Substance Misuse Nurse

Job description

Job responsibilities

To deliver a range of specialist interventions at primary and secondary care level including:

Referral management, screening assessment, triage, and evidence-based interventions

Care Planning and risk assessing

One-to-one and group-work facilitation

managing a mixed and challenging caseload

providing appropriate, pragmatic harm minimisation advice to patients

providing drug, alcohol and holistic health education to patients and colleagues

To complete comprehensive clinical assessment, developing immediate risk management and safety planning and instigate recovery planning for all prisoners arriving in prison who have an identified substance misuse need/dependency issue.

Through assessment, identify and escalate safeguarding concerns relating to patients and their families at the point of arrival into HMPPS.

Assist in the clinical oversight of new arrivals over the first five days in prison.

Correctly identify indicators of withdrawal or sedation and request appropriate clinical interventions to support patients including Opiate Replacement Therapy, alcohol detoxification and benzodiazepine detoxification.

Provide relevant harm minimisation and health education advice for patients with alcohol and substance use issues, including education in the administration of Naloxone.

Provide a range of evidenced-based specialised clinical care in the treatment of alcohol and substance dependency, and signposting for co-morbid conditions associated with and compounding to, patients substance and/or alcohol use.

Ensure that patients needs are addressed effectively and in a timely manner, ensuring equivalence of care or better that one would expect from accessing services in the community.

Participate in and co-ordinate joint and collaborative care planning for patients with additional complexities, including developing appropriate signposting to specialised services and release planning.

To perform robust assessment, screening, and interventions to offenders with a learning disability

To participate in resource centre services as directed, delivering specialist drug, alcohol and holistic healthcare activities under the direction of the clinical lead.

To work in a psychologically minded way with prisoners in achieving their agreed goals and quality health outcomes.

The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.

Provide joint reviews with your patients assigned Psychosocial Recovery Workers, being involved in developing holistic care plans designed to improve overall health and wellbeing outcomes.

Participate and positively contribute to the services integrated clinical governance arrangements

The post holder will be required to undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations.

The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions, health promotion/prevention activity, and management of acute and long-term conditions using our stepped care approach.

The post holder will ensure that a single, integrated, care plan is developed for each patient, and the individualised care is regularly reviewed. This will be reviewed in conjunction with the patients psychosocial recovery worker and ISMS prescriber.

The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.

The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.

The post holder will ensure that they undertake all training in evidence-based drug and alcohol treatment approaches, to enhance consistency and quality of care delivery

The post holder will support patients to manage their health at every stage, from oral health to long term conditions.

The post holder will ensure that health promotion embedded into every aspect of the service.

Participate in own supervision and continued professional development.

To maintain comprehensive and timely electronic clinical records ensuring confidentiality is maintained at all times.

Participate in the annual appraisal reviews and demonstrate reflective practice through the Knowledge and Skills Framework

IMPORTANT INFORMATION, PLEASE READ:

All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.

You will need to provide:

Proof of right to work documentation

Proof of ID, needs to include 1 photographicID

Proof of address documentation

Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.

Address History:

5 years address history will be needed.

Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.

Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.

In order to assist you in obtaining a Police Certificate, guidance can be sought from:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants

If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).

Person Specification

Education/Qualifications

Essential

• oRegistered Nurse
• oRelevant, post registration training in one of the following areas: Substance misuse/dual diagnosis Psychological therapies RCGP Part 1 Certificate

Experience

Essential

• oMinimum 2 years of working post qualification as a registered nurse
• oExperience in prison or secure setting
• oPost qualification experience in working within substance misuse services

Skills/Abilities/Knowledge

Essential

• oClear understanding of Risk Assessment principles and procedures.
• oKnowledge of substance misuse assessment, identification and management of withdrawal symptoms
• oShow a clear understanding of how to give and receive highly complex and sensitive material.
• oKnowledge of current mental health issues.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Oxleas NHS Foundation Trust

Address

HMP Exeter

30 New N Road

Exeter

EX4 4EX

Employer's website

http://oxleas.nhs.uk/ (Opens in a new tab)