REGISTERED NURSE, BAND 5,

WARD 4, PERTH ROYAL INFIRMARY

Information Pack

Job Reference: PS/226/18

Closing date: 29 January 2019

NHS TAYSIDE VISION, AIM AND VALUE

Our Vision

Our Aim and Values

To find out more about NHS Tayside visit our website at:

http://www.nhstayside.scot.nhs.uk/index.htm

About NHS Tayside

NHS Tayside is responsible for delivering healthcare to more than 400,000 people

living in Tayside. We employ around 14,000 staff and provide a comprehensive

range of primary, community-based and acute hospital services for the populations

of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa £825

million of public money which works out at around £2.3 million spent by NHS Tayside

for every day of the year.

Tayside area

Within NHS Tayside and based on the western edge of Dundee, Ninewells Hospital

is one of the largest teaching hospitals in Europe. It is internationally renowned for

introducing laparoscopic surgery to the UK as well as being a leading centre in

developing fields such as the management of cancer, medical genetics,

cardiovascular disease, diabetes, informatics, neuroscience and imaging.

Our hospital sites across Tayside also have nursing and research links with the

University of Dundee and University of Abertay, Dundee.

In Tayside, we have 80,000 admissions every year and there are another 17,000

'same' day procedures. We also run 280,000 outpatient clinic sessions annually.

In addition, at the heart of health services in our communities are our GP and

primary care services which are there supporting our patients and their families

where they live and work.

The science of improvement

NHS Tayside has been at the forefront of patient safety and the science of

improvement. Our aim is to be the best at getting better. We were the first site in

Scotland, and one of only four in the UK, to be a pilot site for The Health

Foundation's Safer Patient Initiative. The significant successes of this project have

embedded a pioneering Tayside-wide approach to patient safety and improvement.

Academic Health Science Partnership in Tayside (AHSP)

NHS Tayside has embarked on a major collaborative initiative, Academic Health

Science Partnership in Tayside (AHSP). It is the first Academic Health Science

Network in Scotland with an ambition to transform healthcare locally and globally at

the time when it faces many difficult challenges.

Building upon the success of previous University of Dundee and NHS Tayside

collaborations, AHSP is bringing together the delivery of healthcare services,

education, quality improvement and research with the purpose of improving the

health of patients through more effective integration of these functions in routine

practice.

LIVING IN TAYSIDE

Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland’s longest river, Tayside is an innovative and exciting place to begin or expand your career.

Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquility and scenery of neighbouring towns and villages within reach of the region’s cities of Dundee and Perth.

Find out more about living and working in Tayside at:

www.dundeecity.gov.uk

www.angus.gov.uk

www.pkc.gov.uk

Education in Tayside

In Tayside there are a host of schools, both public and private and excellent colleges and universities making Tayside a family friendly location.

Housing in Tayside

Whether you want to live in the rural countryside or one of Tayside’s vibrant cities or towns, you’ll have a variety of housing choices, many below the national average house price. For more information about housing in Tayside, visit the Tayside Solicitors Property Centre and/or Perthshire Solicitors Property Centre websites: http://www.tspc.co.uk/ http://www.pspc.co.uk/ Getting around There are excellent connections to and within the region. It only takes approximately 30 minutes to drive between Dundee and Perth and just over an hour between Dundee and Edinburgh, Aberdeen and Glasgow. Travelling and commuting within Tayside is easy by road, bus or train. Dundee’s regional airport offers daily flights to London Stansted in addition to private and leisure flights. The international airports at Edinburgh, Glasgow and Aberdeen will ensure you are connected from Scotland to the rest of the world.

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1 JOB IDENTIFICATION Job Title Registered Nurse

Department(s)/Location Medicine Division

Number of Job Holders 154

2. JOB PURPOSE As part of a multidisciplinary team the post holder will have responsibility for assessment of care needs and the development of programmes of care, and/or the implementation and evaluation of these programmes ensuring the delivery of high quality care to patients. The post holder will contribute to the continuing development of clinical practice. In the absence of the ward manager or deputy provide cover to ensure effective operation of the ward.

3 ORGANISATIONAL POSITION Associate Nurse Director Head of Nursing

| Senior Charge Nurse/Charge Nurse/Team Leader

| Registered Nurse

| Nursing Auxiliary

4 SCOPE AND RANGE The post holder may be required to provide care in the following types of environment:

Ward

Outpatient department

Step Down Unit/Coronary Care Unit

Endoscopy

Day Patient Area

Acute Admission Unit – Medicine and/or Surgical The post holder has responsibility for:

Staff Management/Supervisory responsibilities

Provide mentorship/preceptorship

Provide direct supervision of new/junior staff, learners and support workers

Budgetary Responsibilities

Effective participation in dealing with supplies ordering, patients valuable and use of equipment

Participate in the effective use of the human, financial and physical resources within the area

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5 MAIN DUTIES/RESPONSIBILITIES

Care Delivery

1. Responsible for the assessment of care needs and the development, implementation and evaluation of programmes of care for patients whose needs may be predictable or unpredictable and/or unstable and changing to ensure delivery of a high standard of care.

2. Ability to establish and maintain effective communication with individuals and groups about

difficult or complex matters to overcome any problems in communication and to ensure that appropriate information is shared and patient needs are met.

3. Support and involve patients/client/carers and relatives in the planning and delivery of

individualised care.

4. Responsible for maintaining patient records within agreed standards to ensure the care management plan is communicated to patients and the health care team.

5. Responsibility for ensuring that self and others adhere to infection control policies.

Management /Leadership

6. To co-ordinate and prioritise own workload and that of others working as part of the multiprofessional team to ensure that the interests of patients/clients are met.

7. Contributes to the effective use of physical, human and financial resources.

8. To lead and supervise new/junior staff/learners and support workers who are providing care to

patients and act as a source of advice to ensure safe and effective care and that their educational needs are met.

9. Contribute to discussion, debate and influence change in practice.

10. Ensure effective teamwork and healthy working relationships.

11. Monitor and maintain own and others health, safety and security.

12. In the absence of the Charge Nurse/Senior Charge Nurse, take charge of the department for the

management of standards of care and the daily responsibilities, including work allocation, deployment and supervision of staff, to ensure smooth running of the area.

Education & Continuing Professional Development

13. To participate in personal and career development plan to maintain and develop attitudes, skills and knowledge facilitating personal and professional growth in order to maximise contribution to service delivery.

14. To support the personal and professional growth of new and junior staff, learners and support

workers in order to maximise contribution to service delivery. 15. To undertake teaching of registered and non-registered nursing staff, including basic and post-

basic students, and participate in the implementation of staff personal development plans to facilitate ongoing development.

16. Provide mentorship for learners and junior staff and contribute to the development of an effective

learning environment

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Quality/Research and Development

17. Demonstrate research awareness and ability to participate in and support ongoing research in nursing practice.

18. To work within an ethical and legal framework utilising defined policies, procedures, standards

and protocols of the department, organisation and NHS Tayside to promote safe and effective evidence based practice and contribute to quality improvement.

19. Participate in quality improvement initiatives within the clinical area

6 COMMUNICATIONS AND RELATIONSHIPS

Communicates continuously on routine, difficult and complex matters with a wide range of health and social care workers, patients, families other relevant departments/agencies utilising a wide range of media such as telephone, information technology, verbal and written communications and overcomes any difficulties in communication with people involved such as language barriers, clinical conditions e.g. stroke and effectively manages complaints and incidents. Demonstrates empathy and sensitivity when communicating with people. Establish and maintain relationships based on mutual respect communicating on a regular basis with the patient/relatives/multidisciplinary team and external agencies involved in the provision of care.

7 KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Registered on Sub-part 1: RN1 or RNA or Sub-part 2: RN2 of the NMC Register Evidence of ongoing professional development Post registration experience within relevant area would be advantageous. Ability to work using own initiative as part of a multiprofessional team.

8 SYSTEMS AND EQUIPMENT

The Registered Nurse is expected to have the knowledge and skills necessary to use all equipment safely in the area. The Registered Nurse is responsible for ensuring that self and others use, maintain and store equipment as per local policies and procedures.

Information Technology : Several times per shift

Maintain accurate patient records Duty rostering systems Central Vision Laboratory System Report incidents via Adverse incident Management System Fax, Email, Intranet, Internet Access bed management/patient acuity system (Wardwatcher)

Manual Handling

Mechanical aids e.g. Hoists Trolleys General manual handling equipment e.g., Slide aids Specialised Beds Wheelchairs Infusion stands Bedpans Commodes Bariatric Equipment

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Near Patient Testing

Blood Pressure monitoring Blood glucose monitoring

Vital Signs Chemical Reagents Pulse Oximetry Cardiac Monitoring Bladder scanning

Telemetry Medical Devices

Patient Controlled Analgesia EEG Equipment Infusion Devices Scanning Equipment Cardiac Monitors Pacing boxes Epidural equipment Dopplers Handling and maintenance of endoscopes Examination equipment Surgical Instruments Controlled feeding pumps Central venous, pressure/hickman/peripherally inserted central lines Arterial lines Vacuum assisted wound closure equipment Treatments

Oxygen therapy Non-Invasive ventilation Tracheostomy Care Basic life support and airway adjuncts Suctioning Humidification Hyperbaric treatments

Drain care Percutaneous Endoscopic feeding tubes Defibrillation

RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.

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9 PHYSICAL DEMANDS OF THE JOB

Examples could be:- Physical Skills: Several times per shift Administer intravenous injections and / or intra-muscular injections, syringe pumps and infusions. Insertion of urinary catheters/naso-gastric tubes Removal of sutures/clips. Bladder irrigation/lavage Simple and complex wound care Insertion of venous access devices/venepuncture/venesection Drug Administration Stoma Care Management Enteral and parenteral nutrition Blood transfusion Vital signs Administration of chemotherapy (Haematology Unit) Physical Demands: Several times per shift Patient movement with use of mechanical aides, manoeuvre patients Push trolleys, wheelchairs, patients’ lockers, beds Stand/walking for the majority of shift. Inter and intra hospital transport of critically/acutely ill patients Restricted movement whilst assisting medical staff with invasive procedures/working around equipment/complex treatments Transfer of patients to and from other wards and departments Boarding patients to other wards Assisting patient mobility Mental Demands: Several times per shift Concentration required when checking documents/patient notes and calculating drug dosages, whilst subject to frequent interruptions from patient/relatives/team members. Concentration required when observing patient behaviours which may be unpredictable Concentration required to keep abreast of changes to the patient multi-professional plan. Concentration required when dealing with frequent phone calls from various sources for advice and information. Managing young adults in an adult environment. High volume client group with short stay. Supporting learners and junior staff whilst managing care for own caseload Manage oral complaints

Emotional Demands: Several times per shift

Communicating with distressed/anxious/worried patients/relatives. Caring for the terminally ill. Caring for patients following receipt of bad news. Dealing with patients with severely challenging behaviour. Care of patient after death, care of family following death of patient (Occasionally). Communicating with sensory impaired people. Support patient with altered body image. Managing aggressive patients/relatives. Care for patients with special needs Care of the critically/acutely ill Caring for patients and families with unexpected complications relating to illness

Caring for patients with progressive disease

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Working Conditions: Exposure to body fluids, faeces, emptying bed pans/urinals, catheter bags (several times per shift)

Exposure to verbal aggression (1-2 times per shift) Exposure to physical aggression (daily) Exposure to and compliance with substances hazardous to health guidance Cramped working conditions. Shift patterns, day and night rotations Exposure to infected and infectious materials/people

Exposure to portable X-rays/guided imagery/radiotherapy/cytotoxic agents

10 DECISIONS AND JUDGEMENTS

The Registered Nurse will be responsible to the Senior Charge Nurse for clinical guidance and professional management, work review and formal appraisal of performance. The Registered Nurse has responsibility for managing a defined caseload working within professional guidelines. The Registered Nurse will allocate, co-ordinate and assess the work of the team and individuals using own initiative. The Registered Nurse will be responsible for the assessment, monitoring, evaluation and interpretation of patient condition and early detection of deterioration using critical judgement and reasoning and responds appropriately. Deputises in the management of the area in the absence of the Charge Nurse/Senior Charge Nurse.

11 MOST CHALLENGING /DIFFICULT PARTS OF THE JOB

Effective management and prioritisation of competing demands within an unpredictable environment In the absence of the Charge Nurse/Senior Charge Nurse provide cover to ensure the effective resource management of the ward.

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General Information

POST REF NO: PS/226/18

JOB TITLE/GRADE: Registered Nurse, Band 5

LOCATION: Ward 4, Perth Royal Infirmary

Conditions of Service

The terms and conditions of service for this post are those determined by the NHS Staff Council.

Remuneration The current salary scale for the post is £23,113 to £29,905 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer.

Hours of Duty Various hours available – permanent, fixed term and secondment posts

– preference to be discussed at interview

Internal applicants: Written approval must be sought from your line manager prior to applying for this as a secondment. You will be required to bring this if shortlisted for interview. The contracted weekly hours may be worked over any reference period, e.g. 150 hours (pro rata for part time staff) over four weeks or annualised hours, with due regard for compliance with employment

legislation, such as the Working Time Regulations. Start and finish times will be determined by the needs of the service.

Superannuation New employees are automatically enrolled into the NHS (Scotland) Superannuation Scheme, but may opt out later should they choose. The pension scheme is provided by Scottish Public Pensions Agency. All benefits are explained on the SPPA website www.sppa.gov.uk

Employee contribution rates with effect from 1 April 2018 are as follows:

Annual Pensionable Pay (Full-time equivalent)

Contribution

Up to £16,928 5.2%

£16,929 to £22,439 5.8%

£22,440 to £27,910 7.3%

£27,911 to £51,481 9.5%

£51,482 to £73,498 12.7%

£73,499 to £114,760 13.7%

£114,761 and above 14.7%

Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.

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Annual Leave On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year

References All offers of appointment are subject to receipt of two satisfactory references.

Occupational Health Clearance

All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by Occupational Health (OH).

Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003

The Rehabilitation of Offenders Act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as ‘spent’ after the lapse of a specified period of time. The period of time depends upon the sentence imposed. However, some criminal convictions can never be regarded as spent. These convictions are for serious crimes and must always be disclosed. Further guidance on the offences included in the list can be found at: https://www.mygov.scot/offences-always-disclosed/ Any information you do disclose will be treated confidentially and only shared with those who need to know. Having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. If you are appointed and it is found you did not disclose previous conviction(s), which you were legally obliged to disclose, then disciplinary action up to and including dismissal may be taken.

Disclosure Scotland

The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children. A PVG

certificate contains all unspent and certain spent conviction information.

It also contains any other non-conviction information that the police or other government bodies think is relevant. Disclosure Scotland continually monitor PVG scheme members' records for vetting information including criminal convictions that may affect their suitability to work with vulnerable groups.

Immigration, Asylum and Nationality Act 2006

It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original

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documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents.

Professional Registration

You must have current and continuing professional registration with NMC and hold the appropriate qualification(s).

Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds.

Fair Processing Notice

NHS Tayside is under a duty to protect the public funds it administers, and to this end may use the information you provide on your Application Form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information see: http://www.nhstayside.scot.nhs.uk/YourRights/NationalFraudInitiative/index.htm or contact robert.mackinnon@nhs.net.

Applications Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or HR & OD Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9SY By closing date of 29 January 2019

Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage.

All completed applications are held in HR & OD Directorate until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly, including your junk/spam folder. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from HR & OD Directorate.

Thank you for your interest in working for NHS Tayside.

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