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Registered Nurse - Respiratory - Band 5

Job Description

So, you’re eager to learn more about Registered Nursing opportunities within our Respiratory Team at North Bristol NHS Trust. Here are some of the reasons we’re unique...

• Our Trust is a Regional Severe Asthma Centre; the rapidly expanding biologics service offers innovative biologic treatment which in many cases is life changing for our patients.
• We are passionate about staff development; we can support those new to the speciality with a structured program, providing teaching in (but not limited to) Non-invasive ventilation, AIRVO, Chest drains (standard and digital) & pleurodesis, Tracheostomy management, ILS, ABG sampling and interpretation.
• Our Respiratory Specialist Team have been previously shortlisted for an Exceptional Healthcare Award for a ‘Team of the Year’ award. The Respiratory Specialist Team is comprised of nurses, physiotherapists, physiotherapy technicians and administrators.

• Experienced Registered Nurses with current NMC Registration
• Newly Qualified and Newly Qualifying Nurses

• Organising and participating in the delivery of high standards of evidence-based nursing care.
• Taking responsibility to carry out required planned, direct patient care to a high standard without direct supervision, in accordance with established nursing procedures and policies.
• Contributing towards the health promotion for all patients by provided education, support and advice as necessary, ensuring referral to appropriate professionals or agencies as required.
• In the absence of senior staff, taking responsibility for the delegation and supervision of appropriate work to other qualified staff, healthcare support workers and students.
• Where relevant, be responsible and assist in the co-ordination of discharge planning in partnership with the multidisciplinary team.
• Taking personal responsibility for treating all patients with courtesy, respecting their individual needs and maintaining confidentiality at all times.
• Ensuring provision of a safe and therapeutic environment for all patients, relatives, visitors and colleagues.

• Registered nurse with current NMC licence to practice.
• Evidence of continued professional development i.e. a professional portfolio and participation in appraisal and development review.
• To have achieved a recognised teaching & assessing qualification.
• Completion of training for additional clinical skills required in the ward/department i.e. IV drug administration/cannulation & venepuncture/male catheterisation/training to monitor and change syringes for epidural & PCA syringe drivers. ECG training.
• Green card training for the use of pumps or machinery relevant to the ward or department.
• Evidence of attendance at mandatory training appropriate to the role.
• Competence in the use of computers and electronic communication systems or expectation to develop existing skills further as the needs of the service dictate.
• Evidence of an ability to critically appraise and utilise research to maintain and improve patient care.
• Sound knowledge of health promotion issues to ensure junior staff, patients and carers are provided with education, support and advice as required.
• Evidence of experience and knowledge of the importance of resource management including protocols for staff utilisation, equipment and products for clinical care

• Organise and participate in the delivery of high standards of evidence-based nursing care.
• Take regular responsibility to carry out required planned, direct patient care to a high standard without direct supervision in accordance with established nursing procedures and policies.
• To report to the appropriate members of the multidisciplinary team any significant changes in a patient’s condition or situation.
• Responsible for taking charge of the ward/department on a regular basis in the absence of the person who has continuing responsibility.
• Take personal responsibility as a team leader for the delivery of care of patients in a defined area.
• To contribute towards health promotion for all patients by providing education, support and advice, as necessary Ensure referral to appropriate professionals or agencies as required.
• Ensure the safe ordering, administration and custody of patients’ medication according to Trust policies and procedures.
• In the absence of senior staff be responsible for delegation and supervision of appropriate work to other qualified staff, health care assistants and students
• Where relevant to be responsible for and assist in co-ordinating discharge planning in partnership with the multidisciplinary team
• Where relevant, responsible for the admission, assessment and preparation of patients undergoing treatment or investigations.
• Escort patients to other wards or departments as required.
• To take personal responsibility for ensuring that patients are treated with courtesy at all times, the individual needs of patients are respected and confidentiality is maintained at all times.
• Liase effectively with other disciplines or departments as appropriate.
• To be able to act in emergency situations and to be familiar with emergency procedures including fire and resuscitation.
• To be responsible for the support and direction of junior staff in such situations according to Trust policy.
• To be responsible for ensuring provision of a safe and therapeutic environment for all patients, relatives, visitors and colleagues.
• Ensure the readiness for use of special equipment and the availability of nursing supplies in conjunction with the senior ward nurses.
• Ensure the safe custody of patients’ valuables and property according to Trust policies.
• Report to nurse in charge/line manager all complaints, incidents or accidents involving self, staff, patients, visitors and complete relevant documentation according to Trust procedure.
• Be responsible for reporting and documenting any broken or damaged equipment according to Trust policy.
• To have detailed knowledge of Manual handling regulations particularly with regards to the moving and handling of patients.
• To be responsible for ensuring that assessment of patients’ manual handling needs are carried out and ensure junior staff and students follow these requirements in the course of care delivery.
• Ensure safe storage and disposal of substances hazardous to health in accordance with Trust policy. Ensure availability of facilities for disposal of sharps, toxic/cytoxic waste in accordance with trust policy.
• In support of senior staff or ward manager assist with monitoring and report to ensure stock levels are maintained and that the correct quantities are in supply.
• Monitor the use of supplies by junior staff to promote efficient use of all supplies.
• To be aware of the directorate bleep holding function.
• To have an awareness of the requirements for staffing the ward or department.
• Undertake aspects of ward administration as agreed by the ward /department manage.
• Report reliably any episodes of sickness for self or that are reported to you to the Registered nurse in charge to enable skill mix to be maintained.

• Nursing staff may be required to work in any location owned, managed or attributed to the Trust sites depending on the demands of the service.
• Workloads may be unpredictable on a day to day basis and variations in activity should be expected
• Staff are required to walk or stand for the majority of the shift time.
• Weekend and night working may be expected as part of the role, unless otherwise agreed with relevant managers.
• Manual handling of loads and patients using the appropriate aids and assessments will be required on all shifts.
• Pushing commodes, trolleys, beds and other furniture according to manual handling policies may be required on all shifts.
• Contact with blood and bodily fluids on all shifts.
• The staff nurse may be expected to deal with distressed, violent or aggressive (verbally or physically) patients and relatives on occasion.
• The requirement to take responsibility for nursing acutely ill and vulnerable patients at times.
• Due to the nature of the workload staff will be required to concentrate at a high level often during the shift in relation to carrying out instructions/documentation/communication. This will involve the use of computer screens for short periods of time.
• The staff nurse will be required to be responsible for multiple tasks, delegation, other staff/carers and patients simultaneously frequently throughout a shift.
• Staff maybe required to act quickly and immediately in the event of emergencies or other unexpected events within the ward area.

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