Norfolk Community Health and Care NHS Trust
We are looking to appoint a registered nurse associate into the inpatient team at Caroline House in Norwich. We are a specialist unit in the centre of Norwich specialising in inpatient neuro rehabilitation. We are the only unit of our kind in the East of England, and provide rehabilitation to our diverse patient group from across the East.
By joining our friendly, hard working and innovative team, you will work alongside the multi-disciplinary team in delivering nursing care to our complex patients.
This is a real opportunity to develop a good working relationship over time with patients and their families, with a strong emphasis on individualised care that meets their needs and preferences.
Main duties of the job
You will form an essential link between the clinical support workers, health care assistants and staff nurses. We also have a large multi-disciplinary team and work collaboratively with patients and their families. This role will involve shift work, including some bank holidays, weekends and nights.
You will be required to deliver evidence-based care to a high standard. Excellent communication skills and a supportive approach to team working within a rehabilitation setting are key to the success of this service.
An ability to structure your own learning supported by the team gaining new knowledge and skills to benefit yourself and the service will be vital. Some of the skills you can develop may include enteral feeding, tracheostomy management and weaning, and posture and position management. In addition, you will be working with families and colleagues in complex discharge planning and best interest discussions.
Excellent organisational and interpersonal skills are essential as is the need to be cheerful and courteous. Good computer skills will be required for this role as we are using SystmOne to record our patient interventions.
Job responsibilities
Job purpose:
1. To provide and monitor safe, person-centred care to patients in a range of care settings under the direction of a Registered Nurse, without direct supervision in line with an agreed plan of care.
2. To support the registered nurse in the contribution to ongoing assessment, treatment and care planning for patients.
3. To promote health and prevent ill health in patients and service users and contribute to integrated care.
4. To monitor the condition and health needs of patients in partnership with colleagues, families and carers, referring to others for reassessment, when required.
5. To actively contribute to an effective learning environment and support others in their learning.
6. To adhere to the Nursing and Midwifery Code of Conduct for Nurses, Midwives and Nursing Associates and work within their scope of practice following the professional standards of practice and behaviours for nurses, midwives and nursing associates and the standards of proficiency.
Provision and monitoring of assessment, treatment and care:
1. Provide holistic, compassionate, safe and effective interventions, care and support to patients, their families and service users in a range of care settings under the direction of a registered Nurse, without direct supervision and in line with an agreed plan of care.
2. Prepare for, carry out and monitor assessments and treatments with patients in line with competence level.
3. Develop understanding of all elements of the nursing process and be able to assist the Registered Nurse in the ongoing assessment, planning, management and evaluation of care.
4. To work as a member of the multi-professional team providing clinical care to patients in all settings within the Trust, as supported by the Registered Nurse or registered care professional.
5. Actively engage with individuals, their families and/or carers and contribute to risk assessments and care planning, by establishing their needs, wishes, preferences and choices and incorporate these into care planning.
6. In community teams, plan and prioritise own visits to delegated patients, ensuring this is documented on the patient's electronic health record.
7. Undertake enhanced clinical interventions including but not limited to, catheterisation, venepuncture and ECGs. Apply competency-based treatment techniques/care to patients with specific conditions under the indirect supervision of a qualified practitioner, following a prescribed treatment/care plan.
8. Ensure the privacy, dignity and safety of individuals is maintained at all times.
9. To act as an advocate for the patients and the family, including promoting and protecting their interests, privacy, rights and inclusion.
10. Understand the role of a range of professionals and carers from other organisations and settings who may be participating in the care of a person and their family.
11. Demonstrate the ability to recognise changing priorities seeking advice and guidance from the Registered Nurse or other registered care professionals as appropriate.
12. To ensure that high standards of nursing care are given and maintained. To act and raise concerns when standards are not being maintained following local policy and procedures.
13. Demonstrate the proficiency to administer medications within local policy and procedure and in line with the NMC Standards of Proficiency.
Person Specification
Qualifications
* Registered Nursing associate on the NMC register
Experience
* Experience of working within a health / care setting
* Experience of working in teams under appropriate supervision as part of the multi-disciplinary team
Skills, Abilities and Knowledge
* Ability to work effectively as a team player under appropriate supervision, and as part of a multi-disciplinary team
* Insight into how to evaluate own strengths and development needs, seeking advice where appropriate
* Understanding of the scope of the role of the Nursing Associate in context of the team and the organisation, and how the role may contribute to service development
* Evidence of time management skills and ability to prioritise
* Ability to deal with non-routine and unpredictable nature of the workload and individual patient contact
* Ability to move between sites working across health and social care as required by the needs of the service
* Ability to work on own initiative
* Ability to take part in reflective practice and clinical supervision activities
* Knowledge of when to seek advice and refer to a registered care professional
* Understanding of the importance of the promotion of health and wellbeing (Making Every Contact Count)
Communication
* Ability to communicate with members of the public and health and care providers.
* Able to communicate effectively in written and verbal English Language
* Courteous, respectful and helpful at all times
Personal Attributes / Behaviours (linked to the Trust's Behaviour Framework)
* Able to identify with the Trust's commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults.
Other
* Ability to work a variety of shift patterns
* Community posts - Must hold full and valid driving licence and have access to a vehicle
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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