Midwifery

Description

The successful candidate needs to be an experienced surgical nurse who is able to ensure that standards of nursing care are upheld at all times. Burns and plastic surgery experience is desirable, but not essential. The band 6 Sister will be expected to take responsibility for providing effective clinical leadership and accountability for the nursing service on the ward.

As a Sister, you will lead the nursing team in the delivery of evidence based patient centered care, which is of high standard. You will work in partnership with the Senior Sister and ward team in developing the team and provision of the service, forming working relationships with the surgical teams and wider MDT that contribute to care of our patients. You will be involved in the co-ordination of the ward, patient flow, completion of audits and mentoring and supporting of junior staff. You will also be a key member in facilitating changes in needs of the service and play a vital role in the development of the ward team including their ongoing development.

We can offer the senior nurse development programme and multiple other learning opportunities for the successful candidate in this dynamic environment.

Description

The post holder will provide the daily clinical and managerial nursing leadership for a defined clinical area.  The role will be responsible for ensuring that standards of care are upheld at all times.  The post holder will be responsible for ensuring they and their team uphold Trust values and those of their profession.

The individual will be visible and accessible to patients and their families and staff ensuring all patients and their families have the opportunity to seek information, help and support or to communicate problematic or celebratory issues.

Description

Duties will involve:

• Ensuring efficient patient throughput in clinics
• Removing, and replacing dressings
• Offering basic care to patients
• Booking patient appointments when required and responding to patient phone queries, 
• Once trained, completing baseline vascular tests on patients under supervision
• You will also be required to take a proactive approach to assisting the nurses run the clinics as requested.

Description

• Triage incoming calls, using a risk assessment framework and initiate appropriate response according to protocols and individual pathways, using good communication skills, basic clinical awareness and appropriate tools and procedures, liaising as appropriate when non routine and refer complex decisions to the team for assessment and review.
• Provide telephone advice and refer on or sign-post to other sources of support
• Provide support to patients in the clinic setting
• Assist the pleural clinical team with pleural outpatient clinics, such as supporting pleural procedures
• Coordinate the necessary assessments, appointments or investigations to fast track people back into the system if required
• Demonstrate the ability to recognise and respond appropriately when faced with a sudden deterioration or an emergency situation, alerting the team or enabling rapid response as appropriate
• Support information provision and signpost as appropriate
• Guide people through the use of self-assessment resources
• Document and monitor all aspects of care coordination and service delivery, supporting data collection for audit

Description

To provide a high standard of woman-centred care in a multi professional complex setting in Percy Phillips Ward.  To be an expert and professional role model for others in the field of postnatal care and newborns requiring additional support.   To offer advice to all of the MDT that so that they can also achieve a high standard of women-centred care.  This includes junior midwives, junior doctors, midwifery and AHP students.  To have continuing responsibility for the leadership for the midwifery/ nursing  supervision and management of midwives, nurses, students and maternity support workers in Women and Children’s on a day-to-day basis and in the absence of the Matron.  This post will provide the clinical and managerial leadership with the Matron taking responsibility for providing a clear focus for the profession and effective clinical leadership and accountability for the service.  They will be responsible for ensuring that they and their team act in a manner that upholds the values of the Trust and that of the profession. They will be working in collaboration with the Matron and Specialty team.  To lead on projects in collaboration with the Matron and be part of the change management of the ward. 

Description

The role includes:

• Designing, implementing, and evaluating learning and development solutions to meet the 
  organisational training needs for LDA.
• Leading on the development of Education and Training covering the entire speciality, including supporting teams to realise the organisational goals.
• Working collaboratively and co-operatively with others to help develop a workforce with the skills, knowledge, and competence necessary to deliver safe effective patient care for those people with LDA accessing our services and to enhance the quality of service delivery.
• Work in collaboration with the Learning Disability and Autism Liaison Nurses, Mental Health Liaison Nurses to assess gaps in knowledge and skills and develop programmes or source training packages to cover these gaps.
• Act as a spokesperson for LD, Autism and Mental Health Education.
• Network with clinical staff to share best practice.
• Lead on the development of a sustainable resource with wards and departments in relation to enhancing practice and maximise learning opportunities.
• Be able to communicate highly complex training data and report to all levels of staff and to relevant forums using a variety of communication skills, platforms, and presentation.

Description

This role encompasses supporting the patient experience Midwife in implementing and delivering a range of patient experience activities in order to deliver high quality and safe care that puts patients first. 

Coordinate investigations, facilitate investigation responses and support colleagues within the division to drive the quality governance agenda. 

Facilitate and maintain an effective Trust approach to the management of complaints and their responses by taking a supportive role in the maintenance of the divisional wide complaints reporting and tracking system in collaboration with the corporate complaints team in the investigation of and responses to concerns and complaints.

To be a specialist resource in the division using knowledge and expertise of quality and governance to support compliance with regulation and improving standards of care and clinical practice.

Provide support to staff on the handling of complaints; on investigation techniques and carrying out investigations and writing statements.

Ensure attendance, as appropriate, at the divisional and specialty governance meetings which demonstrate patient experience and statutory compliance.

Produce monthly highlight reports on patient experience, which are then presented to the divisional governance board, and compile action plans to ensure patient experience learning has been embedded into practice.

Description

The successful candidate will:

• Participate in all aspects of clinical operating department work, and provide a high standard of patient care and safety in accordance with the North Bristol NHS Trust philosophy and objectives, policies and legal requirements
• Deputise for the Team Leader when required/experience allows
• Be involved in the assessment, development, implementation and evaluation of programmes of care and work within a flexible team structure involving a multi- disciplinary team

Description

As a Bank Nurse, your responsibilities will include :  

• Supporting all clinical areas of the Trust as and when required.  
• Taking personal responsibility and accountability for ensuring that Trust and local policies and procedures are known and followed and ensuring duties are carried out in accordance with the advisory guidelines and practice set out in the NMC code.
• Being responsible for assessment, planning, Implementation and Evaluation of patient care.
• Taking responsibility for the supervision and guidance of other staff including health care assistants and students as required.

Applicants must:  

• Hold RN (Adult or Paediatric) registration with current NMC license to practice 
• Have relevant experience within the last 18-24 months - newly qualified staff require 15 months post qualification experience (3 months preceptorship and 12 months appropriate experience
• Have a drive to work hard, enthusiasm and the ability to commit to a 4-day induction programme if successful 
• Have right to work in UK (with relevant Adaptation/ONP if applicable) 
• Have the ability to commence work within 3 months from offer 

Description

To include;

• Welcome patients to the department or your clinic.
• Support patients to manage continence and teach pelvic floor exercises and catheter care.
• Ensure patients are comfortable and free from pain
• Prepare and support patients prior to, during and following healthcare activities such as flexible cystoscopies , prostate biopsies and Tula laser
• Chaperone patients in accordance to policy
• Prepare clinical area prior to, during and following a clinical session
• Observe patients general condition and report any changes or concerns to the nurse in charge
• Support and maintain the safety of the distressed patient and their relatives
• Undertake Point of Care testing
• Green card training to carry out observations and department specific equipment
• Obtain and test specimens
• Undertake dressings and with training more complex dressings, remove drains sutures and clips
• Undertake measurements of patients vital signs
• Undertake venepuncture and cannulation
• Access and act upon patient results
• Ordering tests and making referrals within their scope of practice
• Answer phone calls and provide advice re health needs or appointments.
• Book appointments and print clinic lists and appointment letters.
• Carry  out or support urology clinics both face to face and telephone.

Description

Working as a Healthcare Support Worker, you will be involved with direct patient care whilst maintaining the privacy and dignity of patients. You will be working alongside a Registered Nurse to provide essential nursing care and helping your patients with daily living tasks such as:

• helping patients feel comfortable and move around 
• monitoring patients and performing basic health checks
• washing, dressing patients and helping them go to the toilet
• serving meals and helping to feed patients

Upon successful completion of clinical skills training, once you are a Senior Healthcare Support Worker, you will also be expected to carry out a range of clinical duties with minimal / no supervision, including:

• blood pressure monitoring
• oxygen saturation levels
• body temperature
• pulse rate and respiration rate
• glucose monitoring
• wound swab
• collection and testing of urine, faecal and sputum samples

Whilst completing these tasks, the underlining aim is to deliver high-quality patient care at all times.

Description

The post holder will work closely with and provide clinical and managerial support for the ward Sister
and wider team.
The post holder will take charge of the ward as and when required in the absence of the ward
manager on a daily basis.
The post holder will be expected to lead on an area of ward quality and working with the ward sister
and other Band 6’ ensure the ward submits all quality and Infection control audits monthly and that the
results are reviewed and acted upon to ensure continuous improvement.
The post holder will be responsible for managing the ward team in relation to the assessment,
planning, provision, maintenance and evaluation of programmes of high standards of care
The post holder will assist the ward Sister in provision of high quality patient care within the constraints of the allocated ward budget.
In the absence of the ward Sister, the post holder will be responsible for ensuring that care delivery by all members of the care team is carried out in accordance with Trust policies and procedures and the
guidelines for practice set by the NMC code of conduct.
The post holder will take responsibility for the management, supervision and guidance of other qualified staff, Health care assistants or students on a daily basis.

Description

In this role you will be responsible for the feasibility assessment, set up and subsequent co-ordination; recruitment and follow up to both commercial and non-commercial studies, working autonomously and with other members of the team, with a focus on Airways and Pleural research.

Description

The key responsibilities of the role will be to assist the Diabetes Specialist Nurses (DSNs) to educate and empower people with diabetes to self-manage their condition within our inpatient and outpatient services. This will include teaching new skills and enhancing existing knowledge such as insulin administration, monitoring, diabetes technology, and safety advice. You will also support the DSNs to overcome barriers which may prevent this.

Additional duties include supporting the DSNs to promote our governance agenda, educating other healthcare professionals, audit activity and liaising with pharmaceutical representatives to ensure adequate supplies of equipment and team education. Please see the job description for a full list of roles and responsibilities.

Our patient cohort is frequently complex, so you will need excellent communication skills and be able to adapt your approach to provide high quality individualised care. You will be extremely sensitive to the challenges experienced by people with diabetes and have a genuine passion for the specialty. The success of our service and patient experience relies upon our extremely strong team ethic, so the successful candidate must share our team values.

The DSNs will support the post holder to achieve role specific competencies and upon completion you will be expected to work with indirect supervision and within agreed boundaries of practice.

Description

 As a Bank Mental Health Nurse, you will increase your skill set by working with multidisciplinary teams to deliver all aspects of patient care.

Your main duties will include:  

• The postholder will be responsible for delivering care to people with mental health issues who are receiving inpatient care in an acute physical health setting. This care will often be delivered on a 1:1 basis.
• Supporting all clinical areas of the Trust as and when required.  
• Taking personal responsibility and accountability for ensuring that Trust and local policies and procedures are known and followed and ensuring duties are carried out in accordance with the advisory guidelines and practice set out in the NMC code.
• Being responsible for assessment, planning, Implementation and Evaluation of patient care.
• Taking responsibility for the supervision and guidance of other staff including health care assistants and students as required.

 Successful applicants for this role will: 

• Hold RN (Adult) Registration with current NMC license to practice
• Have relevant experience within the last 18-24 months - newly qualified staff require 15 months post qualification experience (3 months preceptorship and 12 months appropriate experience)
• Have a drive to work hard, enthusiasm and the ability to commit to a four day induction programme if successful
• Have right to work in the UK (with relevant Adaptation/ONP if applicable)

Description

Our staff care for patients in both our busy acute 32 bedded Surgical Assessment Unit (gate 32b) and our Surgical same day emergency clinic (gate 36). 

The role of an RN during twilight hours  is to provide additional support during our busiest hours of admissions and transfers into SAU. Our emergency clinic may sometimes require extended opening times which the twilight nurse will oversee. 

Working within our department, your main duties will include: 

• 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. 

Description

A Senior Healthcare Support Worker (SHCSW) is a core member of the team delivering direct care to patients and supporting registered practitioners to deliver high quality, compassionate health care to people in accordance with assessed needs and a care plan. 

You will carry out a range of clinical and non-clinical healthcare, or therapeutic tasks, under the direct or indirect supervision of the registered healthcare practitioner, in accordance with the Trust values.

There will be opportunities to develop your knowledge and skills, specific to your needs. Training will be provided to ensure you have the required core skills and skills set specific to your area of work. You will also be supported 
to obtain your care certificate if you do not have this qualification

Description

A Senior Healthcare Support Worker (SHCSW) is a core member of the team delivering direct care to patients and supporting registered practitioners to deliver high quality, compassionate health care to people in accordance with assessed needs and a care plan. 

The role of Senior Healthcare Support Worker during twilight hours is to provide additional support during our busiest hours of admissions and transfers into SAU. Our emergency clinic may sometimes require extended opening times which the twilight team will oversee. 

You will carry out a range of clinical and non-clinical healthcare, or therapeutic tasks, under the direct or indirect supervision of the registered healthcare practitioner, in accordance with the Trust values.

There will be opportunities to develop your knowledge and skills, specific to your needs. Training will be provided to ensure you have the required core skills and skills set specific to your area of work. You will also be supported 
to obtain your care certificate if you do not have this qualification

Description

Our staff care for patients in both our busy acute 32 bedded Surgical Assessment Unit (Gate 32b) and our Surgical Same day Emergency Clinic (Gate 36).

Working within our department, your main duties will include: 

• 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. 

Description

Duties will include managing nurse-led face to face and virtual outpatient and biologic clinics, in-patient clinical reviews, and providing expert clinical advice and information via the direct-access patient telephone and email service.

You will provide comprehensive clinical assessment, advice, education and support to patients to promote self-care in IBD disease and medications management. You will implement early investigations, changes in treatment/medication and facilitate rapid access to secondary care services for patients, relatives, carers and clinicians, in relation to the management of IBD.

Description

As a Band 7 Enhanced Practitioner, you will be a crucial part of our multidisciplinary team, responsible for delivering expert care across the GI Wards,SDEC and Outpatients. You will:

• Act as a clinical leader, overseeing the management of GI surgical patients.
• Provide high-quality, patient-centred care for both elective and emergency surgical cases.
• Work closely with consultants, Training Doctors , Nurses, and Allied Health Professionals to develop care plans and pathways for optimal patient outcomes.
• Lead in the assessment, planning, and delivery of care to GI patients within a fast-paced environment.
• Support the department’s Same Day Emergency Care (SDEC) unit, ensuring seamless and timely management of surgical patients.
• Offer specialist advice to staff and patients in the outpatient setting, contributing to multidisciplinary care plans.

Description

• Run independent nurse led clinics for patients being assessed for liver transplantation and post-transplant surveillance. 
• Streamline the service to ensure transplant patients can access prompt imaging and follow-up, and ensure that imaging is coordinated such that transplant work up is achieved in a timely manner. 
• Co-ordinate and manage an independent nurse led clinic for the viral hepatitis B patient cohort using the existing model of FibroScan support.
• Liaise with UBHW for the care of NBT patients with hepatitis C undertaking viral
• Aim to complete a non-medical prescribing (NMP) course within the first year of CNS role.
• Prescribe and review medication for therapeutic effectiveness, in accordance with evidence-based practice, national protocols, legislation (non-medical prescriber or under Patient Group Directions) and within scope of practice.
• Undertake an IRMA course at NBT within 12 months of starting the post, to request relevant imaging.
• To undertake FibroScans.
• Demonstrate the pathways and data collection from clinics and innovations for audit and service development.
• Participate in regional and national training and updates within their field and be an active participant in relevant associations such as BASL BLNS and BSG.
• Outpatient paracentesis service: with support the CNS should aim to undertake paracentesis for outpatient patients with decompensated cirrhosis.

Description

Clinical 

• Deliver and participate in high standards of clinical care delivered to patients
• Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law.
• Be able to undertake advanced and comprehensive assessment based on a body of specialist knowledge.
• Be directly responsible and manage patients as part of their own caseload.
• Provide supervision and direction to junior members of the clinical and nursing teams.
• Whilst working within the professional boundaries of an ACP, assess, examine, investigate, diagnose and treat patients resulting in the safe management, which may consist of further management, referral to another specialty or discharge.
• Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area.
• Be directly involved in patient experience quality assessment and implementation of improvement strategies.
• Critically assess patient care and plans and address any issues, which may result in substandard care.
• Be familiar and implement trust and national policy, guidelines and recommendations to facilitate a standardised approach.
• Ensure accurate and legible documentation and records are maintained in accordance with the Data Protection Act 1998.
• Practice in accordance with specific professional body codes of professional behaviour.
• Maintain infection control standards.

Description

The Resuscitation Practitioner will be responsible for helping plan and deliver mandatory resuscitation training for all staff groups within NBT. Under the direction of either the Deputy Head of Education, the Operational Leads for Resuscitation or a Resuscitation Officer, the Resuscitation Practitioner will also attend cardiac arrests/emergency situations across the hospital site. This will involve helping the resuscitation team manage adults and paediatric patients. The Resuscitation Practitioner may also be required to support with departmental audits and research work relating to resuscitation practice.

The Resuscitation Practitioner will be expected to maintain clinical currency and their professional registration; and this will be supported through ongoing CPD activity. The Resuscitation Practitioner will also be required to undertake six clinical shifts per year across one (or more) clinical specialty. This role will also require the post holder to support the Clinical Skills Team deliver essential training (such as intravenous cannulation, aseptic non-touch technique and catheterisation etc). Training will be provided to ensure the Resuscitation Practitioner is capable and confident teaching the skills  which align with the scope of practice of a Band 5 clinician.