Lancashire & South Cumbria NHS Foundation Trust

Intensive Home Support Nurse

This job is now closed

Job summary

Providing holistic needs based assessment, intervention and stabilisation of clients during a crisis over a 96 hour period with the aim of avoiding unnecessary admission to hospital.

To provide holistic, needs based assessment of clients requiring step-up or step down routine intermediate care assessment.

To refer on to and co-ordinate services.

To in-reach into the Emergency Department, Urgent Care Centre and the Medical Admissions Unit as required

Main duties of the job

We are looking for an enthusiastic and motivated NMC registered nurse, interested in acute, client centred care within the community, to join the Blackburn with Darwen Intensive Home Support Service (IHSS) . It is an integrated multi-disciplinary team of Occupational Therapists, Physiotherapists, Nurses, Assistant Practitioners, Complex Case Managers and Support Workers.

This role involves assessing patients within their own home environment to reduce avoidable admissions and support people within the community at times of crisis due to deterioration in health. The IHSS service operates 8.00am - 8.00pm 365 days a year.

You will need excellent communication skills and have experience of teamworking. The role will involve delivering excellent, evidence based nursing care and involve a holistic approach to emphasising the elements of rapid response, intravenous therapy, Complex Case management, recuperative and rehabilitative care.

This post is subject to an enhanced DBS Disclosure

About us

All Lancashire & south Cumbria NHS Foundation Trust staff employed within Clinical Environments and have contact with service users and their families must familiarise themselves with and adhere to Local Safeguarding Childrens Board , Local Safeguarding Adult Board and LSCFT Procedures for Safeguarding and Protecting Children.

The Trust places great emphasis on the need for the strictest confidentiality in respect of personal data - both that of service users and staff. All information about people will be treated in the strictest confidence at all times. Breaches of confidentiality will be investigated and may lead to Disciplinary action being taken.

The Trust view its responsibility under the Data Protection Act and the Caldicott Principles as central to all activities that are carried out in its name. Staff are therefore expected to acquaint themselves with the principles of Information Governance, and to complete the mandated training modules that have been agreed.

Date posted

16 December 2020

Pay scheme

Agenda for change

Band

Band 6

Salary

£31,365 to £37,890 a year

Contract

Secondment

Working pattern

Full-time

Reference number

351-CW1255-SW-A

Job locations

Blackburn

Daisyfield Mill

Blackburn

BB1 2FD

Job description

Job responsibilities

The Intensive Home Support Service A multidisciplinary team comprising Occupational Therapists, Physiotherapists, Nurses, Assistant Practitioners, Community Rehabilitation Assistants and administrative support, providing a 365 day a year service, 8am to 8pm, within the community and input as an in-reach service until 8pm in the Emergency Department, Urgent Care Centre and Medical Assessment Unit of Royal Blackburn Hospital to avoid admissions and facilitate supported discharge.

The team works with other community professionals such as GPs, District Nursing, Community Matrons and Care Managers to prevent avoidable hospital and emergency respite care admissions and provides:

Comprehensive multi-disciplinary assessment of needs including appropriateness for Community Rehabilitation and admission to Residential Intermediate Care Services
Specialist clinical and therapy assessments, interventions and rehabilitation programs up to 96 hours
Specialist equipment and aids to daily living to maintain safety and promote independence in the patients home
Co-ordination of crisis support across boundaries of care with partners working for patients requiring assistance to maintain primary personal care and social care needs
Patient education and promotion of self-management of the patients condition
An admission avoidance service for the acute trust in the evenings, at weekends and on bank holidays.

Key Relationships Maintain effective relationships, with other service teams and managers, from teams co-located within base, Third Sector Organisations and in both Primary and Secondary Care.

Key Responsibilities Responsibility for patient Care (including monitoring, diagnostics and investigations).To provide a holistic assessment in line with the single assessment process, to identify areas of concern and develop appropriate care plans.

To plan programmes of care to promote health gains, manage chronic and acute illness and maximise independence with the client group across a variety of settings.

To ensure clients receive timely intervention from the most appropriate professional/service

To develop and maintain skills and knowledge to assess the physical psychological and social needs of the client group, instigating therapeutic treatments based on best available evidence in order to improve health outcomes.

To interpret the available information and make an overview assessment of the clients health and social needs within the framework of the single assessment process, identifying potential risks to their future health and well-being.

To use clinical skills and knowledge to identify changes in the patients condition, and to prioritise patients needs in order to provide appropriate and timely interventions and/or referrals.

To instigate diagnostic tests, investigations and therapeutic treatments and/or refer onto other healthcare professionals appropriately.

To evaluate the effectiveness of clinical interventions in meeting previously agreed goals, negotiating with client and other members of the multi-disciplinary team where appropriate and making any necessary modifications to treatment plans.

To counsel patients and carers in relation to prescribed treatments to ensure safety understand and concordance.

To administer medications as prescribed (where appropriate), and monitor their effectiveness according to Trust policy and procedure and professional guidelines.

To liaise and communicate effectively with other professionals involved in medication management and prescribing.

To ensure the provision of planned interventions necessary to promote health gains, manage illness and reduce the risk of complications and deterioration of the patients condition.

To identify opportunities and provide health education and promotion for patients and their carers.

To identify opportunities to promote and improve the patients ability to self manage their illness or condition wherever possible.

To ensure that the care provided and services delivered are in line with Trust policies and procedures, and clinical governance framework.

To maintain accurate and legible patient records in accordance with Trust policy and NMC guidelines.

To be aware of the limitations of own knowledge, skills and competencies and work within the NMCs Scope of Professional Practice.

All employees have a duty to attend all mandatory training sessions as required by the Trust.

Any Other General Requirements as appropriate to the post and location.

The range of duties and responsibilities outlined in this document are indicative only and are intended to give a broad flavour of the range and type of duties that will allocated. They are subject to modification in the light of changing service demands and the development requirements of the post-holder.

Job description

Job responsibilities

The team works with other community professionals such as GPs, District Nursing, Community Matrons and Care Managers to prevent avoidable hospital and emergency respite care admissions and provides:

Comprehensive multi-disciplinary assessment of needs including appropriateness for Community Rehabilitation and admission to Residential Intermediate Care Services
Specialist clinical and therapy assessments, interventions and rehabilitation programs up to 96 hours
Specialist equipment and aids to daily living to maintain safety and promote independence in the patients home
Co-ordination of crisis support across boundaries of care with partners working for patients requiring assistance to maintain primary personal care and social care needs
Patient education and promotion of self-management of the patients condition
An admission avoidance service for the acute trust in the evenings, at weekends and on bank holidays.