Registered Nurse Associate

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust; Park Hall; On-site; GBP 25,000 - 32,000; Full time

Job summary

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust is seeking a Nursing Associate to provide compassionate, safe and patient-centred care within a busy clinical ward. You will work under supervision, monitor patient conditions, support families, and maintain accurate records.

You will adhere to the NMC Code, participate in mandatory training, and administer medications according to local policy.

Responsibilities

• Work at all times in accordance with the NMC Code and professional standards.
• Be accountable for own actions and those delegated to others.
• Provide compassionate, safe and effective care to people within the practice setting.
• Monitor the condition and health needs of people under care in partnership with patients, families and carers.
• Contribute to ongoing assessment and refer to others for reassessment when needed.
• Promote shared decision making with people to support self-management of care.
• Demonstrate nursing procedures and device management to meet safety and patient needs.
• Know when to elevate to the appropriate professional for expert help.
• Recognise changes in a patient’s condition by health monitoring and escalate findings as needed.
• Maintain mandatory training and clinical competencies (venepuncture, cannulation, ECG, catheter care, etc).
• Administer medications according to local policy and medicines management standards.
• Administer medications by various routes as required.
• After local training, perform a second safety check for Controlled Drugs and IV infusions.
• Respond to patient, relative and carer concerns and take remedial action as required.
• Undertake delegated tasks and support ward activities, including audits and governance initiatives.
• Contribute to service development and quality improvement to enhance patient experience and outcomes.
• Delegate appropriately to unregistered staff and students.
• Communicate condition-related information to patients and designated carers.
• Assist with induction and development of junior staff on the ward or department.
• Maintain accurate nursing records and timely documentation.
• Adhere to organisational policies and procedures.
• Daily observe and record patients’ observations using appropriate software and monitoring equipment.
• Complete the Preceptorship program as required.

Job description

The post holder will:

• 1. Work at all times in accordance with the 6 platforms of NMC Code Being an accountable professional Promoting health and preventing ill health Provide and monitor care Working in teams Improving safety and quality of care Contributing to integrated care
• 2. Be accountable for their own professional actions and those delegated to others.
• 3. Provide and monitor care that is compassionate, safe and effective to people within the practice setting.
• 4. Monitor the condition and health needs of people within their care on a continual basis in partnership with people, families, and carers.
• 5. Contribute to ongoing assessment and recognise when it is necessary to refer to others for reassessment.
• 6. Work in partnership with people, to encourage shared decision making, to support individuals, their families and carers to manage their own care when appropriate.
• 7. Demonstrate the knowledge, skills and ability to perform a range of nursing procedures and manage devices, to meet
  peoples need for safe, effective and person-centred care (As per the NMC Standards of proficiency for registered Nursing Associates 2018)
• 8. Demonstrate and apply an understanding of how and when to elevate to the appropriate professional for expert help and advice.
• 9. Demonstrate the ability to recognise when a persons condition has improved or deteriorated by undertaking health monitoring. Interpret, promptly respond, share findings, and elevate as needed.
• 10. Achieve and maintain competence in identified mandatory and statutory training; develop and maintain clinical competencies, skills and knowledge which relate to the area of clinical practice (i.e., venepuncture, cannulation, ECG, urethral catheterisation care and any other relevant duties).
• 11. Administer medications as described by local policy and in line with the NMCs standards for medicines management.
• 12. Administer medication; oral, topical, inhaled, subcutaneous, intra- muscular, PR and enteral feeding tube.
• 13. On completion
  of additional Local training and achievement of competencies, will administer and provide a second safety check for Controlled Drugs (as per Trust policy) and Intravenous infusions.
• 14. Respond to patients, relatives and carers concerns as they arise and take remedial action as required.
• 15. Assume responsibility for undertaking tasks delegated by the nominated line / shift coordinator. This may include representing the ward at meetings, link nurse responsibilities, audit, clinical governance initiatives and supervision and role competency assessments for unregistered staff and students.
• 16. Contribute to the development of service and quality improvement initiatives to enhance patient experience and outcome and ensure standards of care are monitored and maintained within the organisation.
• 17. Delegate appropriately to unregistered staff and students.
• 18. Communicate condition related information to patients, designated relatives/carers.
• 19. Assist with the induction and orientation and subsequent development of junior staff within the ward or department.
• 20. Maintain accurate nursing records ensuring all documentation is completed accurately and promptly.
• 21. Adhere to organisational policies and procedures.
• 22. In accordance with individual patient care, and utilising appropriate computer software and/or monitoring equipment, daily undertake and record patients observations.
• 23. Undertake if not already done so the Preceptorship program supported by The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust.