Job summary
The Nursing and Rehabilitation Support Worker (NRSW) role is multifaceted as it involves the provision of both rehabilitation and/or care interventions, and nursing oriented interventions to clients in their own home, to support Registered Nurses and Therapists. Tasks may include taking clinical observations, simple nursing procedures, teaching prescribed exercise programs, practicing transfers and mobility, assisting and promoting independence in personal care tasks and documenting outcomes of home visits accurately as per trust guidelines.
You will complete home visits independently and alongside other staff members.
You will work as part of a flexible multidisciplinary team (MDT) and undertake delegated tasks from clinicians across all disciplines.
Working pattern will involve regular unsocial hours inclusive of late weekday, and weekend shifts across three patterns of 8.00 - 20.00, 10.00 - 22.00 and 11.00 - 23.00. Your base hours per week are 37.5hours. There are no on-call shifts for this role.
You will communicate effectively with clients, their carers and family members, particularly patients with impairments which may affect their ability to communicate their needs and/or give informed consent to treatment.
Main duties of the job
Are you looking for an exciting new opportunity in an innovative community service? The @home service are seeking Nursing and Rehabilitation Support Workers who are vibrant, patient-focused and holistic in their team working; who are committed to driving the service forward in providing excellence in patient care.
The @home Service provides intensive acute intervention for patients in their own home, to prevent hospital admissions and facilitate hospital discharge for acutely unwell patients. This is an exciting time to join the service, with the expansion of the Urgent Community Response function to include health and social care. This is part of NHS England's Long Term Plan to support England's ageing population and those with complex needs.
The @home service are a nursing led team consisting of GP's, Consultant Geriatricians, Nurses, Pharmacists, Occupational Therapists, Physiotherapists, Social Workers, and Nursing and Rehabilitation Support Workers (NRSW). Referrals come from primary and secondary centres, consultants, GPs, health providers, social care services, and the London Ambulance Service.
Patient conditions range from acute medical episodes to more acute on chronic longer-term or complex health or social conditions, including the frail elderly who benefit from short-term acute interventions that our service provides. We work closely with GPs, Hospital Teams, Community Matrons, District Nurses, Community Therapy Teams, and Social and Emergency Care Services.
About us
Guy's andSt. Thomas' NHS Foundation Trust
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful foundation trusts. Our community services provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
Job description
Job responsibilities
- To work as an autonomous, lone NRSW implementing holistic pre-formulated care plans to clients in the community, as allocated by Senior Nurses and/or Therapists.
- To hold responsibility for, and manage daily caseload using effective prioritisation and time management skills, and to seek senior support as/when issues arise.
- To work across the boroughs of Lambeth and Southwark when requested as service needs dictate.
- To be professionally and legally responsible for own practice, and accountable for all aspects of treatment delivered to a clients to ensure a high standard of clinical care and a good patient experience is delivered on each contact.
- To deliver basic medical interventions as requested by a clinician including (but not limited to):
- Taking/recording clinical observations
- Monitoring/recording blood glucose levels
- Monitoring medication compliance
- Support medication administration within the scope of practice and trust guidelines/competencies
- Supporting interventions for continence management
- Venepuncture
- Recording of ECG
- Collect specimens (urine and stool)
- Weigh and record routine observations of weight
- Assist with fluid/dietary needs and record intake and output of fluids/solids
- To deliver the prescribed client care plan involving a range of treatments and interventions including (but not limited to):
- Physical and (at times) cognitive rehabilitation to promote functional independence e.g. assisting with, supervising and prompting activities of daily living such as personal care tasks and meal preparation, cleaning and shopping.
- Mobilising clients (indoors/outdoors) and practicing transfers using a range of mobility aids as per care plans. Practicing the use of prescribed adaptive equipment as per care plans.
- Provide therapeutic falls prevention advice/education and implement prescribed exercise treatments to identified at-risk clients.
- Provide clients, family members and carers with informal training in a range of tasks to maximise rehabilitation. This may include manual handling techniques, use of equipment and ADL tasks.
- Assess posture and seating and highlight to Senior Therapists when needs are identified.
- Follow instructions to support patient communication and modified dietary needs
- To use electronic systems to clearly record all contact with clients
Job description
Job responsibilities
- To work as an autonomous, lone NRSW implementing holistic pre-formulated care plans to clients in the community, as allocated by Senior Nurses and/or Therapists.
- To hold responsibility for, and manage daily caseload using effective prioritisation and time management skills, and to seek senior support as/when issues arise.
- To work across the boroughs of Lambeth and Southwark when requested as service needs dictate.
- To be professionally and legally responsible for own practice, and accountable for all aspects of treatment delivered to a clients to ensure a high standard of clinical care and a good patient experience is delivered on each contact.
- To deliver basic medical interventions as requested by a clinician including (but not limited to):
- Taking/recording clinical observations
- Monitoring/recording blood glucose levels
- Monitoring medication compliance
- Support medication administration within the scope of practice and trust guidelines/competencies
- Supporting interventions for continence management
- Venepuncture
- Recording of ECG
- Collect specimens (urine and stool)
- Weigh and record routine observations of weight
- Assist with fluid/dietary needs and record intake and output of fluids/solids
- To deliver the prescribed client care plan involving a range of treatments and interventions including (but not limited to):
- Physical and (at times) cognitive rehabilitation to promote functional independence e.g. assisting with, supervising and prompting activities of daily living such as personal care tasks and meal preparation, cleaning and shopping.
- Mobilising clients (indoors/outdoors) and practicing transfers using a range of mobility aids as per care plans. Practicing the use of prescribed adaptive equipment as per care plans.
- Provide therapeutic falls prevention advice/education and implement prescribed exercise treatments to identified at-risk clients.
- Provide clients, family members and carers with informal training in a range of tasks to maximise rehabilitation. This may include manual handling techniques, use of equipment and ADL tasks.
- Assess posture and seating and highlight to Senior Therapists when needs are identified.
- Follow instructions to support patient communication and modified dietary needs
- To use electronic systems to clearly record all contact with clients
Person Specification
Knowledge/Qualifications
Essential
- Evidence of general education e.g. GCSE's or equivalent.
- NVQ III in Health care or equivalent qualification in the area of speciality (e.g. Operating Dept)
Desirable
Previous experience
Essential
- Previous experience of working as a Rehabilitation Support Worker or Healthcare Assistant in a hospital, Health Service or registered care setting
- Experience of taking clinical observations
- Previous experience in the provision of personal care and rehabilitation interventions
- Customer care experience
Desirable
- Experience in teaching prescribed exercise programs to clients in the community
- Experience of working with adults with disability and/or long term conditions
- Previous experience working with vulnerable adults
Skills
Essential
- Knowledge of care and related procedures to area
- Clear and accurate written and verbal communication
- Ability to use initiative and know limitations of knowledge/skills and refer as appropriate
- Ability to work autonomously without direct supervision and be accountable for own work
- Ability to identify symptoms of changing condition among clients and take appropriate action
- Able to listen effectively and demonstrate a sympathetic /sensitive approach, and be able to speak effectively to colleagues, staff and patients.
- Proven ability to understand and comply with detailed procedures
- Demonstrate ability to manage priorities under pressure
- Proven ability to adapt to new ideas, knowledge and skills
- Understanding of the requirements of patient confidentiality
- Good hygiene skills (e.g. food handling, hand washing etc.)
- Punctual and reliable
- Ability to follow a clear instruction and feed back to senior staff
- Ability to undertake venepuncture
Additional Information
Essential
- Ability to carry out moderate to intense physical effort throughout the working day and carry out concurrent activities
- Able to safely move clients and equipment in line with Manual Handling Guidelines
- Ability to travel across the borough of Lambeth and Southwark in a timely manner to undertake work duties
- Able and willing to work flexible shift patterns, and unsocial hours, according to service needs
- Ability to carry equipment/supplies to clients' homes including on stairs
Desirable
- Hold a valid UK car license.
- Access to a car for work purposes.
Person Specification
Knowledge/Qualifications
Essential
- Evidence of general education e.g. GCSE's or equivalent.
- NVQ III in Health care or equivalent qualification in the area of speciality (e.g. Operating Dept)
Desirable
Previous experience
Essential
- Previous experience of working as a Rehabilitation Support Worker or Healthcare Assistant in a hospital, Health Service or registered care setting
- Experience of taking clinical observations
- Previous experience in the provision of personal care and rehabilitation interventions
- Customer care experience
Desirable
- Experience in teaching prescribed exercise programs to clients in the community
- Experience of working with adults with disability and/or long term conditions
- Previous experience working with vulnerable adults
Skills
Essential
- Knowledge of care and related procedures to area
- Clear and accurate written and verbal communication
- Ability to use initiative and know limitations of knowledge/skills and refer as appropriate
- Ability to work autonomously without direct supervision and be accountable for own work
- Ability to identify symptoms of changing condition among clients and take appropriate action
- Able to listen effectively and demonstrate a sympathetic /sensitive approach, and be able to speak effectively to colleagues, staff and patients.
- Proven ability to understand and comply with detailed procedures
- Demonstrate ability to manage priorities under pressure
- Proven ability to adapt to new ideas, knowledge and skills
- Understanding of the requirements of patient confidentiality
- Good hygiene skills (e.g. food handling, hand washing etc.)
- Punctual and reliable
- Ability to follow a clear instruction and feed back to senior staff
- Ability to undertake venepuncture
Additional Information
Essential
- Ability to carry out moderate to intense physical effort throughout the working day and carry out concurrent activities
- Able to safely move clients and equipment in line with Manual Handling Guidelines
- Ability to travel across the borough of Lambeth and Southwark in a timely manner to undertake work duties
- Able and willing to work flexible shift patterns, and unsocial hours, according to service needs
- Ability to carry equipment/supplies to clients' homes including on stairs
Desirable
- Hold a valid UK car license.
- Access to a car for work purposes.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
