Rehabilitation Nurse Practitioner

Job responsibilities

Ensure a high standard of nursing input in the application of clinical procedures, including assessment, risk assessment, care planning, implementation and evaluation, medication management, physical investigations and implementation of the Recovery Approach.

1.2 To liaise with the ward manager in ensuring the safe and effective delivery of care, in line with national, local and NAViGO policy, through supervision of junior staff and audit processes.

1.3 To undertake incident/accident reports, safeguarding, complaints, investigations to ensure the safe running of the unit

Specific responsibilities in the following domains, to include:

2. Clinical

2.1 Attendance at weekly M.D.T meetings and effective presentation of clinical reports and information.

2.2 Liaison with other M.D.T disciplines to ensure effective team working and consistent approaches to care delivery.

2.3 Oversee the effective delivery of the MDT process.

2.4 Oversee the correct implementation of negotiated care plans

2.5 Supervise the completion of nursing reports by Key/Associate Nurses (C.P.A/S117, M.H.R.T, Hospital Managers, and MDT) in keeping with specified and statutory timescales.

2.6 Attendance at six monthly patient C.P.A/S117 meetings.

2.7 Attendance at M.H.R.T and/or Hospital Managers Hearings in the absence of the Key/Associate Nurse.

2.8 Ensure effective management of medication through training delivery, and carry out audits to ensure adherence to M.H.C. policy and N.M.C. guidelines.

2.9 Oversee Key Nurse liaison with external Care Co-ordinators and Commissioners.

2.10 Dissemination of action points from Clinical Governance meetings

2.11 Support the ward manager in conducting and addressing issues of complaints and investigations.

2.12 Liaise with the ward manager in addressing issues involving whistle blowing.

2.13 Liaise with Key/Associate Nurse and ward manager in establishing and maintaining therapeutic relationships with service users family (where appropriate).

2.14 Ensure adequate staffing to cover unit requirements and liaise with ward manager to address any deficits, taking into consideration financial budgets.

2.15 Carry out assessment visits as part of the M.D.T, assessing potential patients and preparing assessment and treatment reports.

2.16 Monitor, undertake and oversee ward based risk assessments and management Plans.

3. Managerial

3.1 Carry out and monitor annual appraisals of nursing staff and support workers, as directed by ward manager and ensure regular evaluation of PDRs.

3.2 Have direct line management for staff nurses, nursing associates and nursing assistants.

3.3 Undertake, monitor and ensure monthly supervision of nursing staff.

3.4 Chairing monthly ward staff meetings, ensuring delegation and implementation of action points.

3.5 Provide Mentorship/Preceptorship to newly qualified or newly appointed nursing staff (including nursing students, where applicable).

3.6 Liaise with ward manager in the identification of external and in house training (including mandatory training) for specified staff.

3.7 Provide temporary cover for ward manager in the event of their absence, as required by the Hospital Manager.

3.8 Undertake interviewing of new ward staff, at nursing and support level.

3.0 Attendance at the morning staffing meeting in the absence of the ward manager.

3.12 Support the ward manager in all personal related issues.

4. Documentation

4.1 Oversee and Co-ordinate monthly audit of all office files and develop and implement action plans to address identified deficits.

4.2 Co-ordinate monthly clinic audits and implement action points to address any identified deficits.

4.3 Monthly input of KPI data, including senior nurse report, training, supervisions, appraisals, revalidation and sickness monitoring.

4.4 Ensure service user finances are managed according to M.H.C policy and assist with audit as required.

4.5 In conjunction with the Clinical Administrator, monitor and ensure that legal processes and documentation are in line with MHA (1983) guidelines and M.H.C policy and procedures.

4.6 Support the Associate Director of Nursing and Quality in the completion of contractual and commissioner relating documentation.

5. Recovery

5.1 Oversee the completion of individual weekly therapeutic timetable.

5.2 Monitor the implementation of ward structured day, including the specified hours of meaningful activity.

5.3 Review the completion of monthly audit of Recovery focused 1:1 Key Worker and Key Nurse discussion.

5.4 Monitor three-monthly review of Recovery Star by Key/Associate Nurse or Key Support Worker. Monitor monthly review of HoNoS. Monitor monthly patient file audits and oversee actions required and monitor that they have been completed.

6. Responsibilities for Personal Development

6.1 To drive forward own development plan through supervision, appraisals and training opportunities

6.2 To improve and maintain Service Quality with evidence based practice/models that meet departmental needs.

6.3 To participate in the development of clinical effectiveness and quality initiatives.

Experience

Essential

• 18 months experience working within a relevant mental health service with service users with acute or severe and enduring mental health needs.
• Experience of working with service users with complex and challenging needs
• Knowledge of relapse prevention and recovery models.

Desirable

• Psychosocial interventions
• Use of clinical assessment measures

Skills & Attributes

Essential

• Advanced assessment skills
• Ability to prioritise workload.
• Approaches to risk assessment.
• Communication and liaison with a range of individuals.
• Deescalation and motivational skills
• Clinical abilities.
• Standard IT skills
• Lead and motivate a team

Desirable

• Advanced IT skills (Microsoft office applications)
• HCR 20 RSVP assessment experience
• Change management skills

Qualifications

Essential

• RNMH/RMN with current professional registration.
• Hold current NMC pin number

Desirable

• Degree in Mental health nursing
• 032/33 or ENB998
• Clinical Supervision Training
• DBT
• Solution Focussed Therapy
• Mindfulness

Additional Criteria

Essential

• Knowledge around the use of patient group directives/protocols
• Knowledge to enable the creation of reports, documents, spreadsheets.
• Knowledge of issues involved in the treatment of mental illness and relapse prevention.
• Team Worker
• Determination
• Flexibility, ability to respond with fluidity to the needs of the service
• Shows initiative and creativity
• Positive attitude to change
• Shows empathy and a desire to make a difference
• Strong team player
• Strong peoples person and advocate
• Self-motivated and ability to motivate others
• Able to use initiative
• Committed to developing and improving mental health services
• Enthusiastic
• Commitment to flexible working patterns

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).