Urgent Community Response Nurse - Band 5

This is an exciting opportunity to be part of a newly developing service utilizing your skills and judgment in a multi-disciplinary team to provide an urgent community response to community patients. The North UCR team works together to support colleagues across the system, working with our urgent care partners as part of the wider admission avoidance pathway.

If you like a fast-paced environment in an unplanned situation and have community or emergency care experience, this would be a great opportunity for development. We are a nurturing team, and this role could be suitable for a Newly Qualified Nurse (NQN), with support from the Trust's preceptorship programme.

As a UCR nurse, you will contribute to the delivery of high standards of health care to patients in their home, by assessing, planning, implementing, and evaluating care, in order to prevent avoidable admission to hospital and facilitate early supported discharge.

You will support the wider Urgent Community Response (UCR) Multidisciplinary Team on a regular basis enabling safe, appropriate, and patient-centered care to be delivered.

This role will predominantly involve face-to-face nursing and assessment within a patient's usual place of residence, with an element of Triage on a rota basis as well as other supportive activities as part of the Multidisciplinary Team.

This is a 7-day-a-week service and some weekend working will be expected. Hours of service delivery are 8am-8pm, 365 days per year.

Main duties of the job

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 patient's 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

We have an exciting opportunity to recruit a Band 5 Community Nurse to the North Urgent Community Response Service. You will be working closely with the community nursing teams. This friendly and busy team requires a keen and motivated Nurse to provide assessment and quality interventions in 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 description
Job 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 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 coordination 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.

Professional

1. Contribute to the supervision of workload within the integrated team.
2. Ensure own records are maintained, and those maintained by the team.
3. Be required to undertake risk assessments and act upon them appropriately.
4. Actively contribute to multidisciplinary team meetings and other meetings where appropriate.
5. Support all team members within the Urgent Community Response Team, respecting them, their roles and contributions.
6. Partake in the Trust's preceptorship programme if appropriate.
7. Actively participate in and attend in-house training as required to develop current job role.
8. Be able to make own travel arrangements to patients' homes, clinics, base and meetings etc., as required.
9. Be responsible for safe use and maintenance of equipment and supplies.
10. Remain accountable for own professional actions as determined by the professional bodies.
11. Be required to demonstrate own duties to students, new starters and/or less experienced staff.
12. Provide mentorship for students undertaking pre/post-registration course.
13. Provide advice/training to less experienced staff and supervise and support band 3 and 4 staff and students where appropriate.
14. Mentor existing staff and provide training in specialist area as appropriate.
15. Contribute to the induction process for new staff/students.
16. Demonstrate good IT/standard keyboard skills.
17. Demonstrate leadership skills within own competence.
18. Maintain own continuous professional development.

Organisational

1. Undertake mandatory training as required.
2. Participate in an annual Personal Development Review.
3. Undertake Personal Development Plans for more junior staff members.
4. Take part in clinical supervision as per Trust Policy.
5. Follow Trust policies, and local procedures, and use discretion in interpreting them according to the setting and circumstances.
6. Comment on draft policies.
7. Ensure absence reporting is undertaken as determined by Team Leader and Trust Policy.
8. Contribute to clinical audit as required.
9. Complete the staff survey as required.
10. Complete risk assessments and incident forms as required.

Person Specification
Personal and People Development
Essential

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

Desirable

• Experience supervising staff

Communication
Essential

• Good observational & reporting skills
• Good interpersonal skills
• Good communication skills

Experience
Essential

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

Desirable

• Experience working in admission avoidance

Qualifications
Essential

• Diploma or 1st level degree
• RN Qualification
• Current NMC registration
• Evidence of continuing professional development

Desirable

• ENB 998/mentorship preparation or equivalent

Other
Essential

• Must hold a full and valid driving licence and have access to a vehicle
• Accurate / well written application
• Post holder will be required to work over 7 days a week
• Postholder will need to be passed fit to perform full duties of the post through Occupational Health with any reasonable aids and adaptations as necessary
• Able to communicate effectively in written and verbal English Language
• This is a 7-day-a-week service and some weekend working will be expected. Hours of service delivery, 8am-8pm 365 days per year.

Skills, Abilities and Knowledge
Essential

• Able to provide high standards of care
• Ability to use own initiative
• Good time management skills
• Highly motivated
• Good observational and reporting skills
• Ability to manage stressful situations
• Ability to concentrate when undertaking patient care and inputting data/patient records
• Good interpersonal skills
• A team player
• Flexible approach to work to accommodate patient/service needs
• Have basic IT and standard keyboard skills
• Able to bend, kneel and stoop and work in cramped conditions
• Able to manoeuvre limbs of around 5-6kg
• Able to make own travel arrangements to patient's homes, clinics, base, meetings etc.
• Tact & diplomacy
• Empathy & sensitivity

Personal Attributes / Behaviours
Essential

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

Employer details
Employer name
Norfolk Community Health and Care NHS Trust
Address
1 Mill Close
Aylsham
Norfolk
NR11 6LZ
Any attachments will be accessible after you click to apply.
839-6877380-SR