Great Ormond Street - Staff Nurse Band 5
Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is an international centre of excellence in child healthcare. GOSH is an acute specialist paediatric hospital with a mission to provide world-class care to children and young people with rare, complex and difficult-to-treat conditions.
The International and Private Patient (IPP) Division admits and treats children with an unrivalled range of medical and surgical conditions including haematology/oncology, immunology, neurology, neurosurgery, orthopaedics, gastroenterology, ENT, metabolic, and nephro-urology disorders.
The aim of the division is to provide specialist care to children from overseas as well as a number of UK private patients, incorporating 90 different countries. The patients attending IPP often cannot access the level of medical care they require in their home country and consequently are funded by their government or employer to access this care within IPP.
The division has an establishment of approximately 250 clinical and non-clinical staff, across a dedicated bed pool of 53 inpatient beds where over 18,500 outpatient appointments and 2,000 inpatients take place annually. The nurse to patient ratio is low between staff and patients which allows for a strong working relationship to be established with families and patients. In addition and when appropriate, funded beds on NHS wards are used for specific patient pathways such as intensive care, cardiac, nephrology and neurosurgery.
IPP have an extensive team of Clinical Educators, Clinical Nurse Specialists, Case Managers, Play Therapists and Senior Nurses. In addition, we also have a large team of interpreters who advocate for our overseas families throughout clinical discussions and therapeutic interventions. There are extensive learning opportunities within the Trust as well as university courses.
Within IPP we work as a strong multidisciplinary team through an holistic approach to provide clinical excellence within a busy and thriving environment.
Division - International and Private Patients
Responsible to - Ward Sister/Charge Nurse
Accountable to - Lead Nurse/Head of Nursing
Type of contract - Permanent or fixed term
Hours per week - Up to 37.5
Location - Great Ormond Street Hospital
Budgetary responsibility - None
Manages - Supports the Band 6 and 7’s management of Healthcare Assistants and Students.
Trust Values and Expected Behaviours
Over 2,000 of our staff, patients and parents have developed a set of Values – Our Always Values. These are the values that should characterise all that we do and our behaviours with our patients and families and each other. Our Always Values are that we are:
- Always Welcoming
- Always Helpful
- Always Expert
- Always One Team
These values are extremely important to us and we expect everyone who works at GOSH in any capacity, including employees, bank staff, contractors, agency staff, people who hold honorary contracts, students and volunteers to share and uphold Our Always Values. Each value is underpinned by behavioural standards and employees will be expected to display these behaviours at all times. You can find a full copy of Our Always Values on our intranet.
The Trust also expects that everyone who works here shall act in such a manner as to justify public trust and confidence and to uphold and enhance the good standing and reputation of Great Ormond Street Hospital for Children NHS Foundation Trust. Individuals must therefore at all times carry out their duties with due regard to the Trust’s Equality at Work Policy.
Scope of the role
- To work as a skilled member of the nursing team, to provide a high standard of holistic family centred care to the children, young people and families.
- Ability to promote family centred care and establish good relationships with children and their families.
- To communicate effectively at all levels within the multi-disciplinary team.
- To be able to take charge of the ward in the absence of senior nursing staff following achievement of required competence (excluding intensive care wards and non RN Child Registered Nurses).
- To be familiar with and adopt the principles of the NHS Chief Nursing Officers vision for Compassion In Practice (NHS Commissioning Board Dec 2012).
- Contribute towards achieving the ‘Great Ormond Street Hospital Vision for Nursing’ (Jan 2013).
Key working relationships
Nurses, Doctors, administrative team, physiotherapists, pharmacists, social workers, occupational therapists, healthcare assistants, play specialists, psychologists, psychotherapists, IT staff, chaplains dieticians and housekeeping staff and other teams within GOS
Families, GPs, other hospitals, local health authorities, social services, community services, schools
Main duties and responsibilities
- To provide the highest standard of nursing care for the children and their families at all times.
- To plan, assess, implement and evaluate programmes of care for individual children and to supervise other staff in this activity.
- To ensure an ongoing welcoming, caring and safe environment is provided for the children and their families.
- To act as an advocate for the child and family, providing them with information and support and directing them to the relevant support services where appropriate.
- To communicate complex and sensitive information effectively to patients, carers and other staff, overcoming any barriers to understanding and providing support during distressing or emotional events.
- To start planning discharges from admission, liaising with the multidisciplinary team, other departments and community services as necessary.
- To develop and maintain clinical skills and knowledge necessary to provide holistic, evidence based nursing care. This includes completion of the Trusts clinical skills competency toolkit and expanded role responsibilities, following appropriate training.
- To be competent in the administration of medication including under patient group directives
- To ensure clinical practice is evidence based or peer reviewed “best practice”.
- Assist with ongoing education and training of families
- To be competent in the use of all relevant Trust IT systems ensuring that data is entered in an accurate and timely fashion, in accordance with Trust policy and procedure.
- To supervise and support members of the ward team as required, ensuring that all patients receive appropriate care.
- To ensure that treatments prescribed by the medical staff are carried out, and that multidisciplinary team members are informed of changes in the patient’s condition.
- To ensure quality care is given, by being familiar with agreed ward and Trust standards of care and to inform senior nursing staff, if the required standard cannot be reached.
- To be familiar with the Nursing Vision and ensure that key performance indicators are met in relation to getting the basics right and implementation of ‘Saving Lives’
- To ensure compliance with the Health and Social Care Act regulations 2010 by adhering to the Care Quality Commission standards at all times.
- To manage allocated resources effectively and efficiently. This includes maintaining the correct skill mix of staff for patient dependency, bed management, utilisation of time and equipment, in the absence of senior staff.
- To assist in ensuring the safety of the ward, actively participating in clinical audit, clinical risk and quality initiatives, including the managing and reporting of incidents and complaints.
- In the absence of senior staff take charge of the shift (RN Child Nurses only).
- To actively assist in the education and practical training of learners and junior staff at every opportunity. To work in co-operation with London Southbank university in order to provide uniformity and promotion of professional standards.
- To participate in informal and formal teaching.
- To supervise and orientate learners and new staff.
- To act as a preceptor for junior staff nurses (RN Child Nurses only).
- To be a resource for students and junior colleagues.
- Developing and promoting good practice in developing research based protocols.
- To participate in surveys, audit, research and clinical trials as required.
- To maintain confidentiality surrounding the child’s admission and treatment at all times.
- To ensure that all patient care is documented, and that all relevant documentation is completed accurately and within agreed timescales using Trust approved documentation, in line with NMC, CQC and Trust standards.
- To have knowledge of and adhere to ward and Trust policy and professional standards. To ensure that team members do likewise.
- To demonstrate a professional approach to work, and act in accordance with the GOS personal responsibilities framework and the NMC Code of Professional Conduct at all times.
- To participate in staff appraisal, staff development and in service training activities in line with the Knowledge and Skills Framework.
- To meet PREP requirements for Revalidation. To identify own learning needs and ensure own professional development is maintained by keeping up to date with practice developments.
- To undertake further training and academic qualifications as relevant to the role and service requirements.
- This job description is intended as an outline of the areas of activity and can be amended in the light of the changing needs of the service and will be reviewed as necessary in conjunction with the post-holder.
Other information - Great Ormond Street Hospital for Children NHS Foundation Trust is a dynamic organisation, therefore changes in the core duties and responsibilities of this role may be required from time to time. These guidelines do not constitute a term or condition of employment.
Confidentiality - On appointment you may be given access to confidential information which must only be disclosed to parties entitled to receive it. Information obtained during the course of employment should not be used for any purpose other than that intended. Unauthorised disclosure of information is a disciplinary offence.
Risk Management -You will be required to ensure that you implement systems and procedures at a local level to fulfill the requirements of the organisation’s Risk Management Strategy including local management and resolution of complaints and concerns, management of SUIs/incidents and near misses. Your specific responsibility for risk management will be clarified to you by your manager at your local induction.
Emergency Planning -In accordance with the organisations responsibilities under the Civil Contingencies Act 2004, you may be required to undertake alternative duties as is reasonable directed at alternative locations in the event of and for the duration of a significant internal incident, major incident or flu pandemic.Human Rights -You are required to comply with the regulations of the Human Rights Act 1998 during the course of your employment.
Sustainable Development - You will be required to demonstrate a personal commitment to the Trust’s Sustainable Development Plan and to take personal responsibility for carrying-out your work duties in a way which is compliant with this Plan.