The support worker will be actively involved in providing direct and indirect compassionate care for patients in support of the multidisciplinary team. The jobholder will undertake a range of delegated clinical patient care duties and can be expected to work under direct or indirect supervision by a registered practitioner. The support worker will assist in the overall implementation and evaluation of care as part of the multi professional team. The support worker is expected to plan, implement, deliver and maintain high standards of patient care. The support worker will be skilled in taking appropriate action(s) and acting on own initiative to achieve the planned outcome. The support worker will contribute to the maintenance of an environment for effective care. The support worker will be expected to lead a team of clinical support workers and apprentice clinical support workers.
The Leeds Renal Services lies within the Abdominal Medicine Surgery (AMS) Clinical Service unit at Leeds Teaching Hospital Trust. The renal service receives referrals for adults for the management and treatment of disorders of the kidney. The spectrum of disease ranges from mild disorders to life threatening conditions. All the renal consultants see patients with general nephrological problems and, in addition, have their own special interests. The main renal unit is at St James’s University Hospital, where inpatient, outpatient, pre-dialysis, haemodialysis, peritoneal dialysis and transplantation services are provided. Nurse-led outpatient clinics also take place at St James’s. The sub-regional kidney transplant service for West, East and North Yorkshire is located at St James’s University Hospital. Thank you for considering your career with us in Renal Services, Abdominal Medicine & Surgery at Leeds Teaching Hospitals NHS Trust.
Leeds Teaching Hospitals is committed to our process of redeploying ‘at risk’ members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.
Job description
Job responsibilities
JOB DESCRIPTION AND PERSON SPECIFICATION
1. JOB DETAILS
Job Title: Senior Clinical Support Worker (Nursing)
Reports to: Senior Sister, Charge Nurse or Team Leader
Band: 3
Department: Renal
Location1 Peritoneal Dialysis Unit
AfC Job No: 2051i
2. JOB PURPOSE/SUMMARY
The jobholder will be actively involved in providing direct and indirect compassionate care for patients in support of the multidisciplinary team. The jobholder will undertake a range of delegated clinical patient care duties under the support and supervision of a registered practitioner.
The jobholder will assist in the overall implementation and evaluation of care as part of the multi professional team. The jobholder is expected to plan, implement, deliver and maintain high standards of patient care. The jobholder will be skilled in taking appropriate action(s) and acting on own initiative to achieve the planned outcome.
The jobholder will contribute to the maintenance of an environment for effective care.
The jobholder will be expected to lead a team of clinical support workers and apprentice clinical support workers.
The jobholder will be expected to practice in accordance within Trust policies, guidelines, standards and statutory requirements and operate within defined competency boundaries.
The jobholder will work within a ward, clinical department or community setting as part of a multidisciplinary team.
The jobholder must comply with the wearing of PPE as appropriate to the clinical situation – this may involve wearing face masks for a considerable length of time.
3. ORGANISATIONAL CHART
4. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY
Communication and Working Relationship
Establish and maintain effective communication with patients, families, carers and patient groups
Develop and maintain appropriate relationships, communication and teamwork with members of the multi-disciplinary team within the ward/department
Assist in the welcome and reception of patients into the clinical area
Demonstrate a variety of communication skills with patients who may have communication needs and difficulties e.g. confusion, dementia or other linguistic issues
Communicate effectively with all health, social care providers, voluntary sectors and emergency services
Maintain clear, concise and legible documentation adhering to standards in accordance with Trust policies and guidance
Ensure compliance with Trust policies and procedures regarding confidentiality of data and data security
Communicate with colleagues and members of the multi-disciplinary team clearly and effectively in written, verbal and electronic format (this may include accessing and updating patient records on central databases or electronic systems).
Participate in and contribute to local audits (e.g. hand hygiene audit)
Escalate concerns with regards to patients physical or psychological needs, or changes in their clinical condition to a registered practitioner within appropriate time frames
Effective use of communication skills when responding to patients, relatives or carers concerns and complaints, contributing to the ward, unit or department team action plan to achieve local resolution.
Ensures, in liaison with registered practitioners that interpreters are utilised as appropriate to support patients understanding and communication needs.
Ability to answer phone, effectively managing the enquiry
Clinical Responsibilities
Provide and deliver a high standard of compassionate nursing care recognising and meeting the specific needs of the patients
Following training and assessment, competently undertake clinical activities relevant to the post and clinical area as agreed
Acknowledge any limitations of competence in accepting care activities outside agreed limitations and inform a registered practitioner
Assist in planning, implementation and evaluation of individual programmes of care for patients
Document interventions performed and care delivered, ensuring that record is countersigned by a registered practitioner where appropriate.
Assist in the recording of fluid balance, reporting discrepancies to a registered practitioner.
Assist the patient with all aspects of their personal hygiene.
Assist in the safe moving and handling of all patients utilising appropriate equipment.
Assist the patient with their elimination needs; including bowel and urinary catheter care.
Provide care for patients with reduced mobility; to include skin integrity, pressure area care and measurement and application of anti-embolic stockings
Assist in ensuring patients nutritional needs are met.
Carry out clinical observations on patients, recognising, recording and reporting abnormalities and changes in patients condition to the registered practitioner
Utilise early warning score indicators (e.g. NEWS) to recognise any patient deterioration/sudden change in condition, reporting immediately to the registered practitioner.
Prepare and undertake interventions consistent with evidence based practice, through applying knowledge and skills to determine nature of the clinical care intervention required to meet patients requirements for care.
Assist in the provision of patient centred enhanced care, utilising a range of therapeutic interventions based on the enhanced care risk assessment. Reporting any deterioration, or changes in condition to the registered practitioner.
Evaluate and review the effect of any interventions and the patients agreed plan of care and report outcomes of interventions to the registered practitioner.
Collect equipment for clinical procedures as directed by the registered practitioner. Safely dispose of equipment, post procedure, restocking where appropriate
Assist in safe and appropriate use and maintenance of equipment
Assist in the correct handling and dispatch of specimens
Safe disposal of soiled linen and clinical waste from the ward or department
Participate in the process of involving relatives and or carers in the provision of patient care
Contribute to the psychological and or spiritual needs of patients using diversionary and comfort measures as appropriate
Acts as a chaperone as per chaperone policy.
Assist in the performing of last offices for deceased patients.
Undertake the escort of patients to other departments and ward as instructed by a registered practitioner
Organise and prioritise time effectively
Undertake duties on different wards, departments or clinical areas as and when required by service demands or patient need.
Act in such a way that safeguards the health and wellbeing of children & vulnerable adults at all times. Is familiar with and adheres to, the LTHT safeguarding policies.
Other Responsibilities
Participate in the use of the Leeds Improvement Method to improve the quality and safety of the service.
Contribute to the prevention and control of infection in line with Trust guidelines
Assist in maintenance of accurate records and documentation, with regard to legal requirements, confidentiality and management of information.
Ensure that essential information on the patients condition and progress is recorded in accordance with Trust guidelines
Understand the need to maintain and respect patient confidentiality
Promote and value the rights, responsibilities and diversity of people ensuring religious and cultural needs are addressed
Education, Health, Safety and Security
Ensure safe keeping and transportation of patient property and valuables in accordance with Trust policy.
Recognise the importance of health education and teaching of patients and their carers and inform senior staff where this might be required
Ensure equipment and resources are used appropriately, efficiently and economically
Maintain a safe working environment, reporting incidents, accidents, complaints according to Trust policy.
Participate in in-service training
Complete annual mandatory and priority training requirements within agreed timescales
Participate in own and others annual performance appraisal
Supervision and leadership
Will be expected to lead a team of clinical support workers on a shift by shift basis
Will be expected to contribute to mentorship and appraisal of junior staff.
Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes.
5. THE LEEDS WAY VALUES
Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All our actions and endeavours will be guided and evaluated through these values
Additionally, the following are core values which relate specifically to this post:
Respect the contribution of all members within the team and the importance of working together to provide quality and safe patient care.
Commitment to contributing to a quality service in an efficient and effective manner.
Commitment to ensuring each person is entitled to respect, dignity, equal and human rights.
Recognises the importance of confidentiality.
Commitment to support, uphold and demonstrate the core values and behaviours of LTHT.
6. WEST YORKSHIRE ASSOCIATION OF ACUTE TRUSTS (WYAAT)
Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.
By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care.
