Rapid Response Advanced Nurse

Job summary

We are looking for anenthusiastic, dynamic and forward-thinking individual with excellent,organisational, communication and clinical skills to join our Urgent CommunityResponse service. You will be required to work as an autonomous practitioner andbe a team player as part of larger multidisciplinary team. Our UCR service workswith patients in their homes across the Warrington Borough to avoid hospitaladmissions and support those being discharged home.

The base is currently Irwell Road Clinic UCR, this will be subject to change.

Our multidisciplinary teamwork flexibly to provide a 7-day service, 365 days a year between 8am and 8pm.

-We deliver rapid response topeople in the community who are experiencing acute episodes of ill-health andrequire complex management in order to prevent hospital admission and supporttimely hospital discharges. You will have the responsibility for proactivelymonitoring and managing patients to ensure the best outcomes.

Main duties of the job

To act as a senior clinical professionalwithin the Rapid Response service, as an integrated health and social care teamproviding an urgent rapid response to Warrington residents, experiencing ahealth crisis. The aim is to support people to remain at home rather than beadmitted to hospital. Liaising with patients the team and colleagues across thewider health and social care environment including NWAS the postholder willpromote, maintain and enhance effective multidisciplinary patient care.

To act as an independent autonomouspractitioner to provide specialist treatment and advice to patients and staffwhich will contribute to the assessment, diagnosis, care and treatment ofpatients at home preventing unnecessary hospital admission. All referrals willbe triaged immediately and responded to within two hours, with referrals fromNWAS prioritised.

Possess and demonstrateextended clinical skills in the assessment, diagnosis, treatment and managementof a wide range of patient care needs. Professional autonomy and clinicaljudgement will be exercised in managing, referring and signposting patients onto wider community services and assets.

About us

Flexible working will be considered for all roles.

Unfortunately, we do not hold a sponsor licence for working Visas.

At Bridgewater, our PEOPLE values shape how we deliver ourNHS services in your local community.

They help us deliver our mission to improve local health andpromote wellbeing in the communities we serve.

After all, values are about people and they werecreated in partnership with our staff to reflect what they felt was importantto them

Here at Bridgewater our shared values flow through the organisation.

P - Person-centred-We are passionate about individual needs andpromote independence in the healthcare we provide..

E - Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.

O - Open and Honest -We behave in a way that develops relationshipsbased on trust, openness, honesty and respect.

P - Professional-We support our people, so everyone has the rightskills and training to deliver outstanding patient care.

L - Locally Lead -We are always learning about our communities andshow great pride in being a local provider of health and care.

E - Efficient -We use our resources wisely to providesustainable and value for money healthcare for our patients.

Job description

Job responsibilities

Participatein and undertake triage to ensure smooth progress of patients through thesystem.

Comprehensivelyassess patients with complex physical, mental and social care needs usingadvanced clinical examination skills, detailed history taking and biometricmonitoring and evaluation skills.

Receivepatients with undifferentiated and undiagnosed health care problems andinitiate and conduct clinical investigations as appropriate.

Analysesigns and symptoms, laboratory tests and other measures of function, informulating a diagnosis.

Performa medication review and prescribe and change medications as required inaccordance with national and local guidance.

Prescribe following a full holistic assessmentand diagnosis for an acute condition.

Exerciseindependent and delegated prescribing rights in accordance with current andlegal and CCG criteria, and within the clinical situation.

Have an understanding of the combined impact ofall patients' conditions on their health and social care needs in order toimprove health outcomes and quality of life.

Develop short-term individualised treatment andmanagement plans using evidence based practice and proactively monitor patientsand review care plans for up to 72 hours.

Use advanced skills and expert knowledge toidentify subtle changes in condition during this period and take appropriateaction.

Exercise a high degree of clinical autonomy andprofessional judgement, treating patients independently within the service,taking an asset based approach in supporting and managing the handover ofpatient care to other community based services.

Identify and plan preventative measures andanticipatory care needs.

Identifyat risk patients and manage appropriately in accordance with national and localpolicy and procedures.

Act asan advocate for the patient at all times to ensure their individual needs,preferences and choices are taken into consideration.

Professional

Utilisingown professional knowledge and skills, act as a resource for other members ofthe team.

Empowercolleagues and patients and demonstrate the ability to facilitate effectiveclinical practice based on best evidence.

Possessa clear understanding of legal and ethical issues, professional accountabilityand responsibility.

Workand maintain high standards of professional care in accordance with current NMCCode of Professional Conduct, Scope of Professional Practice and ethicalconsiderations.

NMC.

Keepaccurate, contemporaneous documentation and care plans in accordance with NMCInformation Governance, local and national standards.

Collaboratewith the Team Manager and promote the development and effectiveness of theservice utilising a multi-skilled team approach.

Maintaineffective channels of communication both within the service and across thewider health and social care economy.

Promoteand maintain the quality and standards of the services in accordance withorganisational and Trust clinical governance requirements.

Facilitate a culture, which promotes andmaintains best practice utilising current and best evidence.

Participate in and initiate clinical audit asrequired.

Participate in the development, implementationand monitoring of policies, procedures and clinical guidelines as appropriate.

Delegate activity where appropriate andencourage a culture where flexibility and adaptability are positivelyencouraged.

Adopt and promote a positive approach tochange.

Actively participate in and promote thedevelopment of professional nursing practice.

Training& Education

Participate and engage in the identification ofeducation and training needs of the team.

Demonstrate a positive commitment to the trainingand education of pre/post registration students, Allied Health Professionalsand colleagues.

Identify anddisseminate best practice through evidence, clinical guidelines, benchmarking.

Maintain and developown clinical and professional expertise by participation in clinicalsupervision and My Plan, in accordance with NMC and scope of professionalpractice.

Provide supervisionand mentoring opportunities for team members and students.

Participate in formaland informal teaching sessions to promote clinical excellence within the team.

Research & Audit

Promote a researchculture within the service, and actively promote the use, publication anddissemination of research evidence.

Initiate and activelyparticipate in audit and evaluation of the service.

Communication

Engage incollaborative working with colleagues in primary, secondary and social care.

Maintain and promoteeffective communication and working relationships with colleagues across thelocal health and social care economy.

Maintain effectivesystems of communication and referral both within the service and across primaryand secondary care as well as the Third sector.

Maintainconfidentiality at all times in accordance with local and national requirements

Demonstrate professionalskills in facilitating effective and clear communication in dealing withsensitive or volatile situations/issues child protection, alcohol/drugabuse, sexual orientation, racial and ethnic diversity, mental illness,domestic violence, physical deformity and others.

Posses anddemonstrate cultural competence by interacting effectively with people fromdifferent backgrounds.

Utilise the Truste-mail communication system.

Utilise a variety ofsystems to communicate clinical information in accordance with the requirementsof the Data Protection Act 2018/GDPR (telephone, letter and email).

Provide high qualitywritten reports and any other written documentation as necessary.

Utilise personalskills to facilitate effective and clear communication with clients to ensurecollaborative health care concordance with recommended advice and treatment.

This list of duties is not intended to beexhaustive, but indicates the main areas of work and may be subject to changeafter consultation with the post-holder to meet the changing needs of theorganisation

Person Specification

Qualifications

Essential

nurse Current registration Mentorship Qualification Advanced Clinical Skills Modules at Masters Level (Level 7) Clinical examination and Clinical diagnostics V300 Non-medical prescribing or willingness to work towards

Experience

Essential

Relevant and current experience in Urgent care and/or primary care with extensive clinical skills and knowledge Experience of working in an emergency/first contact role and/or crisis management Evidence of continuing professional development Proficient IT Skills

Desirable

A variety of settings hospital and community with extensive knowledge of chronic and long-term conditions Integrated team working across health and social care

Additional Criteria

Essential

Ability to Problem solving Effective time management and prioritisation Personal resilience Commitment Enthusiasm Assertiveness Ability to work under pressure Ability to multi-task Ability to travel independently across the borough The ability to work flexibly in accordance with service needs Ability to undertake physical care

Additional Questions

Essential

Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable) If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:

Skills & Knowledge

Essential

Advanced Clinical skills/specialist knowledge. Able to work as an autonomous practitioner Advanced clinical judgement Effective communication Risk management Ability to Self-manage Legal and ethical issues Cultural and diversity issues

Desirable

Presentation skills Project work

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