Lancashire Teaching Hospitals NHS Foundation Trust
We are seeking highly motivated and dynamic registered nurses to our friendly supportive team, and look forward to welcoming you onboard as a Band 6 Specialist Nurse within our Integrated Discharge Service.
Here at Discharge Team we believe that no-one should stay in hospital longer than their acute needs last and every patient is supported to leave hospital as soon as the first opportunity arises. Home is the best place and as a team we strive to obtain this for our patients.
If you are an enthusiastic, experienced registered nurse with a specialist interest in / looking to develop skills in complex discharge assessment & planning then we have the role for you in our Integrated Discharge Service. This is an exciting and challenging role for an experienced individual who is dynamic, possessing strong problem-solving skills, with the ability to deal with difficult and sensitive situations within a busy & challenging clinical setting. You will support further developing the service and discharge pathways for our patients.
Please note there will be a presentation and an unseen written assessment that will be a part of your interview.
Main duties of the job
Our team works on the principle of home is always the first option and we pride ourselves on working towards this ethos; however, not all patients are suitable for home discharge and this is where we at the Integrated Discharge Team come into our own.
You will possess excellent interpersonal and communication skills. You will be required to work collaboratively and co-operatively with multi-disciplinary teams; both within the Trust and across the wider health and social care system to facilitate the patients' safe & seamless transfer from hospital to their optimum discharge destination in a timely manner.
We welcome applications from nurses who want to expand their knowledge and experience in this area and all relevant training for the role will be given through a comprehensive induction programme.
As part of the role, you will be required to work on either Trust site. You will be expected to work during the service operational hours of Monday to Friday 8am to 4pm, and 8am to 4pm at the weekends/bank holidays on a rota basis.
Job responsibilities
Reporting to the Clinical Manager(s) for the Integrated Discharge Service, you will be responsible for co-ordination of the discharge of patients with complex needs within a single assessment process and timely transfer across the 7 day week.
You will foster a culture of good inter-disciplinary and organisational working, constantly demonstrating high standards of professional behaviour, acting as a role model for the wider team and acting as a positive ambassador for Lancashire Teaching Hospitals NHS Foundation Trust, ensuring the expected standards of behaviour are integrated within the Integrated Discharge Service at all times. You will have specialised expertise for matters relating to complex discharge matters within the Trust and act as a conduit for all guidance and information.
Role Duties:
* Be responsible for a case load of patients to progress their hospital journey from admission to discharge and to cover other Discharge assessment nurses in their absence.
* Support the Discharge to Assess pathways, working internally but also in partnership with the Local Authority (dependent on case) to manage and progress a case load of patients who require ongoing assessments and treatment and/or therapy outside of an acute hospital setting.
* Complete mental capacity assessments to inform discharge planning where appropriate.
* Provide specialist knowledge, support, and guidance to colleagues regarding discharge planning.
* Support ward staff in the identification of possible safeguarding issues arising from the community or regarding discharge planning and ensure that the ward is able to escalate these issues in line with the Trust's safeguarding policy.
* Work closely with the Ward Manager to provide mentorship, education, and support to the ward-based Discharge facilitators to ensure they are competent in facilitating timely and safe discharges.
* Have knowledge of health and social care services, roles and responsibilities and apply this to support patient discharges.
* Identify delays in the patient journey and act appropriately to challenge processes.
* Work collaboratively and in partnership with other practitioners to offer appropriate advice to all professions on care practices, delivery, and service development.
* Be able to respond to escalation pressures to improve flow by identifying appropriate discharge pathways, thinking creatively about new ways of working.
* Complete trusted assessments to enable patients to return back to their usual place of residence (24 hour care placements).
* Work with and communicate closely with patients, families, and carers, managing complex and challenging situations to achieve the best outcome for all involved.
* Deputise for the Clinical lead integrated discharge service when required.
* Provide educational sessions for ward-based Discharge facilitators, new starters, and updates for existing staff.
Person Specification
Qualifications and Education
* 1st level NMC Registered Nurse
* Evidence of continuous professional development
* Post Registration Teaching Certificate
* Degree level education or equivalent professional qualification
* Knowledge and experience acquired through training and experience equivalent to degree/diploma
Knowledge and Experience
* Significant post registration experience within an acute hospital setting
* Understanding of the Health and Social Care Act and service implications
* Understanding of Safeguarding Children procedures and guidelines
* Experience of working within a team, case management of a group of patients
* Significant and relevant experience as a band 5/6 staff nurse working within either acute or community team
* Knowledge of clinical governance and relevance to practice
* Experience in more than one clinical area
* Accurate and timely documentation; basic IT Skills
* Experience of dealing with cases in relation to Safeguarding Adults
* Ability to participate / undertake clinical audit
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.
Lancashire Teaching Hospitals NHS Foundation Trust
£37,338 to £44,962 a year Per Annum, Pro Rata
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