SENIOR CHARGE NURSE JOB DESCRIPTION .uk



SENIOR CHARGE NURSE; MENTAL HEALTH ADULT IN-PATIENT SERVICES

JOB DESCRIPTION

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|JOB DETAILS |

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|Job Title: Senior Charge Nurse; Mental Health Adult In-Patient Services |

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|Department: Mental Health & Learning Disability Services |

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|Location: Western Isles Hospital |

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|Job Holder Reference: |

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|No of Job Holders: 1 |

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|2. JOB PURPOSE |

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|The post holder will have responsibility for the clinical leadership and management of the nursing component of the adult in-patient |

|services over the 24 hour period and will be responsible for the effecting of co-ordination and deployment of resources both in financial |

|and manpower terms allocated to the service and be responsible for supporting functions such as absence management. He/she will support both|

|internal and external communication to the team and also support integration between community services and hospital services, health and |

|social care services. |

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|The post holder will be responsible for leading on profession specific clinical governance activity which will include the setting and |

|monitoring of standards of care and service, responding to complaints, staff support, CPD, clinical supervision, risk management, patient |

|safety and the implementation of policy and clinical guidelines. |

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|Key result areas will be to: |

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|Ensure safe and effective clinical practice |

|Lead the team in the provision of high quality care for adults with mental health problems. |

|Enhance the patients experience of care |

|Manage and develop the performance of the team |

|Contribute to the delivery of NHS Western Isles’ objectives |

|To manage, control and review all financial and other resources allocated to the in patient service. |

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|The post holder will be expected to cover in the absence of the Head of Mental Health & Learning Disability Services and act on his/her |

|behalf to ensure the safe and effective delivery of services. |

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|3. ROLE OF DEPARTMENT |

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|The adult mental health in-patient service provides a full range of secondary care, Acute and EMI, services to the population of the Western|

|Isles. Following the implementation of the recommendations contained in the recent “Review of NHS Western Isles Mental Health Services” the |

|in-patient services will support an integrated Community Mental Health Service. |

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|4. ORGANISATION CHART |

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|5. SCOPE AND RANGE |

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|The post holder is the line manager for a team of varying grades, within two wards, operating over the 24 hour span of duties. The post |

|holder will take a lead in ensuring the effective partnership working in all relevant statutory and non-statutory agencies involved in the |

|care of the wards’ patient group. The post holder will be a key driver in taking forward the recommendations relating to in patient |

|facilities contained in the “Review of NHS Western Isles Mental Health Services”. |

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|The post holder has responsibility for: |

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|Ensuring that standards of practice are maintained, reviewed and continuously |

|developed and that staff deliver safe, effective, patient-centred, efficient, timely and equitable care within their scope of practice as |

|part of the multidisciplinary/agency healthcare team |

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|In year management and responsibility for the mental health in patient service’s budget by ensuring efficient and effective use of physical,|

|human and financial resources e.g. the use of bank staff, skill mix, supplies and equipment |

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|The professional development and line management of the mental health in patient staff which encompasses both registered and support staff |

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|Creating an environment in which effective learning can take place |

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|Co-ordinating the involvement of the multidisciplinary team within designated areas |

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|The post holder will operate within the SCN framework in providing effective leadership to ensure: |

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|Practice is safe and effective, |

|The patient experience is enhanced, |

|The performance of the team is managed and developed |

|The Health Board’s objectives are delivered |

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|The post holder will ensure that the provision and requirements of the Mental Health (care and treatment) (Scotland) Act 2003 are maintained|

|and provided for e.g. documentation is completed and stored appropriately and within agreed timescales, the ward milieu and therapeutic |

|approaches are recovery focused, person centred and that services and care provided meet the Milan principles. |

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|6. MAIN DUTIES/RESPONSIBILITIES |

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|Within the governance frameworks of NHS Western Isles which includes clinical, staff and financial governance, and within the SCN framework |

|the post holder will focus and lead on the following key result areas: |

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|TO ENSURE SAFE & EFFECTIVE CLINICAL PRACTICE |

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|6.11 Clinical Leadership and Team working |

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|As clinical leader, promote and develop teamwork within a multi-professional environment, demonstrating critical analysis and decision |

|making skills, leading the delivery of a clinically excellent, high quality service influencing and facilitating change within the team, the|

|organization, and where appropriate across agencies e.g. CnES, voluntary sector agencies. |

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|6.12 Evidence Based Clinically Effective Practice |

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|Act as a change agent, developing clinically effective and safe practice through the effective |

|utilisation and integration of evidence; setting, implementing and monitoring evidence |

|based policies, procedures and protocols. Lead on the development of local protocols, to ensure their applicability to practice. |

|6.2 TO ENHANCE THE PATIENTS EXPEREINCE |

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|6.21 Coordination of the Patient Journey |

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|Ensure co-ordination of the patients journey by planning and co-ordinating the |

|episode of care including the smooth transition to other settings, promoting effective |

|discharge and communication with interdisciplinary and interagency teams as |

|required. |

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|6.22 Clinical Expertise |

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|Co-ordinate in patient service interventions, influencing clinical decisions and monitoring the quality of patient care provided through |

|using expert clinical knowledge relevant to own field of practice, underpinned by theory and experience |

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|6.23 Promote a Culture of Person Centred Care |

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|Within a multidisciplinary team environment, develop a culture of integrated person-centred care by being highly visible within the |

|hospital, multi-agency environment and community settings communicating regularly with patients, relatives and/or carers, other agencies |

|(statutory and voluntary) promoting a caring environment where equality and diversity issues are respected and patients are enabled to be |

|partners in their care |

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|Identify opportunities to develop care and services by ensuring that there are effective |

|systems in place to ascertain patient and carer experience/feedback (e.g. audit, patient stories, exit questionnaires, adverse events) and |

|ensure complaints are managed in line with NHS Western Isles’ policy including the dissemination of learning points and implementation of |

|outcomes. |

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|6.3 TO MANAGE & DEVELOP THE PERFORMANCE OF THE TEAM |

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|6.31 Role Model |

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|Act as a role model, creating a supportive ethos to empower staff to contribute to the |

|delivery of high quality person-centred care. To practice and ensure that the practice of others is in line with the legal and ethical |

|framework set out by the NMC code of Professional Conduct, and mental health related legislation. To practice and to ensure the practice of |

|others is in line with the principles of Patient Focus Public Involvement, Fair for All and the underpinning principles of the Mental Health|

|(Care and Treatment) (Scotland) Act. |

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|6.32 Learning and Development |

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|Ensure and support the learning and development of all staff, creating a learning environment that ensures effective learning opportunities |

|for all staff and students, including appropriate orientation and induction programmes, a range of clinical support strategies (mentoring, |

|coaching, clinical supervision and action learning) and planning and ensuring attendance at on going mandatory training and relevant |

|education/development opportunities |

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|Support the career pathway of individual team members by ensuring all staff have a Knowledge and Skills Framework, Individual Performance |

|Review and Personal Development Plans and that they maintain an up to date knowledge of current clinical and professional issues and |

|legalities |

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|Liaise with Higher Education Institutes and Practice Education Facilitators, to ensure that the quality of practice placement standards are |

|being met and ensuring that the local area is equipped to support students in practice. |

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|Develop and deliver teaching/coaching sessions as required to undergraduate and postgraduate staff within the multidisciplinary/agency team.|

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|6.33 Managing the Practice Setting |

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|Manage the practice setting, ensuring effective use of resources and workforce planning by monitoring workload and, through efficient |

|rostering, maintain appropriate staffing levels taking account of role and competence of staff when delegating work and managing the team |

|budget |

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|Manage staff within sphere of influence by ensuring compliance by self and others with professional standards, legislation, national and |

|organisational policies, leading recruitment and selection, attendance management, ensuring grievance and disciplinary matters within own |

|department are identified, actioned and reported to the appropriate manager |

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|To undertake performance reviews for all team members on an annual basis ensuring feedback on performance given at regular intervals |

|throughout the year. |

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|To be involved in the recruitment and appointment of staff within the service. |

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|Have responsibility for risk management, complaints handling and health and safety in the workplace. |

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|Have responsibility for ensuring the team complies with CPA, Care management arrangements, and other requirements defined by the Mental |

|Health Act, and that every patient has a named nurse. |

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|6.4 TO CONTRIBUTE TO THE DELIVERY OF THE ORGANISATION’S |

|OBJECTIVES |

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|6.41 Networking |

|Network with peers across professional groups, agencies and communities promoting the exchange of knowledge, skills and resources, |

|participating where appropriate in NHS Scotland and NHS western Isles initiatives, developments and reviews |

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|6.42 Service Development |

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|Work in partnership with a range of clinicians, agencies (statutory and Voluntary) and managers in the planning or development of own |

|service promoting the active involvement of patients/public |

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|Develop service in line with national standards e.g. crisis standards, and review of local services |

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|6.43 Political and Strategic Awareness |

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|Develop and maintain a working knowledge of local, national and professional |

|strategy and policy, ensuring that NHS Western Isles’ goals are reflected in own personal |

|objectives and in team plans and demonstrate the ability to contribute to policy and strategy development at a departmental and |

|organisational level, and where appropriate, national level. |

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|To formulate and review operational policies for the Adult In Patient services, in conjunction with other key stakeholders. |

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|7. EQUIPMENT & MACHINERY |

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|The post holder is expected to have the knowledge and skills necessary to use all equipment safely in the area, however may not have daily |

|clinical involvement. The post holder will be required to manage the use of the following equipment for the reasons stated and is |

|responsible for ensuring that systems/policies/procedures are communicated to staff to ensure safe use, maintenance and storage of equipment|

|in the area: |

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|Moving and Handling equipment to assist patient mobility and promote comfort |

|Medical and Technical equipment to record vital signs, administer treatments and prescribing of medicines as per nurse prescribing |

|regulations |

|Near patient testing to monitor physiological status, venepuncture |

|IT equipment including local and national systems to read, analyse, record and transmit patient and staff information within the boundaries|

|of local and national policies and legislation |

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|8. DECISIONS & JUDGEMENTS |

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|Workload is determined by the needs of the service. Working within existing procedures there is a strong emphasis on the post holder being |

|able to anticipate problems or need and to take steps to resolve them without being asked and without consultation with senior management. |

|The post holder is expected to make autonomous decision on a daily basis regarding patient care, including provision of advice to junior |

|staff and others in the multi-disciplinary team. |

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|The post holder will : |

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|Be responsible to the Head of Mental Health & Learning Disability Services in respect of guidance and professional management, work review |

|and formal appraisal of performance. |

|Have continuing responsibility for the setting and monitoring of standards and |

|the quality of clinical practice. Will be responsible for ensuring outcomes from audit, complaints, QIS standards, adverse events result in |

|service improvement. |

|Be responsible for the ongoing management of the mental health in-patient services. |

|Have responsibility for supporting staff to reflect upon and review their decisions in relation to assessing, monitoring, evaluating and |

|interpreting patients’ condition and effectiveness of their programmes of care. |

|Be accountable for decisions relating to the management of physical, human and financial resources in own area including recruitment and |

|workforce planning. |

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|9. COMMUNICATION & RELATIONSHIPS |

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|Continuous responsibility for establishing and monitoring pro-active systems and standards of communication for routine, complex and |

|potentially stressful matters with a wide range of health and social care workers, patients, families, other relevant departments/agencies |

|using a wide range of media such as telephone, verbal and written communications to overcome any difficulties in communication with people |

|involved, identifying and negotiating appropriate actions to reach agreed outcomes, demonstrating sensitivity and empathy when communicating|

|with people. |

|Communicate effectively with team on a timely basis ensuring robust systems exist so that staff feel informed. |

|Establish and maintain pro-active relationships based on mutual respect communicating on a regular basis with the |

|patient/relatives/multi-disciplinary team and external agencies in the provision of care and services. |

|To establish an effective team communication plan and systems to ensure that all staff can work and practice in an informed manner. |

|Ensure delivery of NHS Western Isles’ Communication Strategy and Media Policy |

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|10. DEMANDS OF THE JOB (Physical, Mental, Emotional) |

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|Physical Skills |

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|Minimal handling involved although when restraining an acutely unwell patient protecting self can demand considerable effort. |

|Administer subcutaneous intra muscular injections |

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|Physical Demands |

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|May be required to deploy measures of physical restraint in response to acts of violence and aggression |

|Physical manual handling of patient, patient movement with use of mechanical aides |

|Movement of clinical and non clinical equipment |

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|Mental Demands |

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|Administrative duties are frequently interrupted or postponed due to frequent interruptions by patients, relatives and staff and crisis |

|arising in the wards which demand immediate action. |

|Concentration required when checking documentation/patient notes and calculating drug dosages. |

|Ability to analyse and interpret complex clinical situations as they unfold and arrive at well thought out risk assessed decisions in short |

|period of time. |

|Able to understand psychological language and interpret in relation to patient care. |

|Able to hold clinical discussions related to physical, social, and psychological concepts of patient care |

|Able to translate complex psychological concepts into an understandable framework for patients and carers. |

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|Emotional effort |

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|Being able to manage interpersonal difficulties arising within a small team of staff balancing the risk of when to intervene and when not to|

|intervene. |

|Being able to cope with traumatic events such as self harm, suicide attempts, violence and aggression with whom there may have been a long |

|standing relationship. |

|Manage oneself emotionally when workload is heavy. |

|Manage boundaries when patient/carer/family breaches them whilst maintaining therapeutic relationships. |

|Ability to contain sensitive and difficult patient issues e.g. childhood sexual abuse. |

|Ability to deal with emotionally charged situations without exacerbating the situation, including highly distressed patients and families, |

|aggression. |

|Ability to recognise limitations when the temptation may be to struggle on, and to request assistance and further supervision where |

|appropriate. |

|Ability to support team members when post holder may also be experiencing difficulties |

|Carrying out performance reviews, disciplinary investigations, reviews of suicide. |

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|Emotional Demands |

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|Examples include communicating with distressed/anxious/worried patients/relatives/staff; caring for and/or communicating bad news to |

|patients/relatives/staff; dealing with challenging behaviours; supporting team members with personal and professional issues; carrying out |

|performance /investigatory /disciplinary procedures, reviews of suicide all of which must be undertaken within defined timelines and |

|balanced against competing priorities |

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|Working Conditions |

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|Working conditions will be dependant on clinical area, exposure to verbal aggression and potentially aggressive behaviours .Working with |

|people who have challenging behaviours e.g. difficulties with engagement, unpredictability, aggression (self or others) or acutely mentally |

|unwell who may have difficulties with communication, looking after self care needs or who may be exhibiting suicidal thoughts. |

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|11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB |

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|Effective management and prioritisation of competing demands within an |

|unpredictable environment |

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|Balancing the demands of all stakeholders to provide a safe, effective, efficient, |

|patient-centred, timely and equitable service |

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|12. ESSENTIAL QUALIFICATIONS AND/OR EXPERIENCE SPECIFIED FOR |

|THE POST |

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|Essential |

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|Current NMC registration, RMN, Educated to degree level or equivalent. |

|Evidence of continual CPD |

|Nurse prescriber, or willingness to undertake course. |

|Ability to undertake venepuncture or willingness to train. |

|Ideally post holder should have extensive post registration |

|experience and/or demonstrate expert clinical and professional practice developed through experience and theoretical knowledge |

|Substantial experience in managing change. |

|Ability to maintain professional and personal credibility across all staff groups |

|Awareness of issues in mental health care both locally and nationally. |

|Sound working knowledge of the Mental Health Act, Clinical Governance and its application |

|Proven ability to teach, supervise junior staff and learners |

|Ability to lead teams, lead practice and continuous professional development, |

|work effectively as part of a multi-professional / multi- agency team |

|Personal motivation and enthusiasm for the development of nursing, patient |

|care and the enhancement of the patients experience of care |

|Computer and information literacy |

|Demonstrable ongoing and active CPD |

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|Desirable |

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|Experience in managing change. Basic counseling skills. Leadership course eg: RCN |

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|STANDARD ELEMENTS |

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|Confidentiality |

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|This involves taking the necessary precautions when transmitting information only disclosing it to those who have the right and the need to |

|know it. |

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|All personal health information is held under strict legal and ethical obligations of confidentiality. NHS Staff must follow guidance (NHS |

|Code of Practice on Protecting Patient Confidentiality) before disclosing any patient information. All staff must respect confidentiality of |

|all matters that they may learn relating to their employment, other members of staff, patients and their families. |

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|Health and Safety: |

|Assist in maintaining own and others’ health, safety and security. |

|This involves: |

|Complying with Board health and safety policies, procedures and participating in madatory training. |

|Maintaining a safe working environment and reporting any issues of concern as appropriate. |

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|NHS Western Isles attaches the greatest importance to the health and safety of its employees. It is the Board policy to do all that is |

|reasonable to prevent personal injury and hazard to health by protecting staff and others including the public from foreseeable hazards |

|compatible with the provision of proper services to patients. The Board expects its entire staff to take reasonable care of their own health |

|and safety and that of others who may be affected by their acts or omissions at work. More detailed information is given in departmental |

|safety policies where appropriate. |

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|Ensure own actions support equality, diversity and rights. |

|This involves: |

|Acting in ways consistent with the Board’s policies and procedures. |

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|Treating those you come into contact with equitably and with respect. |

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|Recognising the need for aids or adaptations. |

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|JOB DESCRIPTION AGREEMENT | |

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|I, (Print Name)…………………………………………………….. confirm that the job description(s) /person | |

|specification(s) attached have been discussed with me and are an accurate and | |

|up-to-date account of the duties and responsibilities and skills/qualifications | |

|required to undertake the post. | |

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|Job Holder’s Signature: | |

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| |Date |

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|Head of Department Signature: | |

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| |Date |

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PERSON SPECIFICATION

|Job Title: |Senior Charge Nurse; Mental Health Adult In-Patient Services |

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|Department: |Mental Health & Learning Disability Services |

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|Location: | |

| | | |METHOD OF ASSESSMENT |

|FACTOR |ESSENTIAL |DESIRABLE | |

| |.1st level Registration (RMN). Evidence of post | |NMC Registration certificate |

|Qualifications |registration study. | |PREP portfolio |

| |Degree in relevant field | |Application form |

|Experience |Significant experience at Band 6 in relevant |Experience of ‘Acting Up’ to ward |Application form |

| |clinical area. |manager role within adult mental |References |

| |Significant experience in managing service change |health | |

|Skills |Excellent leadership, communication, problem |Able to identify and undertake |Interview |

| |solving and interpersonal skills. |research and audit projects |References |

| |Ability to organize and manage personnel and |relevant to the clinical area. |Application form |

| |resources. |Able to supervise and support | |

| |Ability to act as a mentor/preceptor for all |junior staff in participation in | |

| |grades of staff |research projects | |

|Knowledge |Ability to demonstrate in depth knowledge of | |Interview |

| |clinical governance, patient safety, recovery | | |

| |focused models of care and their relevance to | | |

| |practice. | | |

| |Ability to demonstrate in depth clinical and | | |

| |theoretical knowledge base and participate in | | |

| |informal/formal education of staff. | | |

|Personal Attributes |Self motivated | |References |

| |Enthusiastic and committed | |Interview |

| |Able to demonstrate empathy with patients and | | |

| |their families | | |

| |Commitment to CPD | | |

|Other |Be a role model | | |

| |Flexibility – to work to needs of service | | |

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