Hospital at Home (UCR) Staff Nurse - Band 5 Orpington in London

Urgent Community Response Bromley Hospital at Home Staff Nurse - Band 5 (Bank) £36,943 - £44,900 Inclusive of HCAS per annum pro rota. Bank shifts - adhoc - 8-8pm. Bromley Hospital at Home is an 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.

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.
• Observe confidentiality of records and health information at all times and be aware of and practice the principles of the Data Protection Act of 1984, 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 dependent 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.

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 seek support from colleagues as appropriate.
• To confer, as appropriate and work with the patient's GP, BHC GP/Consultant, Head of Hospital at Home, Operational Manager, ANP, ACP and/or Out of Hours GPs to ensure there is 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 and carers.
• To actively seek GP/ Consultant to review polypharmacy and other medication issues in accordance with the Department of 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 ensure 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, with the common goal of safe, efficient care to people in their own homes.
• Support the Operational Manager in delivering the UCR KPIs and ensure that capacity is maintained, and timelines are 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 anticipatory care planning.

Person Specification:

• Qualifications
• Essential: Diploma/Degree Adult Nursing
• Desirable: Degree/Masters
• Professional registration
• Essential: NMC registration
• Experience
• Essential: Actively involved in clinical supervision, Experience of working in/with a multi-disciplinary team, Acute or relevant nursing experience, Knowledge of Hospital at home and Virtual wards
• Desirable: Admission avoidance experience, 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 UK licence and access to a vehicle to use for work, Competent to administer intravenous drugs, Cannulation and phlebotomy skills, Qualified & competent to carry out male/female including suprapubic catheterisation, Knowledge of the Management of patients with Heart failure with fluid overload.
• Desirable: Diagnostics, ECG, Bladder scanning, etc, Experience of clinical audit, Report writing skills, Understanding of Research & Development, An understanding of Change Management.
• Essential: UK Lisc Car driver with access to a vehicle to use for work.

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. Applicants must have current UK professional registration.