Senior Staff Nurse

at  Oxleas NHS Foundation Trust

We are seeking to appoint a committed, highly motivated, enthusiastic, and skilled Band 6 Senior Staff Nurse to join our dynamic, integrated multi- disciplinary Rapid Response Team.
In this exciting role you will be an integral part of the team developing new pathways to provide Same Day Emergency Care in the community alongside other Adult Community Services, Social Care, Acute Trusts and Primary Care colleagues.
The Rapid Response Team are part of the SE London Accelerator Programme. The Rapid Response Team are delivering the essential elements of the Urgent Community Response pathways. The Rapid Response Team has been operational since 2013 and is a multi- professional team consisting of Nurses, Occupational Therapists, Physiotherapists , Social Workers and support staff . The team provide holistic health and social care assessments for people over the age of 18 years, who are registered with a Bexley GP and live in the Borough of Bexley. The Team treats/ manages/ cares for patients in their usual place of residence with an urgent health or social care need.
The team are based at Queen Elizabeth Hospital, Woolwich and operates 7 days a week, on an 8am-8pm basis, focusing on rapid 2-hour assessments to patients with potential short-term intervention(s) typically lasting up to 5 days.
Candidates are welcome to visit the Service.
The post holder will work as a part of the multi-disciplinary Rapid Response Team including Consultant Geriatrician, Senior Nurses, Occupational Therapists and Social Services colleagues to meet the needs of patients referred to the team, ensuring the highest possible standards of practice with a strong emphasis on falls, frailty.
The post holder will conduct comprehensive nursing assessments for patients within acute and community settings. They will need to demonstrate sound clinical reasoning and risk assessment skills to guide appropriate nursing intervention and when appropriate avoid unnecessary ED presentation. The post holder will also be skilled in the management of breast drains, wound care and intravenous antibiotic therapy.
The post holder will be required to work across hospitals sites on a planned basis and in community when responding to urgent community referrals. Post holder will undertake delegated line management of junior staff, both informal and formal basis.
The team act as a liaison between acute and community settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and on- going case management. Referrals are received from Health and Social Care professionals, Medical Teams, General Practitioners and Ambulance Services.
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
We’re Kind
We’re Fair
We Listen
We Care
The Team work directly with (LAS) and act as a liaison between Emergency Departments, Community and Care home settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and the instigation of on- going case management of long term condition management. The Rapid Response Team provides community follow up and support and review.
The post holder will assist with and directly triage urgent patient referrals with varied and complex needs in acute hospital and community setting acting as an expert nursing clinical resource to Rapid Response Team members by facilitating high quality evidence-based practise.
The post holder will also have the opportunity to work closely with our Community Consultant.

TRAINING AND EDUCATION:

Utilise communication and teaching skills to educate the diverse and multicultural population in a range of disease specific techniques, principles and guidelines when required
Provide support and take a proactive role in the education and training of undergraduate and graduate AHP students, nurses and rehabilitation assistants
Maintain continuing professional development by participating in regular in-service training, supervision, reflective practice and attending study days and training, giving feedback to the team where appropriate to disseminate learning
Maintain competency in manually handling people
Maintain up-to-date mandatory and statutory training

Be professionally and legally responsible and accountable for all professional activities
Demonstrate theoretical knowledge of acute, multiple, complex, and long-term pathologies and impairments in the assessment of clients
Work closely with other health professionals and social services and provide nursing advice in meeting the needs of the clients
Conduct a thorough assessment of clients, obtaining consent in accordance with professional guidelines and local team procedures
Recommend appropriate interventions to promote independence and safety, utilising effective clinical reasoning skills and evidence-based practice
Complete a care plan for clients who require input from integrated community services (bed-based or home-based input)
Maintain effective multidisciplinary communication with other members of the team and the wider clinical network to ensure that client’s needs are met
Provide specialist advice to client, carers and relatives based on clinical evidence when required
Participate in MDT meetings and family conferences as required
Maintain up-to-date clinical written records and computerised records in accordance with local and professional standards; and also writing comprehensive reports on clients as required and inputting onto RiO
Ensure management of clinical risk with clients under their care
Be able to identify when and how to terminate involvement or refer onwards to appropriate teams/services and complete input in a timely, seamless manner
Seek guidance from more experienced colleagues when required
Be professionally curious in terms of safeguarding adults and children and promote professional curiosity