Remote Monitoring Nurse/AHP

Job responsibilities

KEY RESPONSIBILITIES

The post holder will:

1. Be able to combine high level remote monitoring with telephone assessment for patients with short- and long-term conditions. Intervene when markers for deterioration are evident. Subsequently, initiating medical and/or nursing/therapy treatments, by alerting and referring to primary care multidisciplinary teams and professionals. These actions will ensure that interventions for patients are delivered in the community setting and prevent unnecessary hospital admission.

2. Work with partners in nursing and residential care to ensure optimum health outcomes for their residents.

3. Possess well developed clinical and professional leadership ability and use this proactively for the benefit of the Remote Monitoring team. Support the Remote Monitoring Team Leader in their management role when required. Leadership skills will also be utilised to support the wider community including Primary Care, Social Care, and all other provider organisations to deliver high standards of care to patients.

4. Supervise other health and social care professionals in the delivery of health promotion activities via the Remote Monitoring model, e.g. chronic disease management self-help signposting.

5. Work in alignment with Primary Care, for established practice populations, toward a shared vision of seamless management for patients with short- and long-term conditions within the Primary Care and the Community setting.

6. Work with ICS partners in Primary and Social Care to further develop the Remote Monitoring model for cohorts of patients managed within local populations.

7. Maintain accountability for practice following the Nursing and Midwifery Council Code of Professional Conduct or the Health Care Professions Council and compliance with EBPC Policies and Procedures.

8. Maintain legible, accurate and up to date records that are dated and signed in accordance with EBPC Policies and the Nursing and Midwifery Council / Health and Care Professions Council standards on record keeping.

9. Work autonomously with patients, their families and carers managing referrals according to need and priority.

10.Negotiate and agree with the patient, carers and other care professionals, individual roles and responsibilities with actions to be taken and outcomes to be achieved, referring on to other services or professionals as appropriate.

11.Critically analyse complex clinical data and information to inform diagnosis. Where appropriate, refer within Primary Care to improve health outcomes for patients on the Remote Monitoring caseload.

12.Understand and support the achievement of EBPCs business plan objectives and performance targets; participating in screening and needs assessment as required.

13.Identify the potential for service developments, risks and deficits and inform as appropriate to the Remote Monitor Service Manager making recommendations based on specialist knowledge.

14.Be wholly accountable for practice taking every reasonable opportunity to sustain and improve knowledge and professional competence and, ensure that all aspects of professional behaviour as required within the NMC or HCPC Codes of Professional Conduct are followed at all times.

15.Assist the Team Leader to manage the effective use of resources within the Remote Monitoring team and participate in regular review meetings with the Team Leader/Nurse Lead.

16.Develop and sustain an effective and positive working relationship with a wide range of multidisciplinary teams and individual professionals including Specialist Nursing Services, Community Nursing services, Therapy services, GPs, Practice Nurses and Primary Care staff.

17.Have experience with clinical patient management systems: Adastra, EMIS, Connected Care.

PATIENTS CARE

The post holder will:

1. Use advanced clinical practice skills to remotely monitor and assess the physical and psychosocial needs of a defined client group.

2. Use advanced generalist clinical skills to identify subtle changing health care needs of patients. Subsequently, being able to competently discuss treatment options with other generalists and specialists.

3. Demonstrate responsibility and accountability for the Remote Monitoring clinical caseload and escalate care needs across the whole patient pathway when this is required. This includes ensuring a robust relationship and constant interface with Primary Care and Community Multidisciplinary teams.

4. Review individualised care plans for patients with short- and long-term conditions on admission to Remote Monitoring, so that their condition remains as stable as possible and, where appropriate, hospital admission is prevented.

5. Work with partners in nursing and residential care to improve the health outcomes of the residents and so prevent unnecessary hospital admissions or extended in-patient care episodes.

6. Analyse complex patient situations establishing a therapeutic relationship to assist the individual patient to adjust to their illness and care with the Remote Monitoring service.

7. Use assessment tools/skills that will ensure an appropriate level of nursing or therapeutic intervention so that patients who present with complex needs are referred/escalated via the appropriate care pathway.

8. Discuss all treatment options with sensitivity, knowledge, and expertise. and to act as patient advocate and maintain patient confidentiality.

9. Deliver care that is patient centred, respecting diverse cultural backgrounds, and requirements.

10. Work in partnership with the patients to empower them to make informed choices about their healthcare and support choices.

11. Offer a supportive service to patients and their carers from diagnosis through all stages of the disease process, in conjunction with other healthcare professionals using a range of communication skills to manage care and information empathetically.

RESPONSIBILITIES FOR PEOPLE AND TRAINING

1. Provide patients, families and carers with tailored advice and support to increase understanding of signs and potential causes for acute exacerbation of underlying conditions. This may aid patient, family and carers engagement with lifestyle changes that would be advantageous to health.

2. Be responsible for providing and maintaining 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.

3. Act as expert resource and assist in teaching advanced clinical skills for other health care professionals in the Remote Monitoring environment. Take part in the process of clinical supervision and participate in clinical supervision and mentorship of others.

4. Take responsibility for your own personal and professional development; maintain competence, knowledge, and skills commensurate with role.

5. To be actively involved in clinical staff recruitment in the Remote Monitoring Team when required by EBPC.

Qualifications

Essential

• - Registered Nurse or AHP
• - Evidence of ongoing learning, reflection, and revalidation

Desirable

• - Further clinical education to Masters level (level 7) in relevant discipline or equivalent training and experience or working towards
• - Physical assessment and Clinical reasoning (PACR or equivalent, level 7)
• - Further qualifications relevant to community nursing
• - Non -Medical Prescribing qualification (V300) or equivalent validated and accredited by NMC
• - Frailty, long term conditions or additional Module attained at level 7
• - To be knowledgeable of the clinical governance agenda and have an awareness of commissioning
• - Teaching qualification
• - Experience with Adastra, EMIS and Connected Care systems

Experience

Essential

• - Minimum 2 years post-qualification experience
• - Significant experience of working with a multi-disciplinary team
• - Setting and monitoring standards of care
• - Experience within a wide range of patient/client care groups
• - Community services experience

Desirable

• - Profiling community needs and targeting identified health needs of population
• - Evidence of innovative and flexible approach to care and the organisation of care
• - Teaching experience
• - Leadership experience

Other Job-Related Requirements

Essential

• - Willing to work in other areas of the EBPC as and when required to do so
• - Driven to achieve
• - Self-motivated
• - Good time management

Knowledge and Skills

Essential

• - To be able to communicate with people from a wide range of backgrounds
• - To be able to work flexibly and sensitively
• - Wide range of interpersonal and communication skills
• - Competence in a wide range of nursing/AHP skills
• - IT literate
• - Ability to sensitively inform service users on complex and distressing issues. Able to support and facilitate staff in dealing with these situations
• - To be flexible and adaptable

Desirable

• - Report writing
• - Further training in dealing with difficult situations
• - Specific speciality area
• - Teaching experience
• - Undertake specific tasks requiring precision and/or intense concentration. Undertaking complex Nursing/AHP skills

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).