Complex Outreach Nurse Specialist
1 month ago
The Central and North West London NHS Foundation Trust is seeking a skilled and compassionate Complex Outreach Nurse to join our team. As a key member of our multidisciplinary team, you will provide specialist drug and alcohol outreach clinics for local hostels and other services in the London Borough of Hounslow.
Main Responsibilities- Provide comprehensive assessments that consider service users' support needs holistically and assess any relevant harm reduction interventions.
- Deliver brief interventions and extended brief interventions to support service users to reduce their harmful use of drugs and/or alcohol.
- Refer service users to specialist alcohol services and provide training for those that work within the hostels on providing brief interventions and drug and alcohol awareness.
- Assess and case manage clients who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation.
- Use agreed and established Outcome Monitoring Tools (TOP) and any other relevant quality measures.
- Manage the transfer of individuals between agencies and services.
- Counsel individuals about their substance use, using motivational interviewing, relapse management and other evidence-based interventions.
- Provide clinical advice and support to other colleagues within the healthcare setting and to other agencies concerned with substance misuse.
- Ensure full risk assessments and risk management is delivered effectively.
- Undertake dry blood spot testing for BBV and urinalysis when required.
- Screen clients at risk of, or affected by, blood-borne diseases and to plan and agree service responses according to needs.
- Provide education and to assertively promote Hepatitis A & B vaccination for clients who are at risk of contracting the virus.
- Administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols.
- Ensure the CNWL Hepatitis care plan is used for all clients.
- Actively promote attendance at the hepatology clinic for clients affected by liver disease.
- Collaborate with individual statutory, non-statutory teams, GPs, Primary Care Services, MINT, Chemical Pathology and Liver/Gastroenterology Departments, and provide expert care without direct medical supervision, using clinical guidance documents and patient group directions as agreed by the Trust.
Essential
- RMN/RN qualification
- Evidence of continuing personal development and post-registration training in the nursing care, assessment and treatment of substance misuse clients.
Desirable
- Diploma in Drugs and Alcohol Studies or equivalent qualification
- Training in Cognitive Behavioural Therapy
- Completed the Motivational Interviewing Training Module
Experience
Essential
- Extensive post-registration experience in Mental or General Health
- Relevant previous post-registration experience of working with drug and alcohol users
- Experienced in the supply and administration of Hepatitis vaccines
- Experienced and competent in the supply and administration of CNWL Trust Hepatitis Patient Group Directions
- Extensive clinical experience
- Case management experience
- Experience in undertaking Risk Assessments and Risk Management
- Teaching and Assessing qualification ENB 998 / SLICE or equivalent eg: mentorship
Desirable
- Community Nursing Experience
- Experience of working in and delivering services to injecting drug users
- Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
Skills and Knowledge
Essential
- Sound clinical knowledge and understanding of current NHS policies and national drug issues/policies.
- Good verbal, written and presentation skills.
- Good interpersonal skills in order to communicate and negotiate effectively, both inside and outside the Trust.
- Ability to work independently and to prioritise effectively
- Ability to assess and treat people with dual diagnosis
- Evidence of effective leadership and organisational skills.
- Evidence of the ability to work in a changing and stressful situation.
- Evidence of ability to teach/disseminate knowledge and skills
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person.
- Able to build constructive relationships with warmth and empathy, using good communication skills
- IT literate: competent using Microsoft Word and able to report clinical activity data on patient information systems.
Desirable
- Experience of working with stimulant users and people with alcohol problems.
- Experience of group facilitation
- Experience of managing a caseload within the community
- Awareness/knowledge of research skills
- Awareness of counselling models
- Motivational Interviewing skills / Relapse Management skills
Attitudes, Aptitudes, Personal Characteristics
Essential
- Committed to multidisciplinary team work
- Committed to User involvement
- Flexible & responsive to a developing service. The post holder must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job
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