Senior Nurse (Out of Hours)

• Contribute to, support and promote ECCH's, strategic direction, values and culture in relation to proactive and reactive services.
• Discuss all treatment options with sensitivity, knowledge and expertise, and to act as a patient advocate when appropriate, respecting patient confidentiality with privacy and respect for diverse cultural backgrounds and requirements.
• Provide leadership and ensure effective management of the team through identified lines of responsibility within Primary Care Homes.
• Act as a resource for other health and social care professionals on matters relating to community nursing.
• Contribute to the management, coordination, development and audit of delegated caseloads in partnership with members of the team, to ensure the provision of high quality service to families, individuals, and groups within the community for the provision of their physical, social and psychological well-being.
• Participate in clinical supervision within Primary Care Home as required.
• Participate and maintain a learning environment and maximise opportunities for education and development in the clinical area to enhance individual development and performance in the delivery of high standards of care.
• Develop excellent internal and external networks in order to promote Primary Care Network.
• Contribute to the clinical governance agenda through participation in clinical risk assessment and management and clinical audit.
• Critically evaluate research findings, national guidelines and implement changes in clinical practice as appropriate.
• Create an environment conducive to effective working, respecting and supporting staff to deliver high quality clinical services.
• Actively manage, change and foster innovation within proactive and reactive care.
• To deputise for the Lead Nurse or Integrated Care Lead if required.

• Work as part of the multidisciplinary Primary Care Home to deliver proactive and reactive services.
• Work in collaboration with colleagues to develop care pathways for patients requiring a range of healthcare needs and reablement.
• Work collaboratively with residential care homes and communitycolleagues to promote high standards of care.
• Contribute to the review of current policies/ protocols/guidelines and the development of clinical pathways and outcomes for people requiring proactive and reactive services.
• Work collaboratively with the Primary Care Home Team and the training department to assess the clinical training needs of staff.
• To formulate an individualised management and/or treatment plan, using clinical reasoning skills and utilizing a wide range of treatment skills in order to formulate a specialised programme of care. This will ensure patients meet their re-ablement goals and promote independence.
• To communicate effectively and work collaboratively with medical, nursing and therapy colleagues to ensure delivery of a coordinated multidisciplinary service. This will include discussion of patient care and case management.
• To work collaboratively with colleagues in partner organisations towards a shared objective of seamless, patient-focussed service provision

• Plan and organise a range of complex clinical activities in a wide range of community settings to ensure best practice is delivered across your designated area of responsibility.
• To undertake a holistic assessment of patients, including those with a complex presentation, using investigative and analytical skills.
• Consistently identify deteriorating patients and evidence ability to escalate
• To oversee the coordination and case management of patients requiring out of hours support, and ensure appropriate follow up is arranged where neededTo provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of the service and to ensure a consistent approach to patient care.
• To assess mental capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack this capacity to consent to treatment.
• To assess for environmental aids and arrange for provision or provide advice on where aids can be obtained.
• Take responsibility for own personal and professional development; maintain competence, knowledge and skills commensurate with role.
• Be wholly accountable for practice taking every reasonable opportunity to sustain and improve knowledge and professional competence and, ensure all aspects of professional behaviour as required within professional code are followed at all times.
• Maintain legible, accurate and contemporaneous patient records in accordance with ECCH Policy and professional standards for record keeping.
• To communicate assessment and treatment results to the appropriate disciplines in the form of reports or letters.
• Take responsibility to ensure compliance with Health and Safety Policy, Fire and Environmental Waste Regulations.
• Be responsible for understanding, following and implementing ECCH policies and procedures.
• Manage individual performance, reporting areas of concern and non--compliance to the Integrated Care Lead.
• Ensure staff compliance with ECCH risk management systems, proactively identifying risk, reporting and managing risk within area of responsibility.

• Take responsibility for the cost effective management and safe use of expensive clinical equipment and to ensure the safe use of equipment by others through teaching, training and supervision of practice.
• Contribute to the effective use of resources.
• Contribute to the evaluation of training programmes to support patients and carers gain the necessary knowledge and skills to maintain independence.
• All roles within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our Values and Signature Behaviours in the care and service they provide to patients, service users, stakeholders and colleagues. All members of staff should consider these as an essential part of their job role.
• Our Values outline the core behaviours that we can all achieve and are summarised as an acronym within the word 'CARE'. These stand for: Compassion, Action, Respect and Everyone.
• Underpinning our Values are our Signature Behaviours which highlight by taking the right actions we continue to build a strong culture. Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together.

Essential

• *Professional Registration with Nursing and Midwifery Council (NMC) Registered Nurse Level 1 (Adult)
• *BSc in Nursing Practice or equivalent
• *Evidence of continued professional development and a professional portfolio.
• *Leadership/ management qualification or willing to undertake
• *Health Coaching programme or willing to undertake

Desirable

• *Specialist Practitioner Qualification in District Nursing
• *Community Nurse Prescriber v100 /v150
• *Independent non- medical prescriber
• *Mentorship / Teaching and Assessing Course (ENB 998) or equivalent

Essential

• *Experience working within a similar field of nursing/healthcare
• *Experience of working as part of a multi-disciplinary team
• *Experience of working with frail older adults and awareness of the complex issues relating to this client group.

Desirable

• *Previous experience at band 6 level.
• *Clinical experience gained in a community/intermediate care setting.
• *Student supervision/clinical education
• *Experience of clinical audit
• *Experience of successful change management
• *Experience of facilitating clinical supervision

Essential

• SKILLS AND KNOWLEDGE
• *Knowledge and understanding of the National Standards Framework for the Elderly (March 2001)
• *Ability to deal sensitively with patients who may have high levels of anxiety.
• *Capacity to concentrate for considerable periods of time during assessment and management of patients and be expected to respond immediately to interruptions.
• *Must have an understanding of the legal and ethical issues pertaining to nursing.
• *Leadership skills
• *Assessment and patient management skills
• *Excellent communication and interpersonal skills
• *Negotiating and influencing skills
• *Good IT skills
• *Effective organisation and time management skills
• PERSONAL ATTRIBUTES
• *Able to work both collaboratively within a team and independently.
• *Able to contribute to team, service and organisational development.
• *Commitment to person centred, non-discriminatory practice.
• *Aware of requirements for confidentiality.
• *Forward thinking with excellent interpersonal skills.
• *Able to maintain judgment under pressure.
• *Able to maintain motivation, drive, enthusiasm.
• *Flexible approach to work and participate in various shift patterns.