Job summary
The Community React Team (CRT) are searching for a Band 6 Nurse to provide person focused care to our patients living in the Wigan borough. This opportunity is for a permanent, full time post ( hours) with shifts across Monday to Sunday.
WWL's Community React Team (CRT) is a collaborative, responsive service for adults (over 18) within the Wigan Borough. CRT provides an urgent care response with the aim of reducing hospital admissions and, facilitating early discharge from hospital.
CRT consists of GP's, Nurses, Occupational Therapists, Physiotherapists, Clinical Triage Nurses, Advanced Clinical Practitioners, Assistant Practitioners, Support Workers and Administrative staff and is led by an operational and clinical lead.
The service ensures patients are cared for in their usual residence within the community setting by offering a medical review, clinical procedures, assessments, investigations, therapy assessments and short-term care. The focus is to ensure the patient is safe to be left at home by offering co-ordinated care urgently in the right place, at the right time, by the most suitable health care professionals.
Our dedicated team is here to help our patients to live life as they choose, in their own homes and care homes. We are passionate about delivering person centred care that make a different in our patients lives.
NMC registration & NHS experience is essential.
Main duties of the job
Be responsible for providing high quality intensive packages of care to meet the needs of patients in their own home. Acting as a clinical role model ensure high standards are embedded with clinical practice delegating nursing care and interventions to other members of the team according to their level of knowledge.
In collaboration with the Community React Team leads and Nursing Team leader, be proactive in supporting the clinical nursing developments within the service, IV therapies, new care pathways to avoid hospital admissions, single point of access and single assessment process.
About us
Choose Well - Choose WWL
Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated there is helpful advice and information available by contacting where you can also ask about how to access vaccinations.
Job description
Job responsibilities
Duties and Responsibilities
1. Be responsible for providing high quality intensive packages of care to meet the needs of patients in their own home. Acting as a clinical role model ensure high standards are embedded with clinical practice delegating nursing care and interventions to other members of the team according to their level of knowledge.
2. In collaboration with the Hospital at Home Co-ordinator and Nursing Team leader, be proactive in supporting the clinical nursing developments within the Hospital at Home service IV therapies, new care pathways to avoid hospital admissions, single point of access and single assessment process.
3. Responsibility for coordinating the nursing team in the absence of the Team Leader and prioritising the workload in response to the differing demands of the service.
4. In the absence of the Team Leader, plan the duty rota negotiating with team members to provide adequate cover.
5. Receive referrals on a daily basis and take appropriate action to ensure patient needs are met in a safe and timely manner.
6. Be responsible for and competent with all aspects communication, verbal and non-verbal, written and electronic in order to be effective.
7. Receive information via team meetings keeping an awareness and understanding of organisational issues.
8. Liaise closely with hospital services, other intermediate care services, social services and voluntary sector, to ensure a seamless service.
9. Receive referrals from hospitals, Intermediate Care Coordinators and Access to Community Services Team.
10. Maintain own standards of patient care and monitor those of junior team members. Highlighting identified training needs to the Team Leader. Facilitate a learning and development environment for team members and allocate students.
11. Undertake preceptorship, mentorship and workplace assessor and teaching roles, as required by the service within the nursing team.
12. Be fully responsible and accountable for the teaching, and the giving of information to, patients and their families so they may make informed decisions for their care.
13. Participate in formal and informal teaching of staff, demonstrating nursing care procedures when appropriate.
14. Liaise with Team Leader to ensure team members maintain an up to date knowledge base and skill development programme.
15. Undertake a wide range of clinical interventions/ diagnostics IV antibiotic therapy, subcutaneous fluid therapy etc utilising supplementary prescribing as required.
16. Integrate the principles of Health Promotion into practice in order to empower patients through information and involvement.
17. Be conversant with factors contributing to adult abuse and refer to social services as appropriate.
18. Communicate effectively with patients, to ensure involvement and consent for care planning and subsequent interventions.
19. Act as a clinical role model for nursing staff and assistants.
20. To follow individual care and treatment plans, with indirect supervision, for patients according to needs identified by qualified staff.
21. To assist the qualified therapists in the preparation of treatment materials and equipment.
22. To deliver care as prescribed by qualified staff in an enabling manner that is conducive to promoting the independence of patients.
23. To carry out administration duties, monitoring equipment stock and ordering as needed in line with recommended level, preparing MDT assessment packs.
24. To provide aspects of social care, for example, domestic duties as directed by qualified members of the team.
25. To be competent in monitoring and recording blood pressure, pulse, temperature, respiration and blood glucose. To have competencies checked annually by a qualified nurse. To record observations in the patients notes and inform trained nurses of any deviation from baseline observations.
26. To be competent in carrying out venepuncture and have competencies checked annually by a qualified nurse.
27. To be competent in monitoring and recording blood pressure, pulse, temperature, respiration and blood glucose. To have competencies checked annually by a qualified nurse. To record observations in the patients notes, and inform trained nurses of any deviation from baseline observations.
28. To be competent in carrying out venepuncture and have competencies checked annually by a qualified nurse.
Professional
29. Participate in a multidisciplinary approach to service delivery assuming key worker role as appropriate, developing close links with DNs, Social Services and other agencies as required.
30. Develop skills in communicating with patients who have barriers to understanding such as speech, language, sensory impairment, confusion and aggression.
31. Provide support and reassurance to patients, families and their carers when discussing sensitive issues, inclusive of terminally ill patients and bereaved relatives.
32. Ensure care is delivered in a manner that reflects the teams philosophy and promotes maximum independence.
33. To assess the nursing care needs for patients which is responsive to their needs home, respite care and develop, implement and evaluate plans of care in conjunction with other health or social care professionals liaising with both internal and external agencies as required
34. Using a recognised model of care be responsible and accountable for the assessment, planning, implementation and evaluation of the nursing care, without direct supervision for all patients referred to the team. Based on identified need make requisitions for items of home loan equipment. Refer to and liaise with other agencies as appropriate.
35. Be responsible and accountable for the admission and discharge of patients where possible, within the admission criteria, which is responsive to the varying, needs of the Hospital at Home service.
36. Prioritise caseload, responding to calls accordingly.
37. Be responsible for limiting own actions
Planning and Organisational Duties
38. Participate in the recruitment and selection process as appropriate, interviewing on the panel for nursing and ancillary staff as and when required.
39. Assist in the maintenance of accurate and timely data to enable the service to be monitored, reviewed and developed.
40. Ensure accurate statistical data is promptly submitted in line with trust policies
Communications and Key Working Relationships
41. To ensure that documentation is completed in accordance with Trust and departmental requirements.
42. To ensure that care plans are adhered to and any changes in the patients needs are reported to a qualified nurse or therapist immediately.
43. To attend departmental meetings when on duty to receive team brief, strategic plans and organisation objectives information.
44. To record interventions in a single patient record, ensuring that entries meet Trust and departmental guidelines.
45. To contribute to multi-disciplinary working by attending MDT meetings on a daily basis, feeding back patient progress information to qualified staff.
46. To act in a supportive manner to patients, carers and/or families by respecting their privacy, dignity, culture and human rights.
Responsibility for Human Resources
47. To receive an individual performance review and development planning on an annual basis from a Band 6 Nurse.
Responsibility for Health & Safety
48. Deliver and fit equipment as directed by qualified members of the team, giving written and verbal advice to ensure that the patient can use it safely, and making a decision if it is appropriate for the environment.
49. To receive training in equipment fitting by a qualified therapist and competency checked annually by a qualified therapist.
50. To keep updated with all Trust policies and procedures to ensure that practice is updated and evidence based.
51. To promptly report any untoward incident to a qualified clinician.
52. Maintain confidentiality of patients, their families and colleagues.
53. Ensure that mandatory training is attended, moving and handling annually, Fire Lecture annually, Basic Life Support bi-annually.
54. Observe the rules governing Health and Safety as stipulated in The Health and Safety at Work Act (1974).
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Responsibility for Teaching
55. To receive clinical supervision from a Band 6 Nurse, Chartered Physiotherapist and Occupational Therapist both informally and formally.
56. To attend supervision sessions with allocated mentor to ensure that competencies and practice is updated and maintained.
Person Specification
Qualifications
Essential
57. Registered Nurse
Desirable
58. Teaching qualification
Experience
Essential
59. To be able to demonstrate extensive proven post registration experience.
60. Evidence of complex clinical assessment
61. Experience of working autonomously
Desirable
62. Experience of working in a community setting
Skills
Essential
63. Effective communication skills
64. Ability to prioritise/time management skills
65. Basic keyboard skills
66. Phlebotomy
67. Making clinical decisions
68. Problem solving skills
69. IV antibiotic therapy
Desirable
70. Intravenous line management
71. Cannulation
Knowledge
Essential
72. Awareness of risk management
73. Awareness of legal/ethical issues in nursing
74. Knowledge and experience of working in interprofessional/multi - disciplinary teams
75. Knowledge of up to date and current issues in nursing within community and intermediate care setting
Desirable
76. Knowledge of chronic diseases and their management
77. Knowledge of support groups, voluntary agencies, social care agencies
78. Evidence of innovative clinical practice development
79. Budgetary awareness
Additional
Essential
80. Well organised
81. Committed to patient focused care
82. Flexible and adaptable
83. Willing to continue personal development
84. Speak English to appropriate standard
85. Able to travel across Trust independently