Job Details
Job Description: Paediatric Complex Care Nurse
We are seeking experienced Paediatric Nurses to support a child with complex medical needs following a traumatic high cervical spinal cord injury and hypoxic brain injury. The child is ventilator dependent 24/7 via tracheostomy and requires a 2:1 nurse-led care package in the home setting.
Clinical Responsibilities
- Management of continuous ventilatory support via tracheostomy (wet circuit; dry circuit only when well)
- Full tracheostomy care including suctioning, humidification, tube and tie changes, and emergency airway management
- Continuous monitoring of respiratory and cardiovascular status with immediate escalation of concerns
- Use of cough assist, nebulisers, and positioning to optimise ventilation and secretion clearance
- PEG management including administration of nutrition, fluids and medications
- Monitoring for aspiration risk, feeding intolerance, reflux and PEG site complications
- Skilled management of indwelling urinary catheter and monitoring for infection or autonomic dysreflexia
- Regular skin integrity assessments and pressure injury prevention
- Safe moving and handling using hoists, with careful handling due to osteoporosis
- Strict aseptic technique and infection prevention at all times
- Medication administration in line with prescription and care plans
Approach to Care
- Trauma-informed, child-centred nursing care
- Consistent caregivers to promote emotional safety and reduce distress
- Close collaboration with multidisciplinary teams
Working Pattern
- 12-hour day and night shifts
- 2:1 nurse-led care
Essential Criteria
- Registered Children’s Nurse (RSCN / RN Child)
- Experience in complex paediatric care, ventilation and tracheostomy management (or willingness to undertake specialist training)
- Confident in recognising and responding to clinical deterioration