Job responsibilities
This Band 4, Nurse Associate role will involve a specialist interest in admission and discharge co-ordinating. You will be expected to liaise with other providers in ensuring that discharge plans for patients are proactively managed and supported throughout the ongoing discharge planning process.
To be a point of contact for inpatient areas providing advice and support around patient admissions and discharges, liaising with clinical teams as required.
Work with the nursing team to ensure discharges are prioritised on a day-to-day basis and escalate any delays or concerns to the nurse in charge and discharge team.
As a part of the Palatine team you will support the co-ordinator or other nurses with observations and administering medication, undertaking ECGs, cannulation, venepuncture and using CVCs.
Support ward healthcare assistants in the provision of essential bedside care: hygiene, nutritional, elimination and all holistic needs, including end of life care.
You will have the opportunity to work within a supportive environment, developing excellent skills and knowledge from our five Clinical Practice Facilitators (CPFs), who are dedicated to our Haematology and TYA service. We also provide excellent educational opportunities and support our staff to attend TYA and Hematology study days.
If you are passionate about providing high quality care; would like to work in a fast paced but patient focused environment; and want to develop new skills and knowledge around specialised cancer treatments, please apply on-line for one of our Band 4 NA posts and come and meet our fantastic team. If you would like to discuss the role further please do not hesitate in contacting The Palatine Ward managers as above.
Specific Responsibilities:
- To be the first point of call for staff with issues regarding patient admissions and discharges. Participate in board rounds on inpatient wards as per discharge team
- To work both autonomously and with the wider MDT to manage objectives set following daily board round and Discharge team huddle
- Communication with others. Working closely with the ward coordinator and ward clerks to plan the days admission and discharges. Liaise with other Palatine departments for smooth flow of patients
- Look ahead at upcoming admissions and ensure pre-treatment tests have been undertaken and patient is aware of admission time may not be in the morning
- Identify potential complex patients at board round and support ward staff with appropriate referrals early
- Following daily board round update each ward patients EDD and reason to reside status on CWP
- To ensure effective communication with the patient and their family regarding discharge planning as soon as patient is identified as having care needs on discharge
- Effectively communicate and discuss sensitive issues such as personal and emotional care needs with individuals, families and carers and discuss in a sensitive and understanding manner how these may be met, always ensuring confidentiality in accordance with Trust policy and professional governance
- Participate in multidisciplinary team meetings, huddles and actively contribute to the planning of patient discharges
- Liaise with the wider teams including discharge team and supportive care team to ensure for example the principles of end-of-life care (aSKINNg bundles, hygiene needs, repositioning & mobilising, and oral hygiene) are being adhered to
- Develop and maintain effective working relationships with all members of the multidisciplinary team to ensure collaborative and holistic working for the benefit of patient care
- Share up to date discharge information with relevant staff, as well as patients and their families
- Encourage patients with their plan of care overcoming barriers with patients whose understanding is impaired, always treating patients with dignity and respect.
- Support the Nursing staff with clinical tasks within your scope of practice to ensure the upkeep of your mandatory training, clinical skills and personal and professional development
- Actively contribute to the ongoing developments of discharge processes within the organisation, in order to improve service provision
- Have an awareness of safeguarding boundaries and to escalate and action any concerns appropriately
- Work collaboratively within scope of own practice
- Support band 2s and band 3s in the provision of care and assist with promoting essential training completed in line with trust policy.
- Ensure hygiene need checklists are completed electronically daily and perform regular audits to ensure and uphold outstanding care provision and documentation
- Uphold the Trusts values and behaviours, maintaining the publics confidence and excellent experience of car
- To have a willingness to undertake additional skills and training, dependant on department requirements
- To engage in reflective practice including management of self and reflection on own reactions, asking questions and reflecting on answers given
- Recognise and work within the limits of your competence
Promoting health and preventing ill heath
- Support people to improve and maintain their, physical, mental health and wellbeing, promoting health and preventing ill health
- Maintain an understanding of caring for individuals with additional needs due to conditions such as dementia, mental illness, learning disability.
Providing and monitoring health
- To utilise a wide range of communication methods, including verbal, non-verbal and written to enable the post holder to interact with a variety of individuals including patients, carers and members of the multi-professional team to provide compassionate, safe and effective care and support to people in a range of care settings
- Adapt communication methods, to include the use of technology, to meet the needs of individuals who have sensory impairment or communication difficulties
- Develop understanding of all elements of the nursing process and be able to assist the registered nurse in the ongoing assessment, planning, management and evaluation of care
- Develop competencies and practices clinical skills required to deliver care relevant to patient groups and within the Scope of Practice of the Nursing Associate such as catheterisation, venepuncture, CVC access, clinical observation, fluid balance and ECGs
- Maintain clear and accurate patient records utilising both digital and paper based records
- Ensure the privacy, dignity and safety of individuals is maintained at all times
- Demonstrate the ability to recognise changing priorities seeking advice and guidance from the Registered Nurse or other registered care professionals as appropriate
- To ensure that high standards of nursing care are given and maintained. To act and raise concerns when standards are not being maintained following local policy and procedures
- Evaluate the effectiveness of care delivered and liaises with the Registered Nurse to agree changes to the plan of care as required
- Demonstrate proficiency and hold a competency to administer medications within local policy and procedure and in line with the NMC Standards of Proficiency
- Recognise and effectively respond to emergency situations seeking support from the Registered Nurse in a timely and appropriate manner
- Ensure own practice comply with General Data protection Regulations (GDPR/Code of Confidentiality and Caldicott principles.
Working in teams
- Work as a member of the multi-professional team providing clinical care to patients in inpatient settings as supported by the Registered Nurse or Registered Care Professional
- Work in collaboration with others to ensure the safe and timely discharge of patients with the aim of avoiding readmission
- Carry out specific delegated clinical and care tasks and responsibilities to a high standard and competency, under the direction and supervision of a Registered Nurse or other Registered Care Professionals
- Where appropriate, work without direct supervision, at times delivering care independently in line with the individuals defined plan of care, within designated parameters of practice of the Nursing Associate role, accessing clinical and care advice when needed
- Support newly qualified staff, students, new starters, Trainee Nursing Associates and encourage an effective learning environment
- Provide support and supervision to Healthcare Assistants to promote their learning and development within their role
- The post holder will be expected to undertake a full variety of shifts to meet the service need
- Communicate effectively across a wide range of channels and with a wide range of individuals, the public, health and social care professionals, maintaining the focus of communication on delivering and improving health and care services.
- Contribute to team success and challenge others constructively
- Communicate effectively with colleagues, providing clear verbal, digital or written information and instructions when sharing information, delegating or handing over responsibility for care.
