Gloucestershire Health and Care NHS Foundation Trust
We're an acute mental health hospital in the centre of Gloucester providing inpatient services for the county of Gloucestershire.
Service users are supported by a variety of healthcare workers including nurses, doctors and allied health professionals such as psychologists, art therapists, physiotherapists, occupational therapists and sports exercise therapists.
We have four wards in the main building as well as a nurse-led Psychiatric Intensive Care Unit (PICU) and Low Secure Unit (LSU) in the grounds.
Everyone in the hospital is committed to making the admission and stay with us as pleasant as possible, and all staff work closely with both the regional Crisis and Home Treatment Teams (CHTT) and Community Mental Health Teams (CMHT) to ensure seamless services are provided.
Priory Ward is an 18-bed acute admissions ward for service users who live in Cheltenham and the North Cotswolds areas. The team works very closely with the Cheltenham Crisis team.
Main duties of the job
1. Work according to the Nursing and Midwifery Council (NMC) Code of Professional Conduct and relevant professional guidelines as a named nurse or key worker taking responsibility for the assessment of care and health education needs.
2. Develop, implement and evaluate care plans in conjunction with service users, carers and other professionals ensuring individual needs are met.
3. As named nurse, take responsibility for undertaking mental and behavioural state examinations for own service users and service users being admitted, repeated on at least a weekly basis, and clinical risk assessment and management plans.
4. Assist service users to meet their personal care needs e.g. assisting with bathing and washing, as outlined in the Care Plan. This intervention may be delegated where appropriate.
5. Liaise with and offer specialist assessment and advice to other agencies and professions, including participating in Multi-Agency meetings to offer advice and opinions to facilitate the ongoing treatment and care of service users and to ensure adherence to National Service Framework (NSF) guidelines.
6. Actively support service users in the management of their medication within a 'concordance framework' and relevant policies. Administer medication, including intra-muscular injections depot medication as appropriate and monitor side effects. Delegate the checking and delivery of medication when appropriate.
Job responsibilities
1. Maintain accurate written records and statistics to ensure that service user details and details of the care given are recorded in notes and on the Trust database(s) in line with Trust policies.
2. Contribute to the preparation of appropriate reports, including reports for Mental Health Act Tribunals and Mental Health Managers review meetings as required by rule 6 (1) of the Mental Health Tribunal rules.
3. Provide and receive complex and sensitive information from service users, carers or other professionals and agencies, on a daily basis.
4. Work with and support other members of the Multi-disciplinary team, using clinical judgements in the absence of key members of the team, including medical staff.
5. Ensure that psychological intervention or treatment is offered to service users as outlined in the National Institute for Health and Clinical Excellence (NICE) guidelines.
6. De-escalation of aggression using verbal skills and physical breakaway skills.
Person Specification
* Registered Mental Health Nurse (RMN)
* Evidence of continued professional development.
* Experience of working within an In-Patient or residential setting.
* Working knowledge of Early Intervention, Primary Care, Recovery, Crisis Resolution & Home Treatment (CRHT) approach and social inclusion.
* Experience in the provision of Crisis Resolution Home Treatment.
* Working knowledge of Microsoft Office packages, e.g. Word, Excel, PowerPoint, Publisher and Outlook.
* Knowledge and understanding of the Mental Health Act & legal aspects of Mental Health care.
* Demonstrable skills in risk assessment and management.
* Knowledge of the different approaches to mental health assessment.
* Knowledge of evidence-based intervention with service users in all phases of mental illness.
* An understanding of national policy in relation to mental health.
* Ability to undertake all statutory and mandatory training including Prevention and Management of Violence and Aggression (PMVA)/Positive Behavioural Management (PBM)/Breakaway (subject to Occupational Health clearance).
* Ability to work flexibly to cover a 24 hour, 365 day service.
* Able to attend and participate in all mandatory and statutory training events.
* Evidence of formal post-registration learning.
* Experience of collaborative working with other agencies including the voluntary sector.
* Completion of preceptorship programme.
* Ability to travel around the locality as requested, independently and efficiently. (If you have a full driving licence there will be an expectation to drive trust vehicles where required).
* Ability to work on social factors affecting mental distress e.g. accommodation, substance misuse, domestic violence, welfare rights.
* Knowledge of child care/protection issues.
* Up to date clinical knowledge including risk assessment, dual diagnosis and health and social care needs.
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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