Job summary
The post holder will work in the Haringey Rapid Response and Virtual Ward team which is part of the wider multi-agency Haringey Urgent Care Response service which supports hospital discharges and admission avoidance.
RRVW is co-located and integratedwith therapyand adultsocial servicescolleagues andaims to respond to patientreferralsin the community within 2 hours to prevent admission to hospital.
The post holder willprimarily be working in Haringey borough but may be required to see patients in other NCL boroughs.
Main duties of the job
Provide specialist, high quality, expert nursing care and support for patients who are suitable for Rapid Response Virtual Ward (RRVW) care in liaison with the multidisciplinary teams (MDT) through assessment and care planning.
- Initiate agreed range of diagnostic tests.
- Refer to other disciplines/professions when required.
- Support patients to self-manage, monitor their condition and make informed choices.
- Act as a named nurse for designated patients within the service
- Ensure that nursing documentation ismaintainedtorequired standards and to beacompetent user of and participate inthe ongoing development of the Trust's planned Electronic Patient Record
- Promote the development of evidenced based practice.
- Participate in clinical supervision to agreed standard.
- Ensure high standards of care are given to all patients.
- Advise patients on the promotion of health and the prevention of illness.
- Be responsible for gaining intravenous access and administration of prescribed medication for patients requiring short-term antibiotics and for monitoring their care.
- Collaborate with medical colleagues in ensuring that appropriate investigations and procedures are performed to complete the patients' treatments and that patient and their families are fully informed and understand the purpose for these.
About us
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Job description
Job responsibilities
- Promote the service and support clinical staff to facilitate the safe, effective and appropriate transfer of patients identified as suitable for RRVW care from ED, wards and the community.
- Work with and be responsible for the case management of patients identified for RRVW.
- Attend multidisciplinary meetings and participate in cascading information from these meetings to relevant parties.
- Record data and support thecollection of data for performance monitoring and reports.
- Maintain a patient database to monitor patient outcomes and also to audit the effectiveness of the RRVW Service with the aim of developing the service.
- Understand the protocols and pathways for RRVW and work with the MDT.
- Advise and recommend appropriate discharge options to patient, family and MDT in relation to any further care needs following discharge such as community nursing.
- Provide a follow up process of contacting patients being case managed, for example following up test results
- Manage and co-ordination of patient care
- Develop patient condition specific management plans with medical staff to improve patient clinical management
- Ensure other nursing staff are aware of pathways and procedures relating to RRVW. Disseminate any changes in policy and procedures in a timely manner and to work within the
- Attend appropriate internal and external meetings as representative of the Trust in relation to the RRVW Nursing role and responsibilities.
- Actively participate in the development of the RRVW service.
- Assist in the development of RRVW pathways, associated protocols and relevant patient group directions to ensure that patients are suitable for the service are identified as early as possible during their ED visit, inpatient stay, are recruited into the service, assessed and a plan of care agreed.
- Gain real time feedback from the users of the service to ensure that they are benefiting and that the service delivery is the best possible.
- Contribute to a summary report and clinical audit of the service and evaluate its effectiveness on patient outcomes.
- Act within the Nursing and Midwifery Council The Code (2018 revised)
- Undertake further educational qualifications and training in order to increase professional knowledge and remain updated
- Assist in ensuring that clinical risk is assessed and managed in line with professional NMUH and Whittington Health standards.
- Ensure that comprehensive risk assessment and management strategies are incorporated into all patient assessment and care
- Ensure that the information contained in any Comprehensive Risk Assessment is responsibly shared with members of the Multidisciplinary team, Social Services and other agencies in order to appropriately manage and reduce risk.
- Always adhere to NMUH and Whittington Health and Safety guidance and to lead by personal example of good practice.
- Ensure accurate, contemporaneous records are kept that facilitate safety and continuity of patient care. This is to include both paper and electronic records kept within the office and in the patients own home.
- Ensure accurate statistical data is promptly submitted in line with NMUH and Whittington Health Guidelines.
Work within NMUH and Whittington Health Quality and Assurance Standards including the monitoring and reviewing of quality standards, policies and protocols as required within the service.
- Take the service lead in areas where there is a specific nursing need as agreed with the Lead Matron.
- Ensure that the care given meets the standards and policies set by NMUH and Whittington Health. To inform line management of constraints that will prevent these standards from being met.
- Respond promptly to any incident where service quality has fallen below an acceptable standard and report to the Lead Matron. To investigate such incidents and set action plans to ensure that identified weaknesses are resolved.
- Investigate complaints and clinical incidents as delegated by the Lead Matron making recommendations about changes to practice and service that may result.
- Participate in research projects, clinical audit and/or innovations following agreed policy and protocol, leading on these in certain areas as agreed with the Lead Matron
- Contribute to the development of the RRVW by participating in working parties, committees and planning and discussion groups as agreed with Lead Matron and
- Submit timely information relating to service performance indicators and balanced score cards to the Lead Matron and the Quality and Assurance Department.
Job description
Job responsibilities
- Promote the service and support clinical staff to facilitate the safe, effective and appropriate transfer of patients identified as suitable for RRVW care from ED, wards and the community.
- Work with and be responsible for the case management of patients identified for RRVW.
- Attend multidisciplinary meetings and participate in cascading information from these meetings to relevant parties.
- Record data and support thecollection of data for performance monitoring and reports.
- Maintain a patient database to monitor patient outcomes and also to audit the effectiveness of the RRVW Service with the aim of developing the service.
- Understand the protocols and pathways for RRVW and work with the MDT.
- Advise and recommend appropriate discharge options to patient, family and MDT in relation to any further care needs following discharge such as community nursing.
- Provide a follow up process of contacting patients being case managed, for example following up test results
- Manage and co-ordination of patient care
- Develop patient condition specific management plans with medical staff to improve patient clinical management
- Ensure other nursing staff are aware of pathways and procedures relating to RRVW. Disseminate any changes in policy and procedures in a timely manner and to work within the
- Attend appropriate internal and external meetings as representative of the Trust in relation to the RRVW Nursing role and responsibilities.
- Actively participate in the development of the RRVW service.
- Assist in the development of RRVW pathways, associated protocols and relevant patient group directions to ensure that patients are suitable for the service are identified as early as possible during their ED visit, inpatient stay, are recruited into the service, assessed and a plan of care agreed.
- Gain real time feedback from the users of the service to ensure that they are benefiting and that the service delivery is the best possible.
- Contribute to a summary report and clinical audit of the service and evaluate its effectiveness on patient outcomes.
- Act within the Nursing and Midwifery Council The Code (2018 revised)
- Undertake further educational qualifications and training in order to increase professional knowledge and remain updated
- Assist in ensuring that clinical risk is assessed and managed in line with professional NMUH and Whittington Health standards.
- Ensure that comprehensive risk assessment and management strategies are incorporated into all patient assessment and care
- Ensure that the information contained in any Comprehensive Risk Assessment is responsibly shared with members of the Multidisciplinary team, Social Services and other agencies in order to appropriately manage and reduce risk.
- Always adhere to NMUH and Whittington Health and Safety guidance and to lead by personal example of good practice.
- Ensure accurate, contemporaneous records are kept that facilitate safety and continuity of patient care. This is to include both paper and electronic records kept within the office and in the patients own home.
- Ensure accurate statistical data is promptly submitted in line with NMUH and Whittington Health Guidelines.
Work within NMUH and Whittington Health Quality and Assurance Standards including the monitoring and reviewing of quality standards, policies and protocols as required within the service.
- Take the service lead in areas where there is a specific nursing need as agreed with the Lead Matron.
- Ensure that the care given meets the standards and policies set by NMUH and Whittington Health. To inform line management of constraints that will prevent these standards from being met.
- Respond promptly to any incident where service quality has fallen below an acceptable standard and report to the Lead Matron. To investigate such incidents and set action plans to ensure that identified weaknesses are resolved.
- Investigate complaints and clinical incidents as delegated by the Lead Matron making recommendations about changes to practice and service that may result.
- Participate in research projects, clinical audit and/or innovations following agreed policy and protocol, leading on these in certain areas as agreed with the Lead Matron
- Contribute to the development of the RRVW by participating in working parties, committees and planning and discussion groups as agreed with Lead Matron and
- Submit timely information relating to service performance indicators and balanced score cards to the Lead Matron and the Quality and Assurance Department.
Person Specification
Education / Qualifications
Essential
- RGN and Current NMC Registration
Desirable
- Post registration education in a relevant area
Knowledge & Experience
Essential
- Portfolio of varied Clinical experience
- Experience in Community/ A and E/ Care of the Elderly/ICU
Desirable
- Nurse Prescriber (or willing to work towards
- Knowledge of current issues in the NHS
Skills & Abilities
Essential
- Well-developed communication skills (verbal and written).
- Community Nursing skills, or willingness to expand field of knowledge and practice
- Administration of IV medicines.
Personal Qualities
Essential
- Professional attitude
- Multi-disciplinary team working
Desirable
- Possess vision and commitment to the organisation
Person Specification
Education / Qualifications
Essential
- RGN and Current NMC Registration
Desirable
- Post registration education in a relevant area
Knowledge & Experience
Essential
- Portfolio of varied Clinical experience
- Experience in Community/ A and E/ Care of the Elderly/ICU
Desirable
- Nurse Prescriber (or willing to work towards
- Knowledge of current issues in the NHS
Skills & Abilities
Essential
- Well-developed communication skills (verbal and written).
- Community Nursing skills, or willingness to expand field of knowledge and practice
- Administration of IV medicines.
Personal Qualities
Essential
- Professional attitude
- Multi-disciplinary team working
Desirable
- Possess vision and commitment to the organisation
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
