Nurse or Paramedic Streamer (Adults and Children) in Sidcup

We are looking for Nurse or Paramedic Streamer (Adults and Children) to work in Queen Mary Sidcup Urgent Care and Out of Hours Service and Erith Hospital.

Main duties of the job:

• Delivery of safe and effective nursing care to patients.
• Involved in the initial assessment of ambulatory adult cases and responsible for care delivered in streaming / triage process.
• Autonomous decisions on directing patients to the correct clinical area of service.
• Professionally and legally accountable for all aspects of work.
• Critical thinking and skills in clinical decision-making.
• Support patients with streaming and redirection tool.
• Identify patients with red flag symptoms and elevate.
• Assess the physical and psychosocial needs and develop a plan of care with the patient.
• Observe, record and report all changes.
• Produce accurate, contemporaneous and complete records.
• Deliver care according to the National Framework 2022, NICE guidelines and evidence-based care.
• Support colleagues with minor injuries / illness caseload.
• Provide clinical and professional advice, health education and promote healthy lifestyles.
• Promote safe systems of work and identify areas for change.
• Support patient compliance with and adherence to prescribed treatments.

About us:

The goals of BHNC are to work strategically with all Bexley Primary Care Networks (PCNs), to help secure the best services for patients whilst working together, to support the member practices in the challenges of a changing NHS. Bexley Health Neighbourhood Care (BHNC) aims to improve the morale of PCNs, general practice, UTCs in Bexley, by sharing expertise, services and supporting its workforce. BHNC will make a positive impact on medical services in Bexley, by working closely with the CCG, local NHS trusts, local providers and patient groups, to improve the delivery of healthcare to the local population.

Job responsibilities:

• Ensure the delivery of safe and effective nursing care to the Urgent Care patients.
• Involved in dealing with the initial assessment of all (adults and children) ambulatory adult cases arriving at the Urgent Treatment centre.
• Make autonomous decisions on directing patients to the correct clinical area of service.
• Be professionally and legally accountable for all aspects of their professional and clinical work within agreed national, local and professional standards and guidelines.
• Responsible for the care delivered during the streaming / triage process.
• Demonstrate critical thinking and skills in clinical decision-making.
• Work collaboratively with the whole Urgent Care team to meet the needs of patients, supporting the delivery of policy and procedures.
• Support patients using the streaming and redirection tool at the first point of contact.
• Identify using knowledge and experience, any patients who present with red flag symptoms.
• Recognise and work within own competence and professional code of conduct as regulated by the NMC regarding wound care, medication administration and observation monitoring.
• Provide medication administration under Patient Group Directions and report the required legal duties, training and documentation mandated.
• Use enhanced skills and knowledge to assess the physical and psychosocial needs and develop a comprehensive and concordant plan of care with the patient when required.
• Observe, record and report all changes to a senior clinician in a timely manner, depending on acuity and urgency.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• Deliver care as an individual and team according to the National Framework 2022, NICE guidelines and evidence-based care.
• Support Emergency Clinical Practitioners, Advanced Clinical Practitioners and Urgent Care GPs, with caseload in minor injuries/illness.
• Give accurate and comprehensive handover to team members at each shift change.
• Provide health education and promote healthy lifestyle for patients and carers.
• Provide clinical and professional advice and support to the team.
• Promote safe systems of work and identify areas where changes in the Urgent Care would achieve a more effective outcome.
• Ensure resources are used efficiently and effectively and all equipment used in the care of patients is appropriately maintained.
• Work with patients to support compliance with and adherence to prescribed treatments.
• Actively challenge unacceptable behaviour and discrimination.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations.
• Actively promote the workplace as a learning environment.
• Understand own role and scope and identify how this may develop over time.
• Work as an effective and responsible team member, supporting others.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Discuss, highlight and work with the team to create opportunities to improve patient care.

Personal and Professional Development:

• Take responsibility for own learning and performance including participating in clinical supervision.
• Participate in an annual individual performance review.
• Participate in any training programme implemented by the management team.
• Assess own performance and development and take accountability for own actions.
• Represent the organisation positively and professionally.
• Demonstrate interpersonal skills when dealing with all levels of staff.
• Handle confidential patient material in a sensitive and discrete fashion.
• Influence, motivate and involve individuals and teams to reach necessary performance target expectations.
• Liaise with other departments to ensure the smooth running of the role.

General:

• Maintain confidentiality at all times.
• Represent the organisation positively and professionally.
• Demonstrate interpersonal skills when dealing with all levels of staff.
• Handle confidential material in a sensitive and discrete fashion.
• Influence, motivate and involve individuals and teams to reach necessary performance target expectations.
• Liaise with other departments to ensure the smooth running of the role.

Person Specification:

• Qualifications - Registered Nurse or Paramedic, Evidence of continued professional development, BLS / ILS, Mentorship / teaching qualification.
• Skills / Abilities - Evidence of knowledge of acute and urgent care presentations, Ability to work autonomously in a fast-paced environment, Strong communication and interpersonal skills.
• Experience - Minimum 2 years post registration experience, Experience working in a relevant speciality.
• Other - Willingness to work shifts including evenings, weekends and bank holidays.

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.