Complex Outreach Nurse Specialist

1 month ago


Hounslow, Greater London, United Kingdom Central and North West London NHS Foundation Trust Full time
Job Summary

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.
Person Specification

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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