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TD 08/19

Job Description and Person


Job Title: Ward Sister/Charge Nurse

Directorate: Surgery B

Department: Haemodialysis

Professionally accountable for: Demonstrating visible accessible leadership and the Trust
values the post holder will take continuing responsibility
and accountability for the 24 hour management and
organisation of the ward/department and for
safeguarding children and young people. This involves
managing a wide range of complex and sometimes
conflicting priorities.

Acting as a professional role model and a skilled

practitioner the post holder will take overall responsibility
for all aspects of patient care and patient experience,
leading and coordinating the team and ensuring the
delivery of evidence based, safe high quality nursing care
to children/young people and their families.

Taking overall responsibility, the post holder will ensure

that the ward /department is a clean, well maintained
child and family focussed environment in which privacy
and dignity is promoted and sustained.

Demonstrating compassion and resilience, the post holder

will take overall responsibility for monitoring and acting
on patient feedback to improve care. The post holder will
proactively manage and resolve conflict by responding to
challenging situations, PALS issues and complaints using
advanced communication skills and escalating to senior
colleagues as appropriate.

Inspiring excellence, the post holder will act as a

supervisor and mentor for all members of the
ward/department team, establishing a positive learning
environment in which staff well-being is promoted and in
which all staff can develop to their full potential through
education, training and appraisal.
By effectively managing the ward resources including the
pay and non-pay budgets, the clinical environment and
capacity, the post holder will take overall responsibility for
ensuring safe staffing levels and skill mix are maintained.

Demonstrating advanced communication skills, the post

holder will be expected to liaise effectively with all key
members of the multi-disciplinary and professional teams.

Responsible to: Lead Nurse

Accountable to: Head of Nursing

Pay band: Band 7

Location: Haemodialysis Unit

Hours of Work: Full Time/ Part Time (30 hours)

Contract: Permanent

On call requirement: Yes

Disclosure required: Enhanced

Professional Registration: Yes - NMC

Job outline:


 To strive for excellence and innovation in all aspects of the delivery of safe, high quality
patient care.
 To maintain regular personal contact with children/young people and their families, being
courteous and sensitive to their needs for respect, privacy and dignity. To act as an effective
role model ensuring a child and family-friendly environment at all times, including overseeing
patient nutrition and hydration and ensuring appropriate discussions take place around
single sex accommodation. Ensure the psychosocial care of children and adults at all times
supporting choice of treatment options and adaptation to home haemodialysis within each
 Maintain liaison with families, in house multidisciplinary teams, and outside agencies in
respect of both donors and recipients and their families throughout the pre transplant period
 Ensure availability, accuracy and safe handover of all information to all appropriate
 To provide information, clinical advice and support to children and their families and to act
as a resource to other professionals involved in that child’s care.
 Ensure practice continues to comply with UK & European law, specifically Human Tissue Act
and Data Protection Acts
 Support other centres offering paediatric renal care both nationally and internationally
particularly in respect to haemodialysis
 Support other areas within the service particularly peritoneal dialysis
 To ensure that all children and young people are cared for in a clean and well maintained
clinical area liaising with facilities and estates teams as well as infection control. To maintain
and monitor a safe and clean environment within the ward/department in accordance with
the Trusts Health and Safety, Clinical Risk and Infection Control Polices.
 To ensure that all staff are aware that they are directly responsible for cleanliness issues
when they are in charge and for escalating issues when necessary.
 To undertake regular ward rounds speaking to all patients and their families/carers and
proactively resolving any issues.
 To ensure excellent communication with children, young people and their families listening
to them, demonstrating compassion, empathy and partnership working regarding care and
 To take overall responsibility for all aspects of patient care including the assessment,
planning, delivery and evaluation of direct patient care.
 To monitor the Friends and Family test information and to proactively obtain and utilise
patient and carer feedback to improve and maintain an excellent patient experience.
 To ensure children/young people and their families are treated as individuals with kindness,
compassion and respect.
 To recognise diversity and challenge any discriminatory attitudes and behaviours towards
those receiving care.
 To put the interests of children/young people and their families using or needing nursing
services first.
 To ensure that the child’s/young person’s physical, social and psychological needs are
assessed and responded to efficiently.
 To ensure that age-appropriate play and recreation facilities and activities are available for all
children and young people. To ensure that all children and young people have appropriate
access to play or recreation rooms within the ward. To liaise with play service for the safe
provision of play equipment and access to play activities provided in the play centre and
elsewhere in the Trust.
 To liaise with the James Brindley staff to ensure that all children and young people have
access to education
 To ensure that all nursing care is delivered in accordance with Trust procedures, guidelines
and policy and to ensure that these policies and procedures are understood and adhered to
by all members of the ward/department team.
 To create a ward environment where staff feel motivated, supported, engaged, well led and
are able to speak up and raise concerns. Staff should be aware of their responsibilities as part
of Team BCH and be supported to deliver those responsibilities.
 To manage the ward/department in an effective and efficient manner making the best use of
allocated resources.
 To be responsible for and monitor the ward/department pay and non-pay budgets to ensure
a cost effective service, and to escalate any areas of concern to the Lead Nurse
 To assess need and deliver or advise on treatment, or give help (including preventative or
rehabilitative care) without too much delay and to the best of your abilities, on the basis of
the best evidence available and best practice.
 To establish effective working relationships with all members of the multi-professional team
to promote good communication and a collaborative approach to the care of children and
 To work cooperatively and maintain the duty to share skills, knowledge and experience.
 To ensure high standards of care are given to all patients and to monitor this through regular
spot checks and auditing of the nursing care quality indicators.
 To ensure care is delivered in partnership with the child/young person and their family.
 To establish and maintain clear and effective communication systems between
ward/departments staff, all members of the multi-professional team and the child/young
person and family.
 To ensure that the continued care needs of the child/young person and family are met
through effective discharge planning and that other agencies involved in the child’s/young
person’s care receive appropriate and timely information and support.
 To proactively participate in relevant meeting/forums and ensure there is a good
communication and feedback mechanism within the ward/department to ensure staff are
kept informed and up to date. To provide information, clinical advice and support to children
in acute, chronic, and end stage renal failure and their families and to act as a resource to
other professionals involved in each child’s care
 To be an expert, knowledgeable and visible practitioner within the renal service ensuring the
provision of high quality evidence based nursing care for the children and their families.
 Ensure that each child is assessed, and their care planned, implemented and evaluated in
negotiation with the family and other staff caring for the child and that this is accurately
communicated and documented.
 Liaise with clinical, non-clinical and facilities staff in order to maintain a safe, friendly and
welcoming environment for the children, families, visitors and staff.
 To act as an advocate for the child and family ensuring the provision of appropriate
information and support services.
 Ensure that each child within the caseload has a named lead clinician and designated care co-
ordinator to co-ordinate their care and ensure a smooth ongoing journey through effective
discharge planning.
 Ensure effective communication between all members of the multidisciplinary team both
internally and externally to the Trust, other hospital departments, relatives and visitors.
 In conjunction with the Senior Nurse set, develop and monitor clinical and non clinical
performance standards, taking action as required
 Develop and maintain the clinical skills and knowledge necessary to provide clinically
effective, holistic, evidence based nursing care. This includes the expanded role and
responsibilities of the nurse within the Scope of Professional Practice. These new roles are
developed following appropriate training.
 To develop and fully utilise clinical assessment and referral skills.
 To be competent in the administration of medication under patient group directives or
supplementary prescribing as relevant.
 To be fully aware of the uses, safety precautions and handling of equipment in the
 Develop and review policies and standards for the safe use of equipment and any new
equipment introduced to the department as appropriate.

 To promote a culture of raising and escalating any concerns about patient and public safety
without delay. To ensure care is delivered within the “duty of candour” guidance and ensure
nurses are open and candid with all service users about all aspects of care and treatment
including when any mistakes or harm have taken place.
 To acknowledge and act on all concerns raised including investigating, escalating and dealing
with the concerns where appropriate. To share the learning outcomes of incidents and
complaints with the ward/department and demonstrate changes in practice as a result of
complaints and incidents to embed a culture of learning.
 To ensure that the ward safety thermometer, high impact interventions and other clinical
audits are undertaken and monitored and that any short comings are acted upon and
 To undertake monthly environmental audits to ensure a safe and clean environment is
maintained, and to act on findings to ensure required actions are completed within a timely
 To act as a positive role model at all times providing professional and clinical leadership to
establish a committed and motivated team with a clear purpose and direction who feel able
to deliver excellent care and safe to raise concerns.
 To provide expert guidance and clinical supervision to staff, aiding problem solving and
clinical decision making.
 To ensure the statutory requirements of Health and Safety are met within the
 To ensure there is an effective Risk Management process in place, that any identified risks
are entered onto the Risk Register with appropriate mitigations in place
 To make all reasonable efforts to attend and provide support in the event of a Major Incident
involving the Children’s Hospital.
 To be aware of the Trust’s Safeguarding Policies and Procedures and demonstrate the ability
to raise concerns and work with other agencies to protects children and young people.
 To act as an advocate in relation to children/young people and their families who are
vulnerable or at risk from harm, neglect or abuse.
 To ensure the training and education needs of ward/department staff are met, and to ensure
the provision of an appropriate learning environment for pre and post registration learners.
 To ensure there is regular performance review of staff, setting clear and achievable
objectives appropriate to the grade and role.
 To ensure that staff have the required knowledge, skills and resources to carry out care
delegated to them.
 To play an active role in the recruitment and retention of staff in line with the Trusts
Recruitment and Retention strategy.
 To work with Human Resources on the resolution of complex HR issues.
 To monitor and manage sickness, absence and maternity leave and bank usage in accordance
with Trust policies, reporting all issues regularly to the Lead Nurse/Deputy Head of
Nursing/Head of Nursing.
 To ensure there is an effective and efficient system of off duty planning (via E-Roster) and
that that there is an appropriate skill mix of staff.
 To ensure the use of Eroster within the ward/department complies with the Trust’s Roster
Policy and that rota patterns provide safe staffing levels and take into account the health and
well-being needs of staff
 To monitor and record daily staffing and skill mix levels escalating any issues to the Lead
Nurse/ Deputy Head of Nursing/Head of Nursing as appropriate.
 To ensure the safe storage of patient’s records at ward/department level so that
confidentiality is maintained at all times
 To assess the effectiveness of current practice within the ward/department and introduce
innovations that lead to improved quality of care.


 To ensure all staff are fully aware of the standards required and are provided with timely
feedback both positive and where concerns may exist.
 To manage the ward/department in an effective and efficient manner making the best use of
allocated resources.
 To cooperate with audits and investigations and respond to informal and formal complaints
in a timely fashion.
 To provide leadership which provides assurance that patient and staff wellbeing is protected
and improves their experiences of health care.
 To manage time, staff and resources effectively to ensure quality of care and putting the
needs of those receiving care first.
 To be accountable for ensuring the ward/department complies with the CQC standards.
 To work in accordance with the NMC Code of Professional Conduct, and Trust Policies and
To maintain professional registration with the NMC and ensure there is a robust process in place for
monitoring the registration status of staff within the ward/department
Key Result Areas:

Guidance: Identify what is done and why to emphasise the action which leads to an end result.
Describe the end results, not duties or activities, be specific and precise.

 When reviewing a current job description ask questions, for example, what has altered, what is
different, what has increased or decreased, is it more complex etc.
 Insert Sub Headings as appropriate, for example, strategy and development, clinical governance,
financial management, research & development, patient/client care

Staff leadership and management will:

The following points must be included in all Managers job descriptions. It is envisaged that for the
majority of clinical and general management areas, this will be posts at Band 7 and above, although
in some roles these may be at a lower band.

Provide effective leadership and management to staff which promotes the Trust’s values and high
performance standards both individually and as a team, in the achievement of the Trust’s objectives
and priorities. The Trust’s success will be dependent on all managers playing an active role to make
sure the existing areas of good employment practice are universally embedded within the
organisation. Managers will be expected to:

 Understand the Trust’s key priorities and those of your Department and how these translate
within your area/team.

 Ensure clarity and effectiveness in developing and designing roles.

 Ensure management of staff is consistent with Trust’s Values to the achievement of equality,
equity and optimum performance.

 Complete annual Appraisals for all staff which reflect these priorities and ensure staff have
access to appropriate training and development.

 Communicate regularly through meetings with teams and individuals and provide opportunity
for two-way feedback.

 Promote an effective team ethos.

 Promote equality, diversity and rights, and treat others with dignity and respect ensuring services
are developed, managed and delivered to meet the specific needs of those belonging to
protected characteristics.

 Promote equality, diversity and Human Rights in working practices by developing and
maintaining positive working relationships, ensuring that colleagues are treated fairly and
contributing to developing equality of opportunity and outcomes in working practices.

 Contribute to developing and maintaining equality of opportunity in working practices by

complying with legislation and organisational policies. Advise colleagues about equality,
diversity and human rights policies and procedures and ensure they are followed.

 Ensure that colleagues are treated fairly. Behave in a non-discriminatory way and challenge
the discriminatory behaviour of others. Be supportive of colleagues or service users who
wish to raise issues about discriminatory practice or experience.

Position in the Organisation & Key relationships

Guidance: Indicate who the post needs to have contact with and the nature and purpose of the
contact. This includes employees, managers and other contacts within:
The Trust
External organisations

Establish how this post fits into the rest of the department/care group showing job titles of colleagues
reporting to the same manager and the jobs reporting directly into the post, but do not show grades.
A template is available from: Insert, SmartArt, Hierarchy.


All junior staff,

This post doctors and

Direct Line



You have a legal responsibility not to endanger yourself, your fellow employees and others by your
individual acts or omissions. The postholder is required to comply with the requirements of any
policy or procedure issued in respect of minimising the risk of injury or disease.


Attention is drawn to the confidential nature of the information collected within the NHS. The
unauthorized use or disclosure of patient or other personal information is a dismissible offence and
in the case of computerised information, could result in prosecution or action for civic damage under
the Data Protection Act 1998.

It is a condition of your employment that, should you come into possession of information relating to
the treatment of patients or the personal details of an employee, you should regard this information
as confidential and not divulge it to anyone who does not have the right to such information.

The Trust fully upholds the Caldicott Report principles and you are expected within your day to day
work to respect the confidentiality of patient identifiable information.

The Trust is committed to minimising any risks of healthcare associated infection to patients, visitors
and staff. All employees are required to be familiar with and comply with Infection Prevention and
Control policies relevant to their area of work and must attend Infection Control training
commensurate to their role.


In the event of a Major Incident or Pandemic you may be asked to carry out other duties as
requested. Such requests would be in your scope of competence, reasonable and with staff side
agreement. You would also be reasonably expected to participate in training for these infrequent


The post-holder should be aware of the process for reviewing systems and improving them, in order
to increase patient safety and improve the service provided by BCH. All staff (on permanent,
temporary or honorary contracts) should have an awareness of the risk management processes and
an understanding of risk management as part of the Governance agenda. This includes assessing,
monitoring and managing all aspects of risk, including the planning and undertaking of any remedial

All staff should ensure they are aware of the Trust Risk Manual. All staff must be aware of their
responsibility for reporting any adverse incidents, including “near miss” events, in accordance with
the Trust’s Policy and guidance from the National Patient Safety Agency (NPSA).


The postholder will be expected to adhere strictly to principles of fairness and equality in carrying out
the role. At all times the postholder will be required to show respect for and maintain the dignity of
patients, the public and work colleagues.

The Trust will not tolerate any form of bullying or harassment, violence or aggression against its


As a Trust employee you are required to comply with all legislation and guidance relating to
safeguarding children and promoting their health and welfare. If you are being investigated regarding
child protection concerns, or become subject to such investigations, appropriate steps may have to
be taken such as redeployment, increased supervision etc. and, depending on the outcome of the
investigation, there may be implications for your continued employment. You are required to inform
the Head of Child Protection Support Service if your own children are/become subject to child
protection procedures. This information will be treated in a confidential manner.


An integral part of the role of any manager or person with leadership responsibilities is to
communicate effectively with their staff and colleagues. It is an expectation of this role that
resources and time will be allocated to communicate fully with staff and involve them in the
decisions affecting them.
Arrangements should be made to ensure that local and Trust wide matters are communicated and
discussed via appropriate means i.e., team meetings, written briefings etc.


It is the responsibility of every employee to participate fully in induction.

A Trust wide induction course is held on the first and third Monday of each month and local
induction will be provided within your own place of work.


All staff will be expected to fully participate in the Appraisal/ Performance Management process.
This obligation will include the preparation for and attendance at appraisal/performance
management interviews and completion of the associated documentation.

For Consultant Medical Staff an annual appraisal and review of the Job Plan is a contractual

Failure to participate in any stage of the process will render the process ‘incomplete’.


The working Time Regulations 1998 require that you should not work more than an average of 48
hours each week, i.e. in a 17 week period no more than 816 hours or 1248 hours in a 26 week period.
To work more you must have the authorisation of your manager and you must sign an opt-out
agreement that you choose to work more.

Should you have more than one job with the Trust or have a job with another employer, then the
total hours worked in all your jobs should not exceed the average of 48 hours as above. You are
therefore required to inform your manager if you continue to work elsewhere and the number of
hours you work, or if you take up work elsewhere during your employment with the Trust.

Job Title: Ward Sister/Charge Nurse

Essential Desirable Evidenced

A – Qualifications
RSCN/RN Child Branch  A/C
Current NMC registration 
A Degree in Nursing or evidence of equivalent  A/C/I/T
Certificate in management/approved management 
training/equivalent management experience
Clinical leadership Course e.g. ILM, BCH Team 
Post basic qualification in child protection 
Teaching/Mentoring qualification 
Recognised high dependency qualification 
B – Knowledge/Experience
Extensive knowledge at Band 6 or above in the  A/C/I/T
wards/departments speciality
Evidence of on-going and current professional  A/C/I/T
Knowledge of and ability to work within the Trust and 
wider NHS policies
Knowledge of the Trusts safeguarding policies and 
procedures and the ability to raise concerns
Evidence of managing staff and dealing with difficult 
Evidence of leadership roles 

Understanding of clinical governance and risk 

Experience of implementing a change in practice 
Evidence of audit or research projects 
Experience in budgetary management and control, or 
the willingness to acquire
C – Skills
Excellent communication skills – oral, written and  A/I
Good computer skills using Microsoft Office (Word, 
Excel, Outlook and Power Point) and IT systems such as
Vesper, ESR, Ormis, Lorenzo, E-Roster, Oracle etc.
Excellent customer care skills  A/I
Legible handwriting  A/I
Attention to detail  A/I
Methodical and well organised  A/I
Proven ability to prioritise demanding workload and that  A/I
of others
Demonstrates previous experience of performing 
appraisals in line with the Trusts appraisal process
Ability to identify stress in self and others and to take 
effective action to manage the situation
D – Approach/Values
Friendly outgoing personality  A/I
Ability to demonstrate compassion in all aspects of care  A/I
delivery and staff management
Customer orientated approach  A/I
Reliable and ability to use own initiative  A/I
Ability to work without direct supervision  A/I
Flexible and adaptable to changing situations  A/I
Good team worker  A/I
Highly motivated and able to motivate others  A/I
Willingness to develop skills and knowledge  A/I

To be evidenced by key: A – Application C - Certificate I – Interview T - Test

Approved by:


Post holder


Manager Date

Job Title:

Essential Desirable Evidenced

A – Qualifications
What is the essential qualification for entry into this role
and at what level?
Include relevant professional registration
B – Knowledge/Experience
What level of experience is essential prior to entry to
this post?
What clinical knowledge/experience is required? A/C/I/T
C – Skills – for example
 Communication/Relationship skills:
Who do they communicate with and what
communication skills are required?

 Analytical & Judgement skills:
What level of analytical skills will be required? What
level of judgement will be needed and in what context?
 Planning & Organisational skills:
What planning responsibilities are required? E.g.
planning major or straightforward projects, longer term
provision of services, planning rotas, meetings

 People Management/Leadership/Resources
What staff responsibilities will the post holder need to
have? Will they be responsible for any resources
(money, equipment, stock)? What is the level of
 IT skills:
What software experience will be needed? What
experience will be needed in accessing information on
data systems and for what purpose?

 Physical skills:
What physical skills are required for the post? E.g.
manual dexterity skills for inoculations?
Is there a requirement to use mechanical aids/manual
handling techniques?

D – Approach/Values
 Demonstrate alignment with the values and beliefs I
of the Trust
 Demonstrate an understanding of the practices of I
equality and inclusion in the delivery of this role
 Team working I
 Punctual and flexible across hours of work when I

To be evidenced by key: A – Application C - Certificate I – Interview T - Test

Approved by:


Post holder


Manager Date