Job summary
Employer heading
Community Nurse - Urgent Community Response
Band 5
NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an ‘Outstanding’ rating from the Care Quality Commission (CQC). Our focus is on continually improving the quality of care we offer to local people and on improving access to that care, helping people to move seamlessly from one service to another. Praising NCH&C’s “compassionate, inclusive and effective leadership at all levels”, the CQC observed that our staff are well supported to make positive changes and innovations.
Norfolk Community Health & Care NHS Trust is committed to continuing to create a modern and inclusive work environment. As part of this commitment we actively promote flexible working opportunities where possible, to meet the needs and wishes of our workforce to maintain and improve their wellbeing. The trust offers a range of flexibility, including flexible working patterns, and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.
We welcome applications from people who share our values and can help us deliver outstanding care in our local community.
Job overview
This an exciting opportunity to be part of a newly developing service utilising your skills and judgment in a multi-disciplinary team to provide an urgent community response to community patients. The North UCR team work together to support colleagues across the system, working with our urgent care partners as part of the wider NEAT 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.
As 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 facilitating early supported discharge.
You will support the wider Urgent Community Response (UCR) Multidisciplinary Team (MDT) on a regular basis enabling safe, appropriate and patient centred 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 (MDT).
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
To work within the Urgent Community Response Team to prevent unnecessary admission to hospital.
• 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.
• To act as the patients advocate, facilitating choice and patient empowerment.
• To provide evidence based clinical/therapeutic interventions based on “best practice”.
• To work within the Urgent Community Response Team to support early discharge from hospital.
• To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
• To triage referrals on a rotational basis for the Urgent Community Response Team.
Working for our organisation
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 require 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.
Detailed job description and main responsibilities
The post holder will:
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 co-ordinated 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.
Professional.
The post holder will:
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 Trusts 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
The post holder will:
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 criteria
- 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 criteria
- Experience supervising staff
Communication
Essential criteria
- Good observational & reporting skills
- Good interpersonal skills
- Good communication skills
Experience
Essential criteria
- Evidence of working within the community or acute setting
- Attendance at in-house training & short courses
Desirable criteria
- Experience working in admission avoidance
Qualifications
Essential criteria
- Diploma or 1st level degree
- RN Qualification
- Current NMC registration
- Evidence of continuing professional development
Desirable criteria
- ENB 998/mentorship preparation or equivalent
Other
Essential criteria
- Tailored application to job advertised
- 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 adaptions as necessary
- Able to communicate effectively in written and verbal English Language
Skills, Abilities and Knowledge
Essential criteria
- 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 travle arrangements to patient's homes, clinics, base, meetings etc
Desirable criteria
- Knowledge of additional specialist areas through in-house training & short courses
Personal Attributes / Behaviours
Essential criteria
- Able to identify with the Trust’s commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults .
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Nicola Samuels
- Job title
- Service Lead - North UCR Team
- Email address
- [email protected]
- Telephone number
- 07880183126
- Additional information
Rosy Watson - Clinical Lead Nurse
Mobile: 01263 710542
E-mail: [email protected]
If you have problems applying, contact
- Address
-
Room 218, Norwich Community Hospital
Bowthorpe Road
Norwich
NR2 3TU
- Telephone
- 01603697444
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