Urgent Community Response Nurse

NHS; Norwich; On-site; GBP 29,000 - 37,000; Full time

Job description

Norfolk Community Health and Care NHS Trust

You will be a registered nurse with skills in palliative / end of life care, wound care, catheter care and urgent community 2-hour response for patients and a strong desire to further develop your community nursing skills and experience.

You will be required to work over a 7 day working week including weekends and will be hard working, motivated, with excellent communication skills. You will be able to demonstrate knowledge and skills in holistic assessment, to demonstrate that you use your initiative and have a keen interest in working with this group of patients. You must hold a full and valid driving licence and have access to a vehicle.

You will support staff working at a band 3 and 4 level, along with students and apprentices.

Due to the unplanned nature of the role we would recommend newly qualified staff to not apply.

Main duties of the job

As part of the Urgent Community Response (UCR) Team you will be required:

1. To work within the Urgent Community Response Team to prevent unnecessary admission to hospital.
2. To assess and prescribe care pathways for patients in a crisis situation with long term conditions, the frail & elderly, palliative and end of life care and/or rehabilitation needs, to achieve quality of life and independence where possible, with support from Senior colleagues within the wider Urgent Community Response Team.
3. To act as the patients advocate, facilitating choice and patient empowerment.
4. To provide evidence based clinical/therapeutic interventions based on best practice.
5. To work within the Urgent Community Response Team to support early discharge from hospital.
6. To work with all health care professionals, and statutory/non-statutory agencies to provide a seamless, integrated service to our service users.
7. To triage referrals on a rotational basis for the Urgent Community Response Team.

About us

The post can be based at the new dedicated district nursing "Hive" building at the Norwich Community Hospital. You will be working closely with the other professionals with the urgent community response and virtual ward as well as link in with the planned community nursing teams. This dynamic and busy team require keen and motivated Nurses to provide assessment and quality interventions, in particular unplanned care to the population of patients restricted to receiving care in their homes.

Apply now to join an organisation that has been awarded an 'Outstanding' rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.

Job responsibilities

Main Duties & Responsibilities.

1. Assess, plan, implement and evaluate all aspects of patient care, and develop treatment/care pathways that may need to be delivered from a range of options.
2. Follow a holistic assessment, devise an individualised care pathway for each patient, modifying it as required.
3. Be aware of Assistive Technology and utilise where required.
4. Assess patients holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan.
5. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
6. Establish and maintain therapeutic relationships with patients and carers, incorporating motivation, encouragement and confidence building to enable patients to engage in their treatment/care/management plan.
7. Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care coordinated appropriately.
8. Be required to undertake risk assessments and act upon them appropriately.
9. Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
10. Ensure activity data and clinical information is recorded on SystmOne and completed on a daily basis.
11. Demonstrate dexterity and co-ordination when using specialist equipment and fine tools, advanced sensory skills, manual and mobilising skills.
12. Order equipment and supplies via the electronic ordering systems used within the team.
13. Ensure informed consent is obtained prior to initiating interventions.
14. Be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.

Person Specification

Qualifications

• Diploma or 1st level degree
• RN Qualification
• Current NMC registration
• Evidence of continuing professional development.
• Assessor/mentorship preparation; ENB 998 or equivalent

Experience

• Evidence of working within the community or acute setting
• Attendance at in-house training and short courses

Skills, Abilities and Knowledge

• Highly motivated
• Able to provide high standards of care
• Tact and diplomacy
• Empathy and sensitivity
• Ability to use own initiative
• Ability to manage stressful situations
• Concentrate when undertaking patient care and inputting data/patient records
• A team player
• Work flexibly to accommodate patient/service needs

Communication

• Good observational and reporting skills
• Good interpersonal skills

Personal and People Development

• Professional appearance
• Be able to kneel, bend and stoop and work in cramped environments
• Manoeuvre limbs of around 5-6kg
• Manoeuvre patients using handling aids
• Be reliable

Personal Attributes / Behaviours

• Able to identify with the Trust's commitment to safeguarding and promoting the welfare of young people/vulnerable adults

Other

• The post holder will need to be passed fit to perform full duties of the post through occupational health with any reasonable aids and adaptations if necessary. Some roles require additional level of checks as part of the employment process, i.e. roles which come into contact with children vulnerable adults or their families.
• Must hold full and valid driving licence and have access to a vehicle.
• Able to communicate effectively in written and verbal English Language.
• This is a 7 day service and some weekend working will be expected. House of service delivery 8am -8pm, 365 days a year.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Norfolk Community Health and Care NHS Trust

£29,970 to £36,483 a year pro rata per annum