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Children's Community Nursing (CCN)

The Den.png

Our Aim

 

To support children,

young people

and their families in their own homes and other community settings offering specialist skills to increase their quality life.’

Who Are We

 

A team of specialist children’s nurses, who visit sick

children and their families at home to give nursing care and support.

What Services

Do We Provide?

 

Assessment of the child or

young person’s needs to

develop a package of care.

Support and teaching for parents

and other carer’s.

Hands-on nursing care, ensuring provision of necessary supplies

and equipment.

Liaison with schools and

other agencies.

To be an advocate for the

child and family.

 

 

 

Where Are We

 

Based at ‘The Den’ at

Chesterfield Royal Hospital

and can visit children who have

a North Derbyshire family doctor (GP).

The service is available Monday to Friday – 8am to 7pm. An on-call service is available 24 hours a day for urgent nursing advice.

 

Contact us 01246 514563

Who is in our team?

 

We are a team of Paediatric Clinical Nurse Specialists.

There are 8 qualified nurses in the team, 4 x Band 6’s and 4 x Band 7’s.

 

  • Michelle Tait is a band 7 Lead Clinical Nurse Specialist and Team leader for the team.

Michelle has a Nurse Specialist Community Qualification and as well as being Team Leader is the lead for facilitating support for families and carers at home called ‘Home Based Support’. Home Based Support is an organisation where carers are hired and trained to care for children with complex needs and disabilities.  

Michelle supports Amanda Smith a band 6 nurse employed at ‘Fairplay’, who co-ordinates the Home Based Support Service and facilitates a monthly support group for siblings.

Michelle takes the lead for children with complex renal conditions and also holds a caseload of children with complex needs and disabilities

 

  • Louise Bennett is a band 7 Lead Clinical Nurse Specialist.

Louise has a Nurse Specialist Community Qualification and is the lead for neuro-muscular degenerative conditions, long term ventilated patients and rheumatology. Louise also administers and trains parents/carers to give cytotoxic injections. Some of Louise’s patients are full or partially ventilated at home. Louise is also the ‘Learning Environment Manager’ and has experience of being a supervisor and assessor.

 

  • Tracy Twyman is a band 7 Lead Clinical Nurse Specialist.

Tracy has a background in oncology and palliative care and is the lead for Paediatric Oncology, Palliative Care and Complex Cardiac Conditions. Part of her work requires Tracy to give chemotherapy agents and supportive drugs by central venous access devices. Tracy also holds a case load of children with complex needs and disabilities

 

  • Sandie Birbeck is a band 7 Lead Clinical Nurse Specialist.

Sandie has a background of Team lead for the CCN team in Bassetlaw prior to joining our team. She holds a caseload of children and young people with complex needs and disabilities. Sandie has 13 years experience as a Children’s Community Nurse and has previously worked generically across all disciplines/conditions, managed in the community setting.

  • Jenny Abbott is a band 6 Clinical Nurse Specialist.

Jenny has a background of school nursing and working on an acute paediatric ward. Jenny holds a caseload of children with complex needs and disabilities and also takes the lead on complex bladder and bowel conditions and cystic fibrosis.

 

  • Laura Wilson is a band 6 Clinical Nurse Specialist.

Laura has a background of deputy ward sister on an acute paediatric ward. Laura holds a caseload of children with complex needs and disabilities. Laura takes the lead on babies discharged from hospital on home oxygen and supports Louise with the rheumatology caseload.

 

  • Lisa Bailey is a band 6 Clinical Nurse Specialist.

Lisa has a background of ward sister on an acute paediatric ward. Lisa is building up her caseload of children with complex needs and disabilities.

 

  • Amanda Smith is a band 6 Clinical Nurse Specialist.

Amanda works as a nurse specialist at Fairplay in Chesterfield, Fairplay supports children and young people with disabilities and additional needs, and their families, across North Derbyshire.

 

  • Katy Rodgers is a band 6 Clinical Nurse Specialist.

Katy has a background as a previous CCN specialising in neurology and complex needs. Katy works 3 days in the CCN team and 2 days with Fairplay.   

 

  • Lucy Goucher is a band 2 housekeeper/administration assistant.

Lucy supports the children’s community nursing team by co-ordinating medical equipment and supplies that go out to our families and all other administration duties. 

We work closely and collaboratively with the Paediatric Epilepsy Team, the Paediatric Continence Team and the Children’s Community Nursing Training Team.

 

Paediatric Epilepsy Nursing Team

  • Rachel Parker is a band 7 Lead Clinical Nurse Specialist for Paediatric Epilepsy. Rachel has a Nurse Specialist Community Qualification.

  • Will Green is a band 6 Clinical Nurse Specialist for Paediatric Epilepsy.

 

Rachel and Will hold a caseload of children and young people with a diagnosis of epilepsy, providing high level clinical care across the North Derbyshire region to children and young people with epilepsy, their parents or carers, and other professionals such as school teaching staff. 

Rachel and Will offer both home visits to children young people and their families and community visits to various settings.  Rachel and Will work with Consultant Peadiatricians and provide joint Epilepsy Clinics within the hospital setting.

Rachel and Will provide telephone support to families in between home visits and clinic appointments to discuss the child’s ongoing care, providing specialised information in line with NICE guidance.

 

Rachel and Will offer counseling to children’ young people and their families on:-

  • Issues such as epilepsy type or syndrome including probable future prognosis.

 

  • Management of preventative medications therefore improving seizure control and reducing untoward side effects.  This in turn improves the patient’s compliance and adherence with their medications.  Improved seizure control helps reduce the risk of physical injuries, emotional distress and lowers the risk of epilepsy related deaths.  It also helps reduce both hospital and emergency department admissions, therefore reducing cost to the NHS.

 

Psychosocial aspects of care including information on lifestyles, hobbies, sports, jobs, behaviors, first aid, driving, alcohol, and safety around the home.  Therefore maintaining or improving the child’s quality of life and reducing the associated stigma and misdiagnosis rates

Paediatric Continence Team

  • Clare Faulkner is a band 7 Lead Clinical Nurse Specialist for the Paediatric Continence Service for North Derbyshire, which is part of a Derbyshire county wide service. Clare has a team of 2 x band 6 nurses, Nicole Atkinson and Tracey Smith,  a band 4 continence assistant Helen Smithurst and a clinic co-ordinator Julie Hall.

 

Clare has developed the service to provide nurse led clinics across North Derbyshire in health settings and special schools. The team provides continence assessments, including nocturnal enuresis, constipation, daytime wetting and delayed toilet training.

Within the assessment they offer pre and post void bladder scans, issue enuresis alarms, prescribe medications and provide incontinence products as the condition dictates.

The team run joint clinics with school nurses and education staff within special schools to support children and young people to reach their continence potential.  

However...

Unfortunately due to the nature of our work and high level of specialism much of your placement will be observational. You will be allocated to a practice assessor and supervisors but we hope you will have the opportunity to work with all members of the team so you can optimise your experience.  

 

Your working hours will be Monday to Friday each week 9am-5pm, however if you have the opportunity to go on a visit with a CCN outside of these hours, you can take the time back on another day. You will be expected to wear your own clothes (not uniform) and these should be smart but casual (no jeans) and no open toed shoes or sandals.

 

If you have any questions prior to your placement please don’t hesitate to contact us on 01246 514563.

Children’s Community Nursing Training Team

  • Joanna Stout is a band 6 Clinical Nurse Specialist and is the Nurse Training Co-ordinator for the Training Team in North Derbyshire.

  • Amanda Young is the Administrative Training co-ordinator and organises the training programme for the year.

 

The Training Team provide specific training and education to parents, carers and education staff in caring for children with complex needs and disabilities in North Derbyshire.

The primary training sessions taught are:-

  • Epilepsy Awareness and Emergency Medication

  • Respiratory Awareness including oxygen delivery, suction and nebulisers/inhalers

  • Trachesotomy Awareness

  • Enteral Feeding – Gastrostomy/Jejunostomy Awareness

  • Medicines Management and Safe and Accurate Administration

 

The Training team also provide bespoke training on:-

  • Nasogastric Tube placement and feeding

  • Epipen Awareness

 

 Jo delivers the taught sessions and then follows up by going into the care setting to ensure carers’ competencies are checked.

Teach Team SessionsEpilepsy, Gastrostomy, Tracheostomy, Oxygen and suction.

 

Clinics: Continence, Epilepsy, Rheumatology, Cystic Fibrosis, Feeding, Wheelchair, Allergy, Cardiac.

 

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