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SECONDMENT OPPORTUNITY SENIOR STAFF NURSE 3 MONTHS Salary: As per secondment policy Hours: Full Time – 37.5 hours Post details: A secondment opportunity has arisen for a Senior Staff Nurse. In the first instance this post will be for 3 months within the Sports Activity Centre located in the Skye Centre and thereafter will be subject to review. The successful candidate will be responsible for providing clinical leadership to the nursing and rehabilitation staff in the Sports Activity Centre, ensuring the delivery of high quality, person centred care. The individual will work closely with the Nurse Team Leader and Senior Charge Nurse in promoting an integrated approach to care, ensuring safe and effective clinical practice and take responsibility for the day to day managing and support the development of the team in Sports. The individual will be able to evidence an innovative and professional approach that will contribute to the development of the service. Experience/ Qualifications Applicants are required to be RMN or RNLD qualified and be able to demonstrate experience of leading a team. Interested? If you are interested in this secondment opportunity then please submit a statement to support your consideration for the post and a letter of support from your Senior Charge Nurse. These should be addressed to Pauline Thomson, Human Resources Advisor. For an informal discussion about this vacancy, please contact Alexandra MacLean on Ext 2178 or Jacqueline Garrity on Ext 2056 Closing Date: The closing date for applications is Wednesday 6 April 2016. This is an internal advert only SKYE CENTRE SENIOR STAFF NURSE 1. JOB IDENTIFICATION Job Title: Senior Staff Nurse Responsible to: Nurse Team Leader Department: Skye Centre Directorate: General Management Operating Division: Job Reference: No of Job Holders: Last Update: 2. JOB PURPOSE To take charge of an activity centre and work without direct supervision. To work collaboratively with Rehabilitation Instructors to deliver a range of therapeutic social, physical, educational and recreational activities in line with the patients’ treatment plan and personal choice. To be responsible as a named nurse for the development, maintenance and delivery of high quality care in a secure environment, through the assessment, planning, implementation and evaluation of patient care processes. To keep abreast of trends and developments in nursing and to participate in the planning, development and evaluation of new ideas and methods for the constant improvement of the services provided. To contribute an innovative and progressive attitude to the care of the patients. To support the work of other disciplines such as occupational therapists within the wards and off ward areas; to supervise junior staff i.e. junior staff nurses, enrolled nurses, rehabilitation instructors and nursing assistants and be able to teach other nursing and non-nursing staff. This role requires an individual with the ability to provide patient care to set standards within clinical areas. There is a need for knowledge and understanding of patient clinical issues and promotion of choice, respect and dignity. The post holder will deliver expert, high quality treatment and care in a safe and secure setting. The post holder will ensure that maintenance of public, staff and patient safety is paramount. The supervision of Skye Centre staff (Rehab Instructors, support workers), junior staff nurses, nursing assistants and student nurses in training in clinical matters. The post holder will lead a team of registered and non registered staff. Responsible for the Health, Safety and Security of the Activity Centre. Direct care of a group of patients who attend the Activity Centre. The post holder is expected to be flexible and work within all patient care areas of the hospital. Staff should be aware of budgetary constraints and maintain an effective stock control system. The post holder is expected to cooperate with the NHSS modernisation agenda and embrace role change and job enrichment opportunities which arise as a result of that process. 4. ORGANISATIONAL POSITION Nurse Team Leader Senior Staff Nurse Staff Nurse/Enrolled Nurse Senior Rehab 5. ROLE OF DEPARTMENT The Nursing Directorate works collaboratively with the other clinical professions to safely rehabilitate patients detained under the Mental Health and Criminal Procedures Legislation and as a result every Activity Centre will be expected to provide a high quality service that is individually focused and consists of a range of therapeutic recreational, social, occupational and physical activities for potentially dangerous patients who are mentally ill or have a learning disability. 6. KEY RESULT AREAS Working with Patients: To assume responsibility for an Activity Centre and direct the assessment, planning, implementation and evaluation of patient care. To be a named nurse for all patients who attend an Activity Centre. This could be up to 120 patients. To supervise a team of Rehab Instructors and junior staff providing care and activity for patients on a sessional basis. To ensure that care is taken of patients' clothing, possessions and valuables whilst attending the Activity Centre. To escort patients on outings as part of a team e.g. inter hospital social events such as bowling. To escort patients between wards and centres. To contribute to the assessment of the individual and individual plans in response to the patient’s needs, monitoring same to ensure the achievement and maintenance of the highest quality of patient care and in line with their current treatment plan. This will involve annual reports to the relevant clinical team or more frequently if required, and will involve all patients who attend the centre. To afford a high priority to health promotion initiatives for patients, e.g. physical activity and healthy eating. To empathise with patients and assist them to express their thoughts, feelings and needs. To actively promote and participate in a range of therapeutic nursing strategies with the patient group, e.g. encourage use of diversion techniques for a patient who suffers from hallucinations. To participate in and promote multi-disciplinary working. Working within a management framework To act as a group leader/coordinator for a defined set of nursing care plans for all patients who attend the centre. To assume additional responsibilities as and when delegated by the Skye Centre Manager or Senior Charge Nurse and Team Leader, e.g. interview new staff. To contribute to the development of the Skye Centre Service under supervision from the Skye Centre Manager/SCN/Team Leader. To participate in the induction process of all staff and students to the centre. To take charge of the centre and in doing so; Maintain close liaison with the Team Leader on all relevant clinical and administrative issues. Ensure that at all times the centre remains physically and emotionally secure. Ensure regular staff meetings with all centre staff, incorporating individual patient reports and service issues e.g. new referrals and any H&S issues. To support the SCN/Team Leader with the effective implementation of the hospital attendance management policy. To take responsibility alongside the SCN/Team Leader for effective delivery and implementation of the staff appraisal system. Working with a professional nursing framework To set a professional example in attitude, conduct and practice as laid down in the NMC Professional Code of Conduct, at all times. To utilise appropriate documentation for the assessment, planning and implementation of patients' treatments/care and to participate in clinical team meetings when possible. To follow Nursing and Centre policies and procedures in the delivery of care. To prepare, give and receive written and verbal and electronic reports, reporting conditions of patients, to more senior nurses and /or medical staff as well as to the SCN/Skye Centre Manager. To ensure safe custody, storage and administration of medications in accordance with Hospital Policies and NMC guidelines when required. To participate in nursing research in relation to forensic psychiatric nursing, To initiate and participate in clinical audit. To support the mentoring for students to the hospital and to be a source of knowledge and advice to junior staff. To actively participate in the clinical supervision process. To remain updated in developments in clinical practice by participating in relevant post registration education. To maintain an up to date knowledge of current clinical issues and legalities. Working with Health and Safety and Security: To work within the provisions of the Hospital’s Health and Safety policy, To ensure that at all times a safe and secure environment is maintained through involvement in audit and acting on concerns, To supervise and direct junior staff whilst they are carrying out specific directed duties such as cleaning body fluid/ waste spillages and general centre housekeeping duties. To ensure that hospital policies and procedures are understood and adhered to at all times, To be familiar with and understand how to use the hospital radio system and personal alarm system, To report to SCN/Team Leader any matter relating to the safety of the environment or any breach of security. To act at all times in a responsible and safe manner and encourage a warm and welcoming environment for patients, visitors and other staff. Communication, listening and observation: To work within a multidisciplinary team and be involved in both verbal and written communication as part of the continuous review process e.g. activity centre reports annually for all patients attending To observe the need for professionalism in both confidential and cultural issues. To maintain a level of communication that is clear, open and honest and without prejudice towards patients, colleagues or others To ensure that all visitors are greeted in a courteous manner. To be able to provide and receive highly complex and sensitive information about patients. Others: To participate in all directed training and development activities provided by the hospital and at all times encourage staff to extend and develop their clinical knowledge and expertise. To provide an effective role model for staff and patients and at all times ensure adherence by staff to all Hospital Policies and Procedures. To promote and ensure that at all times the standards required by the staff charter are maintained. 7a. EQUIPMENT AND MACHINERY The post holder will be required to use the following equipment for the reasons stated: Moving and Handling equipment to assist patient mobility (hoists, wheelchairs), Medical equipment to record vital signs and administer treatments (Blood Pressure monitor, thermometer, syringes etc) when required IT equipment to read, record and transmit information (patient related, learning related, organisation related). All mechanical or electrical equipment used in relevant work areas (fitness equipment, woodworking machinery, kilns, gardening utensils e.g. spades etc) 7b. SYSTEMS Information will be required to be input to various IT systems on behalf of patients (for example Electronic Patient Record, Datix- In addition, e mail messaging is the normal method of rapid communication within the Hospital; the Senior Staff Nurse will be expected to be familiar with this. Recording systems detailing information about patients and staff will also require to have information input to by the Senior Staff Nurse e.g. staff rosters and patient activity performance and fire registers. 8. ASSIGNMENT AND REVIEW OF WORK Post holders are expected to work with a great deal of autonomy and be able to use their own judgement. As the Senior Staff nurse in charge of the centre they will assign duties to the team in that area. Regular reviews of work will take place between the Senior Nurse and Team Leader. Work can also be assigned and reviewed by the SCN and Skye Centre Manager. 9. DECISIONS AND JUDGEMENTS The Senior Staff Nurse will be frequently required to make judgements involving a range of facts or situations, which require the analysis or comparison of a range of options. Whilst working with patients who exhibit behaviours that challenge and at the same time have complex needs, the Senior Staff Nurse will on occasions need to make judgements as to the most appropriate intervention. This will be reviewed later in consultation with a more senior nurse, if the situation requires it. When in charge of an activity centre, the Senior Staff Nurse will be required to both make decisions regarding the operational management of the activity centre, and, supervise others in their decision making processes. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB 1. To maintain a positive attitude towards the care of patients when challenged by negative/aggressive behaviours from patients 2. To motivate patients to engage in therapeutic activity when challenged by the negative effects of mental illness such as lethargy, poor motivation and lack of insight. 11. COMMUNICATIONS AND RELATIONSHIPS The Senior Staff Nurse is required to provide and receive routine information, which requires tact or persuasive skills including when there are barriers to understanding e.g. perceptual difficulties, cultural barriers to understanding and a rage of sensory impairments. The Senior Staff nurse is required to receive and provide complex clinical information to patients, colleagues, and visitors. The Senior Staff nurse is required to receive and provide operational information to patients, colleagues, and visitors. Many of the patients within the hospital have difficulty with communication; the Senior Staff Nurse will be expected to be competent in both verbal and non-verbal communication methods. They will be expected to communicate effectively with patients staff professional visitors relatives and carers outside agencies 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB The hospital is a high secure mental health working environment that cares for individuals detained under mental health and related legislation. Patients detained are considered to pose a grave and immediate danger to themselves and the public. Working at The Hospital involves being subjected to searching and security procedures, responsibility for keys, and working in a restrictive, locked environment. Exposure to physical and verbal aggressive behaviour of patients and carers. Physical demands: There is an frequent requirement to exert intense physical effort throughout the period of work e.g. responding to another area of the hospital in an emergency or being involved in the restraint of a patient There is a requirement to respond to serious and emergency incidents and support efforts to manage them. There is a requirement to undertake relevant mandatory training and engage in the management of violence and aggression. There is a daily requirement to escort patients to and from activity centres, often in inclement weather There is a daily demand while working in activity centres, e.g. lifting loads of up to 10kg such, animal feed and digging etc Mental demands: Periods of sustained and intense concentration when managing the care of detained patients in a high security hospital. Occasional driving of vehicles outside the hospital with a patient and other staff as passengers. This requires sustained and intense levels of concentration and observation beyond normal daily demands. The use of tools and sharp implements increases the possible severity of an incident, should one occur, and the post holder has the responsibility of checking these tools regularly throughout the day, the monitoring of them while in use, and the intense mental demand and constant risk assessment to maintain safety and security while providing therapeutic activity. Emotional demands: Frequent and prolonged exposure to highly distressing or highly emotional circumstances, due to the backgrounds and presentations of many of the patients. This can present exceptional challenges both in working with the patients and their carers, and in managing personal emotional responses to the work. Environmental demands: There will be a frequent requirement to work in areas with exposure to highly unpleasant working conditions. These will include dealing with body fluids and soiled linen. 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB The post holder will have obtained professional/clinical knowledge acquired through training to degree/diploma level. Registration on the NMC single professional register in respect of Mental Nursing and/or Learning Disability Nursing. Responsible and caring attitude. Effective communication and positive interpersonal skills. Motivated and committed to work with patients. 14. JOB DESCRIPTION AGREEMENT Job Holder’s Signature: Date: Head of Department Signature: Date: STATE HOSPITALS BOARD for SCOTLAND PERSON SPECIFICATION: Skye Centre – Senior Staff Nurse Attribute Essential Qualifications The post holder will have obtained professional/clinical knowledge acquired through training to degree/diploma level. Desirable Registration on the NMC single professional register in respect of Mental Nursing and/or Learning Disability Nursing. Experience Skills and Abilities Knowledge Motivated and committed to Knowledge of IT systems – Microsoft Word work with patients with a serious mental illness, or learning disability. Experience working within a secure environment Relevant vocational skills i.e. Self-motivated person with effective communication sports qualification, and positive interpersonal skills. gardening, craft & design Ability to give verbal reports or written reports to enable accurate recordings of patients needs. The post holder will have knowledge of the Mental Health Act, Criminal Procedures Act, and the Human Rights Act Personal Qualities Responsible attitude. and caring Requirement to demonstrate initiative Effective time management skills Sense of humour