Total 3 Fresh/Entry Level Full-time job vacancies in NR20 5DR

The Trainee Advanced Neonatal Nurse Practitioner is an experienced Neonatal Intensive Care Nurse who prior to the commencement in post will be competent in some aspects of the clinical and professional duties. Attends high-risk deliveries for the resuscitation, stabilisation and safe transfer of newborn infants. Under supervision until deemed clinically competent carries out assessment of infants on the postnatal wards, including first medical examination. Refers to appropriate specialists, admits to NNU and/or discharges from hospital. Performs formal discharge examinations and determines whether a baby is fit for discharge. Uses specialised clinical and theoretical knowledge to assess the health status of the baby by medical, psychosocial and clinical examination. Plans and implements individual management and care plans in collaboration with nursing, medical and other healthcare professionals involved in the care of the neonate. Under supervision initiates treatment, including drug therapy and intravenous fluids and parenteral nutrition, in accordance with agreed guidelines. Initiation and subsequent management of mechanical ventilation, monitoring blood gases and alteration of ventilator settings accordingly. Obtain, interpret and monitor laboratory investigations with the appropriate response. Request, interpret and respond to other investigations such as x-rays, ECGs, ultrasound scans and blood tests. To ensure that reassessment of nursing, medical and psychosocial needs are evaluated, progress notes are kept and revision of management is instituted where appropriate. Provide counselling and support for parents whose children are receiving intensive care. To develop and maintain effective communication with parents and act as a liaison between parents and healthcare professionals. Develop and maintain nursing information systems and ensure that written documentation is kept in respect of investigations and incidents. To promote professionalism in nursing, ensure the rights, dignity and confidentiality of patients, relatives and staff are protected at all times. Undertakes under supervision where not deemed competent the necessary diagnostic and therapeutic procedures within the unit protocols. These may include: Venepuncture and capillary sampling Percutaneous arterial sampling Peripheral and umbilical venous cannulation Peripheral and umbilical arterial cannulation Insertion of percutaneous central venous lines Withdrawal of blood from an indwelling arterial or venous line. Attachment and calibration of blood pressure transducers. Endotracheal intubation for mechanical ventilation. Lumbar puncture. Use of and trouble-shooting ventilatory support. Supra-pubic aspiration of the bladder. Diagnostic investigation of pneumothorax and insertion of chest drain Administration of exogenous surfactant

This post is to be offered under Annex 21 AfC Terms & Conditions, subject to experience, competency and suitability.

An exciting opportunity has arisen for a Trainee Advanced Nurse Practitioner to join our busy Trauma & Orthopaedic team.

This is a fantastic opportunity to gain significant new knowledge, skills, and experience during your training period. Plus, exposure to a wealth of possibilities for your future career within the St Helens and Knowsley Teaching Hospitals NHS Trust.

This will be a competency-based interview, and applicants will be required to complete assessment tasks as part of this process.

An Enhanced DBS with barred lists for both Adults & Children is required for the post
• Provide advanced levels of clinical practice, knowledge and skills in Trauma and Orthopaedics.
• Undertake history and physical examination to accurately assess the patient’s condition.
• Request, interpret and act upon relevant diagnostic tests and procedures.
• Interpret, convey and act upon complex and conflicting information to MDT members/patients/relatives including in possible stressful situations, which may be delicate or offensive in nature (i.e. breaking bad news).
• Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work.
• Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
• Prescribe medication in accordance with current legistration and trust policy.
• Maintain comprehensive, contemporaneous and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management.
• Effectively manage acute life threatening conditions in accordance with current ALS/ATLS/ALERT guidelines (as appropriate at area of work/need).
• Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships.
• Participate in multidisciplinary ward rounds, case conferences, clinical and audit meetings.

The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.

From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.

The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.

The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.

Our Vision is to deliver 5 Star Patient Care:
• CARE that is evidence based, high quality and compassionate
• ​​​​​​SAFETY that is of the highest standards
• COMMUNICATION that is open, inclusive and respectful
• SYSTEMS that are efficient, patient centred and reliable
• PATHWAYS that are best practice and embedded, but also respect the individual needs of patients

Our achievements include:
• Trust rated Outstanding by CQC Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
• Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme

CLINICAL & PROFESSIONAL RESPONSIBILITIES
• Provide advanced levels of clinical practice, knowledge and skills in Trauma and Orthopaedics.
• Undertake history and physical examination to accurately assess the patient’s condition.
• Request, interpret and act upon relevant diagnostic tests and procedures.
• Interpret, convey and act upon complex and conflicting information to MDT members/patients/relatives including in possible stressful situations, which may be delicate or offensive in nature (i.e. breaking bad news).
• Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work.
• Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
• Prescribe medication in accordance with current legistration and trust policy.
• Maintain comprehensive, contemporaneous and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management.
• Effectively manage acute life threatening conditions in accordance with current ALS/ATLS/ALERT guidelines (as appropriate at area of work/need).
• Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships.
• Participate in multidisciplinary ward rounds, case conferences, clinical and audit meetings.
• Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust policy.
• Provide evidence based specialist knowledge and advice to patients, families/carers throughout the patient’s journey to meet their physical, emotional and psychological needs.
• Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills.
• Facilitate and support unit co-ordinators/ward managers to develop effective working relationships with the multi-disciplinary team to enhance the care and management of patients.
• Act as an autonomous practitioner exercising judgement, discretion and decision making in clinical care.
• Undertake nurse prescribing as part of designated role and provide autonomous practitioners.
• To support junior medical staff, sharing clinical workload and allowing junior doctors to achieve training and development requirements.

LEADERSHIP & MANAGERIAL RESPONSIBILITIES
• Ensuring that the patient experience remains the focal point for service improvement within the Directorate
• Provide clinical support to complaints and SIRI/SUI investigations.
• Support senior staff and clinical teams in maximising flow of patients through units to meet elective and emergency demand, utilising leadership and expert clinical skills.
• To contribute effectively to service developments both within the directorate and at strategic level.
• Attend Trauma and Orthopaedic Governance and Business Meetings.
• To act as a role model by demonstrating excellent communication and listening skills with patients, relatives and staff.
• Active involvement in Senior Nursing Forum.
• Promote effective team working within team along with nursing and medical staff in the service.
• Provide support for senior nursing staff in relation to staff development and complaints.
• Participate in the recruitment and selection of staff.
• Lead/guide nursing and medical staff in the appropriate and timely care of the patient.
• Network locally, regionally and nationally to share and exchange ideas and principles.
• Provide an effective leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the Trust e.g. maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence based practice, etc.
• To provide leadership to nursing staff and junior doctors with regard to training and development ensuring the delivery of consistent high quality care.
• To support Trust Management Teams with ongoing clinical care provision and assist with safe, effective flow through the Trust.

EDUCATIONAL RESPONSIBILITIES
• Adherence to competency framework.
• Attend mentor meetings with respective Consultants.
• Take responsibility for one’s own professional development and continually assess and acknowledge areas for development as they arise.
• Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed health choices
• Recognise situations which may be detrimental to the health and well-being of the individual and manage risk accordingly
• Seek opportunities to publicise and promote the role of the Advanced Practitioner and disseminate information regarding the development of practice
• Support in the facilitation of an appropriate learning/practice environment for nursing, medical and Physician Associate students and new starters providing direct supervision and training.
• Assist in identified training and educational needs of the nursing staff/medical staff and participate in its delivery.
• Provide clinical supervision, mentorship, preceptorship and tuition to nursing and medical staff within the Care Group.

RESEARCH AND DEVELOPMENT, QUALITY AND SERVICE IMPROVEMENT
• Attend Trust wide audit.
• Lead the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised.
• Develop and implement policies and strategies in line with evidence based practice e.g. NICE/DoH.
• Be involved in identification, development and implementation of relevant policy/guidelines to aid future management by the MDT.
• Faciliate and identify clinical audit/research and disseminate findings.

PERSONAL RESPONSIBILITIES
• Develop good working relationships with medical and nursing staff and other members of the multidisciplinary team within and other departments within the Trust and external.
• Act in accordance with the NMC guidelines/Code of Professional Conduct.

SAFEGUARDING RESPONSIBILITIES
• Comply with Trust Safeguarding Children Policy and standard operating procedures to safeguard vulnerable children up to 18 years throughout the Trust, this includes the Protocol for Children who Do Not Attend Clinics, fulfilling your role as defined in these documents.
• Liaise with all relevant professionals (Police, Social Services) in relation to safeguarding work undertaken by your Consultant. Type any medical reports for child protection cases as requested by the Consultant, nurse or junior medical staff. Arrange multi-professional meetings regarding child protection/child in need cases. Minute multi-professional meetings as necessary.
• Provide administrative support for the Named Consultant and Named Nurse for Safeguarding Children
• Know about the range of physical abuse, emotional abuse, neglect and sexual abuse.
• Be able to recognise signs of abuse appropriate to role and what action to take
• Know what to do if concerned that a child is being abused.
• Know about the Trust’s local policies/procedures.
• Understand the importance of sharing information, how it can help and the dangers of not sharing information.
• Be able to recognise signs of child abuse as this relates to their role. e.g observe inappropriate parenting, an unusually quiet and withdrawn child etc
• Be able to seek advice and report concerns, ensuring that they are listened to.


This advert closes on Wednesday 24 Apr 2024

Proud member of the Disability Confident employer scheme

CLINICAL & PROFESSIONAL RESPONSIBILITIES Provide advanced levels of clinical practice, knowledge and skills in Trauma and Orthopaedics. Undertake history and physical examination to accurately assess the patients condition. Request, interpret and act upon relevant diagnostic tests and procedures. Interpret, convey and act upon complex and conflicting information to MDT members/patients/relatives including in possible stressful situations, which may be delicate or offensive in nature (i.e. breaking bad news). Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work. Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision. Prescribe medication in accordance with current legistration and trust policy. Maintain comprehensive, contemporaneous and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management. Effectively manage acute life threatening conditions in accordance with current ALS/ATLS/ALERT guidelines (as appropriate at area of work/need). Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships. Participate in multidisciplinary ward rounds, case conferences, clinical and audit meetings. Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust policy. Provide evidence based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional and psychological needs. Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills. Facilitate and support unit co-ordinators/ward managers to develop effective working relationships with the multi-disciplinary team to enhance the care and management of patients. Act as an autonomous practitioner exercising judgement, discretion and decision making in clinical care. Undertake nurse prescribing as part of designated role and provide autonomous practitioners. To support junior medical staff, sharing clinical workload and allowing junior doctors to achieve training and development requirements. LEADERSHIP & MANAGERIAL RESPONSIBILITIES Ensuring that the patient experience remains the focal point for service improvement within the Directorate Provide clinical support to complaints and SIRI/SUI investigations. Support senior staff and clinical teams in maximising flow of patients through units to meet elective and emergency demand, utilising leadership and expert clinical skills. To contribute effectively to service developments both within the directorate and at strategic level. Attend Trauma and Orthopaedic Governance and Business Meetings. To act as a role model by demonstrating excellent communication and listening skills with patients, relatives and staff. Active involvement in Senior Nursing Forum. Promote effective team working within team along with nursing and medical staff in the service. Provide support for senior nursing staff in relation to staff development and complaints. Participate in the recruitment and selection of staff. Lead/guide nursing and medical staff in the appropriate and timely care of the patient. Network locally, regionally and nationally to share and exchange ideas and principles. Provide an effective leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the Trust e.g. maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence based practice, etc. To provide leadership to nursing staff and junior doctors with regard to training and development ensuring the delivery of consistent high quality care. To support Trust Management Teams with ongoing clinical care provision and assist with safe, effective flow through the Trust. EDUCATIONAL RESPONSIBILITIES Adherence to competency framework. Attend mentor meetings with respective Consultants. Take responsibility for ones own professional development and continually assess and acknowledge areas for development as they arise. Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed health choices Recognise situations which may be detrimental to the health and well-being of the individual and manage risk accordingly Seek opportunities to publicise and promote the role of the Advanced Practitioner and disseminate information regarding the development of practice Support in the facilitation of an appropriate learning/practice environment for nursing, medical and Physician Associate students and new starters providing direct supervision and training. Assist in identified training and educational needs of the nursing staff/medical staff and participate in its delivery. Provide clinical supervision, mentorship, preceptorship and tuition to nursing and medical staff within the Care Group. RESEARCH AND DEVELOPMENT, QUALITY AND SERVICE IMPROVEMENT Attend Trust wide audit. Lead the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised. Develop and implement policies and strategies in line with evidence based practice e.g. NICE/DoH. Be involved in identification, development and implementation of relevant policy/guidelines to aid future management by the MDT. Faciliate and identify clinical audit/research and disseminate findings. PERSONAL RESPONSIBILITIES Develop good working relationships with medical and nursing staff and other members of the multidisciplinary team within and other departments within the Trust and external. Act in accordance with the NMC guidelines/Code of Professional Conduct. SAFEGUARDING RESPONSIBILITIES Comply with Trust Safeguarding Children Policy and standard operating procedures to safeguard vulnerable children up to 18 years throughout the Trust, this includes the Protocol for Children who Do Not Attend Clinics, fulfilling your role as defined in these documents. Liaise with all relevant professionals (Police, Social Services) in relation to safeguarding work undertaken by your Consultant. Type any medical reports for child protection cases as requested by the Consultant, nurse or junior medical staff. Arrange multi-professional meetings regarding child protection/child in need cases. Minute multi-professional meetings as necessary. Provide administrative support for the Named Consultant and Named Nurse for Safeguarding Children Know about the range of physical abuse, emotional abuse, neglect and sexual abuse. Be able to recognise signs of abuse appropriate to role and what action to take Know what to do if concerned that a child is being abused. Know about the Trusts local policies/procedures. Understand the importance of sharing information, how it can help and the dangers of not sharing information. Be able to recognise signs of child abuse as this relates to their role. e.g observe inappropriate parenting, an unusually quiet and withdrawn child etc Be able to seek advice and report concerns, ensuring that they are listened to.