Job summary
Urgent Community Response Bromley
Hospital at Home Staff Nurse - Band 5
£31,163 - £37,875 Inclusive of HCAS per annum pro rota
Bromley Hospital at Homeis a new integrated service delivered through Bromley Healthcare and One Bromley partners for avoiding acute hospital attendances and admissions while also supporting patients' early discharge from acute hospital beds.
The service provides diagnosis, treatment and monitoring of patients in their usual place of residence using both face to face and virtual care in the London Borough of Bromley. Operating 7 days per week 8am to 8pm. Referrals are accepted to the service, from the Acute Trust - Princess Royal University Hospital (PRUH) & Bromley Healthcare Urgent Community Response - Rapid Response Team.
One Bromley, the place-based partnership of health, care and third sector organisations in Bromley has significant ambitions for the service. These include the establishment of a new qualification in providing hospital at home services, training for informal voluntary carers to support them in the care of their loved-ones and contributing to the international literature on hospital at home services.
Joining this service now provides the unique opportunity to help shape and develop the service both as it starts to operate at scale and as it continuously develops over the coming years.
Main duties of the job
- To comply with the duties placed on employees by the Bromley Healthcare's Health and Safety Policy and Related Procedures and to act in accordance with all instruction, information and training supplied in relation to those duties.
- Such other duties as requested, compatible with the post, which may arise from time to time and flexibility to support the services within UCR.
- Observe confidentiality of records and health information at all times and be aware of and practice the principles of the Data Protection Act of1984, as this applies to computerised information.
- To undertake appropriate training to meet individual developmental needs within the role.
- Undertake the measurement and evaluation of work and current practices as directed by team lead as part of the clinical audit programme.
To participate in achievement of service objectives to demonstrate productivity, performance and effectiveness
About us
Bromley Healthcare is a community interest company providing a wide range of services including community nursing services such as district nursing, health visiting to specialist nurses, as well as therapy services for children, young people and adults.
Salary is dependant on NHS experience and current banding/pay point.
Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, access to EAP, high street discounts, Blue Light Card eligibility, opportunity to apply for low interest personal loans and an excellent lease car scheme and we are constantly looking to expand our staff benefits.
Job description
Job responsibilities
- To undertake a focussed person-centred approach, ensuring quality standard and delivery of care for patients.
- To develop safe clinical skills in community setting to proactively manage very high intensity users of health and social care services, with multiple co-morbidities and pharmacy, social, medical and nursing needs and who are at risk of hospital admission.
- To undertake nursing procedure as indicated for example, catheterisation, monitoring of vital signs and review of symptoms, phlebotomy, IV therapy and cannulation in the patients home.
- To proactively monitor and manage a patient caseload with sound clinical autonomous decisions about patient care and seeking support from colleagues as appropriate.
- To confer, as appropriate and work with the patients GP, BHC GP/Consultant, Directorate Lead Nurse, Clinical Lead, ANP, ACP and/or Out of Hours GPs to ensure there is a robust communication around clinical issues as indicated.
- To sensitively deal with distressing or emotional circumstances regarding patient care, and communicate information, sensitively, requiring empathy and reassurance, to patients, carers.
- To actively seeking GP/Frailty Consultant to review of polypharmacy and other medication issues in accordance with Department or Health, Professional and organisational guidelines.
- To work effectively as part of a multidisciplinary team working to support the common goal of safe, efficient care delivery closer to the patients homes.
- To empower patients and their families through appropriate support and education.
- To utilise formal and informal reporting mechanisms, including electronic and handwritten reporting to ensue effective internal and external communications and to ensure all documentation is accurate and professional.
- Fully support the use of EMIS mobile and provide contemporaneous clinical records.
- To continuously challenge practice ensuring a sound evidence base thus meeting clinical governance requirements.
- Promote multidisciplinary team working to provide rapid crisis intervention, the common goal of safe efficient care to people in their own home.
- Support the Service Lead and Operational Leads in delivering the UCR KPIs and ensure that capacity is maintained, and timelines managed at times of escalation.
To contribute to partnership working with Acute Trust GPs, Nursing/Residential home staff and other health care professionals within Bromley Healthcare, Social Services and voluntary agencies to promote an anticipatory care planning
Job description
Job responsibilities
- To undertake a focussed person-centred approach, ensuring quality standard and delivery of care for patients.
- To develop safe clinical skills in community setting to proactively manage very high intensity users of health and social care services, with multiple co-morbidities and pharmacy, social, medical and nursing needs and who are at risk of hospital admission.
- To undertake nursing procedure as indicated for example, catheterisation, monitoring of vital signs and review of symptoms, phlebotomy, IV therapy and cannulation in the patients home.
- To proactively monitor and manage a patient caseload with sound clinical autonomous decisions about patient care and seeking support from colleagues as appropriate.
- To confer, as appropriate and work with the patients GP, BHC GP/Consultant, Directorate Lead Nurse, Clinical Lead, ANP, ACP and/or Out of Hours GPs to ensure there is a robust communication around clinical issues as indicated.
- To sensitively deal with distressing or emotional circumstances regarding patient care, and communicate information, sensitively, requiring empathy and reassurance, to patients, carers.
- To actively seeking GP/Frailty Consultant to review of polypharmacy and other medication issues in accordance with Department or Health, Professional and organisational guidelines.
- To work effectively as part of a multidisciplinary team working to support the common goal of safe, efficient care delivery closer to the patients homes.
- To empower patients and their families through appropriate support and education.
- To utilise formal and informal reporting mechanisms, including electronic and handwritten reporting to ensue effective internal and external communications and to ensure all documentation is accurate and professional.
- Fully support the use of EMIS mobile and provide contemporaneous clinical records.
- To continuously challenge practice ensuring a sound evidence base thus meeting clinical governance requirements.
- Promote multidisciplinary team working to provide rapid crisis intervention, the common goal of safe efficient care to people in their own home.
- Support the Service Lead and Operational Leads in delivering the UCR KPIs and ensure that capacity is maintained, and timelines managed at times of escalation.
To contribute to partnership working with Acute Trust GPs, Nursing/Residential home staff and other health care professionals within Bromley Healthcare, Social Services and voluntary agencies to promote an anticipatory care planning
Person Specification
Qualifications
Essential
- Diploma/Degree Adult Nursing
Desirable
Professional registration
Essential
Experience
Essential
- Actively involved in clinical supervision
- Experience of working in/with a multi-disciplinary team
- community or acute nursing experience
Desirable
- Admission avoidance experience
- Recent experience of administering intravenous drugs
- Working in an Intermediate Care setting.
Skills
Essential
- To have organisational skills such as delegation, prioritisation and negotiation.
- Sound knowledge and understanding of Clinical Governance.
- Car driver with clean current licence and access to a vehicle to use for work
- Ability to administer intravenous drugs
- Cannulation skills.
- Qualified & competent to carry out male/female including suprapubic catheterisation
Desirable
- Specialist assessments such as Continence assessments, Digital Rectal examination etc
- Experience of clinical audit.
- Report writing skills
- Understanding of Research & Development.
- An understanding of Change Management.
Person Specification
Qualifications
Essential
- Diploma/Degree Adult Nursing
Desirable
Professional registration
Essential
Experience
Essential
- Actively involved in clinical supervision
- Experience of working in/with a multi-disciplinary team
- community or acute nursing experience
Desirable
- Admission avoidance experience
- Recent experience of administering intravenous drugs
- Working in an Intermediate Care setting.
Skills
Essential
- To have organisational skills such as delegation, prioritisation and negotiation.
- Sound knowledge and understanding of Clinical Governance.
- Car driver with clean current licence and access to a vehicle to use for work
- Ability to administer intravenous drugs
- Cannulation skills.
- Qualified & competent to carry out male/female including suprapubic catheterisation
Desirable
- Specialist assessments such as Continence assessments, Digital Rectal examination etc
- Experience of clinical audit.
- Report writing skills
- Understanding of Research & Development.
- An understanding of Change Management.
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).
