We are looking for an experienced, enthusiastic, and highly motivated individual to join the Joint Emergency Team which is a multidisciplinary crisis intervention team .
The team provides urgent community response within 2 hours to those in crisis undertaking risk reduction within 24 hours. You will also be pivotal in supporting the virtual ward and falls pick up service supporting and monitoring patients to remain in their own home or leave hospital earlier.
This post is suited to a senior nurse with community experience who embraces the transdisciplinary model of working having skills in holistic assessments, symptom recognition and management with advanced communication skills,
You will be a key member of Joint Emergency Team, and the wider multidisciplinary team working with the Royal Borough of Greenwich and Lewisham and Greenwich Trust working towards preventing attendance or admission to hospitals and care homes.
This post is for someone who has experience and an interest in working with older people and has an understanding of frailty.
We can offer strong support for development within our expert team, with help to develop your skills and knowledge as well as opportunities to take part in shaping the Joint Emergency Team to expand and deliver great out of hospital care.
The post holder will support in the leadership of Joint Emergency Team
and will assist with and directly triage urgent patient referrals with varied and complex needs ensuring holistic assessment and community care pathway planning is undertaken to directly prevent unnecessary acute hospital admission.
The post holder will conduct holistic assessments as well as enhanced nursing assessments for patients in care homes and patients in community who require assessment for crisis intervention with a strong emphasis on frailty and falls. As appropriate, post holder will be expected to undertake community practitioner nurse prescribing / independent nurse prescribing dependent on qualification, under the supervision of the B7/8 Clinical leads.
The post holder will act as an expert clinical resource to Joint Emergency Team members, facilitating high quality evidence-based practice and ensuring patients from variety of acute and community settings appropriately access out of hospital community health and social care services and receive effective rehabilitation.
The post holder will be required to work across hospital sites on a planed basis and in community when responding to urgent community referrals. Post holder will undertake delegated line management of junior staff, both informal and formal basis The post holder will assist Team Leader to provide clinical support and co-ordination for the team and participate in undertaking rota duties.
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
• We’re Kind
• We’re Fair
• We Listen
• We Care
KEY RESPONSIBILITIES:
To provide nurse leadership and management support to the team(s)
To provide leadership in assessing; and undertake physical assessment and treatment of patients and support nursing team members to achieve this goal.
To assess, plan, implement and provide evaluation of health care needs in
conjunction with patients, their carers and other appropriate members of the multi professional team.
To be responsible for keeping up to date with current issues and events in
Primary and Secondary Health Care
Liaising with community services partners
To take a supportive lead role in the development of the Joint Emergency
Team and integrated team working with out of hospital services.
To provide support and health education for patients and carers through
effective interpersonal skills.
To support team members, comply with professional codes of conduct and trust organisational policies and procedures and the implementation of performance management when required.
To arrange transfer of the patient’s care to the appropriate health care setting for further ongoing assessment, rehabilitation treatment and care.
To be able to work flexibly and relieve colleagues/rotate within the trust as required and requested by the line manager to meet the needs of the service.
To ensure that own mandatory training and junior nurses’ mandatory training is kept up to date in line with Trust policies.
Management responsibilities
To assist in the management of the Joint Emergency Team and
appropriate delegation of the workload (clinical and non clinical).
To report all clinical and non-clinical incidents or near misses promptly and when required, to co-operate with any investigation undertaken.
To ensure efficient and effective use of resources within own practice.
To undertake formal and informal supervision of junior staff and actively
participate in own clinical supervision.
To understand and adhere with all Trust policies, procedures and
guidelines and ensure other team members adhere to policies.
To understand the implication of and work in conjunction with Social Care policy within the Health and Social Care Team, e.g., Approved Social
Work, Safeguarding Adults process.
To promote the local and national priorities of health care delivery e.g.,
Long Term Conditions and National Services Frameworks.
To independently analyse and manage complex changing clinical
situations in conjunction with supporting the nursing team.
Assist in the development and monitoring the quality of the Joint
Emergency Team service and contribute to the development of
quality measures, including the full audit process.
To work in full partnership with other disciplines and organisations to
influence and shape service delivery.
Leadership
To demonstrate and utilise a variety of leadership and influencing skills
and be able to work with health and social care colleagues in many local
organisations.
To provide leadership and line management to delegated members of the
team.
To comply with NMC code of conduct and PREP requirements.
To act as a mentor/preceptor to new staff, junior staff, students (both
health and social care) and other nonqualified team members and support
them to achieve their learning objectives. To participate in the Personal
Development Review (PDR) process and in so doing identify training
needs for self and delegated members of the team and encourage access
to professional development opportunities.
Clinical
To manage clinical situations and effectively in a variety of settings making sound judgements from own observations to enable safe, timely transfer of care to community services.
To be a role model to team members to ensure that they are motivated,
and all their practices are clinically effective and that plans of care are
carried out to the agreed standard.
To undertake comprehensive holistic nursing assessment and
documentation of physical, psychological, social and spiritual needs of
patient/client care plan accordingly. To be a competent practioner able to
assess at first point of contact.
Through specialist holistic assessment to implement packages of nursing
and social care in conjunction with locality colleagues (day and night
services) and private providers to ensure that patients and clients ongoing
care needs are met by community services.
When appropriate undertake evidence-based Community Practitioner
Nurse Prescribing/ independent nurse prescribing (under supervision)
when required in line with clinical assessment and reasoning.
Undertake Cannulation
Management of intravenous devises i.e., cannulas Picc Hickman lines
Undertake administration of Intravenous additives
Management wound care
To work within the clinical effectiveness framework using the best
available evidence, research, and audit to plan, implement and evaluate
care.
To promote good practice in order to improve standards of care.
To participate in the development and evaluation of teaching programmes for students on community programmes and junior members of staff.
To be competent in additional clinical skills for example, wound care,
palliative care management and be willing to develop advanced nursing
skills.
To be able to delegate appropriately, ensuring that staff are competent to
undertake and perform delegated duties and tasks.
To be able to recognise own limitations and seek help/guidance when
appropriate.
To prevent unnecessary hospital admissions by responding to LAS, GP’s,
community colleagues and actively identifying patients in conjunction with
medical teams from Emergency Department, Adult medical unit, Clinical
decision unit, short stay unit, that would benefit from Joint Emergency
Team intervention and out of hospital services.
Research
To keep up to date, implement and monitor current research-based
practice.
To support in any audit or quality assurance projects.
Promote current research and evidenced based care within the team.
Communication
To ensure effective communication with patients/clients and their
carers, including the provision of patient education, health promotion
and emotional support where appropriate.
To ensure effective communication with all members of the
multidisciplinary team at all levels.
To ensure daily communication is maintained with the bed-based unit
to ensure safe, appropriate and effective patient transfer.
To record treatment and care carried out in a variety of settings on
appropriate documentation. Records must be kept up to date and
accurate in accordance with Trust policies.
Ensure all relevant information regarding patients/clients is
documented in keeping with the Trust policy and where appropriate to
be reported and acted upon immediately.
To provide accurate written and verbal reports as and when required.
To keep a diary for the purpose of planning work and recording all
visits, both effective and non effective.
To maintain confidentiality of information relating to patients, staff and
organisation.
To have the ability to interpret and communicate, complex, contentious,
and sensitive information to patients, carers and members of the multi
disciplinary team.
Demonstrate ability to appropriately work with barriers to
communication and communicate with a sympathetic and empathetic
approach to patients and carers.
To ensure team members adhere to record keeping policies and
provide accurate documentation.
Health and Safety
To develop a working environment and culture that promotes health,
safety and security.
To be conversant and adhere with trust policies.
To ensure the correct use of equipment and supplies and report any
deficiencies.
To have responsibility for the health, safely and welfare of self and team
members and to comply at times with the Health and Safety regulations.
To minimise the risk of cross infection and be conversant with the Trusts
infection control policy.
This advert closes on Thursday 6 Mar 2025
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