Senior Staff Nurse

Job summary
6 Month Fixed Term Contract

We are seeking to appoint a committed, highly motivated, enthusiastic, and skilled Adult Physical Health, Senior Staff Nurse to join our dynamic, integrated multi- disciplinary Rapid Response Team.

In this exciting role you will be an integral part of the team developing new pathways to provide Same Day Emergency Care in the community alongside other Adult Community Services, Social Care, Acute Trusts and Primary Care colleagues.

The Rapid Response Team are part of the SE London Accelerator Programme. The Rapid Response Team are delivering the essential elements of the Urgent Community Response pathways. The Rapid Response Team has been operational since 2013 and is a multi- professional team consisting of Nurses, Occupational Therapists, Physiotherapists , Social Workers and support staff . The team provide holistic health and social care assessments for people over the age of 18 years, who are registered with a Bexley GP and live in the Borough of Bexley. The Team treats/ manages/ cares for patients in their usual place of residence with an urgent health or social care need.

The team are based at Queen Elizabeth Hospital, Woolwich and operates 7 days a week, on an 8am-8pm basis, focusing on rapid 2-hour assessments to patients with potential short-term intervention(s).

Candidates are encouraged to visit the Service.

Main duties of the job
The post holder will work as a part of the multi-disciplinary Rapid Response Team including Consultant Geriatrician, Senior Nurses, Occupational Therapists and Social Services colleagues to meet the needs of patients referred to the team, ensuring the highest possible standards of practice with a strong emphasis on falls, frailty.

The post holder will conduct comprehensive nursing assessments for patients within acute and community settings. They will need to demonstrate sound clinical reasoning and risk assessment skills to guide appropriate nursing intervention and when appropriate avoid unnecessary ED presentation. The post holder will also be skilled in the management of breast drains, wound care and intravenous antibiotic therapy.

The post holder will be required to work across hospitals sites on a planned basis and in community when responding to urgent community referrals. Post holder will undertake delegated line management of junior staff, both informal and formal basis.

The team act as a liaison between acute and community settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and on- going case management. Referrals are received from Health and Social Care professionals, Medical Teams, General Practitioners and Ambulance Services.

About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes. We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people. Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We're Kind
• We're Fair
• We Listen
• We Care

Job responsibilities
The Team work directly with (LAS) and act as a liaison between Emergency Departments, Community and Care home settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and the instigation of on- going case management of long term condition management. The Rapid Response Team provides community follow up and support and review.

The post holder will assist with and directly triage urgent patient referrals with varied and complex needs in acute hospital and community setting acting as an expert nursing clinical resource to Rapid Response Team members by facilitating high quality evidence-based practise.

The post holder will also have the opportunity to work closely with our Community Consultant.

Rapid Response aims to:

• Avoid unnecessary Presentations to Emergency Departments.
• Avoid unnecessary Hospital Admissions
• Improve patient wellbeing through timely responsive interventions
• Reduce admissions to residential care
• Increase the number of people who feel safe in their home

Main Responsibilities:

• Be professionally and legally responsible and accountable for all professional activities
• Demonstrate theoretical knowledge of acute, multiple, complex, and long-term pathologies and impairments in the assessment of clients
• Work closely with other health professionals and social services and provide nursingadvice in meeting the needs of the clients
• Conduct a thorough assessment of clients, obtaining consent in accordance withprofessional guidelines and local team procedures
• Recommend appropriate interventions to promote independence and safety, utilisingeffective clinical reasoning skills and evidence-based practice
• Complete a care plan for clients who require input from integrated community services (bed-based or home-based input)
• Maintain effective multidisciplinary communication with other members of the team and the wider clinical network to ensure that clients needs are met
• Provide specialist advice to client, carers and relatives based on clinical evidence when required
• Participate in MDT meetings and family conferences as required
• Maintain up-to-date clinical written records and computerised records in accordance with local and professional standards; and also writing comprehensive reports on clients as required and inputting onto RiO
• Ensure management of clinical risk with clients under their care
• Be able to identify when and how to terminate involvement or refer onwards to appropriate teams/services and complete input in a timely, seamless manner
• Seek guidance from more experienced colleagues when required
• Be professionally curious in terms of safeguarding adults and children and promote professional curiosity

Training and Education:

• Utilise communication and teaching skills to educate the diverse and multiculturalpopulation in a range of disease specific techniques, principles and guidelines when required
• Provide support and take a proactive role in the education and training of undergraduate and graduate AHP students, nurses and rehabilitation assistants
• Maintain continuing professional development by participating in regular in-service training, supervision, reflective practice and attending study days and training, giving feedback to the team where appropriate to disseminate learning
• Maintain competency in manually handling people
• Maintain up-to-date mandatory and statutory training

Management:

• Maintain high level of efficiency and effectiveness in work area to utilise resources to thefull and report defects in equipment in a timely manner
• The ability to deputise in the absence of the Manager if required
• Coordinate staff activity to meet demands of service
• Ensure risk is managed for self, clients, colleagues and the work environment
• Participate in the development of the team by working proactively within the MDT
• Maintain throughput of casework and organise and prioritise own work tasks and activities,being flexible to the needs of the service
• Ensure all patient information is input onto RiO
• Ensure new team members are adequately introduced to the team during induction andproviding peer support
• Undertake a proactive role in the ongoing in-service training programme
• Maintain efficient day-to-day running of the service

Organisational:

• Flexibly plan and organise own time
• Achieve the effective daily management of a caseload of clients, including prioritising clinical work and balancing other client related and professional duties
• Provide statistical information as required in a timely manner
• Keep up-to-date statistics in accordance with team requirements
• Be responsible for any organisational tasks related to the post
• Be flexible in the undertaking of any other duties as requested by line managers to meetthe changing needs of the service
• Attend Team and trust meetings and case conferences as required

Professional:

• Participate in regular supervision and reflective practice
• Participate in regular supervision and PDR
• Comply with professional guidelines, codes of conduct of practice, trust and departmentalpolicies
• Maintain links with the department, organisation and wider sector by attending meetings, seminars/case conferences etc as deemed appropriate

Research:

• Demonstrate the ability to critically evaluate current research and apply it to practice
• Broaden research and development skills through participation in local audit and researchprojects
• Instigate/Participate in Quality Improvement Projects

Communication and Key Working Relationships:

• Communicate relevant medical/social information, assessment details, advice andrecommendations across agencies following local and professional guidelines for sharinginformation and consent. This would include Consultants, GPs, Social Services, otherhealth care professionals and voluntary agencies
• Work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
• Convey complex and sensitive information relating to clients using skill in situations wherethere may be barriers to communication i.e. use of interpreters, receptive/cognitivepathologies or excess noise
• Be able to adapt complicated and sensitive information into a simplified form to clients whomay be seriously ill or have complex or long-term conditions
• Clearly convey complex information to small and large groups during training andeducation sessions
• Promote and encourage the ethos of rehabilitation/enabling with therapy assistants/support workers/carers/relatives through demonstration, example, and support
• Promote an awareness of the nurse role within the team, negotiating priorities were appropriate
• Actively contribute to service & policy review and implementation
• Participate in the operational planning, implementation, evaluation and audit of practice, clinical care pathways and protocols within own clinical area

Person Specification
Community Exerience
Essential

• Three years post registration experience / working in the community

Desirable

• NMP Qualification V300
• Community Practitioner Prescribing V160

Multidisciplinary experience
Essential

• Experience of multidisciplinary working

Driving Licence
Essential

• Car Driver with access to own car

Qualifications
Essential

• Registered Adult Nurse
• Enhanced Clinical Assessment Skills (Level 6/7)
• Mentorship or Equivalent
• Intravenous Additive Qualification
• Long Term Conditions Management or equivalent

Desirable

• Cannulation Skills
• Community Specialist Practitioner

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.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).