Rapid Response Nurse/Paramedic

1 month ago

Enfield, United Kingdom North Middlesex University Hospital Full time

Job overview

Band 6 Rapid Response & Virtual Ward Nurse/Paramedic

Exciting opportunity

We are looking for Nurses/Paramedics with a passion for patient care, who want to develop their skills and push themselves outside the normal boundaries of their practice and who have a real drive to make sure their patient gets the best treatment possible. Excellent communication skills and a strong work ethic are essential and in return we offer development opportunities and a better work life balance than many traditional nursing and paramedic roles.

You will be part of a community team where your proven ability to make clinical decisions will aid patient recovery. This will include having a direct link to the patient’s discharging medical and therapy team for liaison and support where necessary and with the patients GP or other health care professional to prevent hospital re-admission. Virtual ward facilitates early discharge. 

External referrals mainly come from GPs and the London Ambulance Service. Rapid Response service to provides a initial holistic assessment at home within two hours, doing tests such as blood and urine sampling and developing and initialising treatment plans. 

You will provide assessments, interventions and will make clinical decisions. You will be expected to work autonomously whilst drawing assistance from other colleagues.

We encourage any Nurses and Paramedics with an acute background to apply as we value experience as much as academic achievement.

Main duties of the job

To deliver nursing care to patients within their home, that is technically excellent, expressly personal and ensures patients and carers dignity is enhanced. To undertake highly skilled and complex nursing activities directly related to the assessment, planning and evaluation of patient care. To make skilled clinical decisions and communicate the rationale clearly. Management of complex patient care ensuring that risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation as appropriate. To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity.  To provide health information and health promotion for patients and their families on the caseload including formal pulmonary rehabilitation for patients with chronic obstructive airways disease. To work closely with the acute trust, GP, nursing and therapy colleagues to prevent inappropriate hospital admissions. Attend regular MDT meetings with acute services, therapists, social services, care homes and GP Practices. To evaluate your practice through audit and outcome measures with support of senior colleagues when required. To participate in Quality Improvement work. To work with the acute hospitals to prevent admission to hospital such as in-reaching. To maintain and develop specific departmental duties as designated by service lead.

Working for our organisation

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospital

Detailed job description and main responsibilities

As a Band 6 Rapid Response / Virtual Ward Practitioner you will:

Attend to patients to do a Rapid Response initial assessment and for follow up visits. Develop your clinical skills into a more well-rounded holistic approach to patient care. Develop new skills outside of your normal scope of practice including skills from Paramedicine, Nursing, Physiotherapy and Occupational therapy tasks. Gain experience in day to day management of the team including taking handovers and helping to make treatment plans. Supervise junior staff and students Attend in-service training and have Continued Professional Development opportunities

Enfield Rapid Access Service works 7 days a week from 8am until 10pm. You will be expected to work weekends and bank holidays although these will be distributed throughout the team. Shift patterns are made up of:

08:00 – 20:00

10:00 – 22:00

Currently in review for potential introduction for 7.5 hr shift pattern - 5 days per week.

In return for your skills and dedication to the team and our patients we endeavour to provide:

A supportive environment to learn and develop your new skills. Working with a MDT to push your knowledge beyond normal clinical practice. Regular training above and beyond statutory and mandatory training. An emphasis on a good work life balance including meal breaks to enable staff to perform at their best. An experienced and supportive management team who listen and act on your feedback, and who all have a clinical background with community experience The opportunity to deliver training sessions. A full NHS benefits package plus a lease car option. Agenda for change pay scale band 6 + outer London weighting and unsocial hours enhancements where appropriate.

For this post, the following are essential:

Excellent communication skills Strong clinical knowledge and assessment skills Current NMC or HCPC registration Strong work ethic Ability to drive, a current UK driving license and access to a car for work

This post is a specialist community role and may not be suitable for everyone. We would strongly encourage potential applicants to call for an informal discussion about the role and to consider arranging to visit the service.

Person specification

Education and Qualifications

Essential criteria

Registered Nurse with current NMC registration/ or Paramedic Registered Bachelor’s Degree – or working towards

Desirable criteria

Advanced Clinical Assessment Course Independent Prescribing (or working towards)

Experience

Essential criteria

Experience of working within Community Nursing/Paramedic environment Extensive post registration in acute care, ITU, A&E, AMU, acute assessment unit

Skills

Essential criteria

Physical assessment skills and ability to take and interpret observations, and make a sound professional judgement Competent with medication administration, including intravenous antibiotics, venepuncture, cannulation, insertion of urinary catheters. Able to maintain electronic patient records. Use Microsoft Word for letter and report writing.

Leadership

Essential criteria

Understanding of the role of Primary Care in admission prevention and supporting a timely discharge Demonstrates Trust values, good communication and being a good team player Demonstrates knowledge of the role applied for. Willing to learn in a new or change of environment

Other

Essential criteria

Full Driving Licence and Access of car for work

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.

You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.

Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, (NLPSS) who conduct recruitment activities on behalf of NMUH.

If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your  identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit

NMUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of NMUH will have their original documents verified using this technology.

By applying for this post you are agreeing to NMUH transferring the information contained in this application to its preferred applicant management system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.

By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we want you to complete your e-learning modules prior to joining our organisation.

If you are an  EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.

If you require sponsorship  for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the 

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