Job summary
Fixed Term Contract until 31st of March 2025
The post holder will work in the Islington Rapid Response and Virtual Ward team which is part of the widermulti-agencyIslington Urgent Care Response servicewhich supports hospital discharges and admission avoidance.
RRVW is co-located and integratedwith therapyand adultsocial servicescolleagues andaims to respond to patientreferralsin the community within 2 hours to prevent admission to hospital.
The post holder willprimarily be working in Islington borough but may be required to see patients in other NCL boroughs.
Main duties of the job
1. Facilitate the early discharge of patients from the Whittington Health and UCLH inpatient wards and complete their recovery in the home environment by working collaboratively with the AEC Consultant.
2. Be aware of and utilise appropriate resources within the RRVW team and in the provision of total patient To manage the team on a day to day basis, supporting junior staff with decision making and skills development.
3. Act as a link nurse to AEC consultants, GPs, Community Nurses, LAS, Social Services and other relevant professional areas as necessary.
4. Undertake a comprehensive baseline assessment for each identified patient in conjunction with the AEC consultant, patient, relatives, carers and patient care team.
5. Use the assessment to agree and implement a patient held personalised plan of care to be agreed with the patient, relatives and carers and the patient care team.
6. Ensure that there are effective communications with other agencies (including Out of Hours Services) about care plans and maximise the input of these agencies to support patients at home.
7. Promote self-management and health gain through patient education and health promotion activity.
About us
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Job description
Job responsibilities
8. Undertake prescribing as required and to ensure that medications are reviewed and highlight possible interactions and changes in line with Whittington Health Nurse Prescribing policy.
9. Perform and document episodic examinations to support proactive monitoring of chronic diseases and identification of early symptoms of exacerbation and liaise with professionals including the Lead Matron as necessary.
10. Work collaboratively with the AEC consultant or GP (as agreed) and liaise following any significant event, to review and amend treatment.
11. Ensure that as far as possible the patient care is provided in the community and to work with the AEC consultant, ward consultants and/ or General Practitioner and patient care team to facilitate this and reduce hospital admission.
12. Ensure that all discharges from the caseload are discussed and agreed with the patient care team.
13. Work with secondary care to identify patients suitable for discharge and community management and be proactive in pursuing this.
14. Lead by personal example of best infection control practice at all
15. Assist in evaluating the effectiveness of the service in relation to patient
16. Act as a role model in assisting to develop the practitioner role according to service demand and evolving models of care.
17. Provide senior clinical advice relating to patients with complex needs to the RRVW
18. Undertake duties as delegated by the Lead Matron; this may include standard setting, clinical audit and benchmarking in order to ensure the delivery of effective, evidence-based care.
19. Work with colleagues and users, to identify the changing needs of Whittington Health and the population it serves and promote practice that is dynamic, efficient, innovative and continuously improved in its relevance and responsiveness to the needs of clients and patients.
Person Specification
Skills
Essential
20. Advanced physical Assessment qualification or willingness to work towards
21. Independent Nurse Prescriber or willingness to work towards
Knowledge
Essential
22. Knowledge of Multidisciplinary working with integrated Hospital and Community settings.
23. Advanced understanding of the complexities of the discharge process
Experience
Essential
24. Minimum of 2 years as Community Nurse/Nurse Practitioner, Emergency Nurse Practitioner
25. Experience of managing patients with acute and Chronic medical needs.
26. Experience of managing a caseload of patients