Job summary
The Community Hub based Triage Nurse role is an exciting role where no two days are the same. The purpose of the role is to provide robust effective triage to patients within Guildford and Waverley. The post holder will be required to manage new and existing referrals, give advice and make a clinical decision over the telephone regarding patient care. The patient may also require sign posting onto to other services where appropriate.
Knowledge of community services would be an advantage within the role.
Main duties of the job
The post holder will be office based and work as part of a team to deliver nursing care and treatment autonomously to patient within their own home setting where health and / or well being would be compromised by travel
As a registered nurse you will provide clinical triage and advice to
patients, family and carers in a community setting via telephone as well as provide
clinical support to the HCP's delivering care.
You will work within your scope of practice and recognise your
boundaries escalating queries to a District Nurse when required.
These may be patients already known to District Nursing or the
wider Adult Community Services who have had a change in their care/nursing
needs or new patients referred in from external services.
The post holder will use an electronic patient held record system, EMIS as a record of care.
About us
The Procare board are community focused, including local GPs and our Nurse Director has considerable community experience in governance and quality. Our clinically led board ensures that Procare has the experience and knowledge base from which to build sustainable integrated services.
With high quality care, patient safety and a positive patient and carer experience at the centre of our strategy, our aim is to ensure high quality care for our local community, through being a great place to work with a highly skilled and competent workforce.
We are an innovative, ambitious, friendly, and supportive local team and pride ourselves in a clinically led and flat management structure that ensures good visibility of all directors. We are seeking someone with all the right skills and attributes, who is pragmatic, and solution focused and wants be part of our local revolution in Community Nursing Services.
Job description
Job responsibilities
Job Purpose:
The Community Hub based Triage Nurse will clinically triage and manage new
and existing referrals, calls and emails from numerous sources throughout the
shift and clinically support staff delivering the care. The post holder will be office based and
provide additional support to the team.
KEY RESPONSIBILITIES:
Communication
- Communicates effectively with patients, carers,
and all members
of the multidisciplinary team.
- Maintains accurate and legible documentation and clinical records
in line with professional and organisational
requirements this includes contemporary paper records and electronic clinical
record system, EMIS.
- Maintains strong working
relationships and communicates effectively with GPs, practice nurses,
social services, acute / community hospital colleagues, borough council
staff and the local voluntary sector
- Communicates effectively with others involved
in patient care including weekends
/ out of hours, using mobile
phone, and emails to enable a timely response to patients needs.
- To take referrals from the nursing admin team where community
nursing clinical expertise is required.
- To reply to any staff queries that are within your scope of
practice, specific patient support may require liaison with the caseload
holder.
- To triage and prioritise requests using clinical knowledge for any
required visits which will involve allocation to staff. Any changes to staff
work rotas will need relaying to the staff member verbally and updated on
EMIS.
- Triage and responding to incoming referrals and calls from a
variety of internal and external services
- Prioritising & managing referrals based on clinical urgency.
- Maintains and promotes collaborative working relationships with
other internal and external health and social services including voluntary and
sectors
- Develop and maintain communication/negotiation skills with
patients, relatives and carers on a daily regular basis to encourage
concordance with care planning and outcomes
- Overcome barriers to communication in relation to the sensory
impaired, ethnicity or other organic/biological health problems in a
non-judgemental manner
Patient Care/ Safety/ Quality
- Works under the direction of the District
Nurse to document
and ensure high quality and effective assessment, treatment, implementation,
and evaluation of nursing care to patients and carers within their own home setting.
- Responsible for the effective triaging of referrals and allocation of work across a locality
within the Community Nursing Team.
- Act as an advocate for
patients.
- Advise on the promotion of
health and the prevention of illness as an integral part of nursing duties
- Responsible for ensuring scheduled visits are
appropriately allocated throughout the shift in line with clinical need.
- Evaluate the effectiveness of
the nursing care provided and make adjustments to the care plan as necessary.
Feedback to caseload holder changes in the patients condition as soon as is
practically possible.
- Responsible for recognising the needs of the service,
identifying risk, and making rapid
autonomous decisions,
escalating to the District Nurse Team Lead and Clinical Lead as required.
- Appropriately delegates patient
visits to other members of the team, including non-registrants
- Work
as part of an MDT Team to make decisions regarding onward referrals where
required
Service Development:
- Promoting and supports the implementation of innovation and technology within
the workplace.
- Participates in clinical audit
and the implementation of changes to ways of working / clinical practice from findings, recommendations, and action
plans.
- Actively participates in and
contributes to meetings and working groups that inform the adult community nursing service and nursing profession
- Actively involved in the development and implementation of adult community nursing service
developments and initiatives, including nursing strategies and frameworks.
- Acts as a link nurse for defined area e.g. EMIS, CCC
Leadership and Management
- Support the District Nurse with
operationally managing service
delivery on a day to day basis via the District Nurse Hub.
- Ensures that all complaints, untoward incidents, accidents, and areas of clinical risk are identified and reported to the
District Nurse and on the electronic incident reporting system (DATIX) in
accordance with policy
- Responsible for supporting the
security of staff working during shift through processes such as Lone Working
- Acts as a role model for all 6Cs
- Be
able to work independently without direct supervision after a period of
training & coaching.
Development of self and others
- Accountable for own professional actions in line with the NMC code and local policy and guidelines
- Recognises own limitations in
the provision of clinical care and urgency of patients needs, referring to
other health care professionals accordingly and is accountable for his/her own
actions often without direct supervision
- Keeps up to date with
professional nursing and regulatory requirements, health care developments,
clinical evidence, National Service
Frameworks for practice, national and local policies, and guidelines to maintain up to date technical and professional
knowledge relevant to the post
- Responsible for the self-development of skills and competencies through participation
in learning and development activities and continuing professional development
to maintain up to date technical and professional knowledge relevant to the
post
- Responsible for completing all
own mandatory training within required time frames and for ensuring this is
completed for other team members
- Participates in own annual appraisal and objective setting
each year
- Access regular 1-1 meetings
with line manager
- Accesses, participates, encourages, and facilitates regular clinical supervision and peer review
- Undertakes assessor (mentor)
training (if not already done so) and updates to ensure skills are available to
facilitate the teaching and learning experiences for all students, colleagues,
visitors, and employees
- Supporting induction, competency achievement, supervision and mentoring of new team members and supporting pre-registration student
nurses
- Undertakes formal student assessments and participates in the maintenance of an effective
learning environment
Job description
Job responsibilities
Job Purpose:
The Community Hub based Triage Nurse will clinically triage and manage new
and existing referrals, calls and emails from numerous sources throughout the
shift and clinically support staff delivering the care. The post holder will be office based and
provide additional support to the team.
KEY RESPONSIBILITIES:
Communication
- Communicates effectively with patients, carers,
and all members
of the multidisciplinary team.
- Maintains accurate and legible documentation and clinical records
in line with professional and organisational
requirements this includes contemporary paper records and electronic clinical
record system, EMIS.
- Maintains strong working
relationships and communicates effectively with GPs, practice nurses,
social services, acute / community hospital colleagues, borough council
staff and the local voluntary sector
- Communicates effectively with others involved
in patient care including weekends
/ out of hours, using mobile
phone, and emails to enable a timely response to patients needs.
- To take referrals from the nursing admin team where community
nursing clinical expertise is required.
- To reply to any staff queries that are within your scope of
practice, specific patient support may require liaison with the caseload
holder.
- To triage and prioritise requests using clinical knowledge for any
required visits which will involve allocation to staff. Any changes to staff
work rotas will need relaying to the staff member verbally and updated on
EMIS.
- Triage and responding to incoming referrals and calls from a
variety of internal and external services
- Prioritising & managing referrals based on clinical urgency.
- Maintains and promotes collaborative working relationships with
other internal and external health and social services including voluntary and
sectors
- Develop and maintain communication/negotiation skills with
patients, relatives and carers on a daily regular basis to encourage
concordance with care planning and outcomes
- Overcome barriers to communication in relation to the sensory
impaired, ethnicity or other organic/biological health problems in a
non-judgemental manner
Patient Care/ Safety/ Quality
- Works under the direction of the District
Nurse to document
and ensure high quality and effective assessment, treatment, implementation,
and evaluation of nursing care to patients and carers within their own home setting.
- Responsible for the effective triaging of referrals and allocation of work across a locality
within the Community Nursing Team.
- Act as an advocate for
patients.
- Advise on the promotion of
health and the prevention of illness as an integral part of nursing duties
- Responsible for ensuring scheduled visits are
appropriately allocated throughout the shift in line with clinical need.
- Evaluate the effectiveness of
the nursing care provided and make adjustments to the care plan as necessary.
Feedback to caseload holder changes in the patients condition as soon as is
practically possible.
- Responsible for recognising the needs of the service,
identifying risk, and making rapid
autonomous decisions,
escalating to the District Nurse Team Lead and Clinical Lead as required.
- Appropriately delegates patient
visits to other members of the team, including non-registrants
- Work
as part of an MDT Team to make decisions regarding onward referrals where
required
Service Development:
- Promoting and supports the implementation of innovation and technology within
the workplace.
- Participates in clinical audit
and the implementation of changes to ways of working / clinical practice from findings, recommendations, and action
plans.
- Actively participates in and
contributes to meetings and working groups that inform the adult community nursing service and nursing profession
- Actively involved in the development and implementation of adult community nursing service
developments and initiatives, including nursing strategies and frameworks.
- Acts as a link nurse for defined area e.g. EMIS, CCC
Leadership and Management
- Support the District Nurse with
operationally managing service
delivery on a day to day basis via the District Nurse Hub.
- Ensures that all complaints, untoward incidents, accidents, and areas of clinical risk are identified and reported to the
District Nurse and on the electronic incident reporting system (DATIX) in
accordance with policy
- Responsible for supporting the
security of staff working during shift through processes such as Lone Working
- Acts as a role model for all 6Cs
- Be
able to work independently without direct supervision after a period of
training & coaching.
Development of self and others
- Accountable for own professional actions in line with the NMC code and local policy and guidelines
- Recognises own limitations in
the provision of clinical care and urgency of patients needs, referring to
other health care professionals accordingly and is accountable for his/her own
actions often without direct supervision
- Keeps up to date with
professional nursing and regulatory requirements, health care developments,
clinical evidence, National Service
Frameworks for practice, national and local policies, and guidelines to maintain up to date technical and professional
knowledge relevant to the post
- Responsible for the self-development of skills and competencies through participation
in learning and development activities and continuing professional development
to maintain up to date technical and professional knowledge relevant to the
post
- Responsible for completing all
own mandatory training within required time frames and for ensuring this is
completed for other team members
- Participates in own annual appraisal and objective setting
each year
- Access regular 1-1 meetings
with line manager
- Accesses, participates, encourages, and facilitates regular clinical supervision and peer review
- Undertakes assessor (mentor)
training (if not already done so) and updates to ensure skills are available to
facilitate the teaching and learning experiences for all students, colleagues,
visitors, and employees
- Supporting induction, competency achievement, supervision and mentoring of new team members and supporting pre-registration student
nurses
- Undertakes formal student assessments and participates in the maintenance of an effective
learning environment
Person Specification
Qualifications
Essential
- Registered Level 1 Nurse with current Nursing and Midwifery Council registration
- Educated to diploma or level 6/ degree in relevant area
- Evidence of continuing professional development
Desirable
- Assessor/ Mentorship qualification (If not to be completed within 1st year of post)
- Area of special interest in the management and treatment of long-term conditions and willing to undertake additional education in this area
- Clinical Supervisor
Experience
Essential
- Experience of working in the Community setting
- Experience undertaking holistic assessments of patients, including those with multiple pathology and complex health and social needs.
- Experience prioritising and allocating referrals and visits in accordance with patient clinical need.
Desirable
- Experience of telephone triage and assessment of patients needs
- Understanding and experience of clinical audit, service improvement and implementing local change.
Skills, Competencies and Attributes
Essential
- Knowledge of recent policy within health and social care and how this impacts on community nursing
- Up to date with evidence-based practice and research related to nursing and health care in the community
- Ability to delegate nursing care and to prioritise visits in accordance with patient need and to organise workload without direct supervision
- Ability to identify and escalate urgent client information to the District Nurse / GP / Clinical Lead
- Ability to work across a seven-day week between 8 am and 8 pm as per service requirements
- Ability to teach and supervise students and team colleagues
- Good knowledge of health and safety / risk management and able to safely operate community equipment
- Able to use databases and other IT programmes, including MicroSoft Word, Excel, Powerpoint, Emails,
- Virtual Meeting platforms
- Ability to input and navigate around the community electronic patient record system. EMIS (training will be provided)
- Good negotiation and motivation skills
- Calm and organised
- Able to prioritise workload and adapt to unplanned to changes throughout the working day
- As a role model, displays personal and professional autonomy, with awareness of when to escalate
- Team player, willing to engage with and interact in training with and from peers and other professionals
- Demonstrates a strong desire to improve performance and make a difference to patient care and to the
- adult community nursing service by focusing on goals and outcomes
- Able to travel to frequently throughout the day to visit patients at home, at various locations across the locality and across Guildford and Waverley throughout the working day, at times travel across Surrey
- may be required
Person Specification
Qualifications
Essential
- Registered Level 1 Nurse with current Nursing and Midwifery Council registration
- Educated to diploma or level 6/ degree in relevant area
- Evidence of continuing professional development
Desirable
- Assessor/ Mentorship qualification (If not to be completed within 1st year of post)
- Area of special interest in the management and treatment of long-term conditions and willing to undertake additional education in this area
- Clinical Supervisor
Experience
Essential
- Experience of working in the Community setting
- Experience undertaking holistic assessments of patients, including those with multiple pathology and complex health and social needs.
- Experience prioritising and allocating referrals and visits in accordance with patient clinical need.
Desirable
- Experience of telephone triage and assessment of patients needs
- Understanding and experience of clinical audit, service improvement and implementing local change.
Skills, Competencies and Attributes
Essential
- Knowledge of recent policy within health and social care and how this impacts on community nursing
- Up to date with evidence-based practice and research related to nursing and health care in the community
- Ability to delegate nursing care and to prioritise visits in accordance with patient need and to organise workload without direct supervision
- Ability to identify and escalate urgent client information to the District Nurse / GP / Clinical Lead
- Ability to work across a seven-day week between 8 am and 8 pm as per service requirements
- Ability to teach and supervise students and team colleagues
- Good knowledge of health and safety / risk management and able to safely operate community equipment
- Able to use databases and other IT programmes, including MicroSoft Word, Excel, Powerpoint, Emails,
- Virtual Meeting platforms
- Ability to input and navigate around the community electronic patient record system. EMIS (training will be provided)
- Good negotiation and motivation skills
- Calm and organised
- Able to prioritise workload and adapt to unplanned to changes throughout the working day
- As a role model, displays personal and professional autonomy, with awareness of when to escalate
- Team player, willing to engage with and interact in training with and from peers and other professionals
- Demonstrates a strong desire to improve performance and make a difference to patient care and to the
- adult community nursing service by focusing on goals and outcomes
- Able to travel to frequently throughout the day to visit patients at home, at various locations across the locality and across Guildford and Waverley throughout the working day, at times travel across Surrey
- may be required
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
