Professionally and legally accountable and responsible for all activities.
2. Work within the community (e.g. within client's own home) as a lone practitioner managing situations of risk with telephone support. Seek support and advice with cases from more experienced colleagues when faced with matters outside sphere of responsibility, knowledge or skills.
3. To provide a calm and supportive approach to the management and delivery of sensitive and complex information, providing both practical and emotional support, utilising flexibility and empathy in difficult situations.
4. Use effective communication techniques communicate to the multidisciplinary team to ensure the child and family referred to Children's Rapid Response receive the best possible care.
5. Undertake risk assessments prior to service delivery within the home setting to ensure staff safety.
6. Work in partnership with children, families and carers to provide optimum individual outcome acknowledging children and family's personal preferences, spiritual and religious beliefs.
7. Formulate individualised management and treatment plans using sound knowledge and evidence based practice. Plans should be in response to sound clinical reasoning and include expected signs of deterioration.
8. To provide timely, effective symptom management, resulting from a comprehensive history taking utilising independent non medical prescribing, GP's or hospital team, completing the symptom flow charts to monitor the child's changing condition/deterioration.
9. Provide and promote strategies/detailed plans of care to parents and carers empowering care that will prevent inappropriate admissions and reduce length of hospital stay.
10. Ensure assessment, planning and delivery of holistic care is of the highest standard utilising an agreed nursing model.
11. Liaise and work in collaboration with acute services, primary healthcare team and other agencies when planning and implementing programmes of care facilitating early discharge and preventing admissions.
12. Advise the Team Leader, Clinical Lead or Service Manager of any circumstances which give cause for concern in relation to patient care and/or any concerns raised by the primary healthcare team or partner agencies.
13. Maintain clear, concise and contemporaneous records adhering to BCHC record keeping policies.
14. Provide a flexible service to accommodate the changing needs of children and families.

Management

1. In the absence of the Team Leader/Clinical Lead provide leadership to ensure the effective service delivery.
2. Responsible for accepting referrals and discharging patients from own caseload.
3. Responsible for reassessing children, ensuring regular formal review of the caseload in conjunction with the Team Leader, ensuring these are documented and evidenced as per record keeping guidelines.
4. Ensure standards are maintained with both clinical quality and governance being central to the function and delivery of the service.
5. Accountable for advice and guidance to patients, families, carers and other team members.
6. Act as an effective role model for other team members, students and professionals.
7. Participate in research and audit relevant to the service in conjunction with the Team Leader/ Clinical Lead.
8. Appropriately manage the service resources e.g. equipment, staffing, supplies in conjunction with the Team Leader/Service Manager.
9. Develop policies, procedures and guidelines in conjunction with the wider multidisciplinary team.
10. Ensuring staff maintain organisational standards in relation to record keeping.
11. Undertake risk assessment for own clinical caseload, action planning effectively in response to risk assessment. Ensure effective communication to line manager relating any circumstances which give rise for concern.
12. Manage informal complaints from service users raising any recurrent themes or concerns with the Clinical Lead and Service Manager and assist with formal investigations as requested.
13. Demonstrate critical thinking, problem solving and decision making skills.
14. Work positively with colleagues to maintain effective working relationships.
15. Accurately record and maintain client records daily using electronic and paper systems e.g RiO.

Education and Development

1. To maintain and update knowledge and skills in relation to the post.
2. To identify and undertake specific training to maintain skills in line with NMC Scope of Practice and development needs of the service.
3. Participate in the teaching of students and other staff within the clinical and university environment.
4. Participate in the teaching and mentorship of staff as required, ensuring they have the knowledge and skills to fulfil their roles.
5. Maintain own professional development in line with post-registration ongoing education and practice, Revalidation.
6. Act as a link Nurse and take clinical lead in areas of expertise. Attend courses and meetings as required to fulfil the link role as delegated by the Team Leader.
7. Participate in reflective practice/clinical supervision, critical incident analysis and debriefings.

Management and Leadership Responsibilities

1. Develop and empower all members of your team to perform to high standards and innovate.
2. Ensure supportive staff management arrangements are in place and carry out personal development reviews for direct reports. Ensure all staff in your team/s have annual PDR's resulting in specific objectives and effective personal development plans in line with the Knowledge and Skills Outline Framework.
3. Develop staff knowledge and skills to promote equality and diversity and address inequalities both in employment and service delivery. Ensure specific equality objectives are included in PDR's.
4. Develop a culture that ensures that the standards of Improving Working Lives and Investors in People are achieved and maintained for all staff and that staff's perception about their working lives are measured and improvements made.

Person specification

Qualifications / training

Essential criteria

• RSCN/RN Child Branch
• ENB 998 (Teaching & Assessing in Clinical Practice) or equivalent
• Community Children's Nursing qualification or willingness to undertake
• Clinical assessment course equivalent or willingness to complete
• Independent supplementary prescriber or equivalent or willingness to complete

Experience

Essential criteria

• Experience of working with children with complex healthcare needs/life limiting/ threatening illnesses and end of life
• Significant experience of working as a Children's Nurse either RSCN/RN Child

Skills/knowledge

Essential criteria

• Demonstrate knowledge relating to child protection issues and procedures
• Evidence of assessment skills and use of nursing process and nurse models
• Demonstrate sound use and application of NMC Code of Conduct and scope of professional care
• Demonstrate knowledge of current legislative changes affecting NHS and Social Services particularly those affecting primary care
• Demonstrate knowledge and application of current clinical trends and practices inclusive of evidence based practice in relation to Children's Community Nursing
• Ability to teach relatives, patients, clients and staff across all areas of self care and appropriate nursing practice
• Demonstrate individual responsibility in respect to health and safety
• Ability to demonstrate written skills that are concise, accurate, relevant and legible
• Awareness of diversity of the needs of families in relation to culture and religion
• Provide evidence of time and resource management
• Excellent communication skills
• Demonstrates understanding of family needs and expectations and a willingness to fulfil them
• Ability to problem solve acquiring and utilising information from diverse sources to identify problems, solutions evaluating and recommending and implementing actions where appropriate
• Ability to plan, prioritise and organise and evaluate care ensuring effective use of resource in relation to resource and time management

Desirable criteria

• Ability to manage team on a day to day basis in the absence of the Team Leader
• Demonstrate knowledge of standard setting and audit processes

UK Home Office Visa Sponsorship requirements

In accordance with UK Home Office requirements, Band 2 clinical and non-clinical roles and Band 3 Non-Clinical roles are not eligible for sponsorship.

Please note that the majority of non-clinical roles (Agenda for Change Band 3 - 6) with the exception of those which appear on this list -