NHS FORTH VALLEY TO WORK WITH PHN TEAMS WITHIN STIRLING CHP BASED AT ABERFOYLE MEDICAL CENTRE HEALTH CARE SUPPORT WORKER Part-time 21 hours per fortnight, Permanent Salary: Band 3, £15,190 - £18,157 per annum, pro rata Ref: 1109583 We require a highly motivated Health Care Support Worker to join the progressive District Nursing Team within the West Stirlingshire locality. It is essential the post holder possess good verbal and written communication skills and has an ability to work flexibly without supervision. A commitment to undertake appropriate training in accordance with the Job Description is also essential. Computing skills and knowledge and experience of Microsoft Office packages is desirable. Community/Primary Care experience such as direct patient care is essential. "Ability and willingness to travel throughout the area of service delivery is essential for this post." Informal enquiries: - Kate Alcock District Nurse, tel: 01877 382236 Julie Whitcombe Team Leader, tel: 01360 850646 Application forms and job descriptions (quoting relevant post title and reference number) are available by e-mailing FV-UHB.Recruitment@nhs.net or by telephoning the recruitment answerline on 01786 447488. Closing Date: 15th January 2010 at 12 Noon For Insertion: Redeployment Internal Show 18th December 2009 1. NHS FORTH VALLEY JOB DESCRIPTION 1. JOB DETAILS Job Title: Health Care Support Worker Responsible to: Complex Care Team Adult Services/ Complex Care Team Paediatric Services Department(s): Complex Care 2. JOB PURPOSE The post holder will be the HCSW working unsupervised within the package of care providing direct nursing care adopting a holistic approach for a client/child with complex needs. To assist and support family members and other health care professionals to facilitate that care in the clients home taking into account the following: To ensure the delivery of high quality, client centred focused services within the client/child’s home and in collaboration with the multi-disciplinary team and overseen by the Complex Care team. To deliver the client care and implement within clients home after assessment of specialised client care needs by complex care team. To minimise risk and maintain Health & Safety of the client, colleagues and work environment. Assist new members of the team to shadow and learn individual client/child care needs in conjunction with the Complex Care team to maintain a safe, sustainable, effective, secure package of care. 2. 3 ORGANISATIONAL POSITION ROLE OF DEPARTMNET – SEE APPENDIX 1 4. DIMENSIONS The post is based within a complex care client/child’s home providing all direct care. The client group varies in gender and age. The jobholder may work on a 2:1, staff: client/child ratio or a 1:1 staff: client/child ratio depending on care needs. Care provided is nursing, personal and social. A high level of specialised nursing care is required. The jobholder works within division guidelines and is led by the Complex Care Team to provide care, which is evidence-based practice. The jobholder reports to Complex Care Team on a daily basis. The jobholder is responsible for all ordering and monitoring of stock. The jobholder informs Complex Care in relation to equipment to ensure that specialised equipment is resourced, maintained and managed equitably. 5. KEY DUTIES/RESPONSIBILITIES Undertakes a client-centred approach to the client/child’s care following an individualised assessment of specialised care needs by the Complex Care Team. This takes into consideration lifestyle, environment, gender and culture. Ongoing observation of the client/child and reporting to the Complex Care Team and/or District Nurse any small changes in medical condition. Aware of the varying factors that can impact on physical, mental and emotional wellbeing. Work without the direct physical presence and supervision of a Registered nurse. The delivery of direct specialist nursing care dependant on the client/child’s condition which may include: Tracheostomy care including changing and suctioning as required. Hyperinflation Change of the ventilator circuit on a weekly basis and responding to alarms Administration of oxygen therapy and monitoring of saturation levels Regular nasal and oropharyngeal suction to maintain airway PEG care Administration of routine medication React to emergency situation, i.e. tracheostomy blocked, retention of secretions Have to be competent in the above skills to deliver care to complex care client/child Ensures that high standards of cleanliness are maintained and policies for the control of infection implemented. To maintain efficient stock levels of surgical stores and order when required The delivery of all social care aspects involving personal care and household duties. 3. In conjunction with Complex Care Team acts as a source of support to the client/child, relatives and parents also promoting participation in the delivery of care plan to ensure family centred care. Work in collaboration with client/child, relatives and parents to empower them to make decisions regarding their care needs and to achieve optimum health and independence. Maintain good relationships and communicates effectively with client/child, relatives, parents and members of the multidisciplinary and management team Ensures accurate record keeping and maintenance of client confidentiality. Minimises potential for conflict with parents/relatives resolving disputes locally wherever possible and making an appropriate referral to the Complex Care Team as necessary. Demonstrate the ability to function competently as a member of the multi-disciplinary team and understand and acknowledge the role and function of other members of the team. Maintain excellent team building skills by attending regular staff meetings and communicating also by telephone, fax and written correspondence. Refer and apply the action pathway for use by Complex Care Staff to allow a defined process to be followed in maintaining adequate skill mix and staff numbers in Complex Care Packages i.e. if trained HCSW not available then registered nurse with appropriate skills will be required. Be aware of NHS Forth Valley Policies, Guidelines and Procedures including Equal Opportunities. Assess risk responsibly, ensuring the safety of the work environment for colleagues/ family and report to Complex Care Team as appropriate. Maintain documentation and adhere to protocols and procedures specific to the client/child to ensure best practice Attend all mandatory training undertaken annually or as appropriate. Discuss professional development in order to enhance knowledge, skills and values needed for safe and effective practice, in discussion with and with the agreement of the Complex Care Team/Lead Nurse Maintain client/child confidentiality at all times. Welcome new staff into the team and provide encouragement By personal example, ensure that the highest standard of professional conduct is maintained. Have a flexible working approach to meet the needs of the service. 6. SYSTEMS AND EQUIPMENT Dependant on the client/child condition and what equipment is required the post holder will be trained in and responsible for maintaining the following equipment: Blood pressure monitoring Respiratory equipment – Ventilators – Volume Controlled, CPAP, BiPaP Humidifiers Oxygen - concentrators, cylinders Suction machines 4. Pulse oximetry Nebulisers Resuscitation equipment Enteral feeding pumps Tracking /manual hoists Wheelchair including electric Non clinical equipment including, PC, assist in reading books, magazines, sensory and stimulation activities including paints, music. Maintain competence to use all highly specialised equipment required for client/child treatment. Ensure that all highly specialised equipment is checked on each shift i.e. functioning appropriately, alarms, charged. Refer to action pathway to perform function tests prior to using highly specialist equipment i.e. ventilator, pulse oximeter Refer to action pathway to identify faults, provides mechanism to trouble shoot common faults and advises on further action to be taken if required i.e. contact Complex Care Team to arrange referral to medical physics for routine servicing and in emergency situations. Familiar with the storage, cleaning and maintenance of all highly specialised equipment Be aware of systems for risk identification, dealing with complaints and report to Complex Care Team if appropriate. Mobile telephone use. Fax use. 7. ASSIGNMENT AND REVIEW OF WORK Objectives will be set through annual appraisal and formation of personal development plans in conjunction with the Complex Care Team The Healthcare support worker will be responsible to the Complex Care Team for clinical guidance, professional management by Lead Nurse, work review and formal appraisal of performance. Workload will be generated via the client/child and their families. The postholder will be expected to work unsupervised and exercise initiative when providing complex care needs, however the Complex Care Team will be available for advice and guidance Work unsupervised and have ongoing observation of the client/child and report to the Complex Care Team and/or District Nurse any changes in medical condition. Responsible for recognising limitations and identifying areas of unmet need and raising these through the appropriate channels, i.e. Complex Care Team, District Nurse, General Practitioner. 8. COMMUNICATIONS AND WORKING RELATIONSHIPS The healthcare support worker will facilitate all communication methods, in person, on the telephone or in written with client/child, relatives, parents, Complex Team and all members of the multidisciplinary team. 5. Communicate sensitive information in an understandable form to client/child, relatives and parents. Deal with barriers to effective communication, i.e. client/child with tracheostomy or client with no verbal communication so being in tune with facial expressions and noises is employed constantly, Promote and maintain effective communications and good working relationship with client/child, relatives, parents and all members of the healthcare team, and local authority colleagues. To recognise and with assistance of the Complex Care Team meet the emotional demands of caring for complex care client/child and their families and deal with these accordingly. To report any complaints, incidents or risk to the Complex Care Team. Demonstrate understanding and empathy of the client/child’s situation in the home environment. Internal The post holder will be expected to communicate, verbally, written and also liase with the client/child, relatives, parents and those involved in the provision of care. Other relevant departments within the Division e.g. Speech and Language, Dietician, Podiatry, Infection Control, Human Resources, Estates and Central Stores. Community and practice administration staff, District Nurse, General Practitioner Out of Hours Service Nurse Bank Acute Operating Division External Pharmacist Education Local Authority Relatives/parents and carers Other Nursing Agencies Other resources i.e. Westmark 9a. PHYSICAL DEMANDS OF THE JOB Frequent requirement to exert moderate physical effort when manual handling client/child, or assisting client/child movement with use of mechanical aids. Frequent exposure to body fluids. Frequent bending, kneeling, stooping for lengthy periods in order to carry out client/child care. Working in awkward and confined spaces on occasion. Regular heavy effort for several short periods. Frequent need to work in the community in environments, which are disorganised and/or unhygienic. Combination of sitting, standing, walking. Based in client/child’s home. 6. 9b. MENTAL/EMOTIONAL DEMANDS OF THE JOB Developing and maintaining level of clinical care skills and knowledge Concentration required when checking drugs, documents/client/child notes, whilst subject to interruptions from client/child and parents/relatives. Retention and communication of knowledge and information Frequent communication with distressed, anxious, concerned parents/relatives and client/child who can be verbally abusive Concentrations required when observing client/child clinical care, which can be unpredictable. Working in isolation within client/child home. Supporting client/child and family, during any personal difficulties. 10. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Ability to demonstrate own initiative Good communication and interpersonal skills Ability to work flexibly as part of a team Willingness to undertake continuous personal development Effective written and verbal communication skills Ability to work unsupervised and as a part of a team Car driver due to geographical spread of post Flexibility to meet the needs of the service 7. APPENDIX 1 FORTH VALLEY NHS PRIMARY CARE OPERATING DIVISION Job Title: Health Care Support Worker Responsible to: Complex Care Team Department(s): Complex Care A. ROLE OF THE UNIT / FUNCTION The Complex Care Service aims to provide a high quality, safe and supportive care for client/children who are cared for at home with a care package. Care is client centred, evidence based and incorporates the multidisciplinary team and that of local authority colleagues to provide a holistic approach to care. Co-ordinate funding requests for contributions to support packages of care after performing a specialist assessment to identify health care needs in relation to Local and community based packages that mainstream services cannot provide Specialist palliative care Out of area packages and interventions of healthcare that cannot be met by mainstream services B. ROLE OF THE DEPARTMENT The department is based in Camelon Clinic and comprises of the Complex Care Team: – Adult and Paediatric Complex Care Sisters, Senior Nurse and Administrator covering Forth Valley. The Complex Care Staff consisting of registered nurses and healthcare support workers provide care to client/child in their own home. General Manager Falkirk CHP Lead Nurse Stirling CHP Complex Care Sister Complex Care Sister Adult Services Paediatric Services Office Administrator Senior Complex Care Nurse Staff Nurses Healthcare Support Workers 8. Person Specification ATTRIBUTES ESSENTIAL DESIRABLE Skills/Abilities Ability to work flexibly Computing skills Ability to work without supervision Experience Direct Patient Care Primary Care/Community experience Venepuncture Eye care Inter-Personal and Social Good verbal and Qualities written communication skills Education/Qualifications Commitment to Knowledge and undertake appropriate experience of training in accordance Microsoft Office with Job Description packages Other "Ability and willingness to travel throughout the area of service delivery is essential for this post." 9. NHS FORTH VALLEY Terms and Conditions: The terms and conditions of service are those laid down by the Agenda for Change Handbook. Salary Scale: Band 3, £15,190 - £18,157 per annum, pro rata Staff taking up a new appointment with NHS Forth Valley will normally enter the scale at the minimum of the pay band/range. Any appointments above the lowest point of the pay band/range will be subject to verification of previous NHS service, or experience outside the NHS, which is given in recognition of relevant complete years of experience. Hours: Part-time 21 hours per fortnight Employees may be required to vary the pattern of their working week subject to the exigencies of the service. Duration: Permanent Annual Leave: 27 days rising to 29 days after 5 years service and to 33 days after 10 years service plus 8 public holidays (pro rata). or 202.5 hours rising to 217.5 hours after 5 years service and to 247.5 hours after 10 years service plus 60 hours public holiday. (pro-rata) Superannuation: The post is superannuable under the Scottish Public Pensions Agency Scheme and your remuneration will be subject to deduction unless you choose to opt out of the scheme. Medical Examination: No appointment can be confirmed until a satisfactory medical examination has been undergone. Criminal Convictions The duties of this post mean that you will either have Disclosure Check: regular contact with a) children and young people under the age of 18, b) the elderly, sick and disabled people or c) have a greater degree of involvement with children or vulnerable adults. Candidates who are successful at interview for this post will therefore be required to declare and consent to the validation of any criminal convictions by means of a standard/enhanced Disclosure check carried out by Disclosure Scotland under the provisions of Part V of the Police Act 1997 10. prior to any offer of appointment being made. This post is covered by the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and you are therefore required to declare information not only about “current” convictions but also about previous convictions which are otherwise regarded as “spent”. In the event of employment, any failure to disclose such convictions could result in the withdrawal of any offer, disciplinary action or dismissal by NHS Forth Valley. Confidentiality: In the course of your duties you may have access to confidential information concerning patients or staff. Unauthorized disclosure or removal of information may lead to consideration of disciplinary action. Equality in Employment: NHS Forth Valley fully supports the principle of equality in employment and opposes all forms of unlawful and / or unfair discrimination which cannot be shown to be justified. NHS Forth Valley is committed to ensuring equality of treatment for both present and potential employees. Tobacco Policy: It is the policy of NHS Forth Valley to discourage the habit of smoking within the organization and to provide a smoke free environment. The NHS Forth Valley policy is to establish no smoking as the norm and smoking is not permitted anywhere within NHS Forth Valley premises including residences and grounds. The Occupational Health Service will assist members of staff who wish to stop smoking by providing or facilitating the following services: Information on smoking and ways to stop Personal support Health Education materials and helpline numbers Nicotine replacement therapy Smoking Cessation support Copies of the Tobacco Policy are available from HR Co- ordinators or via the NHS Forth Valley Intranet. Health & Safety: All employees have a responsibility for their own health & safety and the health & safety of others who may be affected by what they do. Employees also have a duty to co-operate with their employer by following NHS Forth Valley policies and procedures and safe systems of work; 11. by using equipment safely and by bringing any shortcomings in health and safety arrangements to the attention of their employer. Where something is provided in the interests of health & safety employees must not interfere or misuse it. All employees have a legal responsibility to report any shortcomings in terms of this in their area. Managers and supervisors have a responsibility for monitoring health & safety arrangements and ensuring staff are following policies and procedures and safe systems of work. Partnership Agreement: Contributing to the development of partnership working by: supporting NHS Forth Valley in delivering its goals and objectives; supporting continuous improvement in own performance and the performance of the department, directorate and NHS Forth Valley; attending training, development and other activities aimed at improving own skills and for the benefit of the organisation and patient care. Nursery Facilities: There is an independently run on-site nursery at Stirling Royal Infirmary. With places open to staff and the general public. For further information please contact: Chapter One Childcare (SRI site): 01786 465112 Completed application forms should be returned to: Recruitment Office Hut 7 Falkirk & District Royal Infirmary Major’s Loan FALKIRK FK1 5QE Closing Date: 15th January 2010 at 12 Noon Ref No: 1109583 If you have not received a letter within 6 weeks of the above closing date you can assume that you have been unsuccessful in being shortlisted. 12.