Job overview
The post holder will work in the Islington Rapid Response and Virtual Ward (RRVW) team which is part of the wider multi-agency Islington Urgent Care Response service which supports hospital discharges and admission avoidance.
Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the caseload.The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independentprescribing and use these both in the community and ambulatory care Centre setting.Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness and injuries.The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital settings also via Community referrals.
The post holder will be a senior nurse/Paramedic within the RRVW service and therefore act as a clinical leader and role model to staff within the service, offering clinical advice on the care of patients with complex needs as required. They will work with colleagues and managers to support the integration of care pathways and patient care across community and acute settings. This post will also involve in reach into the hospital settings.
Main duties of the job
•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.
•Be aware of and utilise appropriate resources within the RRVW team and in the provision oftotalpatientcare.To manage theteamonadaytodaybasis,supporting junior staff with decision making and skills development.
•Actasalinknurse to AECconsultants,GPs,CommunityNurses,LAS, SocialServices and other relevant professional areas as necessary.
•Undertakeacomprehensivebaselineassessmentforeachidentifiedpatientin conjunction with the AEC consultant, patient, relatives, carers and patient care team.
•Use the assessment to agree and implement a patient held personalised plan of careto be agreed with the patient, relatives and carers and the patient care team.
•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.
•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.
Working for our organisation
Equal Opportunities
Our latest policy known as “Promoting Equality, Diversity and Human Rights” outlines the Trust’s commitment to ensuring that no job applicant or employee receives less than favourable treatment on grounds of sex, marital and civil partnership status, gender reassignment, pregnancy and maternity, race, colour, creed, religion or belief, physical disability, mental health, learning difficulty, age or sexual orientation and is not placed at a disadvantage by conditions or requirements that cannot be shown to be justifiable.
For more information about our policy and commitment to equality, click: ”
Detailed job description and main responsibilities
•Assistinevaluating theeffectivenessofthe servicein relationtopatientoutcomes.
•Act as a role model in assisting to develop the practitioner role according to service demand and evolving models of care.
•Provide senior clinical advice relating to patients with complex needs to the RRVW team.
•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.
•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.
•Assist in developing strategic initiatives to reduce and avoid unnecessary hospital admissions and move forward community long term conditions management and integrated working agendas
•Use information technology and ensure that relevant and up to date information on clinical and service developments are provided to agreed timescales.
•Participatein managingand co-ordinatingthe workofthe juniorstaff,offeringsupport and development as appropriate.
•Assistinthe recruitmentand selectionofstafffortheteamandtoparticipate in induction and orientation programmes as appropriate.
•Promotegoodcommunication,employmentpracticesandrelationshipswithinthe team.
Person specification
Qualifications
Essential criteria
1. Registered Nurse(NMC)/ Paramedic (HCPC)
2. Highly developed specialist knowledge obtained through a master’s degree or equivalent experience/qualification.
3. Mentorship course or equivalent
Skills
Essential criteria
4. Able to manage stressful situations and challenge decisions to ensure that patients’ needs are met.
5. Expert specialist skills for the post
6. Knowledge of current practices and pathways relevant to specialty
7. Excellent communication skills and ability to negotiate and influence.
8. Ability to problem solve, priorities and work to a deadline.
Knowledge
Essential criteria
9. Experience in Nursing assessments, care plans and referrals
10. Experience of negotiating and liaising within a multidisciplinary team
11. Relevant experience in discharge planning and knowledge of discharge pathways/processes
12. Experience of working in collaboration
Personal Qualities
Essential criteria
13. Be a positive role model with the ability to demonstrate credible and professional approach.
14. Ability to work as team and independently forming professional relationships with colleagues.
15. Evidence of proven, ongoing professional development
SAFEGUARDING CHILDREN AND ADULTS
To comply with the Trust’s Safeguarding Children and Adults policies, procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to:
16. Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people.
17. Ensure you are familiar and comply with the London Multi Agency Safeguarding Vulnerable Adults Pan London Procedures.
18. Ensure you are familiar and comply with local protocols and systems for information sharing.
19. Know the appropriate contact numbers and required reporting lines.
20. Participate in required training and supervision.
21. Comply with required professional boundaries and codes of conduct
Whittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.