Gloucestershire Hospitals NHS Foundation Trust
An exciting opportunity has arisen for an enthusiastic individual to join our Frailty Assessment Service as a band 6 Nurse Practitioner. The role involves completing a Comprehensive Geriatric Assessment to those individuals attending the Emergency Department and Frailty Assessment Unit, working as part of a multidisciplinary team to achieve a positive outcome for the patients. The successful candidate would need to work within this fast-paced environment, with support from a team of COTE consultants in order to make swift decisions regarding admission avoidance, taking a positive risk-taking approach.
Main duties of the job
1. To undertake complex clinical assessments with the support of the consultants and wider multidisciplinary team, to evaluate and make clinical decisions regarding patient care and discharge pathway.
2. The candidate would have excellent communication skills and liaise with the multidisciplinary team, patient relatives, and primary care partners.
3. The candidate would be required to work towards completing a physical assessment qualification.
4. The post holder would need to demonstrate a flexible approach as the demands of the role may change depending on the demands of the service.
About us
Gloucestershire Hospitals NHS Foundation Trust is the largest employer in the county and with over 8,000 staff, we are one of the largest NHS trusts in the UK. We offer a generous annual leave allowance, excellent bank rates, access to the excellent NHS Pension Scheme, discounts for local shops, restaurants and services, access to our health and well-being hub, access to our two on-site nurseries, flexible working options, discounted public transport, reward and recognition schemes, exercise and activity classes, and membership to our popular hospital choir.
The Frailty team are always motivated, resilient, strong, and strive to deliver best care. We are encouraging of staff development and foster a positive culture.
Job responsibilities
1. Undertake with support of the multidisciplinary team a comprehensive geriatric assessment, taking a medical history, making a diagnosis, planning/evaluating care and interventions, making recommendations for appropriate and timely discharge/transfer from hospital through effective communication with primary care and the independent sector.
2. Communicate and actively participate in any multi-disciplinary team (MDT) meetings to aid patient care and treatment sessions.
3. Communicate effectively with patients and carers, potentially complex, sensitive, or distressing information in order to provide patient-centered care.
4. Ability to disseminate contentious and delicate information appropriately, e.g., explanation of why intervention is needed, palliative care.
5. Lead on and deliver safe care within a challenging and changing clinical environment, using equipment and resources safely as appropriate.
6. Be a visible and accessible presence throughout the service acting as a role model to other care professionals to support them in managing complex interventions using a variety of approaches to decision making.
7. Adhere to all trust policies and procedures and professional code of conduct.
8. Administer medication and treatment following the Trust Procedure for Ordering, Prescribing and Administration of Medical Guidelines (POPAM), e.g., administration of intravenous medication when required.
9. Maintain accurate and contemporaneous records, inputting and retrieving patient information from computer-based systems in accordance with the data protection act.
10. Maintain patient and public expectations of the service by working towards meeting local and national health targets.
11. Support the clinical area ensuring adherence to protocols, policies, and procedures. Assist with service delivery to the agreed standard, meeting organizational and national targets.
12. Develop and maintain clinical skills and knowledge necessary to deliver an evidence-based service.
13. Be willing to work towards completion of Physical Assessment and Clinical Reasoning for Practice short course (PACR).
14. Participate in mentorship, supervision, and educational programmes for students and other junior members of the team.
Person Specification
Qualifications
* Registered Nurse
* Teaching and assessing qualification
* Evidence of continued professional development
* Physical assessment and clinical reasoning qualification
Experience
* Substantial care of the elderly experience
* Experience in providing acute patient care within a hospital setting
* Experience of teaching and assessing students
* Experience of working within community settings
* Understanding of QI processes
* Understanding of audit and research
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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