Newly Qualified Rotational Nurse (RN Adult

You will be part of an innovative recruitment group on an 18-month Newly Qualified Nurse (NQN) rotationalprogramme supported by JUCD and the University of Derby.You will be expected to remain on the programme for the duration of the 18 months, after which you will be offered aBand 5 position within JUCD from one of the supporting organisations (DCHS, UHDB, CRH or DHCFT).It is an expectation that you will participate in, evaluate and engage with research throughout the 18 months.The rotational pathway will consist of three rotational workplaces for a duration of no longer than 6 months.You will be expected to attend leadership and development workshops over the 18 months in addition tocompleting the DCHS preceptorship programme.To assess, plan, implement and evaluate individualised patient care, utilising your professional judgement at all times.In doing so, ensure patient care is delivered in the most efficient and clinically effective way whilst maintaining thepatient's safety, privacy and dignity.Provide advice and support to junior staff and other members of the multi-disciplinary team in the delivery of high-qualitycare.To actively support the District Nurses/Community Nursing Sisters/integrated community teams/acute sector staff/GPteams in the management of the health care environment.,

• This is a rotational post, therefore environments will vary.
• To support the team leads in the day-to-day operational management of the team and patient caseload,
ensuring appropriate delegation of care and workload, resulting in high quality outcomes for patients. For example, day to day co-ordination of the other members of the nursing team, link for specific key developments, utilising the caseload management tool kit/System One/IT Systems and other associated processes.
• Be responsible for the assessment and implementation of treatment and to develop programmes of care for
designated patients across the designated rotational area; providing feedback and escalation to meet patient need through supervision/monitoring processes.
• Work in close liaison with the rotational team leads to take responsibility as a named nurse for patients on the
caseload.
• In the absence of the team lead, take delegated responsibility for caseload management, to ensure continuity of
care in accordance with the care programme, seeking support from other specialist practitioners/operational managers as required.
• Work as part of an integrated team within your rotation, supporting other health professionals to provide a
seamless and consistent nursing service to our patients.
• Identify patient need, order appropriate equipment in a timely manner, and provide advice, support and
demonstration to the patient/carer on the use of the equipment to ensure a personal duty of care and compliance with health and safety policies. To monitor and report to rotational lead the effectiveness of equipment and aids to maximise the use of resources to enable care packages to be delivered.
• Maintain and record contemporaneous accurate health records on SystmOne/IT systems in health care settings
in line with Caldicott and Trust Policies and Procedures. SystmOne is DCHS' main patient information system. Where other systems are in use (e.g. EMIS, Inform, etc), to also update these contemporaneously. To communicate verbal information to relevant multi-agency/multi-disciplinary team members.
• To assist the role of a clinical champion in an area of interest - e.g. Safe Care Champion, Pressure Ulcer
Champion, etc - and ensure subsequent dissemination of information learnt.
• Support the placement of pre-registration Nurse Students, Trainee Nursing Associates and Return to Practice
Students, contributing to the learning environment.
• To be involved in the education and training of junior staff and other staff employed within the care settings
within area of expertise/competence.
• You will be part of an active evaluation process.
• Participation in clinical audits both national and local, as well as being part of an active and evaluative research
process.,
• Contribute to Public Health, Health Promotion and Self-Care initiatives and under the direction of the rotational
lead and provide information to support well-being and independence for patients, relatives and carers.
• Participate in routine screening for chronic disease management and record results for monitoring purposes
to ensure compliance with the National Service Frameworks.
• To maintain up to date competence in line with agreed competency framework for this role.
• To participate in clinical supervision/reflective practice as outlined in Trust Policies and Procedures, as well as
by the NMC.
• Participate in continuous learning to maintain and improve knowledge and skills and to share good practice with
colleagues, including NICE Guidance.
• Play an active role in the Trust Staff Wellbeing agenda in role as registered health professional; for example,
undertaking staff flu immunisation sessions.
• Attend all required operational meetings including team meetings, and if unable to attend, ensure updates are
received and actioned.
• Maintain confidentiality at all times
• Work within the Lone Working policy
• When working within the community, adapt daily work plan to reflect the agile nature of the work undertaken in
the Community, i.e., minimise travel by working in a productive and lean manner which maximises patientfacing clinical time.Patient Care
• To provide nursing care to individuals making use of current evidence to inform the delivery and promote the
development of clinically effective and personalised care.
• Co-ordinate the assessment, planning, implementation and evaluation of care programmes which reflect the
individual needs of patients and carers which meet best practice using advocated tools/systems as required.Strategy and Service Development
• Take an active interest in local and national developments in the rotational area and share learning with multidisciplinary
team to promote continuous development.Financial Resources/Management
• Responsible for the ordering of appropriate patient equipment in a timely manner.
• Ensure personal duty of care in relation to resources spent., In addition to the responsibilities of the Trust under Health and Safety legislation, you are reminded of your
responsibilities for health and safety at work under the Health and Safety At Work Act 1974 as amended andassociated legislation. These include the duty to take reasonable care for the health and safety of yourself and ofothers in your work activities or omissions, and to co-operate with your employer in the discharge of its statutoryduties.You must adhere strictly to the policies and procedures on health and safety, and report all accidents, dangerousoccurrences, unsafe practices or damage to your manager promptly using the Trust's incident reporting system.You must make use of appropriate training, safety equipment, protective clothing and footwear and attend training.Failure to comply with these requirements may result in disciplinary action.

The post holder will demonstrate professional, well-established and effective communication skills, bothwithin and external to the organisation., Awareness and understanding of the Public Essential IHealth and Self-Care AgendaEvidence of research based/reflective Essential A / IpracticeKnowledge of local and national priorities Essential A/I, Ability to triage patients, assess need and Desirable A/Icare planExcellent communication and interpersonal Essential IskillsWritten and recording skills Essential A / IAbility to assess, plan and implement care Essential A / Iincluding caseload managementAbility to supervise junior nursing staff Essential A/IIT Skills Essential A/IAbility to drive as you will be expected to Essential A/Itravel across Derbyshire County visitingpatient's homes and across the county toaccess meetings and trainingAble to work across a 7-day period Essential A/IAble to work weekends and bank holidays Essential A/IAptitude and Personal QualitiesCommitted to working as part of a multi- Essential A/Idisciplinary team to provide high qualitypatient careInnovative Essential IFlexible approach to working practice Essential IAble to use own initiative Essential IWork autonomously Essential IValues, Drivers and MotivatorsThe rotational pathway vision is that therotational programme will encourage afuture-facing workforce that are adaptableand flexible with enhanced knowledge andskills.E = Essential D = Desirable A = Application I = Interview T = Test C = Certificate R = Reference

Main Location: As advertised across South/North Salary: In line with Agenda for Change pay scaleJoined Up Care Derbyshire (JUCD)Reports to: Local rotational line manager Accountable to: Programme Team LeadWorking Pattern: Minimum of 30 hours- working pattern will vary between rotations: Job Type: As advertisedworking over 24- hour day over seven days a week.Date: October 2024, Key relationships will change dependent on rotational area, the list below is an example and the lists are not exhaustive.Key Working Relationships Internal:General ManagerIntegrated Community ManagerIntegrated Community Team LeaderDistrict Nurse/Community Nursing SisterCommunity Nursing TeamPrimary CareIntermediate Care ServiceTherapy ServicesCommunity Access PointsPeople Services TeamCare co-ordinatorsCommunity support teamProgramme TeamJUCDUniversity of DerbyKey Working Relationships External:Shared Business ServicesMedequip and Continence ServiceSocial CareResidential and Nursing HomesVoluntary SectorPatients and Families/CarersAcute HospitalsMental Health ServicesGP and Surgery StaffAdult Social Care, The post holder will be expected to perform a degree of effort within the context of the role capturing elements ofphysical, mental and emotional demands.Physical
• Frequent requirement to kneel, bend, stoop and lift limbs to undertake nursing duties.
• Occasional requirement to move patient with equipment
• Regular dexterity and accuracy required for IV injections, syringe pumps, infusions, catheters, removal of
sutures and clips
• Regular driving to visit patients (home/health care setting)
• Occasional need to walk through difficult terrain to access housebound patients (home care settings)
• Infrequent driving/walking in adverse conditions (home care settings)
• Frequent carrying of equipment to patient`s (home care setting)
Emotional
• Frequent care of the terminally ill/chronically sick or disabled patients.
• Occasional abusive situations
• Occasional need to counsel patients and relatives/carers
• Regular contact with patients and families in distressing circumstances
Mental
• Regular driving to patients (homes/health care settings)
• Regular concentration when carrying out nursing procedures
• Regular concentration to undertake injection procedures
• Occasional concentration for complex care packages
• Occasionally responding to unpredictable working patterns and interruptions
• Regular concentration recording and checking of information.
• Regular calculations of drug dosages for infusions and injections.
Working Environment
• The postholder will work both within various settings to include acute settings, ward environments, patient
homes and sometimes in a clinic setting
• Regular contact with body fluids
• Occasional unpleasant conditions
• Regular car driving
• Occasional aggressive behaviour of patients, clients, relatives and carers.
• Regular working in isolation and isolated environments.
• Occasional exposure to smoking environment, Is the criteria essential or desirable and how will it be assessed?
CriteriaEducation, Qualifications and Training Essential / Desirable AssessmentRegistered Nurse (Adult) Essential A / CClinical competence and confidence in thefollowing areas:Leg Ulcer Management Desirable A / I / CContinence Care A / IPalliative and EOL Care A / IDiabetes A / IInfection Control A / ITissue Viability Management including non- A / Ihealing wounds and leg ulcersMedication Administration A / IStudent Supervisor Essential A/ I/ C