Baldock Manor Rehabilitation Hospital

LEAD PHYSICAL HEALTH NURSE (RGN)

Salary/Rate: £38,000 – £40,000 per annum
Work Hours: Full-time (37.5 hours) per week
(Mon – Fri, 9am to 5pm) flexibility required

Location: Baldock Manor Hospital, Hertfordshire


To liaise and work in partnership with the Service Leads, clinical and non-clinical teams to identify, and provide patient’s physical healthcare needs. You will work collaboratively with the multidisciplinary team, supporting the delivery of policy and procedures, and providing leadership, direction and training for the nursing team. To undertake and manage direct patient care. To ensure the delivery of safe and effective nursing care to all patients within our care. You will lead the nursing resource in terms of equipment, working closely with the medical director of the company, GP and MDT. The role is the delivery of evidence-based practice for patients with long-term conditions demonstrating critical thinking and skills in clinical decision-making. To undertake the delivery of care, including individual and group sessions, to agree quality standards as prescribed by internal procedures and health legislation.

Essential:
  • Knowledge of management of patients with long-term conditions
  • Knowledge of physical health issues
  • Practice of medical emergency scenarios
  • Clinical leadership skills
  • Negotiation skills
  • Clinical skills – immunisation and vaccination, diabetes, epilepsy, stoma care wound care
  • Change-management skills and ability to support patients to change lifestyle
  • Communication skills, both written and verbal
  • Ability to communicate difficult messages to patients and families
  • Negotiation and conflict management skills
  • Teaching and mentorship experience in a clinical setting
  • IT skills
  • Minimum 5 years post registration experience
  • Up to date NMC registration
  • Experience in nurse-led management of long-term conditions
  • Team leader experience
  • Experience in implementing protocols and clinical guidelines
  • Experience in quality initiatives such as clinical benchmarking
  • Audit skills
  • Nursing diploma/degree
  • Mentor/teaching experience
  • Clinical supervision experience
  • Self-directed
  • Highly motivated
  • Enthusiasm
  • Team player
  • Ability to work across boundaries
  • Treat others with dignity and respect
  Desirable:
  • Ability to identify determinates on health in the hospital
  • Knowledge of physical health issues in the hospital
  • Understanding of basic mental health issues
  • Wider health issues awareness
  • Management knowledge
  • Research Programmes
  • Experience of management of Minor Illness

Clinical practice
Assess, plan, develop, implement, provide and evaluate treatment programmes including, but not limited to:

  • Health promotion and well-being plus individual plans for patients with/at risk of a long term condition
  • Adopt a systematic, individual approach to all patient physical healthcare plans and communicate the outcomes both verbally and in writing ensuring all CPA and risk assessment documentation is kept up to date
  • Manage and treat long-term conditions, in line with national and local policies and hospital needs
  • Audit medication for therapeutic effectiveness, in accordance with evidence based practice and national/practice protocols, and work with patients to support adherence to prescribed treatments
  • To ensure medication is administered/dispensed as prescribed and in accordance with Medicines Management procedures
  • Prioritise health problems, intervening appropriately, to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care patients in accordance with Health and Safety and Emergency Policy
  • Implement and participate in vaccination and immunisation programmes for both patients and employees
  • Meet the needs of patients presenting for opportunistic wound care
  • Diagnose and treat minor illnesses
  • To provide specialist advice and information to the ward on health and clinical matters
  • To provide patients with an ECG as required or on request of the Consultant
  • To provide Phlebotomy tasks as required or on request of the Consultant
  • Delegate responsibility for care, security, and maintenance of equipment, drugs and other consumables within the hospital
  • To be aware of Lasting Power of Attorney for individual patients and whether resuscitation is appropriate according to family and patient wishes
  • To ensure the Waterlow system is used for pressure area care and implement and train staff accordingly
  • Comply with regulations in respect of the storage and administration of drugs in accordance with the Misuse of Drugs Act. (1973)
  • Ensure Code of Conduct and NMC policies and guidelines are adhered to

Communication

• Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating, including those receiving “bad news”
• Act as an advocate when representing patients and colleagues
• Participate in team meetings, delivering the nursing agenda and run nurse department meetings
• Produce written documents that evidence the contribution of the nursing team to the hospital priorities

Delivering a quality service
• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Prioritise, organise and manage own and other’s workload in a manner that maintains and promotes quality
• Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care, assessing effectiveness of care delivery through peer review, benchmarking and formal evaluation and leading on the maintenance of quality governance systems for the nursing team
• Implement and review the application of evidence-based practice in nursing
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• Evaluate patients’ response to health care provision and the effectiveness of care
• Lead and participate in shared learning across the hospital and wider organisation and assess the impact of policy implementation on care delivery
• Monitor the performance of the MDT in accordance with local policies
• To ensure compliance and an effective working knowledge of the Operating Procedures.
• To practice in line with NMC guidelines.
• To demonstrate sensitivity and empathy in the management of mentally ill, elderly patients
• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of the hospital
• To ensure the healthcare regime is delivered in a safe, timely and cost effective manner.
• To ensure a professional approach is undertaken in all aspects of the role.
• To seek support as required from colleagues and highlight to a line manager any concerns or fears regarding the incidents, medicines management or environmental issues.

Leadership – personal and people development
• Take responsibility for own development, learning and performance acting as a positive role model
• Support and supervise the development of others regarding physical health care in order to maximise staff potential
• To provide basic leadership to junior staff by maintaining professional standards ensuring adherence to all policies and procedures to ensure the delivery of high quality care.
• Lead others to make realistic self-assessment of their knowledge and skills, challenging any complacency and actions that are not in the in the interest of the public and/or users of service
• Act as a clinical leader in the delivery of practice nursing services to patients, ensuring that the needs of the patient are the priority
• Lead the nursing team in the planning and implementation of local guidelines, protocols and standards, and of local projects or initiatives
• Promote the role of the nursing team in the provision of care
• To be a positive role model to both staff and patients.

Team working
• Work as an effective and responsible tam leader, supporting others and exploring the mechanisms to develop new ways of working
• Delegate appropriately, adopting the principles of safe practice and assessment of competence of nurses
• Ensure clear nurse referral mechanisms are in place to meet patient needs
• Prioritise own and other’s workload and ensure effective time-management strategies are embedded within the culture of the team
• Lead nursing team activities that create opportunities to improve patient care
• Participate in research programmes
• Contribute nursing view to hospital management
• Set specification and quality required from nursing admin support
• To link and work closely with other agencies to ensure holistic shared care planning for patients.
• Refer patients appropriately to other disciplines with their consent.

Management of risk
• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Ensure safe storage, rotation and disposal of vaccines and drugs
• Act as a role model to support members of the nursing team to undertake mandatory and statutory training requirements
• Apply infection-control measures with in the practice according to local and national guidelines
• Participate in the local implementation strategies that are aligned to the values and culture of general practice
• To develop confidence and competence to manage emergency response duties.
• To be familiar with the safeguarding Vulnerable Adults Policy and enforcing if necessary.

Utilising information
• Use technology and appropriate software packages as an aid to day to day operations
• Review and process data using accurate read codes in order to ensure easy accurate information retrieval for monitoring and audit processes
• Adhere to statutory and practice requirements such as confidentiality and Freedom of Information Act
• Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care

Learning and development
• Act as mentor for more junior staff and students, assessing competence against set standards
• Disseminate learning and information to other team members in order to share good practice and inform others about current and future developments (eg. courses and conferences)
• Maintain responsibility for identifying own learning needs and participate in training to develop and maintain own knowledge, personal qualities and skills.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
• To contribute to promotion and development of evidence based practice and research.
• To be responsible for the upkeep of registration providing evidence to the HR & Training Department
• Actively participate in clinical supervision programmes.
• Demonstrate knowledge of basic information technology applications and evidence use in working practices.

Equality and diversity
• Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
• Support people who need assistance in exercising rights
• Monitor and evaluate adherence to local chaperoning policies
• Accept the rights of individuals to choose their care providers, participate in care and refuse care
• Assist patients from marginalised groups to access quality care

GENERAL DUTIES

• Ensure security procedures are adhered to.
• Where required, take immediate action following an incident report in accordance with national and local guidance.
• To ensure all personal responsibilities in the identification of risks are fulfilled, in particular, suicide/self harm prevention, health and safety, infection control and patient care. This will include completing risk assessments followed by appropriate action.
• To develop evidence based practice.
• To be responsible for ensuring that protocols are in place to ensure that regular cleaning and maintenance of equipment is carried out, that faults found are reported and defective equipment removed from use, within the remit of clinical regimes.
• To ensure that there systems are in place for a smooth effective and efficient patient reception and discharge procedure.
• Adhere to all Nouvita Regulations, Policies and Procedures.
• Work shifts as required.
• Reduced adverse incidents regarding medications administration, improved reporting and lessons learned approach
• To assist with the provision of job satisfaction amongst staff, reduced absence. Improved multidisciplinary teamwork
• Regular improvement audits and standard setting
• Continuous cycle of improvements and development of the service
• Legal documents ie drug charts, controlled drug registers, clients’ notes, and care plans accurate, up to date Achievable goals, regular evaluation.
• Smooth running of the ward with reduced non-compliance and increasing levels of attendance
• Improved team dynamics and multidisciplinary working collaborations to improve client care
• Participate in all aspects of clinical governance and maintain own level of individual responsibility to provision of quality health care. Contribute to the maintenance of systems for the healthcare service

Other Responsibilities

• To undertake any additional duties deemed appropriate to grade.
• To communicate policies and procedures within the service and externally to ensure effective understanding and implementation.
• To maintain effective relationships with clients, their relatives, friends and carers.
• To maintain effective relationships with members of the Hospital and other statutory and voluntary agencies.
• Wear the Nouvita name badge at all times
• Participate in training as required in order to keep up to date with all mandatory and refresher training. To be competent in Breakaway Techniques
• To be competent in the use of Emergency procedures
• To be competent in the use of Information Technology systems

PERFORMANCE REVIEW

Overall performance will be reviewed and assessed at least every six months as part of the Hospitals review process through the supervision system.
The role of the registered nurse is subject to development and changes may be made to the job description.

GENERAL
The post holder is required to comply with legal and professional responsibilities of the post, and with the policies and procedures of the Hospital, which will be referred to in the contract of employment.

This job description is not exclusive or exhaustive and the post holder will be required to undertake such duties as may reasonably be expected within the scope of the post. Nouvita Ltd reserves the right to amend this job description from time to time, in discussion with the post holder, accord to business needs. Any changes will be confirmed in writing.

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