Homecare Nurse Paediatric Nurse Homecare Nurse

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.

• 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

• Trauma-informed, child-centred nursing care
• Consistent caregivers to promote emotional safety and reduce distress
• Close collaboration with multidisciplinary teams

• 12-hour day and night shifts
• 2:1 nurse-led care

• 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