Registered Nurse Associate - Powys Ward

Practice independently under the leadership of a registered nurse and be responsible and accountable for safe, compassionate, person-centred care as per the NMC Code of professional standards of practice and behaviour for nurses, midwives and nursing associates (2018).

The post holder will: 1. Work at all times in accordance with the 6 platforms of NMC Code Being an accountable professional Promoting health and preventing ill health Provide and monitor care Working in teams Improving safety and quality of care Contributing to integrated care

2. Be accountable for their own professional actions and those delegated to others.3. Provide and monitor care that is compassionate, safe and effective to people within the practice setting.4. Monitor the condition and health needs of people within their care on a continual basis in partnership with people, families, and carers.5. Contribute to ongoing assessment and recognise when it is necessary to refer to others for reassessment.6. Work in partnership with people, to encourage shared decision making, to support individuals, their families and carers to manage their own care when appropriate.7. Demonstrate the knowledge, skills and ability to perform a range of nursing procedures and manage devices, to meet peoples need for safe, effective and person-centred care (As per the NMC Standards of proficiency for registered Nursing Associates 2018)8. Demonstrate and apply an understanding of how and when to escalate to the appropriate professional for expert help and advice.9. Demonstrate the ability to recognise when a persons condition has improved or deteriorated by undertaking health monitoring. Interpret, promptly respond, share findings, and escalate as needed.10. Achieve and maintain competence in identified mandatory and statutory training; develop and maintain clinical competencies, skills and knowledge which relate to the area of clinical practice (i.e., venepuncture, cannulation, ECG, urethral catheterisation care and any other relevant duties).11. Administer medications as described by local policy and in line with the NMCs standards for medicines management.12. Administer medication; oral, topical, inhaled, subcutaneous, intra- muscular, PR and enteral feeding tube.13. On completion of additional Local training and achievement of competencies, will administer and provide a second safety check for Controlled Drugs (as per Trust policy) and Intravenous infusions.14. Respond to patients, relatives and carers concerns as they arise and take remedial action as required.15. Assume responsibility for undertaking tasks delegated by the nominated line / shift coordinator. This may include representing the ward at meetings, link nurse responsibilities, audit, clinical governance initiatives and supervision and role competency assessments for unregistered staff and students.16. Contribute to the development of service and quality improvement initiatives to enhance patient experience and outcome and ensure standards of care are monitored and maintained within the organisation.17. Delegate appropriately to unregistered staff and students.18. Communicate condition related information to patients, designated relatives/carers.19. Assist with the induction and orientation and subsequent development of junior staff within the ward or department.20. Maintain accurate nursing records ensuring all documentation is completed accurately and promptly.21. Adhere to organisational policies and procedures.22. In accordance with individual patient care, and utilising appropriate computer software and/or monitoring equipment, daily undertake and record patients observations.23. Undertake if not already done so the Preceptorship program supported by The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust.

The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH)is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.

In the National Staff Survey, 74% of our staff would recommend the Trust as a place to work and 92% would recommend the hospital to a friend or relative for treatment.

Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities - including our recently-opened £6 million Headley Court Veterans' Orthopaedic Centre (the first unit of its kind in the UK).RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.

Qualification and Registration

Essential: - Current or pending NMC Registration in the case of newly qualified nursing associates; - Nursing Associate Foundation Degree Qualification

Experience

Essential: - Recent clinical experience within a healthcare setting.

Desirable: - Orthopaedic experience and or recent acute hospital experience

Skills and knowledge

Essential: - Clinical competency; - Supervision of the care of a group of patients and able to use initiative and made sound clinical judgements

Desirable: - Skills in ECG, cannulation, venepuncture, care of urethral catheter

Other

Essential: - Demonstrates commitment to the Trust's published values