Rapid response advanced nurse/ AHPinWarringtoninWarringtonPUBLISHED MON 9 DEC 2024

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

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

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

-We deliver rapid response to people in the community who are experiencing acute episodes of ill-health and require complex management in order to prevent hospital admission and support timely hospital discharges. You will have the responsibility for proactively monitoring and managing patients to ensure the best outcomes.

To act as a senior clinical professional within the Rapid Response service, as an integrated health and social care team providing an urgent rapid response to Warrington residents, experiencing a health crisis. The aim is to support people to remain at home rather than be admitted to hospital. Liaising with patients the team and colleagues across the wider health and social care environment including NWAS the postholder will promote, maintain and enhance effective multidisciplinary patient care.

To act as an independent autonomous practitioner to provide specialist treatment and advice to patients and staff which will contribute to the assessment, diagnosis, care and treatment of patients at home preventing unnecessary hospital admission. All referrals will be triaged immediately and responded to within two hours, with referrals from NWAS prioritised.

Possess and demonstrate extended clinical skills in the assessment, diagnosis, treatment and management of a wide range of patient care needs. Professional autonomy and clinical judgement will be exercised in managing, referring and signposting patients on to wider community services and assets.

About us

Participate in and undertake triage to ensure smooth progress of patients through the system.

Comprehensively assess patients with complex physical, mental and social care needs using advanced clinical examination skills, detailed history taking and biometric monitoring and evaluation skills.

Receive patients with undifferentiated and undiagnosed health care problems and initiate and conduct clinical investigations as appropriate.

Analyse signs and symptoms, laboratory tests and other measures of function, in formulating a diagnosis.

Perform a medication review and prescribe and change medications as required in accordance with national and local guidance.

Prescribe following a full holistic assessment and diagnosis for an acute condition.

Exercise independent and delegated prescribing rights in accordance with current and legal and CCG criteria, and within the clinical situation.

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

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

Use advanced skills and expert knowledge to identify subtle changes in condition during this period and take appropriate action.

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

Identify and plan preventative measures and anticipatory care needs.

Identify at risk patients and manage appropriately in accordance with national and local policy and procedures.

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

Professional

Utilising own professional knowledge and skills, act as a resource for other members of the team.

Empower colleagues and patients and demonstrate the ability to facilitate effective clinical practice based on best evidence.

Possess a clear understanding of legal and ethical issues, professional accountability and responsibility.

Work and maintain high standards of professional care in accordance with current NMC Code of Professional Conduct, Scope of Professional Practice and ethical considerations.

NMC.

Keep accurate, contemporaneous documentation and care plans in accordance with NMC Information Governance, local and national standards.

Collaborate with the Team Manager and promote the development and effectiveness of the service utilising a multi-skilled team approach.

Maintain effective channels of communication both within the service and across the wider health and social care economy.

Promote and maintain the quality and standards of the services in accordance with organisational and Trust clinical governance requirements.

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

Participate in and initiate clinical audit as required.

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

Delegate activity where appropriate and encourage a culture where flexibility and adaptability are positively encouraged.

Adopt and promote a positive approach to change.

Actively participate in and promote the development of professional nursing practice.

Training & Education

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

Demonstrate a positive commitment to the training and education of pre/post registration students, Allied Health Professionals and colleagues.

Identify and disseminate best practice through evidence, clinical guidelines, benchmarking.

Maintain and develop own clinical and professional expertise by participation in clinical supervision and My Plan, in accordance with NMC and scope of professional practice.

Provide supervision and mentoring opportunities for team members and students.

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

Research & Audit

Promote a research culture within the service, and actively promote the use, publication and dissemination of research evidence.

Initiate and actively participate in audit and evaluation of the service.

Communication

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

Maintain and promote effective communication and working relationships with colleagues across the local health and social care economy.

Maintain effective systems of communication and referral both within the service and across primary and secondary care as well as the Third sector.

Maintain confidentiality at all times in accordance with local and national requirements

Demonstrate professional skills in facilitating effective and clear communication in dealing with sensitive or volatile situations/issues i.e. child protection, alcohol/drug abuse, sexual orientation, racial and ethnic diversity, mental illness, domestic violence, physical deformity and others.

Posses and demonstrate cultural competence by interacting effectively with people from different backgrounds.

Utilise the Trust e-mail communication system.

Utilise a variety of systems to communicate clinical information in accordance with the requirements of the Data Protection Act 2/GDPR (telephone, letter and email).

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

Utilise personal skills to facilitate effective and clear communication with clients to ensure collaborative health care concordance with recommended advice and treatment.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the organisation