Triage Nurse

Job summary

We are seeking a dynamic, highly motivatedindividual to become part of our Enhanced Home Care Support Team. The triage roleis an integral part of the team and is the first contact with the nursing andresidential home staff when a patient is unwell, or they are requiring advice, manyof whom are frail, elderly with long term conditions and complex health needs.

The nurse undertaking the triage will be requiredto undertake a full assessment of the presenting complaint over the telephone,whilst also confirming the patients past medical history and other contributingfactors, thus requiring a vast clinical knowledge.

The role will involve triaging the patientsneeds with health care professionals, social workers, and care home staff, makingautonomous clinical decisions to ensure best practice for all patient care and providingadvice and support as required.

The role requires coordinating staff in the team asnecessary to ensure visits / assessments are undertaken by the most appropriateprofessional as clinically indicated, to ensure high quality care that isappropriate to the patients needs and is delivered in a timely and proactivemanner.

The role requires a multi-disciplinary team approach,and the successful candidate must be able to demonstrate excellentcommunication skills, flexibility, and a commitment to caring for people,whilst contributing to the development of the service.

*Please see full Job Description in document attached*

Main duties of the job

RGN/RN Adult Diploma or Degree on the NMCRegister Ability to work as a team player Work as an autonomouspractitioner Provide high quality complex clinical triage usingknowledge, skills, critical thinking, and professional judgement Identifylife threatening symptoms and act appropriately. Knowledge of relevant NICE guidelines inrelation to clinical practice Provideself-care advice and management of presenting symptoms. Manage patients in relation to their symptomsand clinical history, via care pathways. Identify treatments as required. Maintain excellent communications with all teammembers including care home staff and other professionals assuring thedevelopment of the MDT for the Enhanced Care Home Support Service. Refer to appropriate services dependant onpatient need, to ensure care provided in a timely manner Work under the directionof the Service Lead Nurse and be responsible for the assessment of patientneed. Mentoring pre and postregistration students. Effective communication and interpersonalskills IT competent Effective organisational and leadership skills Flexible approach Motivated and able to motivate others Willingness to learn Committed to lifelong learning and professionaldevelopment

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

Duties and Responsibilities

Clinical

Provide a high-quality telephone triage assessment of all contacts to the triage service. Identify life threatening symptoms and act appropriately. Provide self-care advice and management of presenting symptoms, when appropriate. Ensure practice is evidence based through undertaking audit and critically appraising literature to achieve a high standard of care.

To establish and maintain effective communication with individuals, groups, and communities in complex and potentially challenging situations.

Maintain excellent communications with all team members including care home staff and other professionals Work collaboratively with other professional and agencies to ensure patients needs are met. Involve patients and carers in the planning and delivery of care. Maintain accurate records in accordance with NMC Standards. To identify skills and knowledge to address individuals training needs by undertaking personal development reviews and personal development plans within the KSF framework. To participate in the health needs assessment of the practice population to identify areas of unmet need. Ability to work without direct supervision and to solve problems. Work to a flexible rota to maintain the needs of the service.

Managerial/Leadership

Effectively manage the triage and coordination session for the service, planning, prioritising, and coordinating the workload across all aspects of the service. Work in partnership with other clinicians on duty to maintain effective communication about workload, case mix and outcomes. Liaise with colleagues at other locations to utilise resources effectively and efficiently. Always promote a safe and effective service. Support other staff as necessary. Monitor workload, to ensure accredited standards are met throughout the session. Adhere to Trust policy and procedures. Support and contribute to the future development of the service. Work under the direction of the Service Lead in providing triage services to patients within care homes. To provide accurate timely information to the identified administrator regarding annual leave, expenses and study leave. To report any concerns with regard to poor practice or concerns of staff members to the Service Lead. Support the effective use of physical and financial resources. Ordering supplies and equipment. To ensure as far as possible that the working environment is safe, adhering to the Lone Worker policy. To provide leadership and support by promoting professional development and encourage clinical supervision. Supply required activity data related to patient care.

Clinical Governance

To support the clinical governance agenda by benchmarking best practice, identify any inequalities in service delivery. Ensure that practice is evidence based through undertaking audit and critically appraising literature. To contribute to the development of and implementation of policies, procedures, and guidelines relevant to own area of work to ensure best practice. In-depth knowledge of the legal, ethical, moral and accountability issues related to Community Nursing. Adhere to the NMC Standards:- Professional Code of Conduct, Scope of Professional Practice and Administrations of Medicines records and Record keeping. Support the organisations public health agenda. Maintain a professional portfolio that demonstrates evidence of on-going professional development. Identify any limitations/gaps in professional or clinical knowledge. Access and promote clinical supervision within the team Promote peoples equality, diversity, and rights.

Teaching and Learning

To ensure own continued professional development. To undertake mandatory training and other training that is specific for the post. Facilitate the placement of pre and post registration nursing students. Support the development of the nursing team by teaching and assessing other member of the team including nursing auxiliaries. Teaching of patients/carers and other professionals to support patients to maintain their optimum level of independence. Promote lifelong learning with the nursing team. Act as practice teacher to specialist practitioner students (NMC Standard 2006)

Records Management, Confidentiality and Security of Information

The post holder will be expected to:

Adhere to Trust policies and procedures as directed in training, guidelines and advised by relevant colleagues in relation to creating records and handling information. Undertake action as required to implement and comply with these policies and procedures. Report any non-compliance.

Maintain confidentiality in relation to personal data held for colleagues and patients, ensuring it is processed lawfully; for no purpose other than for which it was obtained; is relevant to that purpose; is retained for no longer than is necessary; is processed in accordance with the rights of the subject to access and accuracy; and is protected from accidental loss or damage in accordance with the requirements of the Data Protection Act 1998, and records management guidance.

Maintain confidentiality of patient-identifiable personal data using a non-identifiable alternative, where practicable, and limiting access on a strictly need to know basis in accordance with the responsibilities of the Trusts Caldicott Guardian.

Codes of Conduct and Accountability

The post holder is required to comply with relevant NHS codes of conduct and accountability, and professional codes of conduct appropriate to this role.

The post holder is responsible for ensuring maintenance of registration with the professional codes of conduct appropriate to this role including completing CPD and competency levels as required for maintenance of registration.

The post holder is required to take responsibility for their own development including ensuring attendance at all statutory and mandatory training, maintaining personal development records and taking an active role within personal development processes.

The post holder is required to maintain their awareness of Trust policies and procedures and apply these as applicable to the tasks and duties of the role

Person Specification

Qualifications

Essential

RN First level/RGN Current NMC registration Evidence of recent CPD

Desirable

Evidence of Degree level study

Skills & Attributes

Essential

Wide range of clinical skills / knowledge Able to demonstrate initiative Able to work autonomously and without supervision Able to perform comprehensive telephone triage and implement appropriate care pathway Effective communication skills Knowledge of professional and NHS issues relating to specialist knowledge. Able to demonstrate initiative. Ability to develop effective interpersonal relationships with colleagues across health and social care settings. Ability to teach, assess and mentor staff and pre & post registration students including SPQ students. Ability to communicate at a high level both verbally and written. Good IT skills

Desirable

Telephone triage experience

Experience

Essential

Community experience

Desirable

Evidence of working in Community Nursing, Primary Care Experience Or Accident and Emergency Nursing NHS Experience

Additional Criteria

Essential

The ability to travel independently across the Trust The ability to work flexibly in accordance with service needs

Additional Criteria

Essential

If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:

Right to Work

Essential

Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable)

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