Registered Nursing Associate - Willow Therapy Unit

at  Norfolk Community Health and Care NHS Trust

Clinical Assess patients with straightforward requirements based on predetermined department protocols. Prepare for, carry out and monitor assessments and treatments in specified clinical areas, and discharge in line with predetermined department protocols. Apply competency-based treatment techniques/care to patients with specific conditions under the supervision of a qualified practitioner. Modify and progress intervention / treatment using own clinical reasoning, notifying a qualified practitioner accordingly.
Prepare for and develop individual/group activities to meet defined intervention needs. Monitor patients and promptly alert a qualified practitioner when there are unexpected changes. Demonstrate problem solving, and contribute to the solution, working with colleagues. Make basic judgements on patients response to prescribed treatment, and report findings to a qualified practitioner.
Plan and prioritise own visits to delegated patients and ensure these are documented in electronic ledgers. Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance. Be required to use tact and persuasive skills in order to gain the patients co-operation in their treatment/care/management plan.
Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately. To participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework. Communicate with patients/carers by exchanging factual information, reassurance, tact and empathy.
Establish and maintain appropriate working relationships with colleagues, patients, carers and other health care professionals. Demonstrate dexterity and coordination when undertaking treatment of patients where accuracy is important, e.g. taking blood sugars, venepuncture, supervising transfers and passive exercises. Be responsible for ensuring equipment is used safely, following appropriate training, and that it is maintained appropriately.
Contribute to the requisitioning of supplies and equipment through electronic ordering systems. Work predominantly independently on specified tasks, with regular clinical support and supervision by a qualified practitioner. Demonstrate an awareness and understanding of consent and gain consent as appropriate following department policy. Share responsibility for maintaining store cupboards, pool cars, cleaning specialist equipment and general housekeeping tasks.
Share responsibility for indirect patient contact tasks, such as, answering telephones, arranging appointments, processing referrals and inputting activity data. Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies. Demonstrate basic IT and standard keyboard skills. Triage Work rotationally and when required as part of the clinical triage team within the single point of contact.
Contribute to clinical triage to ensure referrals are prioritised according to the service and the patient need. Work in accordance with the local processes and standard operating procedures as set out by the unit. Triage on non-complex referrals within your scope of practice and your limitations with the clinical triage staff, (under indirect supervision from registered nurse if not on NMC register). Engage with mobile working; be aware of the demand and capacity model which will reflect workload needs at any given time.
Be able to work in a flexible manner for the service need. Assess the information given within the referral, and document using S1 triage notes, appropriately ensuring comprehensive detail, using good grammar and punctuation and adhering to NCHC record keeping policy. Ensure that if the referral is assessed as an Admission Avoidance i.e. a 4-hour response, immediate contact is made with the relevant clinician the details passed on.
Perform telephone contact with patients and carers to assess, deliver and plan care and problem solve over the phone ensuring that this is recorded in the clinical tirage notes. This role includes liaising with the referrer e.g. GP practice, hospital or patient to obtain the relevant information, if required. Clinical Nursing Competencies Develop and maintain key competencies in order to support planned and unplanned care teams within own scope of practice.
Achieve competency in key skills including but not limited to, wound care, medication administration, continence management, palliative care skills and holistic assessments. Professional To be an active member of the in-service training programme by attendance at and participation in staff meetings, training sessions, courses and reflective practice. To participate in the staff appraisal scheme as an appraisee, maintaining a dynamic personal development plan. To demonstrate an awareness of clinical governance and risk management and apply to work situations.
To provide peer support to other carers. To develop competencies to enhance practice and ability to meet needs of patients and the service

Please refer the Job description for details