via Indeed · 25 September 2026 ·13 days ago

Registered Nurse - Complex Care

Harmony Healthcare
Harpenden
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Registered Nurse \- Complex Care
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Harpenden
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Registered Nurse \- Complex Care

Location: Harpenden, AL5

Role: Registered Nurse \- Complex Care (RN)

Rate: £33\.75 per hour PAYE – flat rate for days and nights, Monday to Sunday, including holiday pay

At Harmony Healthcare, we believe exceptional care is delivered by exceptional people. We are seeking a compassionate, reliable, and dedicated Registered Nurseto provide high\-quality support to a child in their home. Your care will enable them to live safely, confidently, and with dignity in their own home.

This is a meaningful 2:1 role where you can genuinely see the impact of the support you provide.

Shift Pattern:

  • Days: 08:00 – 20:00

  • Nights: 20:00 – 08:00

  • 7 days a week
About the Role:

We are looking for a compassionate, dedicated and experienced Female Registered Nurse to join our complex care team, supporting a 5\-year\-old child in their family home.

This is a 24/7 nurse\-led, 2:1 care package, with the RN working alongside the Healthcare Assistant to provide safe, consistent and high\-quality care.

The successful candidate will be responsible for supporting the child's clinical, personal and emotional needs, while promoting comfort, dignity and wellbeing within a child\-centred environment.

Essential Experience \& Skills:

Candidates must have relevant experience in complex care and be confident supporting children with complex clinical needs, including:

  • 24/7 nurse\-led care and 2:1 support

  • Children's care experience

  • Ventilatory support via tracheostomy

  • Tracheostomy and stoma care

  • Suctioning

  • Cough assist

  • Nebulisation

  • PEG feeding

  • Medication administration

  • Indwelling catheter care

  • Manual handling and use of hoists

  • Emergency airway management

  • Monitoring respiratory status and ventilator alarms

  • Pressure area care and repositioning

  • Aseptic technique
Clinical \& Care Responsibilities:

Working alongside the nurse, you will support with:

  • Continuous ventilatory support via tracheostomy, using wet and dry circuits as appropriate

  • Tracheostomy care, including suctioning, humidification, stoma care, routine tube changes and daily tie changes

  • Monitoring oxygen saturation, work of breathing and ventilator alarms

  • Responding promptly to airway emergencies, including blockage, accidental decannulation and desaturation, including bag\-valve\-mask support where required

  • Cough assist, nebulisation and positioning to support ventilation and secretion clearance

  • Monitoring for autonomic dysregulation and changes in heart rate, blood pressure and perfusion

  • Repositioning and pressure area care

  • PEG administration of nutrition, fluids and medication

  • Encouraging oral intake and drinking as tolerated

  • Monitoring for feeding intolerance, aspiration risk, reflux and PEG\-site complications

  • Accurate fluid balance and weight monitoring

  • Full assistance with transfers using hoists, sliding sheets and wheelchair equipment

  • Careful handling due to osteoporosis and immobility

  • Indwelling catheter management and monitoring for infection, blockage and other complications

  • Use of pressure\-relieving equipment and sleep systems

  • Strict aseptic technique for tracheostomy, PEG and catheter care

  • Monitoring for respiratory, urinary and device\-related infections

  • Medication administration in accordance with the prescribed drug chart

  • Immediate escalation of any clinical concerns or deterioration
Child\-Centred Care:

The child enjoys purple, Mini Cooper cars and Disney, especially The Lion King.

A consistent, calm and compassionate approach is essential. The successful candidate will provide trauma\-informed, child\-centred care, recognising the child's individual emotional needs and the importance of familiar and consistent caregivers.

Important Information:

The family will be welcoming a puppy (dog) into the home, so candidates should be comfortable working in a household with a dog.

Who We're Looking For:

We are looking for someone who is:

  • Compassionate and patient

  • Reliable and committed to continuity of care

  • Confident working with children with complex clinical needs

  • Comfortable working as part of a nurse\-led 2:1 team

  • Experienced in tracheostomy and ventilatory care

  • Confident with manual handling and clinical equipment

  • Able to recognise and escalate changes in the child's condition

  • Calm and responsive in emergency situations

  • Committed to providing safe, dignified and child\-centred care
Why Work with Harmony Healthcare:

We prioritise your wellbeing, development and long\-term success. When you join us, you become part of a supportive, values\-driven organisation committed to helping you grow.

You can expect:

  • Competitive pay with enhanced bank holiday rates

  • Full specialist clinical training

  • Regular, consistent shifts

  • Monthly staff recognition and reward programmes

  • Opportunities for professional development and progression

  • A collaborative team who value you as an individual
Our staff stay with us because they feel supported, valued and part of something meaningful.

Our Values:

At Harmony Healthcare, we recruit based on empathy, emotional intelligence and a genuine passion for making a difference — not just qualifications.

If you share our values of dignity, inclusion and respect, we will support you to thrive.

Compliance Requirements:

All roles are subject to enhanced DBS checks, reference checks, Right to Work verification and full CQC/Schedule 3\-compliant onboarding.

Referral Bonus:

  • £150 for every Healthcare Assistant you refer

  • £250 for every Registered Nurse you refer
Paid once your referral completes 150 hours.

Apply Today:

If you want to make a meaningful difference and support this client to live independently, we would be pleased to receive your application.

We review applications daily and can arrange interviews quickly for suitable candidates.

\#MKEY

About Us
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Envisioning Wellness Together

At Harmony Healthcare, we are more than just a care provider; we are a beacon of hope, understanding, and rejuvenation for those in the grip of complex health challenges. Founded on the principles of compassion, commitment, and cutting\-edge care, our mission is to seamlessly blend expertise and empathy, resulting in the highest standard of personalised care.

Our Legacy
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With years of dedicated service in the complex care arena, Harmony Healthcare has carved a niche for itself as a trusted partner in health and recovery. Our journey began with a simple aspiration: to transform lives, heal communities, and redefine standards in patient\-centered care.

The Harmony Difference
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Our strength lies in the heartbeats and hands of our dedicated professionals. Every member of the Harmony family—from our certified caregivers and skilled nurses to our administration and support teams—is aligned with our core values:

  • Personalised Approach: Recognising the uniqueness of every individual, we curate tailored care plans to meet specific needs, ensuring optimum outcomes.

  • Innovation: We are committed to delivering innovative solutions that enhance care quality and patient experiences.

  • Empathy and Respect: Every individual in our care is treated with the utmost dignity, understanding their needs and feelings, and fostering a nurturing environment.

Need more info?

Our Recruitment Team are here to answer your questions.

0800 292 2331

recruitment@harmonyhealthcare.co.uk

Follow us on social media

Stay up to date with our latest news and job offers.

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